Interrater reliability to assure valid content in peer review of CME-accredited presentations.

PubMed

Quigg, Mark; Lado, Fred A

2009-01-01

The Accreditation Council for Continuing Medical Education (ACCME) provides guidelines for continuing medical education (CME) materials to mitigate problems in the independence or validity of content in certified activities; however, the process of peer review of materials appears largely unstudied and the reproducibility of peer-review audits for ACCME accreditation and designation of American Medical Association Category 1 Credit(TM) is unknown. Categories of presentation defects were constructed from discussions of the CME committee of the American Epilepsy Society: (1) insufficient citation, (2) poor formatting, (3) nonacknowledgment of non-FDA-approved use, (4) misapplied data, (5) 1-sided data, (6) self- or institutional promotion, (7) conflict of interest/commercial bias, (8) other, or (9) no defect. A PowerPoint lecture (n = 29 slides) suitable for presentation to general neurologists was purposefully created with the above defects. A multirater, multilevel kappa statistic was determined from the number and category of defects. Of 14 reviewers, 12 returned completed surveys (86%) identifying a mean +/- standard deviation 1.6 +/- 1.1 defects/slide. The interrater kappa equaled 0.115 (poor reliability) for number of defects/slides. No individual categories achieved kappa > 0.38. Interrater reliability on the rating of durable materials used in subspecialty CME was poor. Guidelines for CME appropriate content are too subjective to be applied reliably by raters knowledgeable in their specialty field but relatively untrained in the specifics of CME requirements. The process of peer review of CME materials would be aided by education of physicians on validation of materials appropriate for CME.

CME Interaction with Large-Scale Coronal Structures

NASA Technical Reports Server (NTRS)

Gopalswarny, Nat

2012-01-01

This talk presents some key observations that highlight the importance of CME interaction with other large scale structures such as CMEs and coronal holes . Such interactions depend on the phase of the solar cycle: during maximum, CMEs are ejected more frequently, so CME-CME interaction becomes dominant. During the rise phase, the polar coronal holes are strong, so the interaction between polar coronal holes and CMEs is important, which also leads to a possible increase in the number of interplanetary CMEs observed as magnetic clouds. During the declining phase, there are more equatorial coronal holes, so CMEs originating near these coronal holes are easily deflected. CMEs can be deflected toward and away from the Sun-Earth line resulting in interesting geospace consequences. For example, the largest geomagnetic storm of solar cycle 23 was due to a CME that was deflected towards the Sun-earth line from E22. CME deflection away from the Sun-Earth line diminishes the chance of a CME producing a geomagnetic storm. CME interaction in the coronagraphic field of view was first identified using enhanced radio emission, which is an indication of acceleration of low energy (approx.10 keV) electrons in the interaction site. CME interaction, therefore, may also have implications for proton acceleration. For example, solar energetic particle events typically occur with a higher intensity, whenever multiple CMEs occur in quick succession from the same source region. CME deflection may also have implications to the arrival of energetic particles to earth because magnetic connectivity may be changed by the interaction. I illustrate the above points using examples from SOHO, STEREO, Wind, and ACE data .

Ensemble Modeling of the July 23, 2012 CME Event

NASA Astrophysics Data System (ADS)

Cash, M. D.; Biesecker, D. A.; Millward, G.; Arge, C. N.; Henney, C. J.

2013-12-01

On July 23, 2012 a large and very fast coronal mass ejection (CME) was observed by STEREO A. This CME was unusual in that the estimates of the speed of the CME ranged from 2125 km/s to 2780 km/s based on dividing the distance of STEREO A from the Sun by the transit time of the CME. Modeling of this CME event with the WSA-Enlil model has also suggested that a very fast speed is required in order to obtain the correct arrival time at 1 AU. We present a systematic study of parameter space for the July 23, 2012 CME event through an ensemble study using the WSA-Enlil model to predict the arrival time of the CME at STEREO A. We investigate how variations in the initial speed, angular width, and direction affect the predicted arrival time. We also explore how variations in the background solar wind influence CME arrival time by using varying ADAPT maps within our ensemble study. Factors involved in the fast transit time of this large CME are discussed and the optimal CME parameters are presented.

Impractical CME programs: Influential parameters in Iran.

PubMed

Faghihi, Seyed Aliakbar; Khankeh, Hamid Reza; Hosseini, Seyed Jalil; Soltani Arabshahi, Seyed Kamran; Faghih, Zahra; Shirazi, Mandana

2017-01-01

Background: Traditional approaches in Continuing Medical Education (CME) appear to be ineffective in any improvement of the patients' care, reducing the medical errors, and/or altering physicians' behaviors. However, they are still executed by the CME providers, and are popular among the majority of the physicians. In this study, we aimed to explore the parameters involved in the degree of effectiveness of CME program in Iran. Methods: In this study, 31 participants, consisting of general practitioners, CME experts and providers were recruited to participate in in-depth interviews and field observations concerning experiences with CME. Application was made of the qualitative paradigm along with the qualitative content analysis, using grounded theory data analysis methodology (constant comparative analysis). Results: Based on the participants' experiences, the insufficient consistency between the training program contents and the demands of GPs, in addition to the non-beneficiary programs for the physicians and the non-comprehensive educational designs, created a negative attitude to the continuing education among physicians. This could be defined by an unrealistic continuing education program, which is the main theme here. Conclusion: Impracticable continuing education has created a negative attitude toward the CME programs among physicians so much that they consider these programs less important, resulting in attending the said programs without any specific aim: they dodge absenteeism just to get the credit points. Evidently, promoting CME programs to improve the performance of the physicians requires factual needs assessment over and above adaptation of the contents to the physicians' performance.

CME and Change in Practice: An Alternative Perspective.

ERIC Educational Resources Information Center

Wergin, Jon F.; And Others

1988-01-01

Results of a study by the American College of Cardiology revealed that continuing medical education (CME) courses contain relatively little information that is new to the audience, that other influences on practice interact with CME content, and that change attributable to CME is subtle and often delayed. (JOW)

The Significance of the Influence of the CME Deflection in Interplanetary Space on the CME Arrival at Earth

NASA Astrophysics Data System (ADS)

Zhuang, Bin; Wang, Yuming; Shen, Chenglong; Liu, Siqing; Wang, Jingjing; Pan, Zonghao; Li, Huimin; Liu, Rui

2017-08-01

As one of the most violent astrophysical phenomena, coronal mass ejections (CMEs) have strong potential space weather effects. However, not all Earth-directed CMEs encounter the Earth and produce geo-effects. One reason is the deflected propagation of CMEs in interplanetary space. Although there have been several case studies clearly showing such deflections, it has not yet been statistically assessed how significantly the deflected propagation would influence the CME’s arrival at Earth. We develop an integrated CME-arrival forecasting (iCAF) system, assembling the modules of CME detection, three-dimensional (3D) parameter derivation, and trajectory reconstruction to predict whether or not a CME arrives at Earth, and we assess the deflection influence on the CME-arrival forecasting. The performance of iCAF is tested by comparing the two-dimensional (2D) parameters with those in the Coordinated Data Analysis Workshop (CDAW) Data Center catalog, comparing the 3D parameters with those of the gradual cylindrical shell model, and estimating the success rate of the CME Earth-arrival predictions. It is found that the 2D parameters provided by iCAF and the CDAW catalog are consistent with each other, and the 3D parameters derived by the ice cream cone model based on single-view observations are acceptable. The success rate of the CME-arrival predictions by iCAF with deflection considered is about 82%, which is 19% higher than that without deflection, indicating the importance of the CME deflection for providing a reliable forecasting. Furthermore, iCAF is a worthwhile project since it is a completely automatic system with deflection taken into account.

Impractical CME programs: Influential parameters in Iran

PubMed Central

Faghihi, Seyed Aliakbar; Khankeh, Hamid Reza; Hosseini, Seyed Jalil; Soltani Arabshahi, Seyed Kamran; Faghih, Zahra; Shirazi, Mandana

2017-01-01

Background: Traditional approaches in Continuing Medical Education (CME) appear to be ineffective in any improvement of the patients’ care, reducing the medical errors, and/or altering physicians' behaviors. However, they are still executed by the CME providers, and are popular among the majority of the physicians. In this study, we aimed to explore the parameters involved in the degree of effectiveness of CME program in Iran. Methods: In this study, 31 participants, consisting of general practitioners, CME experts and providers were recruited to participate in in-depth interviews and field observations concerning experiences with CME. Application was made of the qualitative paradigm along with the qualitative content analysis, using grounded theory data analysis methodology (constant comparative analysis). Results: Based on the participants’ experiences, the insufficient consistency between the training program contents and the demands of GPs, in addition to the non-beneficiary programs for the physicians and the non-comprehensive educational designs, created a negative attitude to the continuing education among physicians. This could be defined by an unrealistic continuing education program, which is the main theme here. Conclusion: Impracticable continuing education has created a negative attitude toward the CME programs among physicians so much that they consider these programs less important, resulting in attending the said programs without any specific aim: they dodge absenteeism just to get the credit points. Evidently, promoting CME programs to improve the performance of the physicians requires factual needs assessment over and above adaptation of the contents to the physicians’ performance. PMID:28638813

The Growth, Characteristics, and Future of Online CME

ERIC Educational Resources Information Center

Harris, John M., Jr.; Sklar, Bernard M.; Amend, Robert W.; Novalis-Marine, Cheryl

2010-01-01

Introduction: Physician use of online continuing medical education (CME) is growing, but there are conflicting data on the uptake of online CME and few details on this market. Methods: Analyses of 11 years of data from the Accreditation Council for Continuing Medical Education (ACCME) and a survey of 272 publicly available CME Web sites. …

Source Regions of the Type II Radio Burst Observed During a CME-CME Interaction on 2013 May 22

NASA Technical Reports Server (NTRS)

Makela, P.; Gopalswamy, N.; Reiner, M. J.; Akiyama, S.; Krupar, V.

2016-01-01

We report on our study of radio source regions during the type II radio burst on 2013 May 22 based on direction finding analysis of the Wind/WAVES and STEREO/WAVES (SWAVES) radio observations at decameter-hectometric wavelengths. The type II emission showed an enhancement that coincided with the interaction of two coronal mass ejections (CMEs) launched in sequence along closely spaced trajectories. The triangulation of the SWAVES source directions posited the ecliptic projections of the radio sources near the line connecting the Sun and the STEREO-A spacecraft. The WAVES and SWAVES source directions revealed shifts in the latitude of the radio source, indicating that the spatial location of the dominant source of the type II emission varies during the CME-CME interaction. The WAVES source directions close to 1MHz frequencies matched the location of the leading edge of the primary CME seen in the images of the LASCO/C3 coronagraph. This correspondence of spatial locations at both wavelengths confirms that the CME-CME interaction region is the source of the type II enhancement. Comparison of radio and white-light observations also showed that at lower frequencies scattering significantly affects radio wave propagation.

Performance improvement CME for quality: challenges inherent to the process.

PubMed

Vakani, Farhan Saeed; O'Beirne, Ronan

2015-01-01

The purpose of this paper is to discuss the perspective debates upon the real-time challenges for a three-staged Performance Improvement Continuing Medical Education (PI-CME) model, an innovative and potential approach for future CME, to inform providers to think, prepare and to act proactively. In this discussion, the challenges associated for adopting the American Medical Association's three-staged PI-CME model are reported. Not many institutions in USA are using a three-staged performance improvement model and then customizing it to their own healthcare context for the specific targeted audience. They integrate traditional CME methods with performance and quality initiatives, and linking with CME credits. Overall the US health system is interested in a structured PI-CME model with the potential to improve physicians practicing behaviors. Knowing the dearth of evidence for applying this structured performance improvement methodology into the design of CME activities, and the lack of clarity on challenges inherent to the process that learners and providers encounter. This paper establishes all-important first step to render the set of challenges for a three-staged PI-CME model.

Is There a CME Rate Floor? CME and Magnetic Flux Values for the Last Four Solar Cycle Minima

NASA Astrophysics Data System (ADS)

Webb, D. F.; Howard, R. A.; St. Cyr, O. C.; Vourlidas, A.

2017-12-01

The recent prolonged activity minimum has led to the question of whether there is a base level of the solar magnetic field evolution that yields a “floor” in activity levels and also in the solar wind magnetic field strength. Recently, a flux transport model coupled with magneto-frictional simulations has been used to simulate the continuous magnetic field evolution in the global solar corona for over 15 years, from 1996 to 2012. Flux rope eruptions in the simulations are estimated (Yeates), and the results are in remarkable agreement with the shape of the SOlar Heliospheric Observatory/Large Angle and Spectrometric Coronagraph Experiment coronal mass ejection (CME) rate distribution. The eruption rates at the two recent minima approximate the observed-corrected CME rates, supporting the idea of a base level of solar magnetic activity. In this paper, we address this issue by comparing annual averages of the CME occurrence rates during the last four solar cycle minima with several tracers of the global solar magnetic field. We conclude that CME activity never ceases during a cycle, but maintains a base level of 1 CME every 1.5 to ∼3 days during minima. We discuss the sources of these CMEs.

Correcting LASCO CME Catalogs to Study the Change in CME Rate from Solar Cycle 23 to 24

NASA Astrophysics Data System (ADS)

Hess, P.; Colaninno, R. C.

2017-12-01

While most measures of solar activity declined from SC 23 to SC 24, many CME catalogs that span the entire LASCO mission did not show a similar drop in CME count. The raw CME totals from many catalogs show steady levels between the two cycles . However, these totals are complicated by a doubling of the LASCO image cadence in 2010. We show, using a consistent cadence on the automated Solar Eruption Event Detection System (SEEDS) that the CME count seems to follow the SSN throughout the entire catalog. Because SEEDS is a C2 catalog, the question has been raised if this effect is limited only to small transients that can be eliminated using larger width thresholds or other catalogs that also include C3, to support that this enhanced CME rate relative to the SSN is a real effect. We will also present data from CACTus, CORIMP and CDAW that suggests this is a false assumption, and that all catalogs have their own issues in dealing with the increased LASCO cadence. This evidence points to there being no appreciable difference in the ratio between CME rate and SSN between SC 23 and SC 24. We provide some examples of why these catalogs may be susceptible to a change in data rate, and use this as part of a wider discussion of the nature of automated catalogs and how to properly consider the outputs of these algorithms. While the automated catalogs are an extremely valuable tool for getting a consistent measure of coronal activity, the significant false detection rate of an automated catalog must always be considered. Because of this, the temporal trends of the catalog results relative to one another is a far more valuable diagnostic than a raw total at any one time.

Assessment of Barriers to Changing Practice as CME Outcomes

ERIC Educational Resources Information Center

Price, David W.; Miller, Elaine K.; Rahm, Alanna Kulchak; Brace, Nancy E.; Larson, R. Sam

2010-01-01

Introduction: Continuing medical education (CME) is meant to drive and support improvements in practice. To achieve this goal, CME activities must move beyond simply purveying knowledge, instead helping attendees to contextualize information and to develop strategies for implementing new learning. CME attendees face different barriers to…

Ex vivo and in vivo studies of CME-1, a novel polysaccharide purified from the mycelia of Cordyceps sinensis that inhibits human platelet activation by activating adenylate cyclase/cyclic AMP.

PubMed

Lu, Wan-Jung; Chang, Nen-Chung; Jayakumar, Thanasekaran; Liao, Jiun-Cheng; Lin, Mei-Jiun; Wang, Shwu-Huey; Chou, Duen-Suey; Thomas, Philip Aloysius; Sheu, Joen-Rong

2014-12-01

CME-1, a novel water-soluble polysaccharide, was purified from the mycelia of Cordyceps sinensis, and its chemical structure was characterized to contain mannose and galactose in a ratio of 4:6 (27.6 kDa). CME-1 was originally observed to exert a potent inhibitory effect on tumor migration and a cytoprotective effect against oxidative stress. Activation of platelets caused by arterial thrombosis is relevant to various cardiovascular diseases (CVDs). However, no data are available concerning the effects of CME-1 on platelet activation. Hence, the purpose of this study was to examine the ex vivo and in vivo antithrombotic effects of CME-1 and its possible mechanisms in platelet activation. The aggregometry, immunoblotting, flow cytometric analysis and platelet functional analysis were used in this study. CME-1 (2.3-7.6 μM) exhibited highly potent activity in inhibiting human platelet aggregation when stimulated by collagen, thrombin, and arachidonic acid but not by U46619. CME-1 inhibited platelet activation accompanied by inhibiting Akt, mitogen-activated protein kinases (MAPKs), thromboxane B2 (TxB2) and hydroxyl radical (OH(●)) formation. However, CME-1 interrupted neither FITC-triflavin nor FITC-collagen binding to platelets. CME-1 markedly increased cyclic AMP levels, but not cyclic GMP levels, and stimulated vasodilator-stimulated phosphoprotein (VASP) phosphorylation. SQ22536, an inhibitor of adenylate cyclase, but not ODQ, an inhibitor of guanylate cyclase, obviously reversed the CME-1-mediated effects on platelet aggregation and vasodilator-stimulated phosphoprotein (VASP), Akt, p38 MAPK phosphorylation, and TxB2 formation. CME-1 substantially prolonged the closure time of whole blood and the occlusion time of platelet plug formation. This study demonstrates for the first time that CME-1 exhibits highly potent antiplatelet activity that may initially activate adenylate cyclase/cyclic AMP and, subsequently, inhibit intracellular signals (such as Akt and

Recent VLA Measurements of CME-Induced Faraday Rotation

NASA Astrophysics Data System (ADS)

Kooi, Jason; Thomas, Najma; Guy, Michael; Spangler, Steven R.

2018-01-01

Observations of Faraday rotation, the change in polarization position angle of linearly polarized radiation as it propagates through a magnetized plasma, have been used for decades to determine the strength and structure of the coronal magnetic field and plasma density. Similarly, observations of Faraday rotation through a coronal mass ejection (CME) have the potential to improve our understanding of the CME’s plasma structure. We report recent results from simultaneous white-light coronagraph and radio observations made of a CME in July 2015. We made radio observations using the Karl G. Jansky Very Large Array (VLA) at 1 - 2 GHz frequencies of a set of cosmic radio sources through the solar corona at heliocentric distances that ranged between 8 - 23 solar radii. A unique aspect of these observations is that the CME occulted several of these radio sources and, therefore, our Faraday rotation measurements provide information on the plasma structure in different regions of the CME. We successfully measured CME-induced Faraday rotation along multiple lines of sight because we made special arrangements with the staff at the National Radio Astronomy Observatory to trigger VLA observations when a candidate CME appeared low in the corona in near real-time images from the Large Angle and Spectrometric Coronagraph (LASCO) C2 instrument.

A Monster CME Obscuring a Demon Star Flare

NASA Astrophysics Data System (ADS)

Moschou, Sofia-Paraskevi; Drake, Jeremy J.; Cohen, Ofer; Alvarado-Gomez, Julian D.; Garraffo, Cecilia

2017-12-01

We explore the scenario of a coronal mass ejection (CME) being the cause of the observed continuous X-ray absorption of the 1997 August 30 superflare on the eclipsing binary Algol (the Demon Star). The temporal decay of the absorption is consistent with absorption by a CME undergoing self-similar evolution with uniform expansion velocity. We investigate the kinematic and energetic properties of the CME using the ice cream cone model for its three-dimensional structure in combination with the observed profile of the hydrogen column density decline with time. Different physically justified length scales were used that allowed us to estimate lower and upper limits of the possible CME characteristics. Further consideration of the maximum available magnetic energy in starspots leads us to quantify its mass as likely lying in the range 2× {10}21 {--} 2× {10}22 g and kinetic energy in the range 7× {10}35 {--} 3× {10}38 erg. The results are in reasonable agreement with extrapolated relations between flare X-ray fluence and CME mass and kinetic energy derived for solar CMEs.

Plasma Radiation and Acceleration Effectiveness of CME-driven Shocks

NASA Astrophysics Data System (ADS)

Gopalswamy, N.; Schmidt, J. M.

2008-05-01

CME-driven shocks are effective radio radiation generators and accelerators for Solar Energetic Particles (SEPs). We present simulated 3 D time-dependent radio maps of second order plasma radiation generated by CME- driven shocks. The CME with its shock is simulated with the 3 D BATS-R-US CME model developed at the University of Michigan. The radiation is simulated using a kinetic plasma model that includes shock drift acceleration of electrons and stochastic growth theory of Langmuir waves. We find that in a realistic 3 D environment of magnetic field and solar wind outflow of the Sun the CME-driven shock shows a detailed spatial structure of the density, which is responsible for the fine structure of type II radio bursts. We also show realistic 3 D reconstructions of the magnetic cloud field of the CME, which is accelerated outward by magnetic buoyancy forces in the diverging magnetic field of the Sun. The CME-driven shock is reconstructed by tomography using the maximum jump in the gradient of the entropy. In the vicinity of the shock we determine the Alfven speed of the plasma. This speed profile controls how steep the shock can grow and how stable the shock remains while propagating away from the Sun. Only a steep shock can provide for an effective particle acceleration.

Plasma radiation and acceleration effectiveness of CME-driven shocks

NASA Astrophysics Data System (ADS)

Schmidt, Joachim

CME-driven shocks are effective radio radiation generators and accelerators for Solar Energetic Particles (SEPs). We present simulated 3 D time-dependent radio maps of second order plasma radiation generated by CME-driven shocks. The CME with its shock is simulated with the 3 D BATS-R-US CME model developed at the University of Michigan. The radiation is simulated using a kinetic plasma model that includes shock drift acceleration of electrons and stochastic growth theory of Langmuir waves. We find that in a realistic 3 D environment of magnetic field and solar wind outflow of the Sun the CME-driven shock shows a detailed spatial structure of the density, which is responsible for the fine structure of type II radio bursts. We also show realistic 3 D reconstructions of the magnetic cloud field of the CME, which is accelerated outward by magnetic buoyancy forces in the diverging magnetic field of the Sun. The CME-driven shock is reconstructed by tomography using the maximum jump in the gradient of the entropy. In the vicinity of the shock we determine the Alfven speed of the plasma. This speed profile controls how steep the shock can grow and how stable the shock remains while propagating away from the Sun. Only a steep shock can provide for an effective particle acceleration.

CAT-PUMA: CME Arrival Time Prediction Using Machine learning Algorithms

NASA Astrophysics Data System (ADS)

Liu, Jiajia; Ye, Yudong; Shen, Chenglong; Wang, Yuming; Erdélyi, Robert

2018-04-01

CAT-PUMA (CME Arrival Time Prediction Using Machine learning Algorithms) quickly and accurately predicts the arrival of Coronal Mass Ejections (CMEs) of CME arrival time. The software was trained via detailed analysis of CME features and solar wind parameters using 182 previously observed geo-effective partial-/full-halo CMEs and uses algorithms of the Support Vector Machine (SVM) to make its predictions, which can be made within minutes of providing the necessary input parameters of a CME.

Learning to Collaborate: A Case Study of Performance Improvement CME

ERIC Educational Resources Information Center

Shershneva, Marianna B.; Mullikin, Elizabeth A.; Loose, Anne-Sophie; Olson, Curtis A.

2008-01-01

Introduction: Performance Improvement Continuing Medical Education (PI CME) is a mechanism for joining quality improvement (QI) in health care to continuing medical education (CME) systems together. Although QI practices and CME approaches have been recognized for years, what emerges from their integration is largely unfamiliar, because it…

Prediction of Active-Region CME Productivity from Magnetograms

NASA Technical Reports Server (NTRS)

Falconer, D. A.; Moore, R. L.; Gary, G. A.

2004-01-01

We report results of an expanded evaluation of whole-active-region magnetic measures as predictors of active-region coronal mass ejection (CME) productivity. Previously, in a sample of 17 vector magnetograms of 12 bipolar active regions observed by the Marshall Space Flight Center (MSFC) vector magnetograph, from each magnetogram we extracted a measure of the size of the active region (the active region s total magnetic flux a) and four measures of the nonpotentiality of the active region: the strong-shear length L(sub SS), the strong-gradient length L(sub SG), the net vertical electric current I(sub N), and the net-current magnetic twist parameter alpha (sub IN). This sample size allowed us to show that each of the four nonpotentiality measures was statistically significantly correlated with active-region CME productivity in time windows of a few days centered on the day of the magnetogram. We have now added a fifth measure of active-region nonpotentiality (the best-constant-alpha magnetic twist parameter (alpha sub BC)), and have expanded the sample to 36 MSFC vector magnetograms of 31 bipolar active regions. This larger sample allows us to demonstrate statistically significant correlations of each of the five nonpotentiality measures with future CME productivity, in time windows of a few days starting from the day of the magnetogram. The two magnetic twist parameters (alpha (sub 1N) and alpha (sub BC)) are normalized measures of an active region s nonpotentially in that they do not depend directly on the size of the active region, while the other three nonpotentiality measures (L(sub SS), L(sub SG), and I(sub N)) are non-normalized measures in that they do depend directly on active-region size. We find (1) Each of the five nonpotentiality measures is statistically significantly correlated (correlation confidence level greater than 95%) with future CME productivity and has a CME prediction success rate of approximately 80%. (2) None of the nonpotentiality

A Stealth CME Bracketed between Slow and Fast Wind Producing Unexpected Geoeffectiveness

NASA Astrophysics Data System (ADS)

He, Wen; Liu, Ying D.; Hu, Huidong; Wang, Rui; Zhao, Xiaowei

2018-06-01

We investigate how a weak coronal mass ejection (CME) launched on 2016 October 8 without obvious signatures in the low corona produced a relatively intense geomagnetic storm. Remote sensing observations from SDO, STEREO, and SOHO and in situ measurements from Wind are employed to track the CME from the Sun to the Earth. Using a graduated cylindrical shell model, we estimate the propagation direction and the morphology of the CME near the Sun. CME kinematics are determined from the wide-angle imaging observations of STEREO A and are used to predict the CME arrival time and speed at the Earth. We compare ENLIL MHD simulation results with in situ measurements to illustrate the background solar wind where the CME was propagating. We also apply a Grad–Shafranov technique to reconstruct the flux-rope structure from in situ measurements in order to understand the geoeffectiveness associated with the CME magnetic field structure. Key results are obtained concerning how a weak CME can generate a relatively intense geomagnetic storm: (1) there were coronal holes at low latitudes, which could produce high speed streams (HSSs) to interact with the CME in interplanetary space; (2) the CME was bracketed between a slow wind ahead and an HSS behind, which enhanced the southward magnetic field inside the CME and gave rise to the unexpected geomagnetic storm.

Sharing Collaborative Designs of Tobacco Cessation Performance Improvement CME Projects

ERIC Educational Resources Information Center

Mullikin, Elizabeth A.; Ales, Mary W.; Cho, Jane; Nelson, Teena M.; Rodrigues, Shelly B.; Speight, Mike

2011-01-01

Introduction: Performance Improvement Continuing Medical Education (PI CME) provides an important opportunity for CME providers to combine educational and quality health care improvement methodologies. Very few CME providers take on the challenges of planning this type of intervention because it is still a new practice and there are limited…

Using Focus Groups for Strategic Planning in a CME Unit

ERIC Educational Resources Information Center

Takhar, Jatinder; Tipping, Jane

2008-01-01

The University of Western Ontario, having established a fully functional continuing medical education (CME) office over the last 4 years, needed to plan the future for its academic CME unit. It needs a method for evaluating the progress and shaping the organizational future of the CME unit. A literature search and consultations suggested focus…

Automated LASCO CME Catalog for Solar Cycle 23: Are CMEs Scale Invariant?

NASA Astrophysics Data System (ADS)

Robbrecht, E.; Berghmans, D.; Van der Linden, R. A. M.

2009-02-01

In this paper, we present the first automatically constructed LASCO coronal mass ejection (CME) catalog, a result of the application of the Computer Aided CME Tracking software (CACTus) on the LASCO archive during the interval 1997 September-2007 January. We have studied the CME characteristics and have compared them with similar results obtained by manual detection (CDAW CME catalog). On average, CACTus detects less than two events per day during solar minimum, up to eight events during maximum, nearly half of them being narrow (<20°). Assuming a correction factor, we find that the CACTus CME rate is surprisingly consistent with CME rates found during the past 30 years. The CACTus statistics show that small-scale outflow is ubiquitously observed in the outer corona. The majority of CACTus-only events are narrow transients related to previous CME activity or to intensity variations in the slow solar wind, reflecting its turbulent nature. A significant fraction (about 15%) of CACTus-only events were identified as independent events, thus not related to other CME activity. The CACTus CME width distribution is essentially scale invariant in angular span over a range of scales from 20° to 120° while previous catalogs present a broad maximum around 30°. The possibility that the size of coronal mass outflows follow a power-law distribution could indicate that no typical CME size exists, i.e., that the narrow transients are not different from the larger well defined CMEs.

PROPAGATION OF THE 2014 JANUARY 7 CME AND RESULTING GEOMAGNETIC NON-EVENT

DOE Office of Scientific and Technical Information (OSTI.GOV)

Mays, M. L.; Collinson, G.; Taktakishvili, A.

2015-10-20

On 2014 January 7 an X1.2 flare and coronal mass ejection (CME) with a radial speed ≈2500 km s{sup −1} was observed from near an active region close to disk center. This led many forecasters to estimate a rapid arrival at Earth (≈36 hr) and predict a strong geomagnetic storm. However, only a glancing CME arrival was observed at Earth with a transit time of ≈49 hr and a K{sub P} geomagnetic index of only 3−. We study the interplanetary propagation of this CME using the ensemble Wang-Sheeley-Arge (WSA)–ENLIL+Cone model, that allows a sampling of CME parameter uncertainties. We exploremore » a series of simulations to isolate the effects of the background solar wind solution, CME shape, tilt, location, size, and speed, and the results are compared with observed in situ arrivals at Venus, Earth, and Mars. Our results show that a tilted ellipsoid CME shape improves the initial real-time prediction to better reflect the observed in situ signatures and the geomagnetic storm strength. CME parameters from the Graduated Cylindrical Shell model used as input to WSA–ENLIL+Cone, along with a tilted ellipsoid cloud shape, improve the arrival-time error by 14.5, 18.7, 23.4 hr for Venus, Earth, and Mars respectively. These results highlight that CME orientation and directionality with respect to observatories play an important role in understanding the propagation of this CME, and for forecasting other glancing CME arrivals. This study also demonstrates the importance of three-dimensional CME fitting made possible by multiple viewpoint imaging.« less

Why a geoeffective CME was missed by SOHO LASCO?

NASA Astrophysics Data System (ADS)

Chi, Y.; Zhang, J.; Shen, C.; Hess, P.; Feng, L.; Wang, Y.; Mishra, W.

2017-12-01

During 2011 May 25, two Earth directed coronal mass ejections (CMEs) were recorded by STEREO COR2 as limb CMEs, when the separation between twin STEREO spacecraft and Earth was approximately 90°. At the same time, SOHO LASCO did not record corresponding halo or partial halo CME. These CMEs provided an opportunity to study why SOHO LASCO may miss Earth direction CME. According to GCS model, we find the two CMEs both have small half angle and aspect ratio. Most part of CMEs are behind the occulter of SOHO LASCO C2. We also estimated the two CMEs' mass and find the both CMEs' mass is small. The expected CME brightness according to the CME's mass is in the same order of the noise of SOHO LASCO. In the HI1 Fov, We have found evidence of interaction between the two CMEs. Combining with the WIND in situ observations, we find the CMEs are adjacent to each other. The duration of the two flux rope structure are 7 and 6.6 hours, respectively. This may provide an evidence that small flux structure without corresponding CME is also the solar erupted structure.

Deriving and Constraining 3D CME Kinematic Parameters from Multi-Viewpoint Coronagraph Images

NASA Astrophysics Data System (ADS)

Thompson, B. J.; Mei, H. F.; Barnes, D.; Colaninno, R. C.; Kwon, R.; Mays, M. L.; Mierla, M.; Moestl, C.; Richardson, I. G.; Verbeke, C.

2017-12-01

Determining the 3D properties of a coronal mass ejection using multi-viewpoint coronagraph observations can be a tremendously complicated process. There are many factors that inhibit the ability to unambiguously identify the speed, direction and shape of a CME. These factors include the need to separate the "true" CME mass from shock-associated brightenings, distinguish between non-radial or deflected trajectories, and identify asymmetric CME structures. Additionally, different measurement methods can produce different results, sometimes with great variations. Part of the reason for the wide range of values that can be reported for a single CME is due to the difficulty in determining the CME's longitude since uncertainty in the angle of the CME relative to the observing image planes results in errors in the speed and topology of the CME. Often the errors quoted in an individual study are remarkably small when compared to the range of values that are reported by different authors for the same CME. For example, two authors may report speeds of 700 +- 50 km/sec and 500+-50 km/sec for the same CME. Clearly a better understanding of the accuracy of CME measurements, and an improved assessment of the limitations of the different methods, would be of benefit. We report on a survey of CME measurements, wherein we compare the values reported by different authors and catalogs. The survey will allow us to establish typical errors for the parameters that are commonly used as inputs for CME propagation models such as ENLIL and EUHFORIA. One way modelers handle inaccuracies in CME parameters is to use an ensemble of CMEs, sampled across ranges of latitude, longitude, speed and width. The CMEs simulated in order to determine the probability of a "direct hit" and, for the cases with a "hit," derive a range of possible arrival times. Our study will provide improved guidelines for generating CME ensembles that more accurately sample across the range of plausible values.

Comet Plunge and CME on the Sun

NASA Image and Video Library

2017-12-08

A small comet was streaking towards the Sun when the Sun blew out a "halo" coronal mass ejection (CME) Aug. 19-20, 2013). The CME originated from the far side of the Sun and did not have any interaction with the comet. The comet, only perhaps 30 meters across, was not seen after it went out of view, likely disintegrated by the heat and radiation from the Sun. We call this a "full halo" CME since the front edge of the CME is expanding in all directions around the Sun like a halo. The images were taken by SOHO's coronagraphs in which a disk (red) blocks the Sun and some of the area around it so we can see faint structures beyond that. Here we superimposed the Sun from NASA's SDO. The movie covers about five hours of activity and can be seen here: www.flickr.com/photos/gsfc/9601034896/ Credit: NASA/Goddard/SOHO NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Developing an Instrument to Measure Bias in CME

ERIC Educational Resources Information Center

Takhar, Jatinder; Dixon, Dave; Donahue, Jill; Marlow, Bernard; Campbell, Craig; Silver, Ivan; Eadie, Jason; Monette, Celine; Rohan, Ivan; Sriharan, Abi; Raymond, Kathryn; Macnab, Jennifer

2007-01-01

Introduction: The pharmaceutical industry, by funding over 60% of programs in the United States and Canada, plays a major role in continuing medical education (CME), but there are concerns about bias in such CME programs. Bias is difficult to define, and currently no tool is available to measure it. Methods: Representatives from industry and…

Deflected Propagation of CMEs and Its Importance on the CME Arrival Forecasting

NASA Astrophysics Data System (ADS)

Wang, Yuming; Zhuang, Bin; Shen, Chenglong

2017-04-01

As the most important driver of severe space weather, coronal mass ejections (CMEs) and their geoeffectiveness have been studied intensively. Previous statistical studies have shown that not all the front-side halo CMEs are geoeffective, and not all non-recurrent geomagnetic storms can be tracked back to a CME. These phenomena may cause some failed predictions of the geoeffectiveness of CMEs. The recent notable event exhibiting such a failure was on 2015 March 15 when a fast CME originated from the west hemisphere. Space Weather Prediction Center (SWPC) of NOAA initially forecasted that the CME would at most cause a very minor geomagnetic disturbance labeled as G1. However, the CME produced the largest geomagnetic storm so far, at G4 level with the provisional Dst value of -223 nT, in the current solar cycle 24 [e.g., Kataoka et al., 2015; Wang et al., 2016]. Such an unexpected phenomenon naturally raises the first question for the forecasting of the geoeffectiveness of a CME, i.e., whether or not a CME will hit the Earth even though we know the source location and initial kinematic properties of the CME. A full understanding of the propagation trajectory, e.g., the deflected propagation, of a CME from the Sun to 1 AU is the key. With a few cases, we show the importance of the deflection effect in the space weather forecasting. An automated CME arrival forecasting system containing a deflected propagation model is presented.

A Tiny Eruptive Filament as a Flux-Rope Progenitor and Driver of a Large-Scale CME and Wave

NASA Astrophysics Data System (ADS)

Grechnev, V. V.; Uralov, A. M.; Kochanov, A. A.; Kuzmenko, I. V.; Prosovetsky, D. V.; Egorov, Y. I.; Fainshtein, V. G.; Kashapova, L. K.

2016-04-01

A solar eruptive event SOL2010-06-13 observed with the Atmospheric Imaging Assembly (AIA) of the Solar Dynamics Observatory (SDO) has been extensively discussed in the contexts of the CME development and an associated extreme-ultraviolet (EUV) wave-like transient in terms of a shock driven by the apparent CME rim. Continuing the analysis of this event, we have revealed an erupting flux rope, studied its properties, and detected wave signatures inside the developing CME. These findings have allowed us to establish new features in the genesis of the CME and associated EUV wave and to reconcile all of the episodes into a single causally related sequence. i) A hot 11 MK flux rope developed from the structures initially associated with a compact filament system. The flux rope expanded with an acceleration of up to 3 km s-2 one minute before a hard X-ray burst and earlier than any other structures, reached a velocity of 420 km s-1, and then decelerated to about 50 km s-1. ii) The CME development was driven by the expanding flux rope. Closed coronal structures above the rope got sequentially involved in the expansion from below upwards, came closer together, and apparently disappeared to reveal their common envelope, the visible rim, which became the outer boundary of the cavity. The rim was probably associated with the separatrix surface of a magnetic domain, which contained the pre-eruptive filament. iii) The rim formation was associated with a successive compression of the upper active-region structures into the CME frontal structure (FS). When the rim was formed, it resembled a piston. iv) The disturbance responsible for the consecutive CME formation episodes was excited by the flux rope inside the rim, and then propagated outward. EUV structures arranged at different heights started to accelerate, when their trajectories in the distance-time diagram were crossed by that of the fast front of this disturbance. v) Outside the rim and FS, the disturbance propagated like

Effect of gravitational stratification on the propagation of a CME

NASA Astrophysics Data System (ADS)

Pagano, P.; Mackay, D. H.; Poedts, S.

2013-12-01

Context. Coronal mass ejections (CMEs) are the most violent phenomenon found on the Sun. One model that explains their occurrence is the flux rope ejection model. A magnetic flux rope is ejected from the solar corona and reaches the interplanetary space where it interacts with the pre-existing magnetic fields and plasma. Both gravity and the stratification of the corona affect the early evolution of the flux rope. Aims: Our aim is to study the role of gravitational stratification on the propagation of CMEs. In particular, we assess how it influences the speed and shape of CMEs and under what conditions the flux rope ejection becomes a CME or when it is quenched. Methods: We ran a set of MHD simulations that adopt an eruptive initial magnetic configuration that has already been shown to be suitable for a flux rope ejection. We varied the temperature of the backgroud corona and the intensity of the initial magnetic field to tune the gravitational stratification and the amount of ejected magnetic flux. We used an automatic technique to track the expansion and the propagation of the magnetic flux rope in the MHD simulations. From the analysis of the parameter space, we evaluate the role of gravitational stratification on the CME speed and expansion. Results: Our study shows that gravitational stratification plays a significant role in determining whether the flux rope ejection will turn into a full CME or whether the magnetic flux rope will stop in the corona. The CME speed is affected by the background corona where it travels faster when the corona is colder and when the initial magnetic field is more intense. The fastest CME we reproduce in our parameter space travels at ~850 km s-1. Moreover, the background gravitational stratification plays a role in the side expansion of the CME, and we find that when the background temperature is higher, the resulting shape of the CME is flattened more. Conclusions: Our study shows that although the initiation mechanisms of the

Feasibility of a Knowledge Translation CME Program: "Courriels Cochrane"

ERIC Educational Resources Information Center

Pluye, Pierre; Grad, Roland; Granikov, Vera; Theriault, Guylene; Fremont, Pierre; Burnand, Bernard; Mercer, Jay; Marlow, Bernard; Arroll, Bruce; Luconi, Francesca; Legare, France; Labrecque, Michel; Ladouceur, Roger; Bouthillier, France; Sridhar, Soumya Bindiganavile; Moscovici, Jonathan

2012-01-01

Introduction: Systematic literature reviews provide best evidence, but are underused by clinicians. Thus, integrating Cochrane reviews into continuing medical education (CME) is challenging. We designed a pilot CME program where summaries of Cochrane reviews ("Courriels Cochrane") were disseminated by e-mail. Program participants…

Expanding CME-flare relations to other stellar systems

NASA Astrophysics Data System (ADS)

Moschou, Sofia P.; Drake, Jeremy J.; Cohen, Ofer

2017-05-01

Stellar activity is one of the main parameters in exoplanet habitability studies. While the effects of UV to X-ray emission from extreme flares on exoplanets are beginning to be investigated, the impact of coronal mass ejections is currently highly speculative because CMEs and their properties cannot yet be directly observed on other stars. An extreme superflare was observed in X-rays on the Algol binary system on August 30 1997, emitting a total of energy 1.4x 10^{37} erg and making it a great candidate for studying the upper energy limits of stellar superflares in solar-type (GK) stars. A simultaneous increase and subsequent decline in absorption during the flare was also observed and interpretted as being caused by a CME. Here we investigate the dynamic properties of a CME that could explain such time-dependent absorption and appeal to trends revealed from solar flare and CME statistics as a guide. Using the ice-cream cone model that is extensively used in solar physics to describe the three-dimensional CME structure, in combination with the temporal profile of the hydrogen column density evolution, we are able to characterize the CME and estimate its kinetic energy and mass. We examine the mass, kinetic and flare X-ray fluence in the context of solar relations to examine the extent to which such relations can be extrapolated to much more extreme stellar events.

Physics of Coupled CME and Flare Systems

DTIC Science & Technology

2016-12-21

AFRL-RV-PS- AFRL-RV-PS- TR-2016-0162 TR-2016-0162 PHYSICS OF COUPLED CME AND FLARE SYSTEMS K. S. Balasubramaniam, et al. 21 December 2016 Final...30 Sep 2016 4. TITLE AND SUBTITLE Physics of Coupled CME and Flare Systems 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 61102F...objectives for this task were: (i) derive measureable physical properties and discernible structural circumstances in solar active regions that

Constraints on particle density evolution within a CME at Mercury

NASA Astrophysics Data System (ADS)

Exner, W.; Liuzzo, L.; Heyner, D.; Feyerabend, M.; Motschmann, U. M.; Glassmeier, K. H.; Shiota, D.; Kusano, K.

2017-12-01

Mercury (RM=2440) is the closest orbiting planet around the Sun and is embedded in an intensive and highly varying solar wind.Mercury's intrinsic dipole with a southward magnetic moment is aligned with the rotation axis and has a northward offset of 0.2 RM.In-situ data from the MESSENGER spacecraft of the magnetic environment near Mercury indicate that a coronal mass ejection (CME) passed the planet on 8 May 2012. The data constrain the direction and magnitude of the CME magnetic field but no information on its particle density could be determined.We apply the hybrid (kinetic ions, electron fluid) code A.I.K.E.F. to study the interaction of Mercury's magnetosphere with the CME.We use MESSENGER magnetic field observations as well as simulation results to constrain the evolution of the particle density inside the CME.We show that within a 24-hour period the particle density within the CME had to vary between 1-100 cm-3 in order to explain MESSENGER magnetic field observations.

Current Sheet Evolution in the Aftermath of a CME Event

NASA Technical Reports Server (NTRS)

Bemporad, A.; Poletto, G.; Suess, S. T.; Ko, Y.-K.; Schwadron, N. A.; Elliott, H. A.; Raymond, J. C.

2005-01-01

We report on SOHO-UVCS observations of the coronal restructuring following a Coronal Mass Ejection (CME) on November 26,2002, at the time of a SOHO-Ulysses quadrature campaign. Starting about 3 hours after a CME in the NW quadrant, UVCS began taking spectra at 1.7 solar radius, covering emission from both cool and hot plasma. Observations continued, with occasional gaps, for more than 2 days. Emission in the 974.8 Angstrom line of [Fe XVIII], indicating temperatures above 6 x 10(exp 6) K, was observed throughout the campaign in a spatially limited location. Comparison with EIT images shows the Fe XVIII emission to overlie a growing post-flare loop system formed in the aftermath of the CME. The emission most likely originates in a current sheet overlying the arcade. Analysis of the [Fe XVIII] emission allows us to infer the evolution of physical parameters in the current sheet over the entire span of our observations: in particular, we give the temperature vs. time in the current sheet and estimate the density. At the time of the quadrature, Ulysses was directly above the location of the CME and intercepted the ejecta. High ionization state Fe was detected by Ulysses-SWICS throughout the magnetic cloud associated with the CME. Both the remote and in situ observations are compared with predictions of theoretical CME models.

Tracking Energetics of a CME Core in the Low Solar Corona

NASA Astrophysics Data System (ADS)

Kocher, M.; Landi, E.; Lepri, S. T.

2017-12-01

In order to understand the processes that generate CMEs, and develop the ability to predict their evolution and geoeffectiveness, it is very important to determine how the plasma properties within coronal mass ejections (CME) evolve through their journey from the low corona through the solar environment. This study uses a combination of remote-sensing and in-situ observations of a filament eruption (that later formed the core of the CME) that left the Sun on August 4th, 2011 - shortly after an M-class flare. Separate absorption and emission diagnostic techniques are utilized to compute time-evolution estimates of the density and temperature of multiple plasma parcels within the filament using SDO/AIA EUV images. Twin STEREO spacecraft observations are used to estimate the height, speed, and acceleration of the CME at corresponding times. These observation-based densities, temperatures, and speeds allowed us to use the Michigan Ionization Code to compute the ionization history of this CME in the low solar corona. Along with the thermal and kinetic properties of this CME, we present a comparison with existing CME evolution models and draw inferences on its heating and acceleration.

Coronal Current Sheet Evolution in the Aftermath of a CME

NASA Technical Reports Server (NTRS)

Bemporad, A.; Poletto, G.; Suess, S. T.; Ko, Y.-K.; Schwadron, N. A.; Elliott, H. A.; Raymond, J. C.

2005-01-01

We report on SOHO-UVCS observations of coronal restructuring following a Coronal Mass Ejection (CME) on November 26, 2002, at the time of a SOHO-Ulysses quadrature campaign. Starting about 3 hours after the CME, which was directed towards Ulysses, UVCS began taking spectra at 1.7 solar radii, covering emission from both cool and hot plasma. Observations continued, with occasional gaps, for more than 2 days. Emission in the 974.8 Angstrom line of [Fe XVIII], indicating temperatures above 6x10(6) K, was observed throughout the campaign in a spatially limited location. Comparison with EIT images shows the [Fe XVIII] emission to overlie a growing post-flare loop system formed in the aftermath of the CME. The emission most likely originates in a current sheet overlying the arcade. Analysis of the [Fe XVIII] emission allows us to infer the evolution of physical parameters in the current sheet over the entire span of our observations: in particular, we give the temperature vs. time in the current sheet and estimate the density. Ulysses was directly above the location of the CME and intercepted the ejecta. High ionization state Fe was detected by SWICS throughout the magnetic cloud associated with the CME, although the rapid temporal variation suggests bursty, rather than smooth, reconnection in the coronal current sheet. Both the remote and in situ observations are compared with predictions of theoretical CME models.

A Small-Scale Flux Rope and its Associated CME and Shock.

NASA Astrophysics Data System (ADS)

Feng, L.; Ying, B.; Lu, L.; Zhang, J.

2016-12-01

A magnetic flux rope (MFR) is thought be a key ingredient of a coronal mass ejection (CME). It has been extensively explored after the Solar Dynamics Observatory (SDO) mission was launched. Previous studies are often concentrated on large-scale MFRs whose size are comparable to the active regions they reside. In this paper, we investigate the properties of a small-scale magnetic flux rope (SMFR) of a limb event observed by Atmospheric Imaging Assembly (AIA) . This SMFR originated from a very small and compact region at the edge of the active region and appeared mainly in the AIA 94 Å passband. It drove a coronal mass ejection (CME) and a type II burst was associated with the CME-driven shock. The type II burst started with a very high frequency. We obtain the compression ratio of the shock from the band splitting of the type II emissions and further derive the Alfvénic Mach number and the coronal magnetic field strength. On the other hand,we study the CME structure in LASCO coronagraph images and address its characteristics through measuring its mass and energy. Compared to the nature of the standard model of the CME, this CME triggered by the SMF are found to be different in some aspects.

SPE in Solar Cycle 24 : Flare and CME characteristic

NASA Astrophysics Data System (ADS)

Neflia, Neflia

SPE is one of the most severe hazards in the space environment. Such events, tend to occur during periods of intense solar activity, and can lead to high radiation doses in short time intervals. The proton enhancements produced by these solar events may last several days and are very hard to predict in advance and they also can cause harm to both satellite and human in space. The most significant sources of proton in the interplanetary medium are both solar flares and interplanetary shocks driven by coronal mass ejections (CMEs). In this study, I try to find the characteristic of Flare and CME that can cause the proton events in interplanetary medium. For my preliminary study, I will search flare characteristic such as class and position as an SPE causes. I also did the research with CME characteristic such as Angular Width (AW) and linier velocity. During solar cycle 24, the solar activity remain very low with several large flare and Halo CME. This low activity also occur on solar proton events in interplanetary medium. From January 2009 to May 2013, there are 25 SPEs with flux range from 12 - 6530 sfu (10 MeV). The solar flare during these events varies from C to X- class flare. From 27 X-class flare that occur during 2009 - May 2013, only 7 flares cause the SPE. Most of active region location are at solar Western Hemisphere (16/25). only 24 from 139 halo CME (AW=360) cause SPE. Although the probability of SPE from all flare and CME during this range of time is small but they have 3 common characteristics, ie, most of the SPE have active region position at Solar Western Hemisphere, the CME have AW=360 and they have a high linier velocity.

Improving Our Understanding of the 3D Coronal Evolution of CME Propagation

NASA Astrophysics Data System (ADS)

Hess Webber, Shea A.; Thompson, Barbara J.; Ireland, Jack; Kwon, Ryun Young

2017-08-01

An improved understanding of the kinematic properties of CMEs and CME-associated phenomena has several impacts: 1) a less ambiguous method of mapping propagating structures into their inner coronal manifestations, 2) a clearer view of the relationship between the “main” CME and CME-associated brightenings, and 3) an improved identification of the heliospheric sources of shocks, Type II bursts, and SEPs. We present the results of a mapping technique that facilitates the separation of CMEs and CME-associated brightenings (such as shocks) from background corona. The Time Convolution Mapping Method (TCMM) segments coronagraph data to identify the time history of coronal evolution, the advantage being that the spatiotemporal evolution profiles allow users to separate features with different propagation characteristics. For example, separating “main” CME mass from CME-associated brightenings or shocks is a well-known obstacle, which the TCMM aids in differentiating. A TCMM CME map is made by first recording the maximum value each individual pixel in the image reaches during the traversal of the CME. Then the maximum value is convolved with an index to indicate the time that the pixel reached that value. The TCMM user is then able to identify continuous “kinematic profiles,” indicating related kinematic behavior, and also identify breaks in the profiles that indicate a discontinuity in kinematic history (i.e. different structures or different propagation characteristics). The maps obtained from multiple spacecraft viewpoints (i.e., STEREO and SOHO) can then be fit with advanced structural models to obtain the 3D properties of the evolving phenomena.

Influence of Convective Effect of Solar Winds on the CME Transit Time

NASA Astrophysics Data System (ADS)

Sun, Lu-yuan

2017-10-01

Based on an empirical model for predicting the transit time of coronal mass ejections (CMEs) proposed by Gopalswamy, 52 CME events which are related to the geomagnetic storms of Dst < -50 nT, and 10 CME events which caused extremely strong geomagnetic storms (Dst < -200 nT) in 1996- 2007 are selected, and combined with the observational data of the interplanetary solar winds that collected by the ACE satellite at 1AU, to analyze the influence of convective effect of ambient solar winds on the prediction of the CME transit time when it arrives at a place of 1 AU. After taking the convective effect of ambient solar winds into account, the standard deviation of predictions is reduced from 16.5 to 11.4 hours for the 52 CME events, and the prediction error is less than 15 hours for 68% of these events; while the standard deviation of predictions is reduced from 10.6 to 6.5 hours for the 10 CME events that caused extremely strong geomagnetic storms, and the prediction error is less than 5 hours for 6 of the 10 events. These results show that taking the convective effect of ambient solar winds into account can reduce the standard deviation of the predicted CME transit time, hence the convective effect of solar winds plays an important role for predicting the transit times of CME events.

Implementation of a Flipped Classroom for Nuclear Medicine Physician CME.

PubMed

Komarraju, Aparna; Bartel, Twyla B; Dickinson, Lisa A; Grant, Frederick D; Yarbrough, Tracy L

2018-06-21

Increasingly, emerging technologies are expanding instructional possibilities, with new methods being adopted to improve knowledge acquisition and retention. Within medical education, many new techniques have been employed in the undergraduate setting, with less utilization thus far in the continuing medical education (CME) sphere. This paper discusses the use of a new method for CME-the "flipped classroom," widely used in undergraduate medical education. This method engages learners by providing content before the live ("in class") session that aids in preparation and fosters in-class engagement. A flipped classroom method was employed using an online image-rich case-based module and quiz prior to a live CME session at a national nuclear medicine meeting. The preparatory material provided a springboard for in-depth discussion at the live session-a case-based activity utilizing audience response technology. Study participants completed a survey regarding their initial experience with this new instructional method. In addition, focus group interviews were conducted with session attendees who had or had not completed the presession material; transcripts were qualitatively analyzed. Quantitative survey data (completed by two-thirds of the session attendees) suggested that the flipped method was highly valuable and met attendee educational objectives. Analysis of focus group data yielded six themes broadly related to two categories-benefits of the flipped method for CME and programmatic considerations for successfully implementing the flipped method in CME. Data from this study have proven encouraging and support further investigations around the incorporation of this innovative teaching method into CME for nuclear imaging specialists.

Attendees' perceptions of commercial influence in noncommercially funded CME programs.

PubMed

Goldfarb, Elizabeth; Baer, Lee; Fromson, John A; Gorrindo, Tristan; Iodice, Kristin E; Birnbaum, Robert J

2012-01-01

The controversy surrounding commercial support for continuing medical education (CME) programs has led to policy changes, but data show no significant difference in perceived bias between commercial and noncommercial CME. Indeed, what attendees perceive as commercial influence is not fully understood. We sought to clarify what sources contribute to attendees' perceptions of commercial influence in non-industry-supported CME programs, and how attendees perceive that this influence manifests itself on both speaker and program levels. Evaluation forms were received from 1 544 attendees at 14 live noncommercially supported CME programs in 2006, 2007, and 2010. Attendees rated perceived commercial influence for each lecture and the entire program. Using open-ended and "check all that apply'' questions, participants specified perceived sources and manifestations of commercial influence. Attendees rating individual lectures but not the entire program as commercially influenced accounted for 59.9% of those who identified bias. The most frequently endorsed source of commercial influence was individual speakers' funding, and the most listed manifestations were speakers' mentions of pharmaceuticals and expressions of personal opinions. Rating the entire program commercially influenced correlated with whether attendees considered the funding of referenced research a source of influence. CME attendees consider a broad spectrum of factors when reporting commercial influence. Evaluation forms should include bias questions per lecture as well as items to clarify perceived sources and manifestations of commercial influence. Copyright © 2012 The Alliance for Continuing Education in the Health Professions, the Society for Academic Continuing Medical Education, and the Council on CME, Association for Hospital Medical Education.

Obstetrician/Gynecologists and Postpartum Mental Health: Differences between CME Course Takers and Nontakers

ERIC Educational Resources Information Center

Leddy, Meaghan A.; Farrow, Victoria A.; Joseph, Gerald F., Jr.; Schulkin, Jay

2012-01-01

Introduction: Continuing medical education (CME) courses are an essential component of professional development. Research indicates a continued need for understanding how and why physicians select certain CME courses, as well as the differences between CME course takers and nontakers. Purpose: Obstetrician-gynecologists (OB-GYNs) are health care…

Relationship among knowledge acquisition, motivation to change, and self-efficacy in CME participants.

PubMed

Williams, Betsy W; Kessler, Harold A; Williams, Michael V

2015-01-01

The relationship among an individual's sense of self-efficacy, motivation to change, barriers to change, and the implementation of improvement programs has been reported. This research reports the relationship among self-efficacy, motivation to change, and the acquisition of knowledge in a continuing medical education (CME) activity. The measure of individual sense of self-efficacy was a 4-item scale. The measure of motivation was a 6-item scale following on the work of Prochaska and colleagues. The knowledge acquisition was measured in a simple post measure. The participants were enrolled in a CME activity focused on HIV.  The CME activities had a significant effect on knowledge. Preliminary analysis demonstrates a relationship among the self-efficacy measure, the motivation to change measure, and global intent to change. Specifically, as reported earlier, the sense of efficacy in effecting change in the practice environment is predictive of a high level of motivation to change that, in turn, is predictive of formation of intent to change practice patterns. Interestingly, there were also relationships among the self-efficacy measure, the motivation to change measure, and knowledge acquisition. Finally, as expected, there was a significant relationship between knowledge and intent to change practice.  Further inspection of the motivation to change construct suggests that it mediates the self-efficacy constructs' effect on intent as well as its effect on knowledge acquisition. This new finding suggests that the proximal construct motivation completely masks an important underlying causal relationship that appears to contribute to practice change as well as learning following CME-self-efficacy. © 2015 The Alliance for Continuing Education in the Health Professions, the Society for Academic Continuing Medical Education, and the Council on Continuing Medical Education, Association for Hospital Medical Education.

First in-situ observations of exospheric response to CME impact at Mercury

NASA Astrophysics Data System (ADS)

Raines, J. M.; Wallace, K. L.; Sarantos, M.; Jasinski, J. M.; Tracy, P.; Dewey, R. M.; Weberg, M. J.; Slavin, J. A.

2017-12-01

We present the first in-situ observations of enhancements to Mercury's He exosphere generated by CME impact. We analyzed both plasma and magnetic field measurements from the Mercury Surface Space Environment, Geochemistry and Mapping (MESSENGER) spacecraft over a 60-hour period as a coronal mass ejection (CME) passed by the planet. We identified the shock, magnetic cloud and cavity regions of the moderate intensity CME while MESSENGER was in the solar wind. Inside the magnetosphere just after the CME shock passage, we observed a very active dayside magnetosphere, as evident from the high flux plasma parcels passing through the dayside and a broad northern magnetospheric cusp with exceptionally high planetary ion content. All of these signatures indicate substantial reconnection at the dayside magnetopause, making conditions that were excellent for solar wind access to Mercury's surface. The CME appeared to have been particularly enriched in He2+, causing the observed density of solar wind He2+ in the cusp to rise above 0.1 cm-3 and putting it in the top 1% of the over 3200 cusps analyzed. As the low-density CME cavity passed over the planet on the next orbit, the magnetosphere appeared much quieter, with smoother magnetic fields and a smaller, less intense northern cusp but with greatly enhanced He+ content. The elevated He+ observed density continued to increase on subsequent cusp crossings, peaking at 0.1 cm-3 36 hours after CME impact, the highest observed throughout the entire MESSENGER mission. We suggest that the enhancement in He+ indicates an increase to the neutral He exosphere density from the He-enriched CME, a phenomenon observed at the moon, possibly acting as follows: Increased access to the surface from CME-enhanced reconnection, combined with high He2+ flux, enhanced surface implantation. Neutral He atoms were then liberated at an increased rate by surface processes supplying the exosphere, causing a gradual increase in He exosphere density. This

Improved Cardiovascular Prevention Using Best CME Practices: A Randomized Trial

ERIC Educational Resources Information Center

Laprise, Rejean; Thivierge, Robert; Gosselin, Gilbert; Bujas-Bobanovic, Maja; Vandal, Sylvie; Paquette, Daniel; Luneau, Micheline; Julien, Pierre; Goulet, Serge; Desaulniers, Jean; Maltais, Paule

2009-01-01

Introduction: It was hypothesized that after a continuing medical education (CME) event, practice enablers and reinforcers addressing main clinical barriers to preventive care would be more effective in improving general practitioners' (GPs) adherence to cardiovascular guidelines than a CME event only. Methods: A cluster-randomized trial was…

Flare-CME characteristics from Sun to Earth combining observations and modeling

NASA Astrophysics Data System (ADS)

Temmer, Manuela; Thalmann, Julia K.; Dissauer, Karin; Veronig, Astrid M.; Tschernitz, Johannes; Hinterreiter, Jürgen; Rodriguez, Luciano

2017-04-01

We analyze the well observed flare-CME event from October 1, 2011 (SOL2011-10-01T09:18) covering the complete chain of action - from Sun to Earth - for a better understanding of the dynamic evolution of the CME and its embedded magnetic field. We study in detail the solar surface and atmosphere from SDO and ground-based instruments associated to the flare-CME and also track the CME signature offlimb from combined EUV and white-light data with STEREO. By applying 3D reconstruction techniques (GCS, total mass) to stereoscopic STEREO-SoHO coronagraph data, we track the temporal and spatial evolution of the CME in interplanetary space and derive its geometry and 3D-mass. We combine the GCS and Lundquist model results to derive the axial flux and helicity of the MC from in situ measurements (Wind). This is compared to nonlinear force-free (NLFF) model results as well as to the reconnected magnetic flux derived from the flare ribbons (flare reconnection flux) and the magnetic flux encompassed by the associated dimming (dimming flux). We find that magnetic reconnection processes were already ongoing before the start of the impulsive flare phase, adding magnetic flux to the flux rope before its final eruption. The dimming flux increases by more than 25% after the end of the flare, indicating that magnetic flux is still added to the flux rope after eruption. Hence, the derived flare reconnection flux is most probably a lower limit for estimating the magnetic flux within the flux rope. We obtain that the magnetic helicity and axial magnetic flux are reduced in interplanetary space by ˜50% and 75%, respectively, possibly indicating to an erosion process. A mass increase of 10% for the CME is observed over the distance range from about 4-20 Rs. The temporal evolution of the CME associated core dimming regions supports the scenario that fast outflows might supply additional mass to the rear part of the CME.

Current Sheet Evolution In The Aftermath Of A CME Event

NASA Technical Reports Server (NTRS)

Bemporad, A.; Poletto, G.; Seuss, S. T.; Schwardron, N. A.; Elliott, H. A.; Raymond, J. C.

2006-01-01

We report on SOHO UVCS observations of the coronal restructuring following a coronal mass ejection (CME) on 2002 November 26, at the time of a SOHO-Ulysses quadrature campaign. Starting about 1.5 hr after a CME in the northwest quadrant, UVCS began taking spectra at 1.7 R, covering emission from both cool and hot plasma. Observations continued, with occasional gaps, for more than 2 days. Emission in the 974.8 A line of [Fe XVIII], indicating temperatures above 6 x 10(exp 6) K, was observed throughout the campaign in a spatially limited location. Comparison with EIT images shows the [Fe XVIII] emission to overlie a growing post-flare loop system formed in the aftermath of the CME. The emission most likely originates in a current sheet overlying the arcade. Analysis of the [Fe XVIII] emission allows us to infer the evolution of physical parameters in the current sheet over the entire span of our observations: in particular, we give the temperature versus time in the current sheet and estimate its density. At the time of the quadrature, Ulysses was directly above the location of the CME and intercepted the ejecta. High ionization state Fe was detected by the Ulysses SWICS throughout the magnetic cloud associated with the CME, although its rapid temporal variation suggests bursty, rather than smooth, reconnection in the coronal current sheet. The SOHO-Ulysses data set provided us with the unique opportunity of analyzing a current sheet structure from its lowest coronal levels out to its in situ properties. Both the remote and in situ observations are compared with predictions of theoretical CME models.

43 CFR Appendix II to Part 11 - Format for Data Inputs and Modifications to the NRDAM/CME

Code of Federal Regulations, 2012 CFR

2012-10-01

... not contain vegetation (e.g., wetland, seagrass, or kelp) or invertebrate reef (e.g., coral reef) and... invertebrate reef (e.g., coral reef) and is classified as “seaward” in Table 6.2, Volume I of the NRDAM/CME... invertebrate reef (e.g., coral reef). Tidal current—currents caused by alternating rise and fall of the sea...

43 CFR Appendix II to Part 11 - Format for Data Inputs and Modifications to the NRDAM/CME

Code of Federal Regulations, 2013 CFR

2013-10-01

....g., coral reef) and is classified as “landward” in Table 6.2, Volume I of the NRDAM/CME technical... kelp) or invertebrate reef (e.g., coral reef) and is classified as “seaward” in Table 6.2, Volume I of..., seagrass, or kelp) or invertebrate reef (e.g., coral reef). Tidal current—currents caused by alternating...

43 CFR Appendix II to Part 11 - Format for Data Inputs and Modifications to the NRDAM/CME

Code of Federal Regulations, 2014 CFR

2014-10-01

....g., coral reef) and is classified as “landward” in Table 6.2, Volume I of the NRDAM/CME technical... kelp) or invertebrate reef (e.g., coral reef) and is classified as “seaward” in Table 6.2, Volume I of..., seagrass, or kelp) or invertebrate reef (e.g., coral reef). Tidal current—currents caused by alternating...

43 CFR Appendix II to Part 11 - Format for Data Inputs and Modifications to the NRDAM/CME

Code of Federal Regulations, 2011 CFR

2011-10-01

....g., coral reef) and is classified as “landward” in Table 6.2, Volume I of the NRDAM/CME technical... kelp) or invertebrate reef (e.g., coral reef) and is classified as “seaward” in Table 6.2, Volume I of..., seagrass, or kelp) or invertebrate reef (e.g., coral reef). Tidal current—currents caused by alternating...

Didactic CME and Practice Change: Don't Throw that Baby out Quite yet

ERIC Educational Resources Information Center

Olson, Curtis A.; Tooman, Tricia R.

2012-01-01

Skepticism exists regarding the role of continuing medical education (CME) in improving physician performance. The harshest criticism has been reserved for didactic CME. Reviews of the scientific literature on the effectiveness of CME conclude that formal or didactic modes of education have little or no impact on clinical practice. This has led…

Multi-protein Delivery by Nanodiamonds Promotes Bone Formation

PubMed Central

Moore, L.; Gatica, M.; Kim, H.; Osawa, E.; Ho, D.

2013-01-01

Bone morphogenetic proteins (BMPs) are well-studied regulators of cartilage and bone development that have been Food and Drug Administration (FDA)-approved for the promotion of bone formation in certain procedures. BMPs are seeing more use in oral and maxillofacial surgeries because of recent FDA approval of InFUSE® for sinus augmentation and localized alveolar ridge augmentation. However, the utility of BMPs in medical and dental applications is limited by the delivery method. Currently, BMPs are delivered to the surgical site by the implantation of bulky collagen sponges. Here we evaluate the potential of detonation nanodiamonds (NDs) as a delivery vehicle for BMP-2 and basic fibroblast growth factor (bFGF). Nanodiamonds are biocompatible, 4- to 5-nm carbon nanoparticles that have previously been used to deliver a wide variety of molecules, including proteins and peptides. We find that both BMP-2 and bFGF are readily loaded onto NDs by physisorption, forming a stable colloidal solution, and are triggered to release in slightly acidic conditions. Simultaneous delivery of BMP-2 and bFGF by ND induces differentiation and proliferation in osteoblast progenitor cells. Overall, we find that NDs provide an effective injectable alternative for the delivery of BMP-2 and bFGF to promote bone formation. PMID:24045646

Multi-protein delivery by nanodiamonds promotes bone formation.

PubMed

Moore, L; Gatica, M; Kim, H; Osawa, E; Ho, D

2013-11-01

Bone morphogenetic proteins (BMPs) are well-studied regulators of cartilage and bone development that have been Food and Drug Administration (FDA)-approved for the promotion of bone formation in certain procedures. BMPs are seeing more use in oral and maxillofacial surgeries because of recent FDA approval of InFUSE(®) for sinus augmentation and localized alveolar ridge augmentation. However, the utility of BMPs in medical and dental applications is limited by the delivery method. Currently, BMPs are delivered to the surgical site by the implantation of bulky collagen sponges. Here we evaluate the potential of detonation nanodiamonds (NDs) as a delivery vehicle for BMP-2 and basic fibroblast growth factor (bFGF). Nanodiamonds are biocompatible, 4- to 5-nm carbon nanoparticles that have previously been used to deliver a wide variety of molecules, including proteins and peptides. We find that both BMP-2 and bFGF are readily loaded onto NDs by physisorption, forming a stable colloidal solution, and are triggered to release in slightly acidic conditions. Simultaneous delivery of BMP-2 and bFGF by ND induces differentiation and proliferation in osteoblast progenitor cells. Overall, we find that NDs provide an effective injectable alternative for the delivery of BMP-2 and bFGF to promote bone formation.

Promoting free online CME for intimate partner violence: what works at what cost?

PubMed

Harris, John M; Novalis-Marine, Cheryl; Amend, Robert W; Surprenant, Zita J

2009-01-01

There is a need to provide practicing physicians with training on the recognition and management of intimate partner violence (IPV). Online continuing medical education (CME) could help meet this need, but there is little information on the costs and effectiveness of promoting online CME to physicians. This lack of information may discourage IPV training efforts and the use of online CME in general. We promoted an interactive, multimedia, online IPV CME program, which offered free CME credit, to 92,000 California physicians for 24 months. We collected data on user satisfaction, the costs of different promotional strategies, and self-reported user referral source. We evaluated California physician awareness of the promotion via telephone surveys. Over 2 years, the CME program was used by 1869 California physicians (2% of market), who rated the program's overall quality highly (4.52 on a 1-5 scale; 5 = excellent). The average promotional cost per physician user was $75. Direct mail was the most effective strategy, costing $143 each for 821 users. E-promotion via search engine advertising and e-mail solicitation had less reach, but was more cost efficient ($30-$80 per user). Strategies with no direct cost, such as notices in professional newsletters, accounted for 31% (578) of physician users. Phone surveys found that 24% of California physicians were aware of the online IPV CME program after 18 months of promotion. Promoting online CME, even well-received free CME, to busy community physicians requires resources, in this case at least $75 per physician reached. The effective use of promotional resources needs to be considered when developing social marketing strategies to improve community physician practices. Organizations with an interest in promoting online training might consider the use of e-promotion techniques along with conventional promotion strategies.

[CME-certified online education in Germany - status in ophthalmology 2011].

PubMed

Handzel, D M

2012-06-01

The use of the internet is becoming more and more important in every aspect of daily life, also in professional education. Online education and face-to-face learning have proven to be equally efficient. The aim of this study is to evaluate the amount of online education in the German-speaking internet 2011. The terms "ophthalmology", "online-education", "continuing medical education" and "CME" (partly in German language) were searched by an internet-search engine. The first 100 pages were visited. Pages were evaluated in respect of quality and quantity, authorship and possible influence of sponsors. Only 9 of the first 100 hits had an actual offer for ophthalmology. Nearly all of these were websites of ophthalmological scientific journals. The content represented the same educational format (pictures and text) as in the print issue. CME-certified online education can be found in Germany as offspring of print issues only. The content is identical with educational texts in the print issues. An enlargement of the offer, which uses the possibilities of modern internet technology is highly probable. This estimation is supported by the growing use of the internet and developments on English-speaking websites for online-education. © Georg Thieme Verlag KG Stuttgart · New York.

Reflections on CME Congress 2012

ERIC Educational Resources Information Center

Knox, Alan B.

2013-01-01

This commentary reflects the author's impressions of Continuing Medical Education (CME) Congress 2012, a provocative international conference on professional development and quality improvement in the health professions that took place in Toronto, Ontario, last spring. The sessions he attended and conversations he had with other attendees were…

Prediction of Shock Arrival Times from CME and Flare Data

NASA Technical Reports Server (NTRS)

Nunez, Marlon; Nieves-Chinchilla, Teresa; Pulkkinen, Antti

2016-01-01

This paper presents the Shock ARrival Model (SARM) for predicting shock arrival times for distances from 0.72 AU to 8.7 AU by using coronal mass ejections (CME) and flare data. SARM is an aerodynamic drag model described by a differential equation that has been calibrated with a dataset of 120 shocks observed from 1997 to 2010 by minimizing the mean absolute error (MAE), normalized to 1 AU. SARM should be used with CME data (radial, earthward or plane-of-sky speeds), and flare data (peak flux, duration, and location). In the case of 1 AU, the MAE and the median of absolute errors were 7.0 h and 5.0 h respectively, using the available CMEflare data. The best results for 1 AU (an MAE of 5.8 h) were obtained using both CME data, either radial or cone-model-estimated speeds, and flare data. For the prediction of shock arrivals at distances from 0.72 AU to 8.7 AU, the normalized MAE and the median were 7.1 h and 5.1 h respectively, using the available CMEflare data. SARM was also calibrated to be used with CME data alone or flare data alone, obtaining normalized MAE errors of 8.9 h and 8.6 h respectively for all shock events. The model verification was carried out with an additional dataset of 20 shocks observed from 2010 to 2012 with radial CME speeds to compare SARM with the empirical ESA model [Gopalswamy et al., 2005a] and the numerical MHD-based ENLIL model [Odstrcil et al., 2004]. The results show that the ENLIL's MAE was lower than the SARM's MAE, which was lower than the ESA's MAE. The SARM's best results were obtained when both flare and true CME speeds were used.

Controlling Quality in CME/CPD by Measuring and Illuminating Bias

ERIC Educational Resources Information Center

Dixon, David; Takhar, Jatinder; Macnab, Jennifer; Eadie, Jason; Lockyer, Jocelyn; Stenerson, Heather; Francois, Jose; Bell, Mary; Monette, Celine; Campbell, Craig; Marlow, Bernie

2011-01-01

Introduction: There has been a surge of interest in the area of bias in industry-supported continuing medical education/continuing professional development (CME/CPD) activities. In 2007, we published our first study on measuring bias in CME, demonstrating that our assessment tool was valid and reliable. In light of the increasing interest in this…

Evaluating Conflicts of Interest in Research Presented in CME Venues

ERIC Educational Resources Information Center

Davis, Nancy L.; Galliher, James M.; Spano, Mindy S.; Main, Deborah S.; Brannigan, Michael; Pace, Wilson D.

2008-01-01

Introduction: There is much in the literature regarding the potential for commercial bias in clinical research and in continuing medical education (CME), but no studies were found regarding the potential for bias in reporting original research in CME venues. This pilot study investigated the presence of perceived bias in oral and print content of…

The Width of a CME and the Source of the Driving Magnetic Explosion

NASA Technical Reports Server (NTRS)

Moore, R. L.; Sterling, A. C.; Suess, S. T.

2007-01-01

We show that the strength of the magnetic field in the area covered by the flare arcade following a CME-producing ejective solar eruption can be estimated from the final angular width of the CME in the outer corona and the final angular width of the flare arcade. We assume (1) the flux-rope plasmoid ejected from the flare site becomes the interior of the CME plasmoid, (2) in the outer corona the CME is roughly a "spherical plasmoid with legs" shaped like a light bulb, and (3) beyond some height in or below the outer corona the CME plasmoid is in lateral pressure balance with the surrounding magnetic field. The strength of the nearly radial magnetic field in the outer corona is estimated from the radial component of the interplanetary magnetic field measured by Ulysses. We apply this model to three well-observed CMEs that exploded from flare regions of extremely different size and magnetic setting. In each event, the estimated source-region field strength is appropriate for the magnetic setting of the flare. This agreement indicates via the model that CMEs (1) are propelled by the magnetic field of the CME plasmoid pushing against the surrounding magnetic field, and (2) can explode from flare regions that are laterally far offset from the radial path of the CME in the outer corona.

Thermal Chemistry of Cp*W(NO)(CH2CMe3)(H)(L) Complexes (L = Lewis Base).

PubMed

Fabulyak, Diana; Handford, Rex C; Holmes, Aaron S; Levesque, Taleah M; Wakeham, Russell J; Patrick, Brian O; Legzdins, Peter; Rosenfeld, Devon C

2017-01-03

The complexes trans-Cp*W(NO)(CH 2 CMe 3 )(H)(L) (Cp* = η 5 -C 5 Me 5 ) result from the treatment of Cp*W(NO)(CH 2 CMe 3 ) 2 in n-pentane with H 2 (∼1 atm) in the presence of a Lewis base, L. The designation of a particular geometrical isomer as cis or trans indicates the relative positions of the alkyl and hydrido ligands in the base of a four-legged piano-stool molecular structure. The thermal behavior of these complexes is markedly dependent on the nature of L. Some of them can be isolated at ambient temperatures [e.g., L = P(OMe) 3 , P(OPh) 3 , or P(OCH 2 ) 3 CMe]. Others undergo reductive elimination of CMe 4 via trans to cis isomerization to generate the 16e reactive intermediates Cp*W(NO)(L). These intermediates can intramolecularly activate a C-H bond of L to form 18e cis complexes that may convert to the thermodynamically more stable trans isomers [e.g., Cp*W(NO)(PPh 3 ) initially forms cis-Cp*W(NO)(H)(κ 2 -PPh 2 C 6 H 4 ) that upon being warmed in n-pentane at 80 °C isomerizes to trans-Cp*W(NO)(H)(κ 2 -PPh 2 C 6 H 4 )]. Alternatively, the Cp*W(NO)(L) intermediates can effect the intermolecular activation of a substrate R-H to form trans-Cp*W(NO)(R)(H)(L) complexes [e.g., L = P(OMe) 3 or P(OCH 2 ) 3 CMe; R-H = C 6 H 6 or Me 4 Si] probably via their cis isomers. These latter activations are also accompanied by the formation of some Cp*W(NO)(L) 2 disproportionation products. An added complication in the L = P(OMe) 3 system is that thermolysis of trans-Cp*W(NO)(CH 2 CMe 3 )(H)(P(OMe) 3 ) results in it undergoing an Arbuzov-like rearrangement and being converted mainly into [Cp*W(NO)(Me)(PO(OMe) 2 )] 2 , which exists as a mixture of two isomers. All new complexes have been characterized by conventional and spectroscopic methods, and the solid-state molecular structures of most of them have been established by single-crystal X-ray crystallographic analyses.

3D Reconnection and SEP Considerations in the CME-Flare Problem

NASA Astrophysics Data System (ADS)

Moschou, S. P.; Cohen, O.; Drake, J. J.; Sokolov, I.; Borovikov, D.; Alvarado Gomez, J. D.; Garraffo, C.

2017-12-01

Reconnection is known to play a major role in particle acceleration in both solar and astrophysical regimes, yet little is known about its connection with the global scales and its comparative contribution in the generation of SEPs with respect to other acceleration mechanisms, such as the shock at a fast CME front, in the presence of a global structure such as a CME. Coupling efforts, combining both particle and global scales, are necessary to answer questions about the fundamentals of the energetic processes evolved. We present such a coupling modeling effort that looks into particle acceleration through reconnection in a self-consistent CME-flare model in both particle and fluid regimes. Of special interest is the supra-thermal component of the acceleration due to the reconnection that will at a later time interact colliding with the solar atmospheric material of the more dense chromospheric layer and radiate in hard X- and γ-rays for super-thermal electrons and protons respectively. Two cutting edge computational codes are used to capture the global CME and flare dynamics, specifically a two fluid MHD code and a 3D PIC code for the flare scales. Finally, we are connecting the simulations with current observations in different wavelengths in an effort to shed light to the unified CME-flare picture.

PUB1/359: The Use of the Internet for CME Purposes in Turkey

PubMed Central

Yaman, H; Kut, A

1999-01-01

While continuing medical education (CME) is receiving increasing attention from medical educators and health administrators world-wide, many efforts need to be made to improve its performance and overall effectiveness. CME has depended primarily on periodic courses and conferences. High costs and distant location make CME journals an alternative to these events. The Turkish Medical Association is publishing a journal for CME purposes called STED. By this way, every month, 9000 exemplars of each edition are distributed mainly to primary care physicians in the whole of Turkey. To make the journal also accessible to non-subscribers and professionals, who live outside Turkey, English abstracts of articles published in STED are going to be prepared and published soon by Internet services (www.ato.org.tr). By increasing the use of computer-assisted teaching and modern telecommunications, in the near future, the costs of CME can be reduced and its effectiveness improved.

3D Polarized Imaging of Coronal Mass Ejections: Chirality of a CME

NASA Astrophysics Data System (ADS)

DeForest, C. E.; de Koning, C. A.; Elliott, H. A.

2017-12-01

We report on a direct polarimetric determination of the chirality of a coronal mass ejection (CME), using the physics of Thomson scattering applied to synoptic polarized images from the Solar Terrestrial Relations Observatories/COR2 coronagraph. We confirmed the determination using in situ magnetic field measurements of the same CME with the ACE spacecraft. CME chirality is related to the helicity ejected from the solar corona along with the mass and field entrained in the CME. It is also important to prediction of the space-weather-relevant Z component of the CME magnetic field. Hence, remote measurement of CME chirality is an important step toward both understanding CME physics and predicting geoeffectiveness of individual CMEs. The polarimetric properties of Thomson scattering are well known and can, in principle, be used to measure the 3D structure of imaged objects in the solar corona and inner heliosphere. However, reduction of that principle to practice has been limited by the twin difficulties of background subtraction and the signal-to-noise ratio in coronagraph data. Useful measurements of the 3D structure require relative photometry at a few percent precision level in each linear polarization component of the K corona. This corresponds to a relative photometric precision of order 10-4 in direct images of the sky before subtraction of the F corona and related signal. Our measurement was enabled by recent developments in signal processing, which enable a better separation of the photometric signal from noise in the synoptic COR2 data. We discuss the relevance of this demonstration measurement to future instrument requirements, and to the future measurements of 3D structures in CMEs and other solar wind features.

ON A CORONAL BLOWOUT JET: THE FIRST OBSERVATION OF A SIMULTANEOUSLY PRODUCED BUBBLE-LIKE CME AND A JET-LIKE CME IN A SOLAR EVENT

DOE Office of Scientific and Technical Information (OSTI.GOV)

Shen Yuandeng; Liu Yu; Su Jiangtao

2012-02-01

The coronal blowout jet is a peculiar category among various jet phenomena, in which the sheared base arch, often carrying a small filament, experiences a miniature version of blowout eruption that produces large-scale coronal mass ejection (CME). In this paper, we report such a coronal blowout jet with high-resolution multi-wavelength and multi-angle observations taken from Solar Dynamics Observatory, Solar Terrestrial Relations Observatory, and Big Bear Solar Observatory. For the first time, we find that simultaneous bubble-like and jet-like CMEs were dynamically related to the blowout jet that showed cool and hot components next to each other. Our observational results indicatemore » that (1) the cool component resulted from the eruption of the filament contained within the jet's base arch, and it further caused the bubble-like CME; (2) the jet-like CME was associated with the hot component, which was the outward moving heated plasma generated by the reconnection of the base arch and its ambient open field lines. On the other hand, bifurcation of the jet's cool component was also observed, which resulted from the uncoupling of the erupting filament's two legs that were highly twisted at the very beginning. Based on these results, we propose a model to interpret the coronal blowout jet, in which the external reconnection not only produces the jet-like CME, but also leads to the rising of the filament. Subsequently, internal reconnection starts underneath the rising filament and thereby causes the bubble-like CME.« less

CME leaving the Sun [Video

NASA Image and Video Library

2017-12-08

Animation of a CME leaving the Sun, slamming into our magnetosphere. Credit: NASA/GSFC/SOHO/ESA Sound: Juan Carlos Garcia To learn more go to the SOHO website: sohowww.nascom.nasa.gov/home.html To learn more about NASA's Sun Earth Day go here: sunearthday.nasa.gov/2010/index.php

Coronal "wave": Magnetic Footprint Of A Cme?

NASA Astrophysics Data System (ADS)

Attrill, Gemma; Harra, L. K.; van Driel-Gesztelyi, L.; Demoulin, P.; Wuelser, J.

2007-05-01

We propose a new mechanism for the generation of "EUV coronal waves". This work is based on new analysis of data from SOHO/EIT, SOHO/MDI & STEREO/EUVI. Although first observed in 1997, the interpretation of coronal waves as flare-induced or CME-driven remains a debated topic. We investigate the properties of two "classical" SOHO/EIT coronal waves in detail. The source regions of the associated CMEs possess opposite helicities & the coronal waves display rotations in opposite senses. We observe deep dimmings near the flare site & also widespread diffuse dimming, accompanying the expansion of the EIT wave. We report a new property of these EIT waves, namely, that they display dual brightenings: persistent ones at the outermost edge of the core dimming regions & simultaneously diffuse brightenings constituting the leading edge of the coronal wave, surrounding the expanding diffuse dimmings. We show that such behaviour is consistent with a diffuse EIT wave being the magnetic footprint of a CME. We propose a new mechanism where driven magnetic reconnections between the skirt of the expanding CME & quiet-Sun magnetic loops generate the observed bright diffuse front. The dual brightenings & widespread diffuse dimming are identified as innate characteristics of this process. In addition we present some of the first analysis of a STEREO/EUVI limb coronal wave. We show how the evolution of the diffuse bright front & dimmings can be understood in terms of the model described above. We show that an apparently stationary part of the bright front can be understood in terms of magnetic interchange reconnections between the expanding CME & the "open" magnetic field of a low-latitude coronal hole. We use both the SOHO/EIT & STEREO/EUVI events to demonstrate that through successive reconnections, this new model provides a natural mechanism via which CMEs can become large-scale in the lower corona.

Determination of CME 3D parameters based on a new full ice-cream cone model

NASA Astrophysics Data System (ADS)

Na, Hyeonock; Moon, Yong-Jae

2017-08-01

In space weather forecast, it is important to determine three-dimensional properties of CMEs. Using 29 limb CMEs, we examine which cone type is close to a CME three-dimensional structure. We find that most CMEs have near full ice-cream cone structure which is a symmetrical circular cone combined with a hemisphere. We develop a full ice-cream cone model based on a new methodology that the full ice-cream cone consists of many flat cones with different heights and angular widths. By applying this model to 12 SOHO/LASCO halo CMEs, we find that 3D parameters from our method are similar to those from other stereoscopic methods (i.e., a triangulation method and a Graduated Cylindrical Shell model). In addition, we derive CME mean density (ρmean=Mtotal/Vcone) based on the full ice-cream cone structure. For several limb events, we determine CME mass by applying the Solarsoft procedure (e.g., cme_mass.pro) to SOHO/LASCO C3 images. CME volumes are estimated from the full ice-cream cone structure. From the power-law relationship between CME mean density and its height, we estimate CME mean densities at 20 solar radii (Rs). We will compare the CME densities at 20 Rs with their corresponding ICME densities.

Treatment of Viscosity in the Shock Waves Observed After Two Consecutive Coronal Mass Ejection Activities CME08/03/2012 and CME15/03/2012

NASA Astrophysics Data System (ADS)

Cavus, Huseyin

2016-11-01

A coronal mass ejection (CME) is one of the most the powerful activities of the Sun. There is a possibility to produce shocks in the interplanetary medium after CMEs. Shock waves can be observed when the solar wind changes its velocity from being supersonic nature to being subsonic nature. The investigations of such activities have a central place in space weather purposes, since; the interaction of shocks with viscosity is one of the most important problems in the supersonic and compressible gas flow regime (Blazek in Computational fluid dynamics: principles and applications. Elsevier, Amsterdam 2001). The main aim of present work is to achieve a search for the viscosity effects in the shocks occurred after two consecutive coronal mass ejection activities in 2012 (i.e. CME08/03/2012 and CME15/03/2012).

A Reflective Learning Framework to Evaluate CME Effects on Practice Reflection

ERIC Educational Resources Information Center

Leung, Kit H.; Pluye, Pierre; Grad, Roland; Weston, Cynthia

2010-01-01

Introduction: The importance of reflective practice is recognized by the adoption of a reflective learning model in continuing medical education (CME), but little is known about how to evaluate reflective learning in CME. Reflective learning seldom is defined in terms of specific cognitive processes or observable performances. Competency-based…

Blasting CME

NASA Image and Video Library

2017-12-08

This LASCO C2 image, taken 8 January 2002, shows a widely spreading coronal mass ejection (CME) as it blasts more than a billion tons of matter out into space at millions of kilometers per hour. The C2 image was turned 90 degrees so that the blast seems to be pointing down. An EIT 304 Angstrom image from a different day was enlarged and superimposed on the C2 image so that it filled the occulting disk for effect. Credit: NASA/GSFC/SOHO/ESA To learn more go to the SOHO website: sohowww.nascom.nasa.gov/home.html To learn more about NASA's Sun Earth Day go here: sunearthday.nasa.gov/2010/index.php

Combining Stereo SECCHI COR2 and HI1 Images for Automatic CME Front Edge Tracking

NASA Technical Reports Server (NTRS)

Kirnosov, Vladimir; Chang, Lin-Ching; Pulkkinen, Antti

2016-01-01

COR2 coronagraph images are the most commonly used data for coronal mass ejection (CME) analysis among the various types of data provided by the STEREO (Solar Terrestrial Relations Observatory) SECCHI (Sun-Earth Connection Coronal and Heliospheric Investigation) suite of instruments. The field of view (FOV) in COR2 images covers 215 solar radii (Rs) that allow for tracking the front edge of a CME in its initial stage to forecast the lead-time of a CME and its chances of reaching the Earth. However, estimating the lead-time of a CME using COR2 images gives a larger lead-time, which may be associated with greater uncertainty. To reduce this uncertainty, CME front edge tracking should be continued beyond the FOV of COR2 images. Therefore, heliospheric imager (HI1) data that covers 1590 Rs FOV must be included. In this paper, we propose a novel automatic method that takes both COR2 and HI1 images into account and combine the results to track the front edges of a CME continuously. The method consists of two modules: pre-processing and tracking. The pre-processing module produces a set of segmented images, which contain the signature of a CME, for both COR2 and HI1 separately. In addition, the HI1 images are resized and padded, so that the center of the Sun is the central coordinate of the resized HI1 images. The resulting COR2 andHI1 image set is then fed into the tracking module to estimate the position angle (PA) and track the front edge of a CME. The detected front edge is then used to produce a height-time profile that is used to estimate the speed of a CME. The method was validated using 15 CME events observed in the period from January 1, 2008 to August 31, 2009. The results demonstrate that the proposed method is effective for CME front edge tracking in both COR2 and HI1 images. Using this method, the CME front edge can now be tracked automatically and continuously in a much larger range, i.e., from 2 to 90 Rs, for the first time. These improvement scan greatly

Forecast of geomagnetic storms using CME parameters and the WSA-ENLIL model

NASA Astrophysics Data System (ADS)

Moon, Y.; Lee, J.; Jang, S.; Na, H.; Lee, J.

2013-12-01

Intense geomagnetic storms are caused by coronal mass ejections (CMEs) from the Sun and their forecast is quite important in protecting space- and ground-based technological systems. The onset and strength of geomagnetic storms depend on the kinematic and magnetic properties of CMEs. Current forecast techniques mostly use solar wind in-situ measurements that provide only a short lead time. On the other hand, techniques using CME observations near the Sun have the potential to provide 1-3 days of lead time before the storm occurs. Therefore, one of the challenging issues is to forecast interplanetary magnetic field (IMF) southward components and hence geomagnetic storm strength with a lead-time on the order of 1-3 days. We are going to answer the following three questions: (1) when does a CME arrive at the Earth? (2) what is the probability that a CME can induce a geomagnetic storm? and (3) how strong is the storm? To address the first question, we forecast the arrival time and other physical parameters of CMEs at the Earth using the WSA-ENLIL model with three CME cone types. The second question is answered by examining the geoeffective and non-geoeffective CMEs depending on CME observations (speed, source location, earthward direction, magnetic field orientation, and cone-model output). The third question is addressed by examining the relationship between CME parameters and geomagnetic indices (or IMF southward component). The forecast method will be developed with a three-stage approach, which will make a prediction within four hours after the solar coronagraph data become available. We expect that this study will enable us to forecast the onset and strength of a geomagnetic storm a few days in advance using only CME parameters and the physics-based models.

CME, Physicians, and Pavlov: Can We Change What Happens When Industry Rings the Bell?

PubMed Central

Lichter, Paul R.

2008-01-01

Purpose To show how physicians’ conditioned response to “keeping up” has helped industry’s opportunistic funding of continuing medical education (CME) and to propose ways to counter the conditioned response to the benefit of patients and the public. Methods Review of the literature and commentary on it. Results The pharmaceutical and device industries (hereafter referred to as industry) have a long history of bribing physicians to prescribe and use their products. Increasing pressure from Congress and the public has been brought to bear on industry gifting. This pressure, coinciding with increasing financial problems for the providers of CME, provided industry with reason and opportunity to expand its role in the financing of CME. Industry’s incentive to make its CME funding appear to be an arm’s-length transaction has spawned medical education service supplier (MESS) companies. Industry makes “unrestricted grants” to the MESS, and the MESS puts on the CME program. Helped by these CME programs, industry is able to subtly “buy” physicians one at a time, so that under the cover of “education” they and their academic institutions and medical organizations lose sight of being CME pawns in industry’s sole objective: profit. Conclusions Despite a vast literature showing how physician integrity is easy prey to industry, the medical profession continues to allow industry to have a detrimental influence on the practice of medicine and on physician respectability. It will take resolute action to change the medical profession’s conditioned response to industry’s CME bell and its negative effect on patients and the public. PMID:19277219

A Hierarchical Relationship Between the Fluence Spectra and CME Kinematics in Large Solar Energetic Particle Events: A Radio Perspective

NASA Technical Reports Server (NTRS)

Gopalswamy, N.; Makela, P.; Yashiro, S.; Thakur, N.; Akiyama, S.; Xie, H.

2017-01-01

We report on further evidence that solar energetic particles are organized by the kinematic properties of coronal mass ejections (CMEs). In particular, we focus on the starting frequency of type II bursts, which is related to the distance from the Sun where the radio emission starts. We find that the three groups of solar energetic particle (SEP) events known to have distinct values of CME initial acceleration, also have distinct average starting frequencies of the associated type II bursts. SEP events with ground level enhancement (GLE) have the highest starting frequency (107 MHz), while those associated with filament eruption (FE) in quiescent regions have the lowest starting frequency (22 MHz); regular SEP events have intermediate starting frequency (81 MHz). Taking the onset time of type II bursts as the time of shock formation, we determine the shock formation heights measured from the Sun center. We find that the shocks form on average closest to the Sun (1.51 Rs) in GLE events, farthest from the Sun in FE SEP events (5.38 Rs), and at intermediate distances in regular SEP events (1.72 Rs). Finally, we present the results of a case study of a CME with high initial acceleration (approx. 3 km s-2) and a type II radio burst with high starting frequency (200 MHz) but associated with a minor SEP event. We find that the relation between the fluence spectral index and CME initial acceleration continues to hold even for this minor SEP event.

Didactic CME and practice change: don't throw that baby out quite yet.

PubMed

Olson, Curtis A; Tooman, Tricia R

2012-08-01

Skepticism exists regarding the role of continuing medical education (CME) in improving physician performance. The harshest criticism has been reserved for didactic CME. Reviews of the scientific literature on the effectiveness of CME conclude that formal or didactic modes of education have little or no impact on clinical practice. This has led some to argue that didactic CME is a highly questionable use of organizational and financial resources, and a cause of lost opportunities for physicians to engage in meaningful learning. The authors' current program of research has forced them to reconsider the received wisdom regarding the relationship between didactic modes of education and learning, and the role frank dissemination can play in bringing about practice change. The authors argued that the practice of assessing and valuing educational methods based only on their capacity to directly influence practice reflects an impoverished understanding of how change in clinical practice actually occurs. Drawing on case studies research, examples were given of the functions didactic CME served in the interest of improved practice. Reasons were then explored as to why the contribution of didactic CME is often missed or dismissed. The goal was not to advocate for a return to the status quo ante where lecture-based education is the dominant modality, but rather to acknowledge both the limits and potential of this longstanding approach to delivering continuing education.

PROBABILITY OF CME IMPACT ON EXOPLANETS ORBITING M DWARFS AND SOLAR-LIKE STARS

DOE Office of Scientific and Technical Information (OSTI.GOV)

Kay, C.; Opher, M.; Kornbleuth, M., E-mail: ckay@bu.edu

2016-08-01

Solar coronal mass ejections (CMEs) produce adverse space weather effects at Earth. Planets in the close habitable zone of magnetically active M dwarfs may experience more extreme space weather than at Earth, including frequent CME impacts leading to atmospheric erosion and leaving the surface exposed to extreme flare activity. Similar erosion may occur for hot Jupiters with close orbits around solar-like stars. We have developed a model, Forecasting a CME's Altered Trajectory (ForeCAT), which predicts a CME's deflection. We adapt ForeCAT to simulate CME deflections for the mid-type M dwarf V374 Peg and hot Jupiters with solar-type hosts. V374 Peg'smore » strong magnetic fields can trap CMEs at the M dwarfs's Astrospheric Current Sheet, that is, the location of the minimum in the background magnetic field. Solar-type CMEs behave similarly, but have much smaller deflections and do not become trapped at the Astrospheric Current Sheet. The probability of planetary impact decreases with increasing inclination of the planetary orbit with respect to the Astrospheric Current Sheet: 0.5–5 CME impacts per day for M dwarf exoplanets, 0.05–0.5 CME impacts per day for solar-type hot Jupiters. We determine the minimum planetary magnetic field necessary to shield a planet's atmosphere from CME impacts. M dwarf exoplanets require values between tens and hundreds of Gauss. Hot Jupiters around a solar-type star, however, require a more reasonable <30 G. These values exceed the magnitude required to shield a planet from the stellar wind, suggesting that CMEs may be the key driver of atmospheric losses.« less

Homologous Flare-CME Events and Their Metric Type II Radio Burst Association

NASA Technical Reports Server (NTRS)

Yashiro, S.; Gopalswamy, N.; Makela, P.; Akiyama, S.; Uddin, W.; Srivastava, A. K.; Joshi, N. C.; Chandra, R.; Manoharan, P. K.; Mahalakshmi, K.;

The SCEC Community Modeling Environment (SCEC/CME) - An Overview of its Architecture and Current Capabilities

NASA Astrophysics Data System (ADS)

Maechling, P. J.; Jordan, T. H.; Minster, B.; Moore, R.; Kesselman, C.; SCEC ITR Collaboration

2004-12-01

The Southern California Earthquake Center (SCEC), in collaboration with the San Diego Supercomputer Center, the USC Information Sciences Institute, the Incorporated Research Institutions for Seismology, and the U.S. Geological Survey, is developing the Southern California Earthquake Center Community Modeling Environment (CME) under a five-year grant from the National Science Foundation's Information Technology Research (ITR) Program jointly funded by the Geosciences and Computer and Information Science & Engineering Directorates. The CME system is an integrated geophysical simulation modeling framework that automates the process of selecting, configuring, and executing models of earthquake systems. During the Project's first three years, we have performed fundamental geophysical and information technology research and have also developed substantial system capabilities, software tools, and data collections that can help scientist perform systems-level earthquake science. The CME system provides collaborative tools to facilitate distributed research and development. These collaborative tools are primarily communication tools, providing researchers with access to information in ways that are convenient and useful. The CME system provides collaborators with access to significant computing and storage resources. The computing resources of the Project include in-house servers, Project allocations on USC High Performance Computing Linux Cluster, as well as allocations on NPACI Supercomputers and the TeraGrid. The CME system provides access to SCEC community geophysical models such as the Community Velocity Model, Community Fault Model, Community Crustal Motion Model, and the Community Block Model. The organizations that develop these models often provide access to them so it is not necessary to use the CME system to access these models. However, in some cases, the CME system supplements the SCEC community models with utility codes that make it easier to use or access

Validation of the CME Geomagnetic Forecast Alerts Under the COMESEP Alert System

NASA Astrophysics Data System (ADS)

Dumbović, Mateja; Srivastava, Nandita; Rao, Yamini K.; Vršnak, Bojan; Devos, Andy; Rodriguez, Luciano

2017-08-01

Under the European Union 7th Framework Programme (EU FP7) project Coronal Mass Ejections and Solar Energetic Particles (COMESEP, http://comesep.aeronomy.be), an automated space weather alert system has been developed to forecast solar energetic particles (SEP) and coronal mass ejection (CME) risk levels at Earth. The COMESEP alert system uses the automated detection tool called Computer Aided CME Tracking (CACTus) to detect potentially threatening CMEs, a drag-based model (DBM) to predict their arrival, and a CME geoeffectiveness tool (CGFT) to predict their geomagnetic impact. Whenever CACTus detects a halo or partial halo CME and issues an alert, the DBM calculates its arrival time at Earth and the CGFT calculates its geomagnetic risk level. The geomagnetic risk level is calculated based on an estimation of the CME arrival probability and its likely geoeffectiveness, as well as an estimate of the geomagnetic storm duration. We present the evaluation of the CME risk level forecast with the COMESEP alert system based on a study of geoeffective CMEs observed during 2014. The validation of the forecast tool is made by comparing the forecasts with observations. In addition, we test the success rate of the automatic forecasts (without human intervention) against the forecasts with human intervention using advanced versions of the DBM and CGFT (independent tools available at the Hvar Observatory website, http://oh.geof.unizg.hr). The results indicate that the success rate of the forecast in its current form is unacceptably low for a realistic operation system. Human intervention improves the forecast, but the false-alarm rate remains unacceptably high. We discuss these results and their implications for possible improvement of the COMESEP alert system.

Continuing Medical Education: What Delivery Format Do Physicians Prefer?

ERIC Educational Resources Information Center

Stancic, Nancy; Mullen, Patricia Dolan; Prokhorov, Alexander V.; Frankowski, Ralph F.; McAlister, Alfred L.

2003-01-01

Background: Although physicians are in a unique position to prevent life-threatening outcomes by counseling patients to stop smoking, many of them miss the opportunity to intervene in their patients' use of tobacco. Nicotine Dependence Across the Lifespan was developed as a continuing medical education (CME) program to teach and encourage…

Two Distinct Types of CME-flare Relationships Based on SOHO and STEREO Observations

DOE Office of Scientific and Technical Information (OSTI.GOV)

Jang, Soojeong; Moon, Yong-Jae; Kim, Rok-Soon

In this paper, we present two distinct types of coronal mass ejection (CME)-flare relationships according to their observing time differences using 107 events from 2010 to 2013. The observing time difference, Δ T , is defined as flare peak time minus CME first appearance time at Solar Terrestrial Relations Observatory ( STEREO ) COR1 field of view. There are 41 events for group A (Δ T < 0) and 66 events for group B (Δ T ≥ 0). We compare CME 3D parameters (speed and kinetic energy) based on multi-spacecraft data ( SOlar and Heliospheric Observatory ( SOHO ) andmore » STEREO A and B ) and their associated flare properties (peak flux, fluence, and duration). Our main results are as follows. First, there are better relationships between CME and flare parameters for group B than that of group A. In particular, CME 3D kinetic energy for group B is well correlated with flare fluence with the correlation coefficient of 0.67, which is much stronger than that (cc = 0.31) of group A. Second, the events belonging to group A have short flare durations of less than 1 hr (mean = 21 minutes), while the events for group B have longer durations up to 4 hr (mean = 81 minutes). Third, the mean value of height at peak speed for group B is 4.05 Rs, which is noticeably higher than that of group A (1.89 Rs). This is well correlated with the CME acceleration duration (cc = 0.75). A higher height at peak speed and a longer acceleration duration of CME for group B could be explained by the fact that magnetic reconnections for group B continuously occur for a longer time than those for group A.« less

Effect of a performance improvement CME activity on management of patients with diabetes.

PubMed

Bird, Gary C; Marian, Kathy; Bagley, Bruce

2013-01-01

Primary care in the United States faces unprecedented challenges from an aging population and the accompanying prevalence of chronic disease. In response, continuing medical education (CME) initiatives have begun to adopt the principles of performance improvement (PI) into their design, although currently there is a dearth of evidence from national initiatives supporting the effectiveness of this methodology. The specific aim of this study was to demonstrate the value of a national PI-CME activity to improve the performance of physicians treating patients with diabetes. We analyzed data from the American Academy of Family Physicians' METRIC® PI-CME activity in a cohort of family physician learners. The study utilized the 3-stage design standard approved for PI-CME. Baseline and follow-up performance data across a range of clinical and systems-based measures were compared in aggregate. Data were assessed for 509 learners who completed the activity. Statistically significant changes occurred both for self-assessment of a range of practice aspects and for diabetes care measures. Learners recognized that the organization of their practices had improved, and mechanisms were in place for better staff feedback, as well as aspects of patient self-management. Based on the clinical data obtained from 11 538 patient charts, 6 out of 8 diabetes measures were significantly improved. The activity appears to have had a positive, measurable impact on the medical practice of learners and suggests that, when appropriately designed and executed, PI-CME on a national scale can be a useful vehicle to influence performance change in physicians and to inform future CME activities. Copyright © 2013 The Alliance for Continuing Education in the Health Professions, the Society for Academic Continuing Medical Education, and the Council on CME, Association for Hospital Medical Education.

CME Simulations with Boundary Conditions Derived from Multiple Viewpoints of STEREO

NASA Astrophysics Data System (ADS)

Singh, T.; Yalim, M. S.; Pogorelov, N. V.

2017-12-01

Coronal Mass Ejections (CMEs) are major drivers of extreme space weather conditions, which is a matter of huge concern for our modern technologically dependent society. Development of numerical approaches that would reproduce CME propagation through the interplanetary space is an important step towards our capability to predict CME arrival time at Earth and their geo-effectiveness. It is also important that CMEs are propagating through a realistic, data-driven background solar wind (SW). In this study, we use a version of the flux-rope-driven Gibson-Low (GL) model to simulate CMEs. We derive inner boundary conditions for the GL flux rope model using the Graduate Cylindrical Shell (GCS) method. This method uses viewpoints from STEREO A and B, and SOHO/LASCO coronagraphs to determine the size and orientation of a CME flux rope as it starts to erupt from Sun. A flux rope created this way is inserted into an SDO/HMI vector magnetogram driven SW background obtained with the Multi-Scale Fluid-Kinetic Simulation Suite (MS-FLUKSS). Numerical results are compared with STEREO, SDO/AIA and SOHO/LASCO observations in particular in terms of the CME speed, acceleration and magnetic field structure.

Validation of the CME Geomagnetic forecast alerts under COMESEP alert system

NASA Astrophysics Data System (ADS)

Dumbovic, Mateja; Srivastava, Nandita; Khodia, Yamini; Vršnak, Bojan; Devos, Andy; Rodriguez, Luciano

2017-04-01

An automated space weather alert system has been developed under the EU FP7 project COMESEP (COronal Mass Ejections and Solar Energetic Particles: http://comesep.aeronomy.be) to forecast solar energetic particles (SEP) and coronal mass ejection (CME) risk levels at Earth. COMESEP alert system uses automated detection tool CACTus to detect potentially threatening CMEs, drag-based model (DBM) to predict their arrival and CME geo-effectiveness tool (CGFT) to predict their geomagnetic impact. Whenever CACTus detects a halo or partial halo CME and issues an alert, DBM calculates its arrival time at Earth and CGFT calculates its geomagnetic risk level. Geomagnetic risk level is calculated based on an estimation of the CME arrival probability and its likely geo-effectiveness, as well as an estimate of the geomagnetic-storm duration. We present the evaluation of the CME risk level forecast with COMESEP alert system based on a study of geo-effective CMEs observed during 2014. The validation of the forecast tool is done by comparing the forecasts with observations. In addition, we test the success rate of the automatic forecasts (without human intervention) against the forecasts with human intervention using advanced versions of DBM and CGFT (self standing tools available at Hvar Observatory website: http://oh.geof.unizg.hr). The results implicate that the success rate of the forecast is higher with human intervention and using more advanced tools. This work has received funding from the European Commission FP7 Project COMESEP (263252). We acknowledge the support of Croatian Science Foundation under the project 6212 „Solar and Stellar Variability".

A Hierarchical Relationship Between the Fluence Spectra and CME Kinematics in Large Solar Energetic Particle Events: A Radio Perspective

NASA Technical Reports Server (NTRS)

Gopalswamy, N.; Makela, P.; Yashiro, S.; Thakur, N.; Akiyama, S.; Xie, H.

2017-01-01

We report on further evidence that solar energetic particles are organized by the kinematic properties of coronal mass ejections (CMEs). In particular, we focus on the starting frequency of type II bursts, which is related to the distance from the Sun where the radio emission starts. We find that the three groups of solar energetic particle (SEP) events known to have distinct values of CME initial acceleration, also have distinct average starting frequencies of the associated type II bursts. SEP events with ground level enhancement (GLE) have the highest starting frequency (107 MHz), while those associated with filament eruption (FE) in quiescent regions have the lowest starting frequency (22 MHz); regular SEP events have intermediate starting frequency (81 MHz). Taking the onset time of type II bursts as the time of shock formation, we determine the shock formation heights measured from the Sun center. We find that the shocks form on average closest to the Sun (1.51 Rs) in GLE events, farthest from the Sun in FE SEP events (5.38 Rs), and at intermediate distances in regular SEP events (1.72 Rs). Finally, we present the results of a case study of a CME with high initial acceleration (approx.3 km s-2) and a type II radio burst with high starting frequency (approx. 200 MHz) but associated with a minor SEP event. We find that the relation between the fluence spectral index and CME initial acceleration continues to hold even for this minor SEP event.

Magnificent CME Erupts on the Sun with Earth to Scale

NASA Image and Video Library

2017-12-08

On August 31, 2012 a long filament of solar material that had been hovering in the sun's atmosphere, the corona, erupted out into space at 4:36 p.m. EDT. The coronal mass ejection, or CME, traveled at over 900 miles per second. The CME did not travel directly toward Earth, but did connect with Earth's magnetic environment, or magnetosphere, causing aurora to appear on the night of Monday, September 3. The image above includes an image of Earth to show the size of the CME compared to the size of Earth. Credit: NASA/GSFC/SDO NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Promoting Physician Preventive Practices: Needs Assessment for CME in Breast Cancer Detection.

ERIC Educational Resources Information Center

Lane, Dorothy S.; Burg, Mary Ann

1989-01-01

Needs assessment for a continuing medical education (CME) intervention directed at increasing breast cancer screening of women over 50 included a survey of target primary care physicians (n=323) to explore areas of interest for CME in breast care detection and to establish baseline screening practices. A survey of 1,440 women in the target age…

[Conflict of interest in continuing medical education - Studies on certified CME courses].

PubMed

Lenzen, Laura Marianne; Weidringer, Johann Wilhelm; Ollenschläger, Günter

2016-01-01

Although the problem of conflict of interest in medical education is discussed intensively, few valid data have been published on how to deal with the form, content, funding, sponsorship, and the influence of economic interests in continuing medical education (CME). Against this background, we carried out an analysis of data which had been documented for the purpose of certification by a German Medical Association. A central aim of the study was to obtain evidence of possible influences of economic interests on continuing medical education. Furthermore, strategies for quality assurance of CME contents and their implementation were to be examined. We analyzed all registration data for courses certified in the category D ("structured interactive CME via print media, online media and audiovisual media") by the Bavarian Chamber of Physicians in 2012. To measure the effects of conflict of interest, relationships between topics of training and variables relating to the alleged self-interest of the organizer/sponsor (for example, drug sales in a group of physicians) were statistically verified. These data were taken from the Bavarian Medical Statistics 2012 and the GKV-Arzneimittelschnellinformation. In 2012, a total of 734 CME course offerings have been submitted for 51 medical specialties by 30 course suppliers in the Bavarian Medical Association. To ensure the neutrality of interests of the CME courses the course suppliers signed a cooperation treaty ensuring their compliance with defined behavior towards the Bavarian Medical Association concerning sponsorship. The correlation between course topics and drug data suggests that course suppliers tend to submit topics that are economically attractive to them. There was a significant correlation between the number of CME courses in a specific field and the sales from drug prescriptions issued by physicians in the respective field. The results show that neutrality of interests regarding continuing medical education is

WHY IS A FLARE-RICH ACTIVE REGION CME-POOR?

DOE Office of Scientific and Technical Information (OSTI.GOV)

Liu, Lijuan; Wang, Yuming; Shen, Chenglong

Solar active regions (ARs) are the major sources of two of the most violent solar eruptions, namely flares and coronal mass ejections (CMEs). The largest AR in the past 24 years, NOAA AR 12192, which crossed the visible disk from 2014 October 17 to 30, unusually produced more than one hundred flares, including 32 M-class and 6 X-class ones, but only one small CME. Flares and CMEs are believed to be two phenomena in the same eruptive process. Why is such a flare-rich AR so CME-poor? We compared this AR with other four ARs; two were productive in both andmore » two were inert. The investigation of the photospheric parameters based on the SDO /HMI vector magnetogram reveals that the flare-rich AR 12192, as with the other two productive ARs, has larger magnetic flux, current, and free magnetic energy than the two inert ARs but, in contrast to the two productive ARs, it has no strong, concentrated current helicity along both sides of the flaring neutral line, indicating the absence of a mature magnetic structure consisting of highly sheared or twisted field lines. Furthermore, the decay index above the AR 12192 is relatively low, showing strong constraint. These results suggest that productive ARs are always large and have enough current and free energy to power flares, but whether or not a flare is accompanied by a CME is seemingly related to (1) the presence of a mature sheared or twisted core field serving as the seed of the CME, or (2) a weak enough constraint of the overlying arcades.« less

THE BLOB CONNECTION: SEARCHING FOR LOW CORONAL SIGNATURES OF SOLAR POST-CME BLOBS

DOE Office of Scientific and Technical Information (OSTI.GOV)

Schanche, Nicole E; Reeves, Katharine K; Webb, David F., E-mail: nschanche@cfa.harvard.edu

2016-11-01

Bright linear structures, thought to be indicators of a current sheet (CS), are often seen in Large Angle and Spectrometric Coronagraph (LASCO) on the Solar and Heliospheric Observatory (SOHO) white-light data in the wake of coronal mass ejections (CMEs). In a subset of these post-CME structures, relatively bright blobs are seen moving outward along the rays. These blobs have been interpreted as consequences of the plasmoid instability in the CS, and can help us to understand the dynamics of the reconnection. We examine several instances, taken largely from the SOHO /LASCO CME-rays Catalog, where these blobs are clearly visible inmore » white-light data. Using radially filtered, difference, wavelet enhanced, and multiscale Gaussian normalized images to visually inspect Solar Dynamics Observatory /Atmospheric Imaging Assembly (AIA) data in multiple wavelengths, we look for signatures of material that correspond both temporally and spatially to the later appearance of the blobs in LASCO/C2. Constraints from measurements of the blobs allow us to predict the expected count rates in DN pixel{sup −1} s{sup −1} for each AIA channel. The resulting values would make the blobs bright enough to be detectable at 1.2 R {sub ⊙}. However, we do not see conclusive evidence for corresponding blobs in the AIA data in any of the events. We do the same calculation for the “cartwheel CME,” an event in which blobs were seen in X-rays, and find that our estimated count rates are close to those observed. We suggest several possibilities for the absence of the EUV blobs including the formation of the blob higher than the AIA field of view, blob coalescence, and overestimation of blob densities.« less

Effect of CME on Primary Care and OB/GYN Treatment of Breast Masses

ERIC Educational Resources Information Center

Price, David W.; Xu, Stanley; McClure, David

2005-01-01

Introduction: CME program planners are being asked to move beyond assessments of knowledge to assessing the impact of CME on practice and patient outcomes. Methods: We conducted a pre-post analysis of administrative data from 107 physicians, nurse practitioners (NPs), or physician's assistants (PAs) who attended one or two continuing medical…

Constraints on CME Evolution from in situ Observations of Ionic Charge States

NASA Technical Reports Server (NTRS)

Gruesbeck, Jacob R.; Lepri, Susan T.; Zurbuchen, Thomas H.; Antiochos, Spiro K.

2010-01-01

We present a novel procedure for deriving the physical properties of Coronal Mass Ejections (CMES) in the corona. Our methodology uses in-situ measurements of ionic charge states of C, O, Si and Fe in the heliosphere and interprets them in the context of a model for the early evolution of ICME plasma, between 2 - 5 R-solar. We find that the data can be fit only by an evolution that consists of an initial heating of the plasma, followed by an expansion that ultimately results in cooling. The heating profile is consistent with a compression of coronal plasma due to flare reconnect ion jets and an expansion cooling due to the ejection, as expected from the standard CME/flare model. The observed frozen-in ionic charge states reflect this time-history and, therefore, provide important constraints for the heating and expansion time-scales, as well as the maximum temperature the CME plasma is heated to during its eruption. Furthermore, our analysis places severe limits on the possible density of CME plasma in the corona. We discuss the implications of our results for CME models and for future analysis of ICME plasma composition.

The SCEC Community Modeling Environment(SCEC/CME): A Collaboratory for Seismic Hazard Analysis

NASA Astrophysics Data System (ADS)

Maechling, P. J.; Jordan, T. H.; Minster, J. B.; Moore, R.; Kesselman, C.

2005-12-01

The SCEC Community Modeling Environment (SCEC/CME) Project is an NSF-supported Geosciences/IT partnership that is actively developing an advanced information infrastructure for system-level earthquake science in Southern California. This partnership includes SCEC, USC's Information Sciences Institute (ISI), the San Diego Supercomputer Center (SDSC), the Incorporated Institutions for Research in Seismology (IRIS), and the U.S. Geological Survey. The goal of the SCEC/CME is to develop seismological applications and information technology (IT) infrastructure to support the development of Seismic Hazard Analysis (SHA) programs and other geophysical simulations. The SHA application programs developed on the Project include a Probabilistic Seismic Hazard Analysis system called OpenSHA. OpenSHA computational elements that are currently available include a collection of attenuation relationships, and several Earthquake Rupture Forecasts (ERFs). Geophysicists in the collaboration have also developed Anelastic Wave Models (AWMs) using both finite-difference and finite-element approaches. Earthquake simulations using these codes have been run for a variety of earthquake sources. Rupture Dynamic Model (RDM) codes have also been developed that simulate friction-based fault slip. The SCEC/CME collaboration has also developed IT software and hardware infrastructure to support the development, execution, and analysis of these SHA programs. To support computationally expensive simulations, we have constructed a grid-based scientific workflow system. Using the SCEC grid, project collaborators can submit computations from the SCEC/CME servers to High Performance Computers at USC and TeraGrid High Performance Computing Centers. Data generated and archived by the SCEC/CME is stored in a digital library system, the Storage Resource Broker (SRB). This system provides a robust and secure system for maintaining the association between the data seta and their metadata. To provide an easy

Promoting Free Online CME for Intimate Partner Violence: What Works at What Cost?

ERIC Educational Resources Information Center

Harris, John M., Jr.; Novalis-Marine, Cheryl; Amend, Robert W.; Surprenant, Zita J.

2009-01-01

Introduction: There is a need to provide practicing physicians with training on the recognition and management of intimate partner violence (IPV). Online continuing medical education (CME) could help meet this need, but there is little information on the costs and effectiveness of promoting online CME to physicians. This lack of information may…

Inhibitory mechanisms of CME-1, a novel polysaccharide from the mycelia of Cordyceps sinensis, in platelet activation.

PubMed

Chang, Yi; Hsu, Wen-Hsien; Lu, Wan-Jung; Jayakumar, Thanasekaran; Liao, Jiun-Cheng; Lin, Mei-Jiun; Wang, Shwu-Huey; Geraldine, Pitchairaj; Lin, Kuan-Hung; Sheu, Joen-Rong

2015-01-01

CME-1 is a polysaccharide purified from the mycelia of medicinal mushroom Cordyceps sinensis, its molecular weight was determined to be 27.6 kDa by using nuclear magnetic resonance and gas chromatography-mass spectrometry. The initiation of arterial thromboses is relevant to various cardiovascular diseases (CVDs) and is believed to involve platelet activation. Our recent study exhibited that CME-1 has potent antiplatelet activity via the activation of adenylate cyclase/cyclic AMP ex vivo and in vivo. The aggregometry, and immunoblotting were used in this study. In this study, the mechanisms of CME-1 in platelet activation is further investigated and found that CME-1 inhibited platelet aggregation as well as the ATP-release reaction, relative intracellular [Ca(+2)] mobilization, and the phosphorylation of phospholipase C (PLC)γ2 and protein kinase C (PKC) stimulated by collagen. CME-1 has no effects on inhibiting either convulxin, an agonist of glycoprotein VI, or aggretin, an agonist of integrin α2β1 stimulated platelet aggregation. Moreover, this compound markedly diminished thrombin and arachidonic acid (AA) induced phosphorylation of p38 mitogen-activated protein kinase (MAPK), extracellular signal-regulated kinase 2, c-Jun N-terminal kinase 1, and Akt. Treatment with SQ22536, an inhibitor of adenylate cyclase, markedly diminished the CME-1-mediated increasing of cyclic AMP level and reversed prostaglandin E1- or CME-1-mediated inhibition of platelet aggregation and p38 MAPK and Akt phosphorylation stimulated by thrombin or AA. Furthermore, phosphodiesterase activity of human platelets was not altered by CME-1. The crucial finding of this study is that the antiplatelet activity of CME-1 may initially inhibit the PLCγ2-PKC-p47 cascade, and inhibit PI3-kinase/Akt and MAPK phosphorylation through adenylate cyclase/ cyclic AMP activation, then inhibit intracellular [Ca(+2)] mobilization, and, ultimately, inhibit platelet activation. The novel role of CME-1 in

Correlated Flare and CME Energies for the October/November 2003 Events

NASA Technical Reports Server (NTRS)

Dennis, Brian R.; Haga, Leah; Medlin, Drew; Tolbert, A. Kimberly

2006-01-01

We find a strong correlation between the kinetic energies (KEs) of the coronal mass ejections (CMEs) and the radiated energies of the associated solar flares for the events that occurred during the period of intense solar activity between 18 October and 08 November 2003. CME start times, speeds, mass, and KEs were taken from Gopalswamy et al. (2005), who used SOHO/LASCO observations. The GOES observations of the associated flares were analyzed to find the peak SXR flux, the radiated energy in SXRs (L(sub sxr)), and the radiated energy from the SXR emitting plasma across all wavelengths (L(sub hot)). RHESSI observations were also used to find the energy in non-thermal electrons, ions, and the plasma thermal energy for some events. For two events, SORCE/TIM observations of the total solar irradiance during a flare were also available to give the total radiated flare energy (L(sub total)). We find that the total flare energies of the larger events are of the same order of magnitude as the CME KE with a stronger correlation than has been found in the past for other time intervals. The following rule-of-thumb (good to an order of magnitude for the larger events} can be used to relate flare and CME energies: CME KE l(sub total) 10 L(sub hot) 100 L(sub SXR).

The Great "Non-Event" of 7 January 2014: Challenges in CME Arrival Time and Geomagnetic Storm Strength Prediction

NASA Astrophysics Data System (ADS)

Mays, M. L.; Thompson, B. J.; Jian, L.; Evans, R. M.; Savani, N.; Odstrcil, D.; Nieves-Chinchilla, T.; Richardson, I. G.

2014-12-01

We present a case study of the 7 January 2014 event in order to highlight current challenges in space weather forecasting of CME arrival time and geomagnetic storm strength. On 7 January 2014 an X1.2 flare and CME with a radial speed ~2400 km/s was observed from active region 11943. The flaring region was only ten degrees southwest of disk center with extensive dimming south of the active region and preliminary analysis indicated a fairly rapid arrival at Earth (~36 hours). Of the eleven forecasting groups world-wide who participated in CCMC's Space Weather Scoreboard (http://kauai.ccmc.gsfc.nasa.gov/SWScoreBoard), nine predicted early arrivals and six predicted dramatic geomagnetic storm impacts (Kp predictions ranged from 6 to 9). However, the CME only had a glancing blow arrival at Earth - Kp did not rise above 3 and there was no geomagnetic storm. What happened? One idea is that the large coronal hole to the northeast of the active region could have deflected the CME. This coronal hole produced a high speed stream near Earth reaching an uncommon speed of 900 km/s four days after the observed CME arrival. However, no clear CME deflection was observed in the outer coronagraph fields of view (~5-20Rs) where CME measurements are derived to initiate models, therefore deflection seems unlikely. Another idea is the effect of the CME flux rope orientation with respect to Earth orbit. We show that using elliptical major and minor axis widths obtained by GCS fitting for the initial CME parameters in ENLIL would have improved the forecast to better reflect the observed glancing blow in-situ signature. We also explore the WSA-ENLIL+Cone simulations, the background solar wind solution, and compare with the observed CME arrival at Venus (from Venus Express) and Earth.

MLSO Mark III K-Coronameter Observations of the CME Rate from 1989 - 1996

NASA Astrophysics Data System (ADS)

St. Cyr, O. C.; Flint, Q. A.; Xie, H.; Webb, D. F.; Burkepile, J. T.; Lecinski, A. R.; Quirk, C.; Stanger, A. L.

2015-10-01

We report here an attempt to fill the 1990 - 1995 gap in the CME rate using the Mauna Loa Solar Observatory's Mark III (Mk3) K-coronameter. The Mk3 instrument observed routinely several hours most days beginning in 1980 until it was upgraded to Mk4 in 1999. We describe the statistical properties of the CMEs detected during 1989 - 1996, and we determine a CME rate for each of those years. Since spaceborne coronagraphs have more complete duty cycles than a ground-based instrument at a single location, we compare the Mk3-derived CME rate from 1989 with the rate from the SMM C/P coronagraph, and from 1996 with the rate from the SOHO LASCO coronagraphs.

Tubes, Mono Jets, Squeeze Out and CME

DOE Office of Scientific and Technical Information (OSTI.GOV)

Longacre, R.

Glasma Flux Tubes, Mono Jets with squeeze out flow around them plus the Chiral Magnetic Effect(CME) are physical phenomenon that generate two particle correlation with respect to the reaction plane in mid-central 20% to 30% Au-Au collision √sNN = 200.0 GeV measured at RHIC.

A CME-Driven Solar Wind Disturbance Observed at both Low and High Heliographic Latitudes

NASA Technical Reports Server (NTRS)

Gosling, J. T.; McComas, D. J.; Phillips, J. L.; Pizzo, V. J.; Goldstein, B. E.; Forsyth, R. J.; Lepping, R. P.

1995-01-01

A solar wind disturbance produced by a fast coronal mass ejection, CME, that departed from the Sun on February 20, 1994 was observed in the ecliptic plane at 1 AU by IMP 8 and at high heliographic latitudes at 3.53 AU by Ulysses. In the ecliptic the disturbance included a strong forward shock but no reverse shock, while at high latitudes the disturbance was bounded by a relatively weak forward-reverse shock pair. It is clear that the disturbance in the ecliptic plane was driven primarily by the relative speed between the CME and a slower ambient solar wind ahead, whereas at higher latitudes the disturbance was driven by expansion of the CME. The combined IMP 8 and Ulysses observations thus provide a graphic illustration of how a single fast CME can produce very different types of solar wind disturbances at low and high heliographic latitudes. Simple numerical simulations help explain observed differences at the two spacecraft.

CME Arrival-time Validation of Real-time WSA-ENLIL+Cone Simulations at the CCMC/SWRC

NASA Astrophysics Data System (ADS)

Wold, A. M.; Mays, M. L.; Taktakishvili, A.; Jian, L.; Odstrcil, D.; MacNeice, P. J.

2016-12-01

The Wang-Sheeley-Arge (WSA)-ENLIL+Cone model is used extensively in space weather operations worldwide to model CME propagation, as such it is important to assess its performance. We present validation results of the WSA-ENLIL+Cone model installed at the Community Coordinated Modeling Center (CCMC) and executed in real-time by the CCMC/Space Weather Research Center (SWRC). The SWRC is a CCMC sub-team that provides space weather services to NASA robotic mission operators and science campaigns, and also prototypes new forecasting models and techniques. CCMC/SWRC uses the WSA-ENLIL+Cone model to predict CME arrivals at NASA missions throughout the inner heliosphere. In this work we compare model predicted CME arrival-times to in-situ ICME shock observations near Earth (ACE, Wind), STEREO-A and B for simulations completed between March 2010 - July 2016 (over 1500 runs). We report hit, miss, false alarm, and correct rejection statistics for all three spacecraft. For hits we compute the bias, RMSE, and average absolute CME arrival time error, and the dependence of these errors on CME input parameters. We compare the predicted geomagnetic storm strength (Kp index) to the CME arrival time error for Earth-directed CMEs. The predicted Kp index is computed using the WSA-ENLIL+Cone plasma parameters at Earth with a modified Newell et al. (2007) coupling function. We also explore the impact of the multi-spacecraft observations on the CME parameters used initialize the model by comparing model validation results before and after the STEREO-B communication loss (since September 2014) and STEREO-A side-lobe operations (August 2014-December 2015). This model validation exercise has significance for future space weather mission planning such as L5 missions.

Mini-CME eruptions in a flux emergence event in a coronal hole environment

NASA Astrophysics Data System (ADS)

Galsgaard, K.; Moreno-Insertis, F.

2016-10-01

Small scale jets are observed to take place at the interface between the open magnetic field in coronal holes and bipolar magnetic field concentrations. A fraction of these shows an eruptive behavior, where a combination of cold dense and hot light plasma has been observed to propagate out along the jet region, combining traditional jets with what looks like the eruption of mini-CMEs. Here we discuss a simple model scenario for the explosive energy release process that leads to a mixture of hot and cold plasma being accelerated upwards simultaneously. The model explains both the typical steady state inverted-Y jet and the subsequent mini-CME eruptions found in blowout jets. The numerical experiment consists of a buoyant unstable flux rope that emerges into an overlying slanted coronal field, thereby creating a bipolar magnetic field distribution in the photosphere with coronal loops linking the polarities. Reconnection between the emerged and preexisting magnetic systems including the launching of a classical inverted-Y jet. The experiment shows that this simple model provides for a very complicated dynamical behavior in its late phases. Five independent mini-CME eruptions follow the initial near steady-state jet phase. The first one is a direct consequence of the reconnection of the emerged magnetic flux, is mediated by the formation of a strongly sheared arcade followed by a tether-cutting reconnection process, and leads to the eruption of a twisted flux rope. The final four explosive eruptions, instead, are preceded by the formation of a twisted torus-like flux rope near the strong magnetic concentrations at the photosphere. As the tube center starts emerging an internal current sheet is formed below it. This sheet experiences a tether cutting process that provides the important upwards kick of the newly formed mini-CME structure. As the fast rising cold and dense tube interacts with the overlying magnetic field, it reconnects at different spatial locations

[CME MMC: Evaluation of a continuous medical education tool by e-learning from the morbi-mortality conferences of the Burgundy].

PubMed

Serrand, M; Lefèbvre, A; Desplanches, T; Yacoub, A; Semama, D; Sagot, P

2016-10-01

The objective of this study was to validate a continuing medical education e-learning tool. The CME MMC was for all health professionals maternity Burgundy and concerned regional morbidity and mortality conferences. It was divided into steps: a pre-test for an assessment of initial knowledge, an access to the recommendations of each RMM and a post-test to assess the progress of participants. A satisfaction questionnaire was proposed after the test. The primary endpoint was the comparison of the post-test scores than the pre-test. CME MMC was opened 3 months and recorded 156 participants among 598 health professionals in Burgundy, a rate 2.4 times higher than the average participation rate at MMC the past two years. A statistically significant increase was demonstrated individually by comparing the post-test scores than the pre-test (P<0.00001). The increase was significantly higher for midwives and professionals absents at the RMM. Finally, 96.2% of participants have been satisfied by this formation. This prospective multicenter study validates our tool. CME MMC is accessible, without geographic or time restrictions, not expensive, and efficient because it proves that it can update our knowledge in obstetrics and perinatology. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

The Solar Stormwatch CME catalogue: Results from the first space weather citizen science project

NASA Astrophysics Data System (ADS)

Barnard, L.; Scott, C.; Owens, M.; Lockwood, M.; Tucker-Hood, K.; Thomas, S.; Crothers, S.; Davies, J. A.; Harrison, R.; Lintott, C.; Simpson, R.; O'Donnell, J.; Smith, A. M.; Waterson, N.; Bamford, S.; Romeo, F.; Kukula, M.; Owens, B.; Savani, N.; Wilkinson, J.; Baeten, E.; Poeffel, L.; Harder, B.

2014-12-01

Solar Stormwatch was the first space weather citizen science project, the aim of which is to identify and track coronal mass ejections (CMEs) observed by the Heliospheric Imagers aboard the STEREO satellites. The project has now been running for approximately 4 years, with input from >16,000 citizen scientists, resulting in a data set of >38,000time-elongation profiles of CME trajectories, observed over 18 preselected position angles. We present our method for reducing this data set into a CME catalogue. The resulting catalogue consists of 144 CMEs over the period January 2007 to February 2010, of which 110 were observed by STEREO-A and 77 were observed by STEREO-B. For each CME, the time-elongation profiles generated by the citizen scientists are averaged into a consensus profile along each position angle that the event was tracked. We consider this catalogue to be unique, being at present the only citizen science-generated CME catalogue, tracking CMEs over an elongation range of 4° out to a maximum of approximately 70°. Using single spacecraft fitting techniques, we estimate the speed, direction, solar source region, and latitudinal width of each CME. This shows that at present, the Solar Stormwatch catalogue (which covers only solar minimum years) contains almost exclusively slow CMEs, with a mean speed of approximately 350 km s-1. The full catalogue is available for public access at www.met.reading.ac.uk/~spate/solarstormwatch. This includes, for each event, the unprocessed time-elongation profiles generated by Solar Stormwatch, the consensus time-elongation profiles, and a set of summary plots, as well as the estimated CME properties.

Comparing Automatic CME Detections in Multiple LASCO and SECCHI Catalogs

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hess, Phillip; Colaninno, Robin C., E-mail: phillip.hess.ctr@nrl.navy.mil, E-mail: robin.colaninno@nrl.navy.mil

With the creation of numerous automatic detection algorithms, a number of different catalogs of coronal mass ejections (CMEs) spanning the entirety of the Solar and Heliospheric Observatory ( SOHO ) Large Angle Spectrometric Coronagraph (LASCO) mission have been created. Some of these catalogs have been further expanded for use on data from the Solar Terrestrial Earth Observatory ( STEREO ) Sun Earth Connection Coronal and Heliospheric Investigation (SECCHI) as well. We compare the results from different automatic detection catalogs (Solar Eruption Event Detection System (SEEDS), Computer Aided CME Tracking (CACTus), and Coronal Image Processing (CORIMP)) to ensure the consistency ofmore » detections in each. Over the entire span of the LASCO catalogs, the automatic catalogs are well correlated with one another, to a level greater than 0.88. Focusing on just periods of higher activity, these correlations remain above 0.7. We establish the difficulty in comparing detections over the course of LASCO observations due to the change in the instrument image cadence in 2010. Without adjusting catalogs for the cadence, CME detection rates show a large spike in cycle 24, despite a notable drop in other indices of solar activity. The output from SEEDS, using a consistent image cadence, shows that the CME rate has not significantly changed relative to sunspot number in cycle 24. These data, and mass calculations from CORIMP, lead us to conclude that any apparent increase in CME rate is a result of the change in cadence. We study detection characteristics of CMEs, discussing potential physical changes in events between cycles 23 and 24. We establish that, for detected CMEs, physical parameters can also be sensitive to the cadence.« less

Role of Ambient Solar Wind Conditions in CME evolution (P21)

NASA Astrophysics Data System (ADS)

Jadav, R.; Jadeja, A. K.; Iyer, K. N.

2006-11-01

ipsraj@yahoo.com Solar events are mainly responsible for producing storms at the Earth. Coronal Mass Ejection (CME) is a major cause for this. In this paper, Coronal Mass Ejections occurred during 1998-2004 are studied. Ambient solar wind does play some role in determining the effect of a CME. The effects produced at the Earth during the period 1999 2004 are considered and an attempt has been made to understand the role of ambient solar wind. This is to draw some conclusion about how some of the events become geo- effective.

CME Plasma Dynamics Using In-situ and Remote-sensing Observations

NASA Astrophysics Data System (ADS)

Kocher, Manan; Lepri, Susan; Landi, Enrico

2017-04-01

The thermal and kinetic energy of Coronal Mass Ejections [CMEs] can be best reconstructed if the plasma density, temperature and dynamics of each of their components are known. During periods of quadrature, we use a combination of in-situ measurements from ACE/SWICS and remote sensing observations from SDO/AIA and STEREO/EUVI to present several case studies of geo-effective halo-CMEs. We carry out density diagnostics and Differential Emission Measure [DEM] profile calculations to reconstruct a 3D picture of the CME plasma for the selected cases in the low solar corona. We then discuss these results in the context of models of CME initiation and release.

Scientific goals of the Cooperative Multiscale Experiment (CME)

NASA Technical Reports Server (NTRS)

Cotton, William

1993-01-01

Mesoscale Convective Systems (MCS) form the focus of CME. Recent developments in global climate models, the urgent need to improve the representation of the physics of convection, radiation, the boundary layer, and orography, and the surge of interest in coupling hydrologic, chemistry, and atmospheric models of various scales, have emphasized the need for a broad interdisciplinary and multi-scale approach to understanding and predicting MCS's and their interactions with processes at other scales. The role of mesoscale systems in the large-scale atmospheric circulation, the representation of organized convection and other mesoscale flux sources in terms of bulk properties, and the mutually consistent treatment of water vapor, clouds, radiation, and precipitation, are all key scientific issues concerning which CME will seek to increase understanding. The manner in which convective, mesoscale, and larger scale processes interact to produce and organize MCS's, the moisture cycling properties of MCS's, and the use of coupled cloud/mesoscale models to better understand these processes, are also major objectives of CME. Particular emphasis will be placed on the multi-scale role of MCS's in the hydrological cycle and in the production and transport of chemical trace constituents. The scientific goals of the CME consist of the following: understand how the large and small scales of motion influence the location, structure, intensity, and life cycles of MCS's; understand processes and conditions that determine the relative roles of balanced (slow manifold) and unbalanced (fast manifold) circulations in the dynamics of MCS's throughout their life cycles; assess the predictability of MCS's and improve the quantitative forecasting of precipitation and severe weather events; quantify the upscale feedback of MCS's to the large-scale environment and determine interrelationships between MCS occurrence and variations in the large-scale flow and surface forcing; provide a data base

Reconciling CME Kinematics using Radio and White-light Observations from STEREO and SOHO

NASA Astrophysics Data System (ADS)

Gopalswamy, Nat; Yashiro, Seiji; Xie, Hong; Makela, Pertti; Akiyama, Sachiko; Reiner, Michael; MacDowall, Robert

2014-05-01

We study the characteristics of nonthermal radio emission associated with coronal mass ejections (CMEs) observed by STEREO, SOHO, and Wind spacecraft. In particular, we examine three backside CMEs associated with type II radio bursts at frequencies below 16 MHz. These bursts are known to be excellent indicators of solar energetic particle events. We use the universal drift rate spectrum of type II radio bursts and the inferred density scale heights in the corona and interplanetary medium o estimate the speed of the shock waves that produce the type II radio bursts. We find that the radio bursts can provide an accurate estimate of the CME speeds. We consider three backside events and a cannibalism event to show the usefulness of radio dynamic spectrum in inferring CME kinematics. We use radio direction finding technique to show that CME-CME interaction results in enhanced nonthermal radio emission. The radio data also provide constraints on the particle acceleration mechanisms and the reason for the energetic particles observed at wide-ranging longitudes. Finally we infer the shape and extent of the shock associated with one of the biggest solar energetic particle events in the space era.

The Relationship Between CME Properties in the CDAW, CACTUS and SEEDS Catalogs and ?25 MeV Solar Proton Event Intensities

NASA Astrophysics Data System (ADS)

Richardson, I. G.; von Rosenvinge, T. T.; Cane, H. V.

2013-12-01

The existence of a correlation between the intensity of solar energetic proton (SEP) events and the speed of the associated coronal mass ejection near the Sun is well known, and is often interpreted as evidence for particle acceleration at CME-driven shocks. However, this correlation is far from perfect and might be improved by taking other parameters into consideration (e.g., CME width). In studies of cycle 23 SEP events, values of CME speed, width and other parameters were typically taken from the CDAWWeb LASCO CME catalog. This is compiled 'by hand' from examination of LASCO images by experienced observers. Other automated LASCO CME catalogs have now been developed, e.g., CACTUS (Royal Observatory of Belgium) and SEEDS (George Mason University), but the basic CME parameters do not always agree with those from the CDAWweb catalog since they are not determined in the same way. For example the 'CME speed' might be measured at a specific position angle against the plane of the sky in one catalog, or be the average of speeds taken along the CME front in another. Speeds may also be based on linear or higher order fits to the coronagraph images. There will also be projection effects in these plane of the sky speeds. Similarly, CME widths can vary between catalogs and are dependent on how they are defined. For example, the CDAW catalog lists any CME that surrounds the occulting disk as a 'halo' (360 deg. width) CME even though the CME may be highly-asymmetric and originate from a solar event far from central meridian. Another catalog may give a smaller width for the same CME. The problem of obtaining the 'true' CME width is especially acute for assessing the relationship between CME width and SEP properties when using the CDAW catalog since a significant fraction, if not the majority, of the CMEs associated with major SEP events are reported to be halo CMEs. In principle, observations of CMEs from the STEREO A and B spacecraft, launched in late 2006, might be used to

Development and Parameters of a Non-Self-Similar CME Caused by the Eruption of a Quiescent Prominence

NASA Astrophysics Data System (ADS)

Kuzmenko, I. V.; Grechnev, V. V.

2017-10-01

The eruption of a large quiescent prominence on 17 August 2013 and an associated coronal mass ejection (CME) were observed from different vantage points by the Solar Dynamics Observatory (SDO), the Solar-Terrestrial Relations Observatory (STEREO), and the Solar and Heliospheric Observatory (SOHO). Screening of the quiet Sun by the prominence produced an isolated negative microwave burst. We estimated the parameters of the erupting prominence from a radio absorption model and measured them from 304 Å images. The variations of the parameters as obtained by these two methods are similar and agree within a factor of two. The CME development was studied from the kinematics of the front and different components of the core and their structural changes. The results were verified using movies in which the CME expansion was compensated for according to the measured kinematics. We found that the CME mass (3.6 × 10^{15} g) was mainly supplied by the prominence (≈ 6 × 10^{15} g), while a considerable part drained back. The mass of the coronal-temperature component did not exceed 10^{15} g. The CME was initiated by the erupting prominence, which constituted its core and remained active. The structural and kinematical changes started in the core and propagated outward. The CME structures continued to form during expansion, which did not become self-similar up to 25 R_{⊙}. The aerodynamic drag was insignificant. The core formed during the CME rise to 4 R_{⊙} and possibly beyond. Some of its components were observed to straighten and stretch outward, indicating the transformation of tangled structures of the core into a simpler flux rope, which grew and filled the cavity as the CME expanded.

MLSO Mark III K-Coronameter Observations of the CME Rate from 1989-1996

NASA Technical Reports Server (NTRS)

St Cyr, O. C.; Flint, Q. A.; Xie, H.; Webb, D. F.; Burkepile, J. T.; Lecinski, A. R.; Quirk, C.; Stanger, A. L.

2015-01-01

We report here an attempt to fill the 1990-1995 gap in the CME (coronal mass ejection) rate using the Mauna Loa Solar Observatory (MLSO)'s Mark III (Mk3) K-coronameter. The Mk3 instrument observed routinely several hours most days beginning in 1980 until it was upgraded to Mk4 in 1999. We describe the statistical properties of the CMEs detected during 1989-1996, and we determine a CME rate for each of those years. Since spaceborne coronagraphs have more complete duty cycles than a ground-based instrument at a single location, we compare the Mk3-derived CME rate from 1989 with the SMM C/P (Solar Maximum Mission Coronagraph/Polarimeter) coronagraph, and from 1996 with the SOHO (Solar and Hellospheric Observatory) LASCO (Large Angle and Spectrometric COronagraph) coronagraphs.

Report on Proceedings of the Tenth Annual European CME Forum, Dublin, Ireland, November 2017

PubMed Central

Murray, Ron

2018-01-01

ABSTRACT The august setting of the Royal College of Physicians of Ireland saw participants from 17 different countries assemble for the Tenth European CME Forum between 8th and 10th November 2017. The main themes of the meeting were classified under the headings Inward (Educational design), Outward (Listening to others) and Onward (Collaborations and partnerships) addressed via a combination of presentations, interactive workshops, posters, and panel discussions. Topics explored included team engagement, the voice of the patient, harmonisation in European accreditation, competencies for CME professionals, and publishing in CME. Discussion evoked both consensus and contention and provided participants with excellent networking opportunities moving forward to the next decade of Forum meetings. PMID:29644142

A New Tool for CME Arrival Time Prediction using Machine Learning Algorithms: CAT-PUMA

NASA Astrophysics Data System (ADS)

Liu, Jiajia; Ye, Yudong; Shen, Chenglong; Wang, Yuming; Erdélyi, Robert

2018-03-01

Coronal mass ejections (CMEs) are arguably the most violent eruptions in the solar system. CMEs can cause severe disturbances in interplanetary space and can even affect human activities in many aspects, causing damage to infrastructure and loss of revenue. Fast and accurate prediction of CME arrival time is vital to minimize the disruption that CMEs may cause when interacting with geospace. In this paper, we propose a new approach for partial-/full halo CME Arrival Time Prediction Using Machine learning Algorithms (CAT-PUMA). Via detailed analysis of the CME features and solar-wind parameters, we build a prediction engine taking advantage of 182 previously observed geo-effective partial-/full halo CMEs and using algorithms of the Support Vector Machine. We demonstrate that CAT-PUMA is accurate and fast. In particular, predictions made after applying CAT-PUMA to a test set unknown to the engine show a mean absolute prediction error of ∼5.9 hr within the CME arrival time, with 54% of the predictions having absolute errors less than 5.9 hr. Comparisons with other models reveal that CAT-PUMA has a more accurate prediction for 77% of the events investigated that can be carried out very quickly, i.e., within minutes of providing the necessary input parameters of a CME. A practical guide containing the CAT-PUMA engine and the source code of two examples are available in the Appendix, allowing the community to perform their own applications for prediction using CAT-PUMA.

An empirical model for prediction of geomagnetic storms using initially observed CME parameters at the Sun

NASA Astrophysics Data System (ADS)

Kim, R.-S.; Cho, K.-S.; Moon, Y.-J.; Dryer, M.; Lee, J.; Yi, Y.; Kim, K.-H.; Wang, H.; Park, Y.-D.; Kim, Yong Ha

2010-12-01

In this study, we discuss the general behaviors of geomagnetic storm strength associated with observed parameters of coronal mass ejection (CME) such as speed (V) and earthward direction (D) of CMEs as well as the longitude (L) and magnetic field orientation (M) of overlaying potential fields of the CME source region, and we develop an empirical model to predict geomagnetic storm occurrence with its strength (gauged by the Dst index) in terms of these CME parameters. For this we select 66 halo or partial halo CMEs associated with M-class and X-class solar flares, which have clearly identifiable source regions, from 1997 to 2003. After examining how each of these CME parameters correlates with the geoeffectiveness of the CMEs, we find several properties as follows: (1) Parameter D best correlates with storm strength Dst; (2) the majority of geoeffective CMEs have been originated from solar longitude 15°W, and CMEs originated away from this longitude tend to produce weaker storms; (3) correlations between Dst and the CME parameters improve if CMEs are separated into two groups depending on whether their magnetic fields are oriented southward or northward in their source regions. Based on these observations, we present two empirical expressions for Dst in terms of L, V, and D for two groups of CMEs, respectively. This is a new attempt to predict not only the occurrence of geomagnetic storms, but also the storm strength (Dst) solely based on the CME parameters.

Measuring Classroom Management Expertise (CME) of Teachers: A Video-Based Assessment Approach and Statistical Results

ERIC Educational Resources Information Center

König, Johannes

2015-01-01

The study aims at developing and exploring a novel video-based assessment that captures classroom management expertise (CME) of teachers and for which statistical results are provided. CME measurement is conceptualized by using four video clips that refer to typical classroom management situations in which teachers are heavily challenged…

CME Flux Rope and Shock Identifications and Locations: Comparison of White Light Data, Graduated Cylindrical Shell Model, and MHD Simulations

NASA Technical Reports Server (NTRS)

Schmidt, J. M.; Cairns, Iver H.; Xie, Hong; St. Cyr, O. C.; Gopalswamy, N.

2016-01-01

Coronal mass ejections (CMEs) are major transient phenomena in the solar corona that are observed with ground-based and spacecraft-based coronagraphs in white light or with in situ measurements by spacecraft. CMEs transport mass and momentum and often drive shocks. In order to derive the CME and shock trajectories with high precision, we apply the graduated cylindrical shell (GCS) model to fit a flux rope to the CME directed toward STEREO A after about 19:00 UT on 29 November 2013 and check the quality of the heliocentric distance-time evaluations by carrying out a three-dimensional magnetohydrodynamic (MHD) simulation of the same CME with the Block Adaptive Tree Solar-Wind Roe Upwind Scheme (BATS-R-US) code. Heliocentric distances of the CME and shock leading edges are determined from the simulated white light images and magnetic field strength data. We find very good agreement between the predicted and observed heliocentric distances, showing that the GCS model and the BATS-R-US simulation approach work very well and are consistent. In order to assess the validity of CME and shock identification criteria in coronagraph images, we also compute synthetic white light images of the CME and shock. We find that the outer edge of a cloud-like illuminated area in the observed and predicted images in fact coincides with the leading edge of the CME flux rope and that the outer edge of a faint illuminated band in front of the CME leading edge coincides with the CME-driven shock front.

Earth-Directed X-Class Flare and CME

NASA Image and Video Library

2014-09-15

An active region just about squarely facing Earth erupted with an X 1.6 flare (largest class) as well as a coronal mass ejection (CME) on Sept. 10-11, 2014. This event featured both a long flare decay time and a storm of electrically charged, energetic particles. The particles can be seen as bright white specks scattering across the frames. The coronagraph movie shows the cloud of particles expanding in all directions as if it were creating a halo around the Sun. Data shows that the CME was heading towards Earth that could generate strong aurora displays several days later. In coronagraph images the Sun (represented by the small white circle in the center) is blocked by an occulting disk so that we can observe faint features in the corona and beyond. Credit: NASA/ESA/Goddard/SOHO NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Deflection and Distortion of CME internal magnetic flux rope due to the interaction with a structured solar wind

NASA Astrophysics Data System (ADS)

Shiota, D.; Iju, T.; Hayashi, K.; Fujiki, K.; Tokumaru, M.; Kusano, K.

2016-12-01

CMEs are the most violent driver of geospace disturbances, and therefore their arrival to the Earth position is an important factor in space weather forecast. The dynamics of CME propagation is strongly affected by the interaction with background solar wind. To understand the interaction between a CME and background solar wind, we performed three-dimensional MHD simulations of the propagation of a CME with internal twisted magnetic flux rope into a structured bimodal solar wind. We compared three different cases in which an identical CME is launched into an identical bimodal solar wind but the launch dates of the CME are different. Each position relative to the boundary between slow and fast solar winds becomes almost in the slow wind stream region, almost in the fast wind stream region, or in vicinity of the boundary of the fast and slow solar wind stream (that grows to CIR). It is found that the CME is most distorted and deflected eastward in the case near the CIR, in contrast to the other two cases. The maximum strength of southward magnetic field at the Earth position is also highest in the case near CIR. The results are interpreted that the dynamic pressure gradient due to the back reaction from pushing the ahead slow wind stream and due to the collision behind fast wind stream hinders the expansion of the CME internal flux rope into the direction of the solar wind velocity gradient. As a result, the expansion into the direction to the velocity gradient is slightly enhanced and results in the enhanced deflection and distortion of the CME and its internal flux rope. These results support the pileup accident hypothesis proposed by Kataoka et al. (2015) to form unexpectedly geoeffective solar wind structure.

Relationship between SEP Peak intensity and CME Acceleration, Speed and Width

NASA Astrophysics Data System (ADS)

Xie, H.; St Cyr, O. C.; Makela, P. A.; Gopalswamy, N.

2017-12-01

We study the large solar energetic particle (SEP) events that were detected by GOES in the >10 MeV energy channel during December 2006 to January 2016. Data used in this study includes the Solar Electron Proton Telescope (SEPT) and High Energy Telescopes (HET) on STEREO A and B, the Electron, Proton, and Alpha Monitor (EPAM) on ACE, and the Energetic and Relativistic Nuclei and Electron instrument (ERNE) on SOHO. By choosing the smallest connection angles between SEP solar locations and magnetic foot-points of each spacecraft, we divide SEP events as SOHO SEPs or STEREO SEPs. We then compute the SEP peak intensity I0 at the center of the Gausssian using the Gausssian expression from Richardson et al. (2014) and study the relationship between SEP electron and proton peak intensity and CME acceleration, speed and width. By using I0 derived from multi-spacecraft observations we found that the correlations between SEP peak intensity and CME acceleration and speed improved. We also found that this correlation can be further improved by taking into account the effects of CME width and its solar source latitude. The implication for the SEP forecast of our obtained results will be discussed.

Magnificent CME Erupts on the Sun - August 31

NASA Image and Video Library

2017-12-08

Solar Flare Extremely energetic objects permeate the universe. But close to home, the sun produces its own dazzling lightshow, producing the largest explosions in our solar system and driving powerful solar storms.. When solar activity contorts and realigns the sun’s magnetic fields, vast amounts of energy can be driven into space. This phenomenon can create a sudden flash of light—a solar flare. Flares typically last a few minutes and unleash energies equivalent to millions of hydrogen bombs. The above picture features a filament eruption on the sun, accompanied by solar flares. To learn more about solar flares, go to NASA’s SDO mission: www.nasa.gov/sdo --------------------------------- Original caption: Click here to view an image showing the size of this CME compared to the size of Earth: bit.ly/RkYr7z On August 31, 2012 a long filament of solar material that had been hovering in the sun's atmosphere, the corona, erupted out into space at 4:36 p.m. EDT. The coronal mass ejection, or CME, traveled at over 900 miles per second. The CME did not travel directly toward Earth, but did connect with Earth's magnetic environment, or magnetosphere, causing aurora to appear on the night of Monday, September 3. Pictured here is a lighten blended version of the 304 and 171 angstrom wavelengths. Cropped Credit: NASA/GSFC/SDO NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Diverse Delivery Methods and Strong Psychological Benefits: A Review of Online Formative Assessment

ERIC Educational Resources Information Center

McLaughlin, T.; Yan, Z.

2017-01-01

This article is a review of literature on online formative assessment (OFA). It includes a narrative summary that synthesizes the research on the diverse delivery methods of OFA, as well as the empirical literature regarding the strong psychological benefits and limitations. Online formative assessment can be delivered using many traditional…

Verification of real-time WSA-ENLIL+Cone simulations of CME arrival-time at the CCMC from 2010 to 2016

NASA Astrophysics Data System (ADS)

Wold, Alexandra M.; Mays, M. Leila; Taktakishvili, Aleksandre; Jian, Lan K.; Odstrcil, Dusan; MacNeice, Peter

2018-03-01

The Wang-Sheeley-Arge (WSA)-ENLIL+Cone model is used extensively in space weather operations world-wide to model coronal mass ejection (CME) propagation. As such, it is important to assess its performance. We present validation results of the WSA-ENLIL+Cone model installed at the Community Coordinated Modeling Center (CCMC) and executed in real-time by the CCMC space weather team. CCMC uses the WSA-ENLIL+Cone model to predict CME arrivals at NASA missions throughout the inner heliosphere. In this work we compare model predicted CME arrival-times to in situ interplanetary coronal mass ejection leading edge measurements at Solar TErrestrial RElations Observatory-Ahead (STEREO-A), Solar TErrestrial RElations Observatory-Behind (STEREO-B), and Earth (Wind and ACE) for simulations completed between March 2010 and December 2016 (over 1,800 CMEs). We report hit, miss, false alarm, and correct rejection statistics for all three locations. For all predicted CME arrivals, the hit rate is 0.5, and the false alarm rate is 0.1. For the 273 events where the CME was predicted to arrive at Earth, STEREO-A, or STEREO-B, and was actually observed (hit event), the mean absolute arrival-time prediction error was 10.4 ± 0.9 h, with a tendency to early prediction error of -4.0 h. We show the dependence of the arrival-time error on CME input parameters. We also explore the impact of the multi-spacecraft observations used to initialize the model CME inputs by comparing model verification results before and after the STEREO-B communication loss (since September 2014) and STEREO-A sidelobe operations (August 2014-December 2015). There is an increase of 1.7 h in the CME arrival time error during single, or limited two-viewpoint periods, compared to the three-spacecraft viewpoint period. This trend would apply to a future space weather mission at L5 or L4 as another coronagraph viewpoint to reduce CME arrival time errors compared to a single L1 viewpoint.

Verification of real-time WSA-ENLIL+Cone simulations of CME arrival-time at the CCMC/SWRC from 2010-2016

NASA Astrophysics Data System (ADS)

Wold, A. M.; Mays, M. L.; Taktakishvili, A.; Odstrcil, D.; MacNeice, P. J.; Jian, L. K.

2017-12-01

The Wang-Sheeley-Arge (WSA)-ENLIL+Cone model is used extensively in space weather operations world-wide to model CME propagation. As such, it is important to assess its performance. We present validation results of the WSA-ENLIL+Cone model installed at the Community Coordinated Modeling Center (CCMC) and executed in real-time by the CCMC/Space Weather Research Center (SWRC). CCMC/SWRC uses the WSA-ENLIL+Cone model to predict CME arrivals at NASA missions throughout the inner heliosphere. In this work we compare model predicted CME arrival-times to in-situ ICME leading edge measurements near Earth, STEREO-A and STEREO-B for simulations completed between March 2010-December 2016 (over 1,800 CMEs). We report hit, miss, false alarm, and correct rejection statistics for all three spacecraft. For all predicted CME arrivals, the hit rate is 0.5, and the false alarm rate is 0.1. For the 273 events where the CME was predicted to arrive at Earth, STEREO-A, or STEREO-B and we observed an arrival (hit), the mean absolute arrival-time prediction error was 10.4 ± 0.9 hours, with a tendency to early prediction error of -4.0 hours. We show the dependence of the arrival-time error on CME input parameters. We also explore the impact of the multi-spacecraft observations used to initialize the model CME inputs by comparing model verification results before and after the STEREO-B communication loss (since September 2014) and STEREO-A side-lobe operations (August 2014-December 2015). There is an increase of 1.7 hours in the CME arrival time error during single, or limited two-viewpoint periods, compared to the three-spacecraft viewpoint period. This trend would apply to a future space weather mission at L5 or L4 as another coronagraph viewpoint to reduce CME arrival time errors compared to a single L1 viewpoint.

Dependence of the Peak Fluxes of Solar Energetic Particles on CME 3D Parameters from STEREO and SOHO

DOE Office of Scientific and Technical Information (OSTI.GOV)

Park, Jinhye; Moon, Y.-J.; Lee, Harim, E-mail: jinhye@khu.ac.kr

We investigate the relationships between the peak fluxes of 18 solar energetic particle (SEP) events and associated coronal mass ejection (CME) 3D parameters (speed, angular width, and separation angle) obtained from SOHO , and STEREO-A / B for the period from 2010 August to 2013 June. We apply the STEREO CME Analysis Tool (StereoCAT) to the SEP-associated CMEs to obtain 3D speeds and 3D angular widths. The separation angles are determined as the longitudinal angles between flaring regions and magnetic footpoints of the spacecraft, which are calculated by the assumption of a Parker spiral field. The main results are asmore » follows. (1) We find that the dependence of the SEP peak fluxes on CME 3D speed from multiple spacecraft is similar to that on CME 2D speed. (2) There is a positive correlation between SEP peak flux and 3D angular width from multiple spacecraft, which is much more evident than the relationship between SEP peak flux and 2D angular width. (3) There is a noticeable anti-correlation ( r = −0.62) between SEP peak flux and separation angle. (4) The multiple-regression method between SEP peak fluxes and CME 3D parameters shows that the longitudinal separation angle is the most important parameter, and the CME 3D speed is secondary on SEP peak flux.« less

Effect on the Lunar Exosphere of a CME Passage

NASA Technical Reports Server (NTRS)

Killen, Rosemary M.; Hurley, Dana M.; Farrell, William M.; Sarantos, Menelaos

2011-01-01

It has long been recognized that solar wind bombardment onto exposed surfaces in the solar system will produce an energetic component to the exospheres about those bodies. Laboratory experiments have shown that the sputter yield can be noticeably increased in the case of a good insulating surface. It is now known that the solar wind composition is highly dependent on the origin of the particular plasma. Using the measured composition of the slow wind, fast wind, solar energetic particle (SEP) population, and coronal mass ejection (CME), broken down into its various components, we have estimated the total sputter yield for each type of solar wind. The heavy ion component, especially the He++ component, greatly enhances the total sputter yield during times when the heavy ion population is enhanced, most notably during a coronal mass ejection. To simulate the effect on the lunar exosphere of a CME passage past the Moon, we ran a Monte Carlo code for the species Na, K, Mg and Ca.

The Formation and Early Evolution of a Coronal Mass Ejection and its Associated Shock Wave on 2014 January 8

NASA Astrophysics Data System (ADS)

Wan, Linfeng; Cheng, Xin; Shi, Tong; Su, Wei; Ding, M. D.

2016-08-01

In this paper, we study the formation and early evolution of a limb coronal mass ejection (CME) and its associated shock wave that occurred on 2014 January 8. The extreme ultraviolet (EUV) images provided by the Atmospheric Imaging Assembly (AIA) on board the Solar Dynamics Observatory disclose that the CME first appears as a bubble-like structure. Subsequently, its expansion forms the CME and causes a quasi-circular EUV wave. Interestingly, both the CME and the wave front are clearly visible at all of the AIA EUV passbands. Through a detailed kinematical analysis, it is found that the expansion of the CME undergoes two phases: a first phase with a strong but transient lateral over-expansion followed by a second phase with a self-similar expansion. The temporal evolution of the expansion velocity coincides very well with the variation of the 25-50 keV hard X-ray flux of the associated flare, which indicates that magnetic reconnection most likely plays an important role in driving the expansion. Moreover, we find that, when the velocity of the CME reaches ˜600 km s-1, the EUV wave starts to evolve into a shock wave, which is evidenced by the appearance of a type II radio burst. The shock’s formation height is estimated to be ˜0.2 R sun, which is much lower than the height derived previously. Finally, we also study the thermal properties of the CME and the EUV wave. We find that the plasma in the CME leading front and the wave front has a temperature of ˜2 MK, while that in the CME core region and the flare region has a much higher temperature of ≥8 MK.

Prediction system of the 1-AU arrival times of CME-associated interplanetary shocks using three-dimensional simulations

NASA Astrophysics Data System (ADS)

den, Mitsue; Amo, Hiroyoshi; Sugihara, Kohta; Takei, Toshifumi; Ogawa, Tomoya; Tanaka, Takashi; Watari, Shinichi

We describe prediction system of the 1-AU arrival times of interplanetary shock waves associated with coromal mass ejections (CMEs). The system is based on modeling of the shock propagation using a three-dimensional adaptive mesh refinement (AMR) code. Once a CME is observed by LASCO/SOHO, firstly ambient solar wind is obtained by numerical simulation, which reproduces the solar wind parameters at that time observed by ACE spacecraft. Then we input the expansion speed and occurrence position data of that CME as initial condtions for an CME model, and 3D simulation of the CME and the shock propagation is perfomed until the shock wave passes the 1-AU. Input the parameters, execution of simulation and output of the result are available on Web, so a person who is not familiar with operation of computer or simulations or is not a researcher can use this system to predict the shock passage time. Simulated CME and shock evolution is visuallized at the same time with simulation and snap shots appear on the web automatically, so that user can follow the propagation. This system is expected to be useful for forecasters of space weather. We will describe the system and simulation model in detail.

Modeling Particle Acceleration and Transport at a 2-D CME-Driven Shock

NASA Astrophysics Data System (ADS)

Hu, Junxiang; Li, Gang; Ao, Xianzhi; Zank, Gary P.; Verkhoglyadova, Olga

2017-11-01

We extend our earlier Particle Acceleration and Transport in the Heliosphere (PATH) model to study particle acceleration and transport at a coronal mass ejection (CME)-driven shock. We model the propagation of a CME-driven shock in the ecliptic plane using the ZEUS-3D code from 20 solar radii to 2 AU. As in the previous PATH model, the initiation of the CME-driven shock is simplified and modeled as a disturbance at the inner boundary. Different from the earlier PATH model, the disturbance is now longitudinally dependent. Particles are accelerated at the 2-D shock via the diffusive shock acceleration mechanism. The acceleration depends on both the parallel and perpendicular diffusion coefficients κ|| and κ⊥ and is therefore shock-obliquity dependent. Following the procedure used in Li, Shalchi, et al. (k href="#jgra53857-bib-0045"/>), we obtain the particle injection energy, the maximum energy, and the accelerated particle spectra at the shock front. Once accelerated, particles diffuse and convect in the shock complex. The diffusion and convection of these particles are treated using a refined 2-D shell model in an approach similar to Zank et al. (k href="#jgra53857-bib-0089"/>). When particles escape from the shock, they propagate along and across the interplanetary magnetic field. The propagation is modeled using a focused transport equation with the addition of perpendicular diffusion. We solve the transport equation using a backward stochastic differential equation method where adiabatic cooling, focusing, pitch angle scattering, and cross-field diffusion effects are all included. Time intensity profiles and instantaneous particle spectra as well as particle pitch angle distributions are shown for two example CME shocks.

Role of Components in the Formation of Self-microemulsifying Drug Delivery Systems.

PubMed

Gurram, A K; Deshpande, P B; Kar, S S; Nayak, Usha Y; Udupa, N; Reddy, M S

2015-01-01

Pharmaceutical research is focused in designing novel drug delivery systems to improve the bioavailability of poorly water soluble drugs. Self-microemulsifying drug delivery systems, one among the lipid-based dosage forms were proven to be promising in improving the oral bioavailability of such drugs by enhancing solubility, permeability and avoiding first-pass metabolism via enhanced lymphatic transport. Further, they have been successful in avoiding both inter and intra individual variations as well as the dose disproportionality. Aqueous insoluble drugs, in general, show greater solubility in lipid based excipients, and hence they are formulated as lipid based drug delivery systems. The extent of solubility of a hydrophobic drug in lipid excipients i.e. oil, surfactant and co-surfactant (components of self-microemulsifying drug delivery systems) greatly affects the drug loading and in producing stable self-microemulsifying drug delivery systems. The present review highlighted the influence of physicochemical factors and structural features of the hydrophobic drug on its solubility in lipid excipients and an attempt was made to explore the role of each component of self-microemulsifying drug delivery systems in the formation of stable microemulsion upon dilution.

Balancing Instructional Techniques and Delivery Formats in Capstone Business Strategy Courses

ERIC Educational Resources Information Center

Alstete, Jeffrey W.; Beutell, Nicholas J.

2016-01-01

Purpose: The purpose of this paper is to contend that collegiate programs should carefully plan their capstone courses in light of the educational mission, pedagogical content knowledge, instructional techniques and delivery formats. Design/methodology/approach: This is a concept paper with elements of theory building from the case of business…

The mCME Project: A Randomized Controlled Trial of an SMS-Based Continuing Medical Education Intervention for Improving Medical Knowledge among Vietnamese Community Based Physicians' Assistants.

PubMed

Gill, Christopher J; Le Ngoc, Bao; Halim, Nafisa; Nguyen Viet, Ha; Larson Williams, Anna; Nguyen Van, Tan; McNabb, Marion; Tran Thi Ngoc, Lien; Falconer, Ariel; An Phan Ha, Hai; Rohr, Julia; Hoang, Hai; Michiel, James; Nguyen Thi Thanh, Tam; Bird, Liat; Pham Vu, Hoang; Yeshitla, Mahlet; Ha Van, Nhu; Sabin, Lora

2016-01-01

Community health workers (CHWs) provide critical services to underserved populations in low and middle-income countries, but maintaining CHW's clinical knowledge through formal continuing medical education (CME) activities is challenging and rarely occurs. We tested whether a Short Message Service (SMS)-based mobile CME (mCME) intervention could improve medical knowledge among a cadre of Vietnamese CHWs (Community Based Physician's Assistants-CBPAs) who are the leading providers of primary medical care for rural underserved populations. The mCME Project was a three arm randomized controlled trial. Group 1 served as controls while Groups 2 and 3 experienced two models of the mCME intervention. Group 2 (passive model) participants received a daily SMS bullet point, and were required to reply to the text to acknowledge receipt; Group 3 (interactive model) participants received an SMS in multiple choice question format addressing the same thematic area as Group 2, entering an answer (A, B, C or D) in their response. The server provided feedback immediately informing the participant whether the answer was correct. Effectiveness was based on standardized examination scores measured at baseline and endline (six months later). Secondary outcomes included job satisfaction and self-efficacy. 638 CBPAs were enrolled, randomized, and tested at baseline, with 592 returning at endline (93.7%). Baseline scores were similar across all three groups. Over the next six months, participation of Groups 2 and 3 remained high; they responded to >75% of messages. Group 3 participants answered 43% of the daily SMS questions correctly, but their performance did not improve over time. At endline, the CBPAs reported high satisfaction with the mCME intervention, and deemed the SMS messages highly relevant. However, endline exam scores did not increase over baseline, and did not differ between the three groups. Job satisfaction and self-efficacy scores also did not improve. Average times spent

WHY IS THE GREAT SOLAR ACTIVE REGION 12192 FLARE-RICH BUT CME-POOR?

DOE Office of Scientific and Technical Information (OSTI.GOV)

Sun, Xudong; Bobra, Monica G.; Hoeksema, J. Todd

Solar active region (AR) 12192 of 2014 October hosts the largest sunspot group in 24 years. It is the most prolific flaring site of Cycle 24 so far, but surprisingly produced no coronal mass ejection (CME) from the core region during its disk passage. Here, we study the magnetic conditions that prevented eruption and the consequences that ensued. We find AR 12192 to be “big but mild”; its core region exhibits weaker non-potentiality, stronger overlying field, and smaller flare-related field changes compared to two other major flare-CME-productive ARs (11429 and 11158). These differences are present in the intensive-type indices (e.g.,more » means) but generally not the extensive ones (e.g., totals). AR 12192's large amount of magnetic free energy does not translate into CME productivity. The unexpected behavior suggests that AR eruptiveness is limited by some relative measure of magnetic non-potentiality over the restriction of background field, and that confined flares may leave weaker photospheric and coronal imprints compared to their eruptive counterparts.« less

Efficacy of an integrated continuing medical education (CME) and quality improvement (QI) program on radiation oncologist (RO) clinical practice

DOE Office of Scientific and Technical Information (OSTI.GOV)

Leong, Cheng Nang; Shakespeare, Thomas Philip; North Coast Cancer Institute, Coffs Harbour

2006-12-01

Purpose: There has been little radiation oncologist (RO)-specific research in continuing medical education (CME) or quality improvement (QI) program efficacy. Our aim was to evaluate a CME/QI program for changes in RO behavior, performance, and adherence to department protocols/studies over the first 12 months of the program. Methods and Materials: The CME/QI program combined chart audit with feedback (C-AWF), simulation review AWF (SR-AWF), reminder checklists, and targeted CME tutorials. Between April 2003 and March 2004, management of 75 patients was evaluated by chart audit with feedback (C-AWF) and 178 patients via simulation review audit (SR-AWF) using a validated instrument. Scoresmore » were presented, and case management was discussed with individualized educational feedback. RO behavior and performance was compared over the first year of the program. Results: Comparing the first and second 6 months, there was a significant improvement in mean behavior (12.7-13.6 of 14, p = 0.0005) and RO performance (7.6-7.9 of 8, p = 0.018) scores. Protocol/study adherence significantly improved from 90.3% to 96.6% (p = 0.005). A total of 50 actions were generated, including the identification of learning needs to direct CME tutorials, the systematic change of suboptimal RO practice, and the alteration of deficient management of 3% of patients audited during the program. Conclusion: An integrated CME/QI program combining C-AWF, SR-AWF, QI reminders, and targeted CME tutorials effectively improved targeted RO behavior and performance over a 12-month period. There was a corresponding increase in departmental protocol and study adherence.« less

Academic podcasting: quality media delivery.

PubMed

Tripp, Jacob S; Duvall, Scott L; Cowan, Derek L; Kamauu, Aaron W C

2006-01-01

A video podcast of the CME-approved University of Utah Department of Biomedical Informatics seminar was created in order to address issues with streaming video quality, take advantage of popular web-based syndication methods, and make the files available for convenient, subscription-based download. An RSS feed, which is automatically generated, contains links to the media files and allows viewers to easily subscribe to the weekly seminars in a format that guarantees consistent video quality.

An Observational Approach toward Understanding and Prediction of CME Magnetic Ejecta

NASA Astrophysics Data System (ADS)

Pizzo, V. J.; de Koning, C. A.; Riley, P.

2017-12-01

Quantitative knowledge of the magnetic field inside a coronal mass ejection (CME) is an important contributor to an actionable space weather forecast of geomagnetic storms. However, at present it is not possible to predict the magnetic cloud component of a CME with any accuracy. This has led to the development of increasingly sophisticated physics-based models, each promising a path toward more accurate space weather forecasts. Unfortunately, none of these models can provide meaningful output if they lack for reliable quantitative input. Until we can measure magnetic fields at solar distances where CMEs are launched and over their early-stage evolution, this will remain a fundamental obstacle to successful modeling. Instead of continuing to focus primarily on the modeling approach, we suggest an active investigation of direct, up-stream measurement of the CME internal magnetic field. For current forecasting purposes, or even as a science concept mission, the measurements do not need to be of high accuracy or high cadence. Since previous magnetic cloud analyses have demonstrated that a single spacecraft provides insufficient data to robustly reconstruct the CME internal magnetic field, we suggest deploying a swarm of cube-sats in "quasi-satellite" orbits that are known to be horizontally and vertically stable, even at large (several tenths of an AU) distances from Earth. In this presentation, we describe how simulations of CMEs incorporating magnetic clouds can be used to develop and support this mission concept. By taking simulated cuts through model CMEs with a range of magnetic morphologies and field strengths, we aim to determine the minimum number of spacecraft needed for such a mission and their optimum orbital characteristics. Although a host of challenges remain, especially related to communications and cube-sat telemetry in interplanetary space, we believe that these technological issues can be surmounted once it has been demonstrated that a major leap in

C-ME: A 3D Community-Based, Real-Time Collaboration Tool for Scientific Research and Training

PubMed Central

Kolatkar, Anand; Kennedy, Kevin; Halabuk, Dan; Kunken, Josh; Marrinucci, Dena; Bethel, Kelly; Guzman, Rodney; Huckaby, Tim; Kuhn, Peter

2008-01-01

The need for effective collaboration tools is growing as multidisciplinary proteome-wide projects and distributed research teams become more common. The resulting data is often quite disparate, stored in separate locations, and not contextually related. Collaborative Molecular Modeling Environment (C-ME) is an interactive community-based collaboration system that allows researchers to organize information, visualize data on a two-dimensional (2-D) or three-dimensional (3-D) basis, and share and manage that information with collaborators in real time. C-ME stores the information in industry-standard databases that are immediately accessible by appropriate permission within the computer network directory service or anonymously across the internet through the C-ME application or through a web browser. The system addresses two important aspects of collaboration: context and information management. C-ME allows a researcher to use a 3-D atomic structure model or a 2-D image as a contextual basis on which to attach and share annotations to specific atoms or molecules or to specific regions of a 2-D image. These annotations provide additional information about the atomic structure or image data that can then be evaluated, amended or added to by other project members. PMID:18286178

Parenting Interventions Implementation Science: How Delivery Format Impacts the Parenting Wisely Program

ERIC Educational Resources Information Center

Cotter, Katie L.; Bacallao, Martica; Smokowski, Paul R.; Robertson, Caroline I. B.

2013-01-01

Objectives: This study examines the implementation and effectiveness of Parenting Wisely, an Internet-based parenting skills intervention. The study assesses whether parents benefit from Parenting Wisely participation and whether the delivery format influences program effectiveness. Method: This study uses a quasi-experimental design.…

THE FORMATION AND EARLY EVOLUTION OF A CORONAL MASS EJECTION AND ITS ASSOCIATED SHOCK WAVE ON 2014 JANUARY 8

DOE Office of Scientific and Technical Information (OSTI.GOV)

Wan Linfeng; Cheng, Xin; Shi, Tong

2016-08-01

In this paper, we study the formation and early evolution of a limb coronal mass ejection (CME) and its associated shock wave that occurred on 2014 January 8. The extreme ultraviolet (EUV) images provided by the Atmospheric Imaging Assembly (AIA) on board the Solar Dynamics Observatory disclose that the CME first appears as a bubble-like structure. Subsequently, its expansion forms the CME and causes a quasi-circular EUV wave. Interestingly, both the CME and the wave front are clearly visible at all of the AIA EUV passbands. Through a detailed kinematical analysis, it is found that the expansion of the CMEmore » undergoes two phases: a first phase with a strong but transient lateral over-expansion followed by a second phase with a self-similar expansion. The temporal evolution of the expansion velocity coincides very well with the variation of the 25–50 keV hard X-ray flux of the associated flare, which indicates that magnetic reconnection most likely plays an important role in driving the expansion. Moreover, we find that, when the velocity of the CME reaches ∼600 km s{sup −1}, the EUV wave starts to evolve into a shock wave, which is evidenced by the appearance of a type II radio burst. The shock’s formation height is estimated to be ∼0.2 R {sub sun}, which is much lower than the height derived previously. Finally, we also study the thermal properties of the CME and the EUV wave. We find that the plasma in the CME leading front and the wave front has a temperature of ∼2 MK, while that in the CME core region and the flare region has a much higher temperature of ≥8 MK.« less

Comparison of the CME-associated shock arrival times at the earth using the WSA-ENLIL model with three cone models

NASA Astrophysics Data System (ADS)

Jang, S.; Moon, Y.; Na, H.

2012-12-01

We have made a comparison of CME-associated shock arrival times at the earth based on the WSA-ENLIL model with three cone models using 29 halo CMEs from 2001 to 2002. These halo CMEs have cone model parameters from Michalek et al. (2007) as well as their associated interplanetary (IP) shocks. For this study we consider three different cone models (an asymmetric cone model, an ice-cream cone model and an elliptical cone model) to determine CME cone parameters (radial velocity, angular width and source location), which are used for input parameters of the WSA-ENLIL model. The mean absolute error (MAE) of the arrival times for the elliptical cone model is 10 hours, which is about 2 hours smaller than those of the other models. However, this value is still larger than that (8.7 hours) of an empirical model by Kim et al. (2007). We are investigating several possibilities on relatively large errors of the WSA-ENLIL cone model, which may be caused by CME-CME interaction, background solar wind speed, and/or CME density enhancement.

The Width of a Solar Coronal Mass Ejection and the Source of the Driving Magnetic Explosion: A Test of the Standard Scenario for CME Production

NASA Technical Reports Server (NTRS)

Moore, Ronald L.; Sterling, Alphonse C.; Suess, Steven T.

2007-01-01

We show that the strength (B(sub F1are)) of the magnetic field in the area covered by the flare arcade following a CME-producing ejective solar eruption can be estimated from the final angular width (Final Theta(sub CME)) of the CME in the outer corona and the final angular width (Theta(sub Flare)) of the flare arcade: B(sub Flare) approx. equals 1.4[(Final Theta(sub CME)/Theta(sub Flare)] (exp 2)G. We assume (1) the flux-rope plasmoid ejected from the flare site becomes the interior of the CME plasmoid; (2) in the outer corona (R > 2 (solar radius)) the CME is roughly a "spherical plasmoid with legs" shaped like a lightbulb; and (3) beyond some height in or below the outer corona the CME plasmoid is in lateral pressure balance with the surrounding magnetic field. The strength of the nearly radial magnetic field in the outer corona is estimated from the radial component of the interplanetary magnetic field measured by Ulysses. We apply this model to three well-observed CMEs that exploded from flare regions of extremely different size and magnetic setting. One of these CMEs was an over-and-out CME, that is, in the outer corona the CME was laterally far offset from the flare-marked source of the driving magnetic explosion. In each event, the estimated source-region field strength is appropriate for the magnetic setting of the flare. This agreement (1) indicates that CMEs are propelled by the magnetic field of the CME plasmoid pushing against the surrounding magnetic field; (2) supports the magnetic-arch-blowout scenario for over-and-out CMEs; and (3) shows that a CME's final angular width in the outer corona can be estimated from the amount of magnetic flux covered by the source-region flare arcade.

Topological Evolution of a Fast Magnetic Breakout CME in 3-Dimensions

NASA Technical Reports Server (NTRS)

Lynch, B. J.; Antiochos, S. K.; DeVore, C. R.; Luhmann, J. G.; Zurbuchen, T. H.

2008-01-01

W present the extension of the magnetic breakout model for CME initiation to a fully 3-dimensional, spherical geometry. Given the increased complexity of the dynamic magnetic field interactions in 3-dimensions, we first present a summary of the well known axisymmetric breakout scenario in terms of the topological evolution associated with the various phases of the eruptive process. In this context, we discuss the completely analogous topological evolution during the magnetic breakout CME initiation process in the simplest 3-dimensional multipolar system. We show that an extended bipolar active region embedded in an oppositely directed background dipole field has all the necessary topological features required for magnetic breakout, i.e. a fan separatrix surface between the two distinct flux systems, a pair of spine fieldlines, and a true 3-dimensional coronal null point at their intersection. We then present the results of a numerical MHD simulation of this 3-dimensional system where boundary shearing flows introduce free magnetic energy, eventually leading to a fast magnetic breakout CME. The eruptive flare reconnection facilitates the rapid conversion of this stored free magnetic energy into kinetic energy and the associated acceleration causes the erupting field and plasma structure to reach an asymptotic eruption velocity of greater than or approx. equal to 1100 km/s over an approx.15 minute time period. The simulation results are discussed using the topological insight developed to interpret the various phases of the eruption and the complex, dynamic, and interacting magnetic field structures.

Confidence-based learning CME: overcoming barriers in irritable bowel syndrome with constipation.

PubMed

Cash, Brooks; Mitchner, Natasha A; Ravyn, Dana

2011-01-01

Performance of health care professionals depends on both medical knowledge and the certainty with which they possess it. Conventional continuing medical education interventions assess the correctness of learners' responses but do not determine the degree of confidence with which they hold incorrect information. This study describes the use of confidence-based learning (CBL) in an activity designed to enhance learners' knowledge, confidence in their knowledge, and clinical competence with regard to constipation-predominant IBS (IBS-C), a frequently underdiagnosed and misdiagnosed condition. The online CBL activity included multiple-choice questions in 2 modules: Burden of Care (BOC; 28 questions) and Patient Scenarios (PS; 9 case-based questions). After formative assessment, targeted feedback was provided, and the learner focused on material with demonstrated knowledge and/or confidence gaps. The process was repeated until 85% of questions were answered correctly and confidently (ie, mastery was attained). Of 275 participants (24% internal medicine, 13% gastroenterology, 32% family medicine, and 31% other), 249 and 167 completed the BOC and PS modules, respectively. Among all participants, 61.8% and 98.2% achieved mastery in the BOC and PS modules, respectively. Baseline mastery levels between specialties were significantly different in the BOC module (p = 0.002); no significant differences were evident between specialties in final mastery levels. Approximately one-third of learners were confident and wrong in topics of epidemiology, defining IBS and constipation, and treatments in the first iteration. No significant difference was observed between specialties for the PS module in either the first or last iterations. Learners achieved mastery in topics pertaining to IBS-C regardless of baseline knowledge or specialty. These data indicate that CME activities employing CBL can be used to address knowledge and confidence gaps. Copyright © 2010 The Alliance for

Improving CME: Using Participant Satisfaction Measures to Specify Educational Methods

ERIC Educational Resources Information Center

Olivieri, Jason J.; Regala, Roderick P.

2013-01-01

Imagine having developed a continuing medical education (CME) initiative to educate physicians on updated guidelines regarding high cholesterol in adults. This initiative consisted of didactic presentations and case-based discussions offered in 5 major US cities, followed by a Web-based enduring component to distill key points of the live…

Prediction of SEP Peak Proton Intensity Based on CME Speed, Direction and Observations of Associated Solar Phenomena

NASA Astrophysics Data System (ADS)

Richardson, I. G.; Mays, M. L.; Thompson, B. J.; Kwon, R.; Frechette, B. P.

2017-12-01

We assess whether a formula obtained by Richardson et al. (Solar Phys., 289, 3059, 2014; DOI 10.1007/s11207-014-0524-8) relating the intensity of 14-24 MeV protons in a solar energetic particle event at 1 AU to the solar event location and the speed of the associated coronal mass ejection (CME), may be used to "predict" the intensity of a solar energetic particle event. Starting with a subset of several hundred CMEs in the CCMC/SWRC DONKI real-time database (http://kauai.ccmc.gsfc.nasa.gov/DONKI/) selected without consideration of whether they were associated with SEP events, we first use the CME speed and direction to predict the proton intensity at Earth or the STEREO spacecraft using this formula. Since most of these CMEs were not in fact associated with SEP events, many "false alarms" result. We then examine whether considering other phenomena which may accompany the CMEs, such as the X-ray flare intensity and the properties of type II and type III radio emissions, may help to reduce the false alarm rate. We also use CME parameters calculated from an ellipsoidal shell fit to multi-spacecraft CME shock observations for a smaller number of events to predict the SEP intensity. We calculate skill scores for each case and assess whether the Richardson et al. (2014) formula, using additional observations to reduce the false alarm rate, has any potential as a SEP prediction tool, assuming that the required observations could be acquired sufficiently rapidly following the onset of the related solar event/CME.

Comparison of the WSA-ENLIL model with three CME cone types

NASA Astrophysics Data System (ADS)

Jang, Soojeong; Moon, Y.; Na, H.

2013-07-01

We have made a comparison of the CME-associated shock propagation based on the WSA-ENLIL model with three cone types using 29 halo CMEs from 2001 to 2002. These halo CMEs have cone model parameters as well as their associated interplanetary (IP) shocks. For this study we consider three different cone types (an asymmetric cone model, an ice-cream cone model and an elliptical cone model) to determine 3-D CME parameters (radial velocity, angular width and source location), which are the input values of the WSA-ENLIL model. The mean absolute error (MAE) of the arrival times for the asymmetric cone model is 10.6 hours, which is about 1 hour smaller than those of the other models. Their ensemble average of MAE is 9.5 hours. However, this value is still larger than that (8.7 hours) of the empirical model of Kim et al. (2007). We will compare their IP shock velocities and densities with those from ACE in-situ measurements and discuss them in terms of the prediction of geomagnetic storms.Abstract (2,250 Maximum Characters): We have made a comparison of the CME-associated shock propagation based on the WSA-ENLIL model with three cone types using 29 halo CMEs from 2001 to 2002. These halo CMEs have cone model parameters as well as their associated interplanetary (IP) shocks. For this study we consider three different cone types (an asymmetric cone model, an ice-cream cone model and an elliptical cone model) to determine 3-D CME parameters (radial velocity, angular width and source location), which are the input values of the WSA-ENLIL model. The mean absolute error (MAE) of the arrival times for the asymmetric cone model is 10.6 hours, which is about 1 hour smaller than those of the other models. Their ensemble average of MAE is 9.5 hours. However, this value is still larger than that (8.7 hours) of the empirical model of Kim et al. (2007). We will compare their IP shock velocities and densities with those from ACE in-situ measurements and discuss them in terms of the

Particle Acceleration at a Twin CME at 1 AU

NASA Astrophysics Data System (ADS)

Parker, L. N.; Li, G.

2017-12-01

We present results from both the Particle Acceleration and Transport in the Heliosphere (PATH) and Particle Acceleration at Multiple Shocks (PAMS) models for a twin CME scenario. The PATH model follows a CME using a numerical MHD module and solves the Parker transport equation at the shock yielding the accelerated particle spectrum, while PAMS solves the steady-state cosmic ray transport equation at an individual shock analytically to yield the diffusive shock acceleration (DSA) spectrum. We address the injection of an upstream particle distribution into the acceleration process for a two shock system at 1 AU. Only those particles that exceed a theoretically motivated prescribed injection energy, Einj, and up to a maximum injection energy (Emax) appropriate for quasi-parallel and quasi-perpendicular shocks (Zank et al., 2000, 2006; Dosch and Shalchi, 2010) are injected. Results from PAMS are then compared to observations at 1 AU from the Advanced Composition Explorer (ACE) spacecraft. In addition, we test the concept of electron acceleration at low injection energies for a single and multiple shock system using the same method as in Neergaard Parker and Zank, 2012 and Neergaard Parker et al., 2014.

CME productivity associated with Solar Flare peak X-ray emission flux

NASA Astrophysics Data System (ADS)

Suryanarayana, G. S.; Balakrishna, K. M.

2018-05-01

It is often noticed that the occurrence rate of Coronal Mass Ejections (CMEs) increases with increase in flare duration where peak flux too increase. However, there is no complete association between the duration and peak flux. Distinct characteristics have been reported for active regions (ARs) where flares and CMEs occur in contrast to ARs where flares alone occur. It is observed that peak flux of flares is higher when associated with CMEs compared to peak flux of flares with which CMEs are not associated. In other words, it is likely that flare duration and peak flux are independently affected by distinct active region dynamics. Hence, we examine the relative ability of flare duration and peak flux in enhancing the CME productivity. We report that CME productivity is distinctly higher in association with the enhancement of flare peak flux in comparison to corresponding enhancement of flare duration.

Decameter Type IV Burst Associated with a Behind-the-limb CME Observed on 7 November 2013

NASA Astrophysics Data System (ADS)

Melnik, V. N.; Brazhenko, A. I.; Konovalenko, A. A.; Dorovskyy, V. V.; Rucker, H. O.; Panchenko, M.; Frantsuzenko, A. V.; Shevchuk, M. V.

2018-03-01

We report on the results of observations of a type IV burst made by the Ukrainian Radio interferometer of the Academy of Sciences (URAN-2) in the frequency range 22 - 33 MHz. The burst is associated with a coronal mass ejection (CME) initiated by a behind-the-limb active region (N05E151) and was also observed by the Nançay Decameter Array (NDA) radio telescope in the frequency band 30 - 60 MHz. The purpose of the article is the determination of the source of this type IV burst. After analysis of the observational data obtained with the URAN-2, the NDA, the Solar-Terrestrial Relations Observatory (STEREO) A and B spacecraft, and the Solar and Heliospheric Observatory (SOHO) spacecraft, we come to the conclusion that the source of the burst is the core of a behind-the-limb CME. We conclude that the radio emission can escape the center of the CME core at a frequency of 60 MHz and originates from the periphery of the core at a frequency of 30 MHz that is due to occultation by the solar corona at the corresponding frequencies. We find plasma densities in these regions assuming the plasma mechanism of radio emission. We show that the frequency drift of the start of the type IV burst is governed by an expansion of the CME core. The type III bursts that were observed against this type IV burst are shown to be generated by fast electrons propagating through the CME core plasma. A type II burst was registered at frequencies of 44 - 64 MHz and 3 - 16 MHz and was radiated by a shock with velocities of about 1000 km s^{-1} and 800 km s^{-1}, respectively.

The CME Rate over Four Solar Cycles: Filling the Final Gap with MLSO MK3 Observations [1989-1996

NASA Astrophysics Data System (ADS)

St Cyr, O. C.; Flint, Q.; Quirk, C. A.; Burkepile, J.; Webb, D. F.; Lecinski, A. R.

2013-12-01

Coronal mass ejections (CMEs) were discovered in the early 1970's by the OSO-7 coronagraph, and large numbers were characterized for the first time by the Skylab ATM coronagraph. Since 1973 there has been only a single major gap in CME coverage in white light. Instruments that have contributed to estimates of the rate and properties of CMEs have included: Skylab ATM (1973-1974); Helios photometers (1974-1981); Solwind (1979-1985); SMM C/P (1980; 1984-1989); SOHO LASCO (1996-present); the Solar Mass Ejection Imager (SMEI, 2003-2011); and STEREO SECCHI (2006-present). We report here the first attempt to fill the 1989-1996 gap in the CME rate using the Mauna Loa Solar Observatory's MK3 K-coronameter. The MK3 instrument observed routinely several hours most days beginning in 1980 until it was upgraded to MK4 in 1998. MK3 CMEs detected from 1980-1989 were compared with Solwind and SMM and reported by St. Cyr et al. (1999). Since spaceborne instruments have more complete duty cycles than a groundbased instrument at a single location, we have 'calibrated' the MK3-derived CME rate from 1989 with the SMM C/P coronagraph, and from 1996 with the SOHO LASCO coronagraphs. CME rate calculations have been documented in Webb & Howard (1994), St. Cyr et al. (2000) and Robbrecht et al. (2009). Here we provide the preliminary CME rate calculation for 1989-1996 using the MLSO MK3 coronameter.

Medical education and communication companies involved in CME: an updated profile.

PubMed

Peterson, Eric D; Overstreet, Karen M; Parochka, Jacqueline N; Lemon, Michael R

2008-01-01

Medical Education and Communication Companies (MECCs) represent approximately 21% of the providers accredited by the Accreditation Council for Continuing Medical Education (ACCME), yet relatively little is known about these organizations in the greater continuing medical education (CME) community. Two prior studies described them, but powerful changes in the regulatory environment have impacted the structure and organization of these companies. The investigators administered a 32-item questionnaire to a select sample of 157 MECCs involved in CME, achieving a response rate of 50.3%. Of the responding organizations, 87% were accredited by the ACCME, with 27% also holding accreditation from the Accreditation Council for Pharmacy Education and the American Nurses Credentialing Center Commission on Accreditation. Eighty-six percent reported no immediate involvement of the company in promotional activities. Fifty-three percent of the survey responders reported being part of a larger organization that included companies involved in promotion, and 88% of these organizations reported implementation of firewalls designed to protect the independence of certified education. The survey reveals a sector that is largely privately held and moving from an organizational model that included both certified and promotional activities to one that includes only certified education. These changes, along with the implementation of firewalls to protect certified education from the promotional interests of other companies within their own corporate structure, may help to alleviate concerns about the independence of CME produced by MECCs. However, because MECCs continue to receive the majority of their support from commercial interests, the influence of funding is likely to be an area of lingering concern.

Enhancing quality improvements in cancer care through CME activities at a nationally recognized cancer center.

PubMed

Uemura, Marc; Morgan, Robert; Mendelsohn, Mary; Kagan, Jean; Saavedra, Crystal; Leong, Lucille

2013-06-01

Changing healthcare policy will undoubtedly affect the healthcare environment in which providers function. The current Fee for Service reimbursement model will be replaced by Value-Based Purchasing, where higher quality and more efficient care will be emphasized. Because of this, large healthcare organizations and individual providers must adapt to incorporate performance outcomes into patient care. Here, we present a Continuing Medical Education (CME)-based initiative at the City of Hope National Cancer Center that we believe can serve as a model for using CME as a value added component to achieving such a goal.

On Flare-CME Characteristics from Sun to Earth Combining Remote-Sensing Image Data with In Situ Measurements Supported by Modeling

NASA Astrophysics Data System (ADS)

Temmer, Manuela; Thalmann, Julia K.; Dissauer, Karin; Veronig, Astrid M.; Tschernitz, Johannes; Hinterreiter, Jürgen; Rodriguez, Luciano

2017-07-01

We analyze the well-observed flare and coronal mass ejection (CME) from 1 October 2011 (SOL2011-10-01T09:18) covering the complete chain of effects - from Sun to Earth - to better understand the dynamic evolution of the CME and its embedded magnetic field. We study in detail the solar surface and atmosphere associated with the flare and CME using the Solar Dynamics Observatory (SDO) and ground-based instruments. We also track the CME signature off-limb with combined extreme ultraviolet (EUV) and white-light data from the Solar Terrestrial Relations Observatory (STEREO). By applying the graduated cylindrical shell (GCS) reconstruction method and total mass to stereoscopic STEREO-SOHO ( Solar and Heliospheric Observatory) coronagraph data, we track the temporal and spatial evolution of the CME in the interplanetary space and derive its geometry and 3D mass. We combine the GCS and Lundquist model results to derive the axial flux and helicity of the magnetic cloud (MC) from in situ measurements from Wind. This is compared to nonlinear force-free (NLFF) model results, as well as to the reconnected magnetic flux derived from the flare ribbons (flare reconnection flux) and the magnetic flux encompassed by the associated dimming (dimming flux). We find that magnetic reconnection processes were already ongoing before the start of the impulsive flare phase, adding magnetic flux to the flux rope before its final eruption. The dimming flux increases by more than 25% after the end of the flare, indicating that magnetic flux is still added to the flux rope after eruption. Hence, the derived flare reconnection flux is most probably a lower limit for estimating the magnetic flux within the flux rope. We find that the magnetic helicity and axial magnetic flux are lower in the interplanetary space by ˜ 50% and 75%, respectively, possibly indicating an erosion process. A CME mass increase of 10% is observed over a range of {˜} 4 - 20 R_{⊙}. The temporal evolution of the CME

Medical Education and Communication Companies Involved in CME: An Updated Profile

ERIC Educational Resources Information Center

Peterson, Eric D.; Overstreet, Karen M.; Parochka, Jacqueline N.; Lemon, Michael R.

2008-01-01

Introduction: Medical Education and Communication Companies (MECCs) represent approximately 21% of the providers accredited by the Accreditation Council for Continuing Medical Education (ACCME), yet relatively little is known about these organizations in the greater continuing medical education (CME) community. Two prior studies described them,…

First In-Situ Observations of Exospheric Response to CME Impact at Mercury

NASA Astrophysics Data System (ADS)

Raines, J. M.; Wallace, K. L.; Sarantos, M.; Jasinksi, J. M.; Tracy, P. J.; Dewey, R. M.; Weberg, M. J.; Slavin, J. A.

2018-05-01

We present the first in-situ observations of enhancements to Mercury's He exosphere generated by CME impact. These results have implications for understanding exosphere generation and loss processes, as well space weathering of the planet's surface.

The Dependence of Characteristic Times of Gradual SEP Events on Their Associated CME Properties

NASA Astrophysics Data System (ADS)

Pan, Z. H.; Wang, C. B.; Xue, X. H.; Wang, Y. M.

It is generally believed that coronal mass ejections CMEs are the drivers of shocks that accelerate gradual solar energetic particles SEPs One might expect that the characteristics of the SEP intensity time profiles observed at 1 AU are determined by properties of the associated CMEs such as the radial speed and the angular width Recently Kahler statistically investigated the characteristic times of gradual SEP events observed from 1998-2002 and their associated coronal mass ejection properties Astrophys J 628 1014--1022 2005 Three characteristic times of gradual SEP events are determined as functions of solar source longitude 1 T 0 the time from associated CME launch to SEP onset at 1 AU 2 T R the rise time from SEP onset to the time when the SEP intensity is a factor of 2 below peak intensity and 3 T D the duration over which the SEP intensity is within a factor of 2 of the peak intensity However in his study the CME speeds and angular widths are directly taken from the LASCO CME catalog In this study we analyze the radial speeds and the angular widths of CMEs by an ice-cream cone model and re-investigate their correlationships with the characteristic times of the corresponding SEP events We find T R and T D are significantly correlated with radial speed for SEP events in the best-connected longitude range and there is no correlation between T 0 and CME radial speed and angular width which is consistent with Kahler s results On the other hand it s found that T R and T D are also have

mCME project V.2.0: randomised controlled trial of a revised SMS-based continuing medical education intervention among HIV clinicians in Vietnam.

PubMed

Gill, Christopher J; Le, Ngoc Bao; Halim, Nafisa; Chi, Cao Thi Hue; Nguyen, Viet Ha; Bonawitz, Rachael; Hoang, Pham Vu; Nguyen, Hoang Long; Huong, Phan Thi Thu; Larson Williams, Anna; Le, Ngoc Anh; Sabin, Lora

2018-01-01

Continuing medical education (CME) is indispensable, but costs are a barrier. We tested the effectiveness of a novel mHealth intervention (mCME V.2.0) promoting CME among Vietnamese HIV clinicians. We enrolled HIV clinicians from three provinces near Hanoi. The 6-month intervention consisted of (1) daily short message service multiple-choice quiz questions, (2) daily linked readings, (3) links to online CME courses and (4) feedback messages describing the performance of the participant relative to the group. Control participants had equal access to the online CME courses. Our primary endpoint was utilisation of the online CME courses; secondary endpoints were self-study behaviour, performance on a standardised medical exam and job satisfaction. From 121 total HIV clinicians in the three provinces, 106 (87.6%) enrolled, and 48/53 intervention (90%) and 47/53 control (89%) participants completed the endline evaluations. Compared with controls, intervention participants were more likely to use the CME courses (risk ratio (RR) 2.3, 95% CI 1.4 to 3.8, accounting for 83% of course use (P<0.001)). Intervention participants increased self-study behaviours over controls in terms of use of medical textbooks (P<0.01), consulting with colleagues (P<0.01), searching on the internet (P<0.001), using specialist websites (P=0.02), consulting the Vietnam HIV/AIDS treatment guidelines (P=0.02) and searching the scientific literature (P=0.09). Intervention participants outperformed controls on the exam (+23% vs +12% score gains, P=0.05) and had higher job satisfaction. The mCME V.2.0 intervention improved self-study behaviour, medical knowledge and job satisfaction. This approach has potential for expansion in Vietnam and similar settings. NCT02381743.

Using Heliospheric Imaging for Storm Forecasting - SMEI CME Observations as a Tool for Operational Forecasting at AFWA

NASA Astrophysics Data System (ADS)

Webb, D. F.; Johnston, J. C.; Fry, C. D.; Kuchar, T. A.

2008-12-01

Observations of coronal mass ejections (CMEs) from heliospheric imagers such as the Solar Mass Ejection Imager (SMEI) can lead to significant improvements in operational space weather forecasting. We are working with the Air Force Weather Agency (AFWA) to ingest SMEI all-sky imagery with appropriate tools to help forecasters improve their operational space weather forecasts. We describe two approaches: 1) Near- real time analysis of propagating CMEs from SMEI images alone combined with near-Sun observations of CME onsets and, 2) Using these calculations of speed as a mid-course correction to the HAFv2 solar wind model forecasts. HAFv2 became operational at AFWA in late 2006. The objective is to determine a set of practical procedures that the duty forecaster can use to update or correct a solar wind forecast using heliospheric imager data. SMEI observations can be used inclusively to make storm forecasts, as recently discussed in Webb et al. (Space Weather, in press, 2008). We have developed a point-and-click analysis tool for use with SMEI images and are working with AFWA to ensure that timely SMEI images are available for analyses. When a frontside solar eruption occurs, especially if within about 45 deg. of Sun center, a forecaster checks for an associated CME observed by a coronagraph within an appropriate time window. If found, especially if the CME is a halo type, the forecaster checks SMEI observations about a day later, depending on the apparent initial CME speed, for possibly associated CMEs. If one is found, then the leading edge is measured over several successive frames and an elongation-time plot constructed. A minimum of three data points, i.e., over 3-4 orbits or about 6 hours, are necessary for such a plot. Using the solar source location and onset time of the CME from, e.g., SOHO observations, and assuming radial propagation, a distance-time relation is calculated and extrapolated to the 1 AU distance. As shown by Webb et al., the storm onset time

Evaluation of a thiolated chitosan scaffold for local delivery of BMP-2 for osteogenic differentiation and ectopic bone formation.

PubMed

Bae, In-Ho; Jeong, Byung-Chul; Kook, Min-Suk; Kim, Sun-Hun; Koh, Jeong-Tae

2013-01-01

Thiolated chitosan (Thio-CS) is a well-established pharmaceutical excipient for drug delivery. However, its use as a scaffold for bone formation has not been investigated. The aim of this study was to evaluate the potential of Thio-CS in bone morphogenetic protein-2 (BMP-2) delivery and bone formation. In vitro study showed that BMP-2 interacted with the Thio-CS and did not affect the swelling behavior. The release kinetics of BMP-2 from the Thio-CS was slightly delayed (70%) within 7 days compared with that from collagen gel (Col-gel, 85%), which is widely used in BMP-2 delivery. The BMP-2 released from Thio-CS increased osteoblastic cell differentiation but did not show any cytotoxicity until 21 days. Analysis of the in vivo ectopic bone formation at 4 weeks of posttransplantation showed that use of Thio-CS for BMP-2 delivery induced more bone formation to a greater extent (1.8 fold) than that of Col-gel. However, bone mineral density in both bones was equivalent, regardless of Thio-CS or Col-gel carrier. Taken together, Thio-CS system might be useful for delivering osteogenic protein BMP-2 and present a promising bone regeneration strategy.

Sun Emits a Solstice CME

NASA Image and Video Library

2017-12-08

Caption: This image from June 20, 2013, at 11:15 p.m. EDT shows the bright light of a solar flare on the left side of the sun and an eruption of solar material shooting through the sun’s atmosphere, called a prominence eruption. Shortly thereafter, this same region of the sun sent a coronal mass ejection out into space. --- On June 20, 2013, at 11:24 p.m., the sun erupted with an Earth-directed coronal mass ejection or CME, a solar phenomenon that can send billions of tons of particles into space that can reach Earth one to three days later. These particles cannot travel through the atmosphere to harm humans on Earth, but they can affect electronic systems in satellites and on the ground. Experimental NASA research models, based on observations from NASA’s Solar Terrestrial Relations Observatory and ESA/NASA’s Solar and Heliospheric Observatory show that the CME left the sun at speeds of around 1350 miles per second, which is a fast speed for CMEs. Earth-directed CMEs can cause a space weather phenomenon called a geomagnetic storm, which occurs when they funnel energy into Earth's magnetic envelope, the magnetosphere, for an extended period of time. The CME’s magnetic fields peel back the outermost layers of Earth's fields changing their very shape. Magnetic storms can degrade communication signals and cause unexpected electrical surges in power grids. They also can cause aurora. Storms are rare during solar minimum, but as the sun’s activity ramps up every 11 years toward solar maximum – currently expected in late 2013 -- large storms occur several times per year. In the past, geomagnetic storms caused by CMEs of this strength and direction have usually been mild. Read more: 1.usa.gov/14OxuEe Credit: NASA/Goddard/SDO NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA�

Sun Emits a Solstice CME

NASA Image and Video Library

2017-12-08

Caption: This image from June 20, 2013, at 11:15 p.m. EDT shows the bright light of a solar flare on the left side of the sun and an eruption of solar material shooting through the sun’s atmosphere, called a prominence eruption. Shortly thereafter, this same region of the sun sent a coronal mass ejection out into space. --- On June 20, 2013, at 11:24 p.m., the sun erupted with an Earth-directed coronal mass ejection or CME, a solar phenomenon that can send billions of tons of particles into space that can reach Earth one to three days later. These particles cannot travel through the atmosphere to harm humans on Earth, but they can affect electronic systems in satellites and on the ground. Experimental NASA research models, based on observations from NASA’s Solar Terrestrial Relations Observatory and ESA/NASA’s Solar and Heliospheric Observatory show that the CME left the sun at speeds of around 1350 miles per second, which is a fast speed for CMEs. Earth-directed CMEs can cause a space weather phenomenon called a geomagnetic storm, which occurs when they funnel energy into Earth's magnetic envelope, the magnetosphere, for an extended period of time. The CME’s magnetic fields peel back the outermost layers of Earth's fields changing their very shape. Magnetic storms can degrade communication signals and cause unexpected electrical surges in power grids. They also can cause aurora. Storms are rare during solar minimum, but as the sun’s activity ramps up every 11 years toward solar maximum – currently expected in late 2013 -- large storms occur several times per year. In the past, geomagnetic storms caused by CMEs of this strength and direction have usually been mild. Credit: NASA/Goddard/SDO NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing

Can We Predict CME Deflections Based on Solar Magnetic Field Configuration Alone?

NASA Astrophysics Data System (ADS)

Kay, C.; Opher, M.; Evans, R. M.

2013-12-01

Accurate space weather forecasting requires knowledge of the trajectory of coronal mass ejections (CMEs), including predicting CME deflections close to the Sun and through interplanetary space. Deflections of CMEs occur due to variations in the background magnetic field or solar wind speed, magnetic reconnection, and interactions with other CMEs. Using our newly developed model of CME deflections due to gradients in the background solar magnetic field, ForeCAT (Kay et al. 2013), we explore the questions: (a) do all simulated CMEs ultimately deflect to the minimum in the background solar magnetic field? (b) does the majority of the deflection occur in the lower corona below 4 Rs? ForeCAT does not include temporal variations in the magnetic field of active regions (ARs), spatial variations in the background solar wind speed, magnetic reconnection, or interactions with other CMEs. Therefore we focus on the effects of the steady state solar magnetic field. We explore two different Carrington Rotations (CRs): CR 2029 (April-May 2005) and CR 2077 (November-December 2008). Little is known about how the density and magnetic field fall with distance in the lower corona. We consider four density models derived from observations (Chen 1996, Mann et al. 2003, Guhathakurta et al. 2006, Leblanc et al. 1996) and two magnetic field models (PFSS and a scaled model). ForeCAT includes drag resulting from both CME propagation and deflection through the background solar wind. We vary the drag coefficient to explore the effect of drag on the deflection at 1 AU.

Particle Acceleration by Cme-driven Shock Waves

NASA Technical Reports Server (NTRS)

Reames, Donald V.

1999-01-01

In the largest solar energetic particle (SEP) events, acceleration occurs at shock waves driven out from the Sun by coronal mass ejections (CMEs). Peak particle intensities are a strong function of CME speed, although the intensities, spectra, and angular distributions of particles escaping the shock are highly modified by scattering on Alfven waves produced by the streaming particles themselves. Element abundances vary in complex ways because ions with different values of Q/A resonate with different parts of the wave spectrum, which varies with space and time. Just recently, we have begun to model these systematic variations theoretically and to explore other consequences of proton-generated waves.

The Relationship Between the Expansion Speed and Radial Speed of CMEs Confirmed Using Quadrature Observations of the 2011 February 15 CME

NASA Astrophysics Data System (ADS)

Gopalswamy, N.; Makela, P.; Yashiro, S.; Davila, J. M.

2012-08-01

It is difficult to measure the true speed of Earth-directed CMEs from a coronagraph along the Sun-Earth line because of the occulting disk. However, the expansion speed (the speed with which the CME appears to spread in the sky plane) can be measured by such coronagraph. In order to convert the expansion speed to radial speed (which is important for space weather applications) one can use empirical relationship between the two that assumes an average width for all CMEs. If we have the width information from quadrature observations, we can confirm the relationship between expansion and radial speeds derived by Gopalswamy et al. (2009a). The STEREO spacecraft were in qudrature with SOHO (STEREO-A ahead of Earth by 87oand STEREO-B 94obehind Earth) on 2011 February 15, when a fast Earth-directed CME occurred. The CME was observed as a halo by the Large-Angle and Spectrometric Coronagraph (LASCO) on board SOHO. The sky-plane speed was measured by SOHO/LASCO as the expansion speed, while the radial speed was measured by STEREO-A and STEREO-B. In addition, STEREO-A and STEREO-B images measured the width of the CME, which is unknown from Earth view. From the SOHO and STEREO measurements, we confirm the relationship between the expansion speed (Vexp) and radial speed (Vrad) derived previously from geometrical considerations (Gopalswamy et al. 2009a): Vrad=1/2 (1 + cot w)Vexp, where w is the half width of the CME. STEREO-B images of the CME, we found that CME had a full width of 7 6o, so w=3 8o. This gives the relation as Vrad=1.1 4 Vexp. From LASCO observations, we measured Vexp=897 km/s, so we get the radial speed as 10 2 3 km/s. Direct measurement of radial speed yields 945 km/s (STEREO-A) and 105 8 km/s (STEREO-B). These numbers are different only by 7.6 % and 3.4 % (for STEREO-A and STEREO-B, respectively) from the computed value.

A Comparative Study of Shock Structures for the Halloween 2003 and the 23 July 2012 CME Events

NASA Astrophysics Data System (ADS)

Wu, C. C.; Liou, K.

2015-12-01

Interplanetary (IP) shocks driven by coronal mass ejections (CMEs) play an important role in space weather. For example, solar energetic particles are accelerated at the shock and storm sudden commencements are produced by the impingement of the Earth by the shocks. Here, we study shocks associated with two major CME events - the Halloween 2003 and the 23 July 2012 CME events, using a three-dimensional (3D) magnetohydrodynamics model (H3DMHD). The H3DMHD (Wu et al. 2007, JGR) combines the kinematic solar wind model (HAF) for regions near the solar surface (2.5-18 Rs) and a 3D magnetohydrodynamics model (Han et al. 1988), which takes output from HAF at 18 Rs and propagates outward up to 1.7 AU. The H3DMHD code has been fully tested and is capable of simulating disturbances propagating in the solar wind. We will focus on the temporal and spatial structure of the CME-driven shocks, including the shock type and strength.

Implementation of Formative Assessment--Effects of Quality of Programme Delivery on Students' Mathematics Achievement and Interest

ERIC Educational Resources Information Center

Pinger, Petra; Rakoczy, Katrin; Besser, Michael; Klieme, Eckhard

2018-01-01

The aim of this study was to contribute to the understanding of the effectiveness of formative assessment interventions by analysing how the "quality of programme delivery" affects students' mathematics achievement and interest. Teachers (n = 17) implemented formative assessment in their ninth-grade mathematics classes and provided their…

Radial Diffusion study of the 1 June 2013 CME event using MHD simulations.

NASA Astrophysics Data System (ADS)

Patel, M.; Hudson, M.; Wiltberger, M. J.; Li, Z.; Boyd, A. J.

2016-12-01

The June 1, 2013 storm was a CME-shock driven geomagnetic storm (Dst = -119 nT) that caused a dropout affecting all radiation belt electron energies measured by the Energetic Particle, Composition and Thermal Plasma Suite (ECT) instrument on Van Allen Probes at higher L-shells following dynamic pressure enhancement in the solar wind. Lower energies (up to about 700 keV) were enhanced by the storm while MeV electrons were depleted throughout the belt. We focus on depletion through radial diffusion caused by the enhanced ULF wave activity due to the CME-shock. This study utilities the Lyon-Fedder-Mobarry (LFM) model, a 3D global magnetospheric simulation code based on the ideal MHD equations, coupled with the Magnetosphere Ionosphere Coupler (MIX) and Rice Convection Model (RCM). The MHD electric and magnetic fields with equations described by Fei et al. [JGR, 2006] are used to calculate radial diffusion coefficients (DLL). These DLL values are input into a radial diffusion code to recreate the dropouts observed by the Van Allen Probes. The importance of understanding the complex role that ULF waves play in radial transport and the effects of CME-driven storms on the relativistic energy electrons in the radiation belts can be accomplished using MHD simulations to obtain diffusion coefficients, initial phase space density and the outer boundary condition from the ECT instrument suite and a radial diffusion model to reproduce observed fluxes which compare favorably with Van Allen Probes ECT measurements.

Exploring the Role of Overlying Fields and Flare Ribbons in CME Speeds

NASA Astrophysics Data System (ADS)

Deng, M.; Welsch, B. T.

2013-12-01

The standard model of eruptive, two-ribbon flares involves reconnection of overlying magnetic fields beneath a rising ejection. Numerous observers have reported evidence linking this reconnection, indicated by photospheric flux swept out by flare ribbons, to coronal mass ejection (CME) acceleration. This acceleration might be caused by reconnected fields that wrap around the ejection producing an increased outward "hoop force." Other observations have linked stronger overlying fields, measured by the power-law index of the fitted decay rate of field strengths overlying eruption sites, to slower CME speeds. This might be caused by greater downward magnetic tension in stronger overlying fields. So overlying fields might both help and hinder the acceleration of CMEs: reconnection that converts overlying fields into flux winding about the ejection might help, but unreconnected overlying fields might hurt. Here, we investigate the roles of both ribbon fluxes and the decay rates of overlying fields in a set of eruptive events.

Nanoemulsion-based delivery systems for polyunsaturated (ω-3) oils: formation using a spontaneous emulsification method.

PubMed

Gulotta, Alessandro; Saberi, Amir Hossein; Nicoli, Maria Cristina; McClements, David Julian

2014-02-19

Nanoemulsion-based delivery systems are finding increasing utilization to encapsulate lipophilic bioactive components in food, personal care, cosmetic, and pharmaceutical applications. In this study, a spontaneous emulsification method was used to fabricate nanoemulsions from polyunsaturated (ω-3) oils, that is, fish oil. This low-energy method relies on formation of fine oil droplets when an oil/surfactant mixture is added to an aqueous solution. The influence of surfactant-to-oil ratio (SOR), oil composition (lemon oil and MCT), and cosolvent composition (glycerol, ethanol, propylene glycol, and water) on the formation and stability of the systems was determined. Optically transparent nanoemulsions could be formed by controlling SOR, oil composition, and aqueous phase composition. The spontaneous emulsification method therefore has considerable potential for fabricating nanoemulsion-based delivery systems for incorporating polyunsatured oils into clear food, personal care, and pharmaceutical products.

Constructing an adaptive care model for the management of disease-related symptoms throughout the course of multiple sclerosis--performance improvement CME.

PubMed

Miller, Aaron E; Cohen, Bruce A; Krieger, Stephen C; Markowitz, Clyde E; Mattson, David H; Tselentis, Helen N

2014-01-01

Symptom management remains a challenging clinical aspect of MS. To design a performance improvement continuing medical education (PI CME) activity for better clinical management of multiple sclerosis (MS)-related depression, fatigue, mobility impairment/falls, and spasticity. Ten volunteer MS centers participated in a three-stage PI CME model: A) baseline assessment; B) practice improvement CME intervention; C) reassessment. Expert faculty developed performance measures and activity intervention tools. Designated MS center champions reviewed patient charts and entered data into an online database. Stage C data were collected eight weeks after implementation of the intervention and compared with Stage A baseline data to measure change in performance. Aggregate data from the 10 participating MS centers (405 patient charts) revealed performance improvements in the assessment of all four MS-related symptoms. Statistically significant improvements were found in the documented assessment of mobility impairment/falls (p=0.003) and spasticity (p<0.001). For documentation of care plans, statistically significant improvements were reported for fatigue (p=0.007) and mobility impairment/falls (p=0.040); non-significant changes were noted for depression and spasticity. Our PI CME interventions demonstrated performance improvement in the management of MS-related symptoms. This PI CME model (available at www.achlpicme.org/ms/toolkit) offers a new perspective on enhancing symptom management in patients with MS.

Anti-cancer effects of CME-1, a novel polysaccharide, purified from the mycelia of Cordyceps sinensis against B16-F10 melanoma cells.

PubMed

Jayakumar, Thanasekaran; Chiu, Chong-Chi; Wang, Shwu-Huey; Chou, Duen-Suey; Huang, Yung-Kai; Sheu, Joen-Rong

2014-01-01

Matrix metalloproteinases (MMPs) play important roles in the invasion and migration of cancer cells. In melanoma, several signaling pathways are constitutively activated. Among these, the mitogen-activated protein kinase (MAPKs) signaling pathways are activated through multiple signal transduction molecules and appear to play major roles in melanoma progression. Therefore, the inhibition of MAPK signaling might be a crucial role for the treatment of melanoma cancer. We examined the anticancer effect of CME-1, a novel water-soluble polysaccharide fraction, isolated from Cordyceps sinensis mycelia on B16-F10 melanoma cells. B16-F10 cells were exposed to different concentrations of CME-1 (250, 500 and 800 μg/ml) for 24 h in 5% CO² incubator at 37°C. Western blot analysis was performed to detect the expression of MMP-1, p-p38 MAPK, p-ERK1/2, and IkB-α in B16-F10 cells. Cell migration test was performed by wound healing migration assay. CME-1 suppresses cell migration in a concentration-dependent manner. Western blotting analysis revealed that CME-1 led to the reduction on the expression levels of MMP-1 and down regulated the expression of phosphorylated extracellular signal-regulated kinase (ERK1/2 and p38 mitogen-activated protein kinase (p38 MAPK). CME-1 restored the IkB-degradation in B16F10 cells. These results indicate that CME-1 inhibited MMP-1 expressions in B16F10 melanoma cells through either NF-kB or ERK/p38 MAPK down regulation thereby inhibiting B16F10 cell migration. Therefore, we proposed that CME-1 might be developed as a therapeutic potential candidate for the treatment of cancer metastasis.

Organizational Change in Management of Hepatitis C: Evaluation of a CME Program

ERIC Educational Resources Information Center

Garrard, Judith; Choudary, Veena; Groom, Holly; Dieperink, Eric; Willenbring, Mark L.; Durfee, Janet M.; Ho, Samuel B.

2006-01-01

Introduction: Effective treatment regimens exist for the hepatitis C virus (HCV); however, clinicians are often resistant to evaluation or treatment of patients with alcohol or substance abuse problems. We describe a continuing medical education (CME) program for clinicians in a nationwide health care system, with emphasis on current treatment…

Analysing spectroscopically the propagation of a CME from its source on the disk to its impact as it propagates outwards

NASA Astrophysics Data System (ADS)

Harra, Louise K.; Doschek, G. A.; Matthews, Sarah A.; De Pontieu, Bart; Long, David

We analyse a complex coronal mass ejection observed by Hinode, SDO and IRIS. SDO AIA shows that the eruption occurs between several active regions with flaring occurring in all of them. Hinode EIS observed one of the flaring active regions that shows a fast outwards propagation which is related to the CME lifting off. The eruption is then observed as it propagates away from the Sun, pushing the existing post-flare loops downwards as it goes. Spectroscopic observations are made during this time with IRIS measuring the impact that this CME front has as it pushes the loops downwards. Strong enhancements in the cool Mg II emission at these locations that show complex dynamics. We discuss these new observations in context of CME models.

Flux Cancellation Leading to CME Filament Eruptions

NASA Technical Reports Server (NTRS)

Popescu, Roxana M.; Panesar, Navdeep K.; Sterling, Alphonse C.; Moore, Ronald L.

2016-01-01

Solar filaments are strands of relatively cool, dense plasma magnetically suspended in the lower density hotter solar corona. They trace magnetic polarity inversion lines (PILs) in the photosphere below, and are supported against gravity at heights of up to approx.100 Mm above the chromosphere by the magnetic field in and around them. This field erupts when it is rendered unstable, often by magnetic flux cancellation or emergence at or near the PIL. We have studied the evolution of photospheric magnetic flux leading to ten observed filament eruptions. Specifically, we look for gradual magnetic changes in the neighborhood of the PIL prior to and during eruption. We use Extreme Ultraviolet (EUV) images from the Atmospheric Imaging Assembly (AIA), and magnetograms from the Helioseismic and Magnetic Imager (HMI), both on board the Solar Dynamics Observatory (SDO), to study filament eruptions and their photospheric magnetic fields. We examine whether flux cancellation or/and emergence leads to filament eruptions. We find that continuous flux cancellation was present at the PIL for many hours prior to each eruption. We present two CME-producing eruptions in detail and find the following: (a) the pre-eruption filament-holding core field is highly sheared and appears in the shape of a sigmoid above the PIL; (b) at the start of the eruption the opposite arms of the sigmoid reconnect in the middle above the site of (tether-cutting) flux cancellation at the PIL; (c) the filaments first show a slow-rise, followed by a fast-rise as they erupt. We conclude that these two filament eruptions result from flux cancellation in the middle of the sheared field, and thereafter evolve in agreement with the standard model for a CME/flare filament eruption from a closed bipolar magnetic field [flux cancellation (van Ballegooijen and Martens 1989 and Moore and Roumelrotis 1992) and runaway tether-cutting (Moore et. al 2001)].

Simulation of the 23 July 2012 Extreme Space Weather Event: What if This Extremely Rare CME Was Earth Directed?

NASA Technical Reports Server (NTRS)

Ngwira, Chigomezyo M.; Pulkkinen, Antti; Mays, M. Leila; Kuznetsova, Maria M.; Galvin, A. B.; Simunac, Kristin; Baker, Daniel N.; Li, Xinlin; Zheng, Yihua; Glocer, Alex

2013-01-01

Extreme space weather events are known to cause adverse impacts on critical modern day technological infrastructure such as high-voltage electric power transmission grids. On 23 July 2012, NASA's Solar Terrestrial Relations Observatory-Ahead (STEREO-A) spacecraft observed in situ an extremely fast coronal mass ejection (CME) that traveled 0.96 astronomical units (approx. 1 AU) in about 19 h. Here we use the SpaceWeather Modeling Framework (SWMF) to perform a simulation of this rare CME.We consider STEREO-A in situ observations to represent the upstream L1 solar wind boundary conditions. The goal of this study is to examine what would have happened if this Rare-type CME was Earth-bound. Global SWMF-generated ground geomagnetic field perturbations are used to compute the simulated induced geoelectric field at specific ground-based active INTERMAGNET magnetometer sites. Simulation results show that while modeled global SYM-H index, a high-resolution equivalent of the Dst index, was comparable to previously observed severe geomagnetic storms such as the Halloween 2003 storm, the 23 July CME would have produced some of the largest geomagnetically induced electric fields, making it very geoeffective. These results have important practical applications for risk management of electrical power grids.

Relation Between the 3D-Geometry of the Coronal Wave and Associated CME During the 26 April 2008 Event

NASA Technical Reports Server (NTRS)

Temmer, M.; Veronig, A. M.; Gopalswamy, N.; Yashiro, S.

2011-01-01

We study the kinematical characteristics and 3D geometry of a large-scale coronal wave that occurred in association with the 26 April 2008 flare-CME event. The wave was observed with the EUVI instruments aboard both STEREO spacecraft (STEREO-A and STEREO-B) with a mean speed of approx 240 km/s. The wave is more pronounced in the eastern propagation direction, and is thus, better observable in STEREO-B images. From STEREO-B observations we derive two separate initiation centers for the wave, and their locations fit with the coronal dimming regions. Assuming a simple geometry of the wave we reconstruct its 3D nature from combined STEREO-A and STEREO-B observations. We find that the wave structure is asymmetric with an inclination toward East. The associated CME has a deprojected speed of approx 750 +/- 50 km/s, and it shows a non-radial outward motion toward the East with respect to the underlying source region location. Applying the forward fitting model developed by Thernisien, Howard, and Vourlidas we derive the CME flux rope position on the solar surface to be close to the dimming regions. We conclude that the expanding flanks of the CME most likely drive and shape the coronal wave.

Sigmoid CME Source Regions at the Sun: Some Recent Results

NASA Technical Reports Server (NTRS)

Sterling, Alphonse C.; Rose, M. Franklin (Technical Monitor)

2000-01-01

Identifying Coronal Mass Ejection (CME) precursors in the solar corona would be an important step in space weather forecasting, as well as a vital key to understanding the physics of CMEs. Twisted magnetic field structures are suspected of being the source of at least some CMEs. These features can appear sigmoid (S or inverse-S) shaped in soft X-ray (SXR) images. We review recent observations of these structures and their relation to CMEs, using soft X-ray (SXR) data from the Soft X-ray Telescope (SXT) on the Yohkoh satellite, and EUV data from the EUV Imaging Telescope (EIT) on the SOHO satellite. These observations indicate that the pre-eruption sigmoid patterns are more prominent in SXRs than in EUV, and that sigmoid precursors are present in over 50% of CMEs. These findings are important for CME research, and may potentially be a major component to space weather forecasting. So far, however, the studies have been subject to restrictions that will have to be relaxed before sigmoid morphology can be used as a reliable predictive tool. Moreover, some CMEs do not display a SXR sigmoid structure prior to eruption, and some others show no prominent SXR signature of any kind before or during eruption.

Sigmoid CME Source Regions at The Sun: Some Recent Results

NASA Technical Reports Server (NTRS)

Sterling, Alphonse C.

2000-01-01

Identifying coronal mass ejection (CME) precursors in the solar corona would be an important step in space weather forecasting, as well as a vital key to understanding the physics of CMEs. Twisted magnetic field structures are suspected of being the source of at least some CMEs. These features can appear sigmoid (S or inverse-S) shaped in soft X-ray, (SXR) images. We review recent observations of these structures and their relation to CMEs. using SXR data from the Soft X-ray Telescope (SXT) on the Yohkoh satellite, and EUV data from the EUV Imaging Telescope (EIT) on the SOHO satellite. These observations indicate that the pre-eruption sigmoid patterns are more prominent in SXRs than in EUV, and that sigmoid precursors are present in over 50% of CMEs. These findings are important for CME research, and may potentially be a major component to space weather forecasting. So far, however, the studies have been subject to restrictions that will have to be relaxed before sigmoid morphology can be used as a reliable predictive too[. Moreover, some CMEs do not display a SXR sigmoid structure prior to eruption, and some others show no prominent SXR signature of any kind before or during eruption.

PREDICTING CME EJECTA AND SHEATH FRONT ARRIVAL AT L1 WITH A DATA-CONSTRAINED PHYSICAL MODEL

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hess, Phillip; Zhang, Jie, E-mail: phess4@gmu.edu

2015-10-20

We present a method for predicting the arrival of a coronal mass ejection (CME) flux rope in situ, as well as the sheath of solar wind plasma accumulated ahead of the driver. For faster CMEs, the front of this sheath will be a shock. The method is based upon geometrical separate measurement of the CME ejecta and sheath. These measurements are used to constrain a drag-based model, improved by including both a height dependence and accurate de-projected velocities. We also constrain the geometry of the model to determine the error introduced as a function of the deviation of the CMEmore » nose from the Sun–Earth line. The CME standoff-distance in the heliosphere fit is also calculated, fit, and combined with the ejecta model to determine sheath arrival. Combining these factors allows us to create predictions for both fronts at the L1 point and compare them against observations. We demonstrate an ability to predict the sheath arrival with an average error of under 3.5 hr, with an rms error of about 1.58 hr. For the ejecta the error is less than 1.5 hr, with an rms error within 0.76 hr. We also discuss the physical implications of our model for CME expansion and density evolution. We show the power of our method with ideal data and demonstrate the practical implications of having a permanent L5 observer with space weather forecasting capabilities, while also discussing the limitations of the method that will have to be addressed in order to create a real-time forecasting tool.« less

Continuous delivery of rhBMP2 and rhVEGF165 at a certain ratio enhances bone formation in mandibular defects over the delivery of rhBMP2 alone--An experimental study in rats.

PubMed

Lohse, N; Moser, N; Backhaus, S; Annen, T; Epple, M; Schliephake, H

2015-12-28

The aim of the present study was to test the hypothesis that different amounts of vascular endothelial growth factor and bone morphogenic protein differentially affect bone formation when applied for repair of non-healing defects in the rat mandible. Porous composite PDLLA/CaCO3 carriers were fabricated as slow release carriers and loaded with rhBMP2 and rhVEGF165 in 10 different dosage combinations using gas foaming with supercritical carbon dioxide. They were implanted in non-healing defects of the mandibles of 132 adult Wistar rats with additional lateral augmentation. Bone formation was assessed both radiographically (bone volume) and by histomorphometry (bone density). The use of carriers with a ratio of delivery of VEGF/BMP between 0.7 and 1.2 was significantly related to the occurrence of significant increases in radiographic bone volume and/or histologic bone density compared to the use of carriers with a ratio of delivery of ≤ 0.5 when all intervals and all outcome parameters were considered. Moreover, simultaneous delivery at this ratio helped to "save" rhBMP2 as both bone volume and bone density after 13 weeks were reached/surpassed using half the dosage required for rhBMP2 alone. It is concluded, that the combined delivery of rhVEGF165 and rhBMP2 for repair of critical size mandibular defects can significantly enhance volume and density of bone formation over delivery of rhBMP2 alone. It appears from the present results that continuous simultaneous delivery of rhVEGF165 and rhBMP2 at a ratio of approximately 1 is favourable for the enhancement of bone formation. Copyright © 2015. Published by Elsevier B.V.

Interrater Reliability to Assure Valid Content in Peer Review of CME-Accredited Presentations

ERIC Educational Resources Information Center

Quigg, Mark; Lado, Fred A.

2009-01-01

Introduction: The Accreditation Council for Continuing Medical Education (ACCME) provides guidelines for continuing medical education (CME) materials to mitigate problems in the independence or validity of content in certified activities; however, the process of peer review of materials appears largely unstudied and the reproducibility of…

Ultrasound Microbubble Treatment Enhances Clathrin-Mediated Endocytosis and Fluid-Phase Uptake through Distinct Mechanisms.

PubMed

Fekri, Farnaz; Delos Santos, Ralph Christian; Karshafian, Raffi; Antonescu, Costin N

2016-01-01

Drug delivery to tumors is limited by several factors, including drug permeability of the target cell plasma membrane. Ultrasound in combination with microbubbles (USMB) is a promising strategy to overcome these limitations. USMB treatment elicits enhanced cellular uptake of materials such as drugs, in part as a result of sheer stress and formation of transient membrane pores. Pores formed upon USMB treatment are rapidly resealed, suggesting that other processes such as enhanced endocytosis may contribute to the enhanced material uptake by cells upon USMB treatment. How USMB regulates endocytic processes remains incompletely understood. Cells constitutively utilize several distinct mechanisms of endocytosis, including clathrin-mediated endocytosis (CME) for the internalization of receptor-bound macromolecules such as Transferrin Receptor (TfR), and distinct mechanism(s) that mediate the majority of fluid-phase endocytosis. Tracking the abundance of TfR on the cell surface and the internalization of its ligand transferrin revealed that USMB acutely enhances the rate of CME. Total internal reflection fluorescence microscopy experiments revealed that USMB treatment altered the assembly of clathrin-coated pits, the basic structural units of CME. In addition, the rate of fluid-phase endocytosis was enhanced, but with delayed onset upon USMB treatment relative to the enhancement of CME, suggesting that the two processes are distinctly regulated by USMB. Indeed, vacuolin-1 or desipramine treatment prevented the enhancement of CME but not of fluid phase endocytosis upon USMB, suggesting that lysosome exocytosis and acid sphingomyelinase, respectively, are required for the regulation of CME but not fluid phase endocytosis upon USMB treatment. These results indicate that USMB enhances both CME and fluid phase endocytosis through distinct signaling mechanisms, and suggest that strategies for potentiating the enhancement of endocytosis upon USMB treatment may improve targeted

Testing model for prediction system of 1-AU arrival times of CME-associated interplanetary shocks

NASA Astrophysics Data System (ADS)

Ogawa, Tomoya; den, Mitsue; Tanaka, Takashi; Sugihara, Kohta; Takei, Toshifumi; Amo, Hiroyoshi; Watari, Shinichi

We test a model to predict arrival times of interplanetary shock waves associated with coronal mass ejections (CMEs) using a three-dimensional adaptive mesh refinement (AMR) code. The model is used for the prediction system we develop, which has a Web-based user interface and aims at people who is not familiar with operation of computers and numerical simulations or is not researcher. We apply the model to interplanetary CME events. We first choose coronal parameters so that property of background solar wind observed by ACE space craft is reproduced. Then we input CME parameters observed by SOHO/LASCO. Finally we compare the predicted arrival times with observed ones. We describe results of the test and discuss tendency of the model.

Desktop document delivery using portable document format (PDF) files and the Web.

PubMed Central

Shipman, J P; Gembala, W L; Reeder, J M; Zick, B A; Rainwater, M J

1998-01-01

Desktop access to electronic full-text literature was rated one of the most desirable services in a client survey conducted by the University of Washington Libraries. The University of Washington Health Sciences Libraries (UW HSL) conducted a ten-month pilot test from August 1996 to May 1997 to determine the feasibility of delivering electronic journal articles via the Internet to remote faculty. Articles were scanned into Adobe Acrobat Portable Document Format (PDF) files and delivered to individuals using Multipurpose Internet Mail Extensions (MIME) standard e-mail attachments and the Web. Participants retrieved scanned articles and used the Adobe Acrobat Reader software to view and print files. The pilot test required a special programming effort to automate the client notification and file deletion processes. Test participants were satisfied with the pilot test despite some technical difficulties. Desktop delivery is now offered as a routine delivery method from the UW HSL. PMID:9681165

Desktop document delivery using portable document format (PDF) files and the Web.

PubMed

Shipman, J P; Gembala, W L; Reeder, J M; Zick, B A; Rainwater, M J

1998-07-01

Desktop access to electronic full-text literature was rated one of the most desirable services in a client survey conducted by the University of Washington Libraries. The University of Washington Health Sciences Libraries (UW HSL) conducted a ten-month pilot test from August 1996 to May 1997 to determine the feasibility of delivering electronic journal articles via the Internet to remote faculty. Articles were scanned into Adobe Acrobat Portable Document Format (PDF) files and delivered to individuals using Multipurpose Internet Mail Extensions (MIME) standard e-mail attachments and the Web. Participants retrieved scanned articles and used the Adobe Acrobat Reader software to view and print files. The pilot test required a special programming effort to automate the client notification and file deletion processes. Test participants were satisfied with the pilot test despite some technical difficulties. Desktop delivery is now offered as a routine delivery method from the UW HSL.

Determining the Evolution and Propagation of CME Flux Ropes from the Sun to Earth

NASA Astrophysics Data System (ADS)

Palmerio, E.; Kilpua, E.; Mierla, M.; Rodriguez, L.; Isavnin, A.; Zhukov, A.

2017-12-01

Coronal mass ejections (CMEs) are the main drivers of space weather phenomena at the Earth. They form in the solar atmosphere as helical magnetic field structures known as flux ropes. The key parameter that defines the ability of a CME to drive geomagnetic storms is the North-South magnetic field component. One of the most significant problems in current long-term space weather forecasts is that there is no practical method to measure the magnetic structure of CMEs routinely in the corona. The magnetic structure of erupting flux ropes can however be inferred based on the properties of the CME's source region characteristics, e.g.filament details, coronal EUV arcades, X-ray/EUV sigmoids, taking into account nearby coronal and photospheric features. These proxies are useful for reconstructing the "instrinsic flux rope type" at the time of the eruption. However, the knowledge of the flux rope's magnetic structure at the Sun does not always imply a successful prediction of the magnetic structure at the Earth. This is because CMEs can change their orientation due to deflections, rotations, and deformations. We present here examples of CMEs for which we have determined their magnetic structure when launched from the Sun by using a synthesis of indirect proxies based on multiwavelength remote-sensing observations. When compared to their in situ counterparts, these CMEs present a different magnetic configuration, implying a high amount of rotation of their central axis during their propagation. We study the early evolution of these CMEs both on the solar disk and in coronagraph images though different techniques, e.g. forward modelling and tie-pointing technique. When possible, we study the CME structure in situ at other planets. We aim at determining where the rotation occurs and the rate of rotation during the CME evolution from the Sun to Earth, and possibly estimating the causes of such a high amount of rotation.

Tracking the Momentum Flux of a CME and Quantifying Its Influence on Geomagnetically Induced Currents at Earth

NASA Technical Reports Server (NTRS)

Savani, N. P.; Vourlidas, A.; Pulkkinen, A.; Nieves-Chinchilla, T.; Lavraud, B.; Owens, M. J.

2013-01-01

We investigate a coronal mass ejection (CME) propagating toward Earth on 29 March 2011. This event is specifically chosen for its predominately northward directed magnetic field, so that the influence from the momentum flux onto Earth can be isolated. We focus our study on understanding how a small Earth-directed segment propagates. Mass images are created from the white-light cameras onboard STEREO which are also converted into mass height-time maps (mass J-maps). The mass tracks on these J-maps correspond to the sheath region between the CME and its associated shockfront as detected by in situ measurements at L1. A time series of mass measurements from the STEREOCOR-2A instrument is made along the Earth propagation direction. Qualitatively, this mass time series shows a remarkable resemblance to the L1 in situ density series. The in situ measurements are used as inputs into a three-dimensional (3-D) magnetospheric space weather simulation from the Community Coordinated Modeling Center. These simulations display a sudden compression of the magnetosphere from the large momentum flux at the leading edge of the CME, and predictions are made for the time derivative of the magnetic field (dBdt) on the ground. The predicted dBdt values were then compared with the observations from specific equatorially located ground stations and showed notable similarity. This study of the momentum of a CME from the Sun down to its influence on magnetic ground stations on Earth is presented as a preliminary proof of concept, such that future attempts may try to use remote sensing to create density and velocity time series as inputs to magnetospheric simulations.

Evolution and propagation of the July 23, 2012, CME-driven shock: A 3-D MHD simulation result

NASA Astrophysics Data System (ADS)

Wu, S. T.; Dryer, Ph D., M.; Liou, K.; Wu, C. C.

2016-12-01

The interplanetary shock associated with the July 23, 2012 CME event is studied with the H3DMHD 3-D magnetohydrodynamic (MHD) simulation model. This backside CME event has been actively studied, probably due to its extremely fast propagating speed ( 2000 km/s) and large magnetic field magnitude ( 100 nT) at 1 AU. Some workers even compared this even with the Carrington event. In this study we focus on the acceleration and deceleration of the shock at the cobpoints. The H3DMHD is a data (photospheric magnetic field) driven model, which combines the HAF kinematic model for regions sunward of 18 Rs and the 3DMHD ideal MHD model for antisunward of 18 Rs up to 1.5 AU. To simulate the CME a gaussian velocity pulse is manually applied to the inner simulation boundary at 2.5 Rs above the flare site, with the initial peak velocity ( 3000 km/s) taken from the coronagraph measurements. In situ measurements of the solar wind parameters at STEREO-A are used to validate the simulation result, in particular the arrival time of the shock at STEREO-A. It is found, for this particular event, the CME-driven shock strength varies significantly across the shock surface. In general, the shock strength slowly weakened while propagating outward but stayed hypersonic (> Mach 5) for a cone shape region of a few 10's of degrees surrounding the shock nose. We will discuss our result in the context of the acceleration/deceleration of shock in a much slower background solar wind and the relationship of the shock strength with the flux of solar energetic particles observed by STEREO-A.

The Driving Magnetic Field and Reconnection in CME/Flare Eruptions and Coronal Jets

NASA Technical Reports Server (NTRS)

Moore, Ronald L.

2010-01-01

Signatures of reconnection in major CME (coronal mass ejection)/flare eruptions and in coronal X-ray jets are illustrated and interpreted. The signatures are magnetic field lines and their feet that brighten in flare emission. CME/flare eruptions are magnetic explosions in which: 1. The field that erupts is initially a closed arcade. 2. At eruption onset, most of the free magnetic energy to be released is not stored in field bracketing a current sheet, but in sheared field in the core of the arcade. 3. The sheared core field erupts by a process that from its start or soon after involves fast "tether-cutting" reconnection at an initially small current sheet low in the sheared core field. If the arcade has oppositely-directed field over it, the eruption process from its start or soon after also involves fast "breakout" reconnection at an initially small current sheet between the arcade and the overarching field. These aspects are shown by the small area of the bright field lines and foot-point flare ribbons in the onset of the eruption. 4. At either small current sheet, the fast reconnection progressively unleashes the erupting core field to erupt with progressively greater force. In turn, the erupting core field drives the current sheet to become progressively larger and to undergo progressively greater fast reconnection in the explosive phase of the eruption, and the flare arcade and ribbons grow to become comparable to the pre-eruption arcade in lateral extent. In coronal X-ray jets: 1. The magnetic energy released in the jet is built up by the emergence of a magnetic arcade into surrounding unipolar "open" field. 2. A simple jet is produced when a burst of reconnection occurs at the current sheet between the arcade and the open field. This produces a bright reconnection jet and a bright reconnection arcade that are both much smaller in diameter that the driving arcade. 3. A more complex jet is produced when the arcade has a sheared core field and undergoes an

PARTICLE ACCELERATION IN SOLAR FLARES AND ASSOCIATED CME SHOCKS

DOE Office of Scientific and Technical Information (OSTI.GOV)

Petrosian, Vahé; Department of Applied Physics, Stanford University, Stanford, CA 94305

2016-10-10

Observations relating the characteristics of electrons seen near Earth (solar energetic particles [SEPs]) and those producing flare radiation show that in certain (prompt) events the origin of both populations appears to be the flare site, which shows strong correlation between the number and spectral index of SEP and hard X-ray radiating electrons, but in others (delayed), which are associated with fast coronal mass ejections (CMEs), this relation is complex and SEPs tend to be harder. Prompt event spectral relation disagrees with that expected in thick or thin target models. We show that using a more accurate treatment of the transportmore » of the accelerated electrons to the footpoints and to Earth can account for this discrepancy. Our results are consistent with those found by Chen and Petrosian for two flares using nonparametric inversion methods, according to which we have weak diffusion conditions, and trapping mediated by magnetic field convergence. The weaker correlations and harder spectra of delayed events can come about by reacceleration of electrons in the CME shock environment. We describe under what conditions such a hardening can be achieved. Using this (acceleration at the flare and reacceleration in the CME) scenario, we show that we can describe the similar dichotomy that exists between the so-called impulsive, highly enriched ({sup 3}He and heavy ions), and softer SEP events and stronger, more gradual SEP events with near-normal ionic abundances and harder spectra. These methods can be used to distinguish the acceleration mechanisms and to constrain their characteristics.« less

Blended learning in CME: the perception of GP trainers.

PubMed

Te Pas, E; Meinema, J G; Visser, M R M; van Dijk, N

2016-05-01

Blended learning (the combination of electronic methods with traditional teaching methods) has the potential to combine the best of traditional education with the best of computer-mediated training. We chose to develop such an intervention for GP trainers who were undertaking a Continuing Medical Education (CME) course in evidence-based medicine (EBM). This study reports on our experience and investigated the factors influencing the perception on usefulness and logistics of blended learning for learners in CME. In total, 170 GP trainers participated in the intervention. We used questionnaires, observations during the four face-to-face meetings and evaluations in the e-course over one year. Additionally we organised focus groups to gain insight in some of the outcomes of the questionnaires and interpretations of the observations. The GP trainers found the design and the educational method (e-course in combination with meetings) attractive, instructive and complementary. Factors influencing their learning were (1) educational design, (2) educational method, (3) topic of the intervention, (4) time (planning), (5) time (intervention), (6) learning style, (7) technical issues, (8) preconditions and (9) level of difficulty. A close link between daily practice and the educational intervention was considered an important precondition for the success of the intervention in this group of learners. GP trainers were positive about blended learning: they found e-learning a useful way to gain knowledge and the meetings a pleasant way of transferring the knowledge into practice. Although some preconditions should be taken into consideration during its development and implementation, they would participate in similarly designed learning in the future.

Flare/CME Relationship

NASA Astrophysics Data System (ADS)

Kliem, B.

In recent years evidence has accumulated showing that flares and CMEs are different observational manifestations of a single process -- the destabilization and reorganization of magnetic fields at active region spatial scales. Neupert et al. (2001) and Zhang et al. (2001) have clearly shown the connection between the two in a couple of events. I will present a further well-observed example showing the same connection, the 2002 April 21 solar X flare. Combined data from the TRACE, SUMER, RHESSI, NoRH, UVCS, and LASCO instruments show erupting core flux, associated with nonthermal and thermal flare emissions and evolving into one of the fastest CMEs ever observed. Although the observations are very detailed, they still do not seem to permit a firm conclusion regarding the destabilization mechanism, but they point to an instability of a complex flux rope structure, with some elements of the tether cutting and magnetic breakout models possibly being included. The evolution of unstable magnetic flux from the impulsive rise phase of flare emissions to a fully developed CME typically happens in the inner and middle corona, a region too sparsely sampled by current instrumentation. It is therefore still largely ambiguous which height-time characteristic should be fitted to the data and whether a distinct acceleration phase of the ejecta occurs during the impulsive flare phase. Guidance by theoretical models is needed. I will briefly discuss a few height-time characteristics suggested in the literature, including the one implied by a recently proposed destabilization mechanism which is based on the kink instability of a flux rope.

PROPAGATION AND EVOLUTION OF THE JUNE 1st 2008 CME IN THE INTERPLANETARY MEDIUM

NASA Astrophysics Data System (ADS)

Nieves-Chinchilla, T.; Lamb, D. A.; Davila, J. M.; Vinas, A. F.; Moestl, C.; Hidalgo, M. A.; Farrugia, C. J.; Malandraki, O.; Dresing, N.; Gómez-Herrero, R.

2009-12-01

In this work we present a study of the coronal mass ejection (CME) of June 1st of 2008 in the interplanetary medium. This event has been extensively studied by others because of its favorable geometry and the possible consequences of its peculiar initiation for space weather forecasting. We show an analysis of the evolution of the CME in the interplanetary medium in order to shed some light on the propagation mechanism of the ICME. We have determined the typical shock associated characteristics of the ICME in order to understand the propagation properties. Using two different non force-free models of the magnetic cloud allows us to incorporate expansion of the cloud. We use in-situ measurements from STEREO B/IMPACT to characterize the ICME. In addition, we use images from STEREO A/SECCHI-HI to analyze the propagation and visual evolution of the associated flux rope in the interplanetary medium. We compare and contrast these observations with the results of the analytical models.

Detailed analysis of dynamic evolution of three Active Regions at the photospheric level before flare and CME occurrence

NASA Astrophysics Data System (ADS)

Ye, Yudong; Korsós, M. B.; Erdélyi, R.

2018-01-01

We present a combined analysis of the applications of the weighted horizontal magnetic gradient (denoted as WGM in Korsós et al. (2015)) method and the magnetic helicity tool (Berger and Field, 1984) employed for three active regions (ARs), namely NOAA AR 11261, AR 11283 and AR 11429. We analysed the time series of photospheric data from the Solar Dynamics Observatory taken between August 2011 and March 2012. During this period the three ARs produced a series of flares (eight M- and six X-class) and coronal mass ejections (CMEs). AR 11261 had four M-class flares and one of them was accompanied by a fast CME. AR 11283 had similar activities with two M- and two X-class flares, but only with a slow CME. Finally, AR 11429 was the most powerful of the three ARs as it hosted five compact and large solar flare and CME eruptions. For applying the WGM method we employed the Debrecen sunspot data catalogue, and, for estimating the magnetic helicity at photospheric level we used the Space-weather HMI Active Region Patches (SHARP's) vector magnetograms from SDO/HMI (Solar Dynamics Observatory/Helioseismic and Magnetic Imager). We followed the evolution of the components of the WGM and the magnetic helicity before the flare and CME occurrences. We found a unique and mutually shared behaviour, called the U-shaped pattern, of the weighted distance component of WGM and of the shearing component of the helicity flux before the flare and CME eruptions. This common pattern is associated with the decreasing-receding phases yet reported only known to be a necessary feature prior to solar flare eruption(s) but found now at the same time in the evolution of the shearing helicity flux. This result leads to the conclusions that (i) the shearing motion of photospheric magnetic field may be a key driver for solar eruption in addition to the flux emerging process, and that (ii) the found decreasing-approaching pattern in the evolution of shearing helicity flux may be another precursor

CME Interaction with Coronal Holes and Their Interplanetary Consequences

NASA Technical Reports Server (NTRS)

Gopalswamy, N.; Makela, P.; Xie, H.; Akiyama, S.; Yashiro, S.

2008-01-01

A significant number of interplanetary (IP) shocks (-17%) during cycle 23 were not followed by drivers. The number of such "driverless" shocks steadily increased with the solar cycle with 15%, 33%, and 52% occurring in the rise, maximum, and declining phase of the solar cycle. The solar sources of 15% of the driverless shocks were very close the central meridian of the Sun (within approx.15deg), which is quite unexpected. More interestingly, all the driverless shocks with their solar sources near the solar disk center occurred during the declining phase of solar cycle 23. When we investigated the coronal environment of the source regions of driverless shocks, we found that in each case there was at least one coronal hole nearby suggesting that the coronal holes might have deflected the associated coronal mass ejections (CMEs) away from the Sun-Earth line. The presence of abundant low-latitude coronal holes during the declining phase further explains why CMEs originating close to the disk center mimic the limb CMEs, which normally lead to driverless shocks due to purely geometrical reasons. We also examined the solar source regions of shocks with drivers. For these, the coronal holes were located such that they either had no influence on the CME trajectories. or they deflected the CMEs towards the Sun-Earth line. We also obtained the open magnetic field distribution on the Sun by performing a potential field source surface extrapolation to the corona. It was found that the CMEs generally move away from the open magnetic field regions. The CME-coronal hole interaction must be widespread in the declining phase, and may have a significant impact on the geoeffectiveness of CMEs.

Quantitative understanding of Forbush decrease drivers based on shock-only and CME-only models using global signature of February 14, 1978 event

DOE Office of Scientific and Technical Information (OSTI.GOV)

Raghav, Anil; Lotekar, Ajay; Bhaskar, Ankush

We have studied the Forbush decrease (FD) event that occurred on February 14, 1978 using 43 neutron monitor observatories to understand the global signature of FD. We have studied rigidity dependence of shock amplitude and total FD amplitude. We have found almost the same power law index for both shock phase amplitude and total FD amplitude. Local time variation of shock phase amplitude and maximum depression time of FD have been investigated which indicate possible effect of shock/CME orientation. We have analyzed rigidity dependence of time constants of two phase recovery. Time constants of slow component of recovery phase showmore » rigidity dependence and imply possible effect of diffusion. Solar wind speed was observed to be well correlated with slow component of FD recovery phase. This indicates solar wind speed as possible driver of recovery phase. To investigate the contribution of interplanetary drivers, shock and CME in FD, we have used shock-only and CME-only models. We have applied these models separately to shock phase and main phase amplitudes respectively. This confirms presently accepted physical scenario that the first step of FD is due to propagating shock barrier and second step is due to flux rope of CME/magnetic cloud.« less

Coronal mass ejection (CME) activity of low mass M stars as an important factor for the habitability of terrestrial exoplanets. II. CME-induced ion pick up of Earth-like exoplanets in close-in habitable zones.

PubMed

Lammer, Helmut; Lichtenegger, Herbert I M; Kulikov, Yuri N; Griessmeier, Jean-Mathias; Terada, N; Erkaev, Nikolai V; Biernat, Helfried K; Khodachenko, Maxim L; Ribas, Ignasi; Penz, Thomas; Selsis, Franck

2007-02-01

Atmospheric erosion of CO2-rich Earth-size exoplanets due to coronal mass ejection (CME)-induced ion pick up within close-in habitable zones of active M-type dwarf stars is investigated. Since M stars are active at the X-ray and extreme ultraviolet radiation (XUV) wave-lengths over long periods of time, we have applied a thermal balance model at various XUV flux input values for simulating the thermospheric heating by photodissociation and ionization processes due to exothermic chemical reactions and cooling by the CO2 infrared radiation in the 15 microm band. Our study shows that intense XUV radiation of active M stars results in atmospheric expansion and extended exospheres. Using thermospheric neutral and ion densities calculated for various XUV fluxes, we applied a numerical test particle model for simulation of atmospheric ion pick up loss from an extended exosphere arising from its interaction with expected minimum and maximum CME plasma flows. Our results indicate that the Earth-like exoplanets that have no, or weak, magnetic moments may lose tens to hundreds of bars of atmospheric pressure, or even their whole atmospheres due to the CME-induced O ion pick up at orbital distances CME plasma erosion. Therefore, we suggest that larger and more massive terrestrial-type exoplanets may better protect their

CME Research and Space Weather Support for the SECCHI Experiments on the STEREO Mission

DTIC Science & Technology

2014-01-14

Corbett, ed., Cambridge Univ. Press (2010) Kahler, S.W. and D. F. Webb, "Tracking Nonradial Motions and Azimuthal Expansions of Interplanetary CME...Imaging and In-situ Data from LASCO, STEREO and SMEI", Bull. AAS, 41(2), p. 855, 2009. Kahler S. and D. Webb, "Tracking Nonradial Motions and

A Statistical Study of CME Properties and of the Correlation Between Flares and CMEs over Solar Cycles 23 and 24

NASA Astrophysics Data System (ADS)

Compagnino, A.; Romano, P.; Zuccarello, F.

2017-01-01

We investigated some properties of coronal mass ejections (CMEs), such as speed, acceleration, polar angle, angular width, and mass, using data acquired by the Large Angle Spectrometric Coronagraph (LASCO) onboard the Solar and Heliospheric Observatory (SOHO) from 31 July 1997 to 31 March 2014, i.e. during the Solar Cycles 23 and 24. We used two CME catalogs: one provided by the Coordinated Data Analysis Workshops (CDAW) Data Center and one obtained by the Computer Aided CME Tracking software (CACTus) detection algorithm. For each dataset, we found that the number of CMEs observed during the peak of Cycle 24 was higher than or comparable to the number during Cycle 23, although the photospheric activity during Cycle 24 was weaker than during Cycle 23. Using the CMEs detected by CACTus, we noted that the number of events [N] is of the same order of magnitude during the peaks of the two cycles, but the peak of the CME distribution during Cycle 24 is more extended in time (N > 1500 during 2012 and 2013). We ascribe the discrepancy between the CDAW and CACTus results to the observer bias for CME definition in the CDAW catalog. We also used a dataset containing 19,811 flares of C-, M-, and X-class observed by the Geostationary Operational Environmental Satellite (GOES) during the same period. Using both datasets, we studied the relationship between the mass ejected by the CMEs and the flux emitted during the corresponding flares: we found 11,441 flares that were temporally correlated with CMEs for CDAW and 9120 for CACTus. Moreover, we found a log-linear relationship between the flux of the flares integrated from the start to end in the 0.1 - 0.8 nm range and the CME mass. We also found some differences in the mean CMEs velocity and acceleration between the events associated with flares and those that were not.

Controlled Delivery of a Focal Adhesion Kinase Inhibitor Results in Accelerated Wound Closure with Decreased Scar Formation.

PubMed

Ma, Kun; Kwon, Sun Hyung; Padmanabhan, Jagannath; Duscher, Dominik; Trotsyuk, Artem A; Dong, Yixiao; Inayathullah, Mohammed; Rajadas, Jayakumar; Gurtner, Geoffrey C

2018-05-15

Formation of scars following wounding or trauma represents a significant healthcare burden costing the economy billions of dollars every year. Activation of focal adhesion kinase (FAK) has been shown to play a pivotal role in transducing mechanical signals to elicit fibrotic responses and scar formation during wound repair. We have previously shown that inhibition of FAK using local injections of a small molecule FAK inhibitor (FAKI) can attenuate scar development in a hypertrophic scar model. Clinical translation of FAKI therapy has been challenging, however, due to the lack of an effective drug delivery system for extensive burn injuries, blast injuries, and large excisional injuries. To address this issue, we have developed a pullulan collagen-based hydrogel to deliver FAKI to excisional and burn wounds in mice. Specifically, two distinct drug-laden hydrogels were developed for rapid or sustained release of FAKI for treatment of burn wounds and excisional wounds, respectively. Controlled delivery of FAKI via pullulan collagen hydrogels accelerated wound healing, reduced collagen deposition and activation of scar forming myofibroblasts in both wound healing models. Our study highlights a biomaterial-based drug delivery approach for wound and scar management that has significant translational implications. Copyright © 2018 The Authors. Published by Elsevier Inc. All rights reserved.

Improving the diagnostic workup of hyponatremia in the setting of kidney disease: a continuing medical education (CME) initiative.

PubMed

Golestaneh, Ladan; Neugarten, Joel; Southern, William; Kargoli, Faraj; Raff, Amanda

2017-03-01

Hyponatremia is a common electrolyte disorder and is associated with mortality. We examined the frequency of appropriate testing in response to an episode of inpatient hyponatremia in a large urban hospital to better inform our educational intervention. We then evaluated the impact of a live CME activity with a focus on CKD- and ESRD-associated hyponatremia physiology, on diagnostic practices of audience hospitalist attendings. We performed a retrospective database analysis of all patients admitted to Montefiore Medical Center in 2014 to examine the performance of hospital staff in response to hyponatremia across all CKD stages. We then did a comparative analysis of diagnostic workup orders for hyponatremic patients admitted to audience members of a live CME activity in the 4 months prior as compared to the 4 months after the activity. The prevalence of hyponatremia was 27% in a cohort of hospitalized patients: 41% of these hyponatremia inpatients had CKD, and 11.4% had ESRD. Overall less than 10% of patients had orders written for serum and urine osmolality without a differential pattern based on CKD or ESRD diagnosis. Among the patients admitted to the CME audience hospitalists, urine/serum osmolality and urine sodium orders occurred infrequently overall and did not differ after vs. before the lecture. The frequency of appropriate diagnostic orders written in response to an episode of hyponatremia was very low and did not vary based on degree of CKD. A CME activity with an emphasis on the role of CKD/ESRD in diagnostic accuracy did not improve the order quality in a group of audience hospitalists. Efforts to improve the diagnostic workup of hyponatremia with concomitant kidney disease are crucial to proper management of these patients.

Which Bow Shock Theory, Gasdynamic or Magnetohydrodynamic, Better Explains CME Stand-off Distance Ratios from LASCO-C2 Observations ?

NASA Astrophysics Data System (ADS)

Lee, Jae-Ok; Moon, Y.-J.; Lee, Jin-Yi; Kim, R.-S.; Cho, K.-S.

2017-03-01

It is generally believed that fast coronal mass ejections (CMEs) can generate their associated shocks, which are characterized by faint structures ahead of CMEs in white-light coronagraph images. In this study, we examine whether the observational stand-off distance ratio, defined as the CME stand-off distance divided by its radius, can be explained by bow shock theories. Of 535 SOHO/LASCO CMEs (from 1996 to 2015) with speeds greater than 1000 km s-1 and angular widths wider than 60°, we select 18 limb CMEs with the following conditions: (1) their Alfvénic Mach numbers are greater than one under Mann’s magnetic field and Saito’s density distributions; and (2) the shock structures ahead of the CMEs are well identified. We determine observational CME stand-off distance ratios by using brightness profiles from LASCO-C2 observations. We compare our estimates with theoretical stand-off distance ratios from gasdynamic (GD) and magnetohydrodynamic (MHD) theories. The main results are as follows. Under the GD theory, 39% (7/18) of the CMEs are explained in the acceptable ranges of adiabatic gamma (γ) and CME geometry. Under the MHD theory, all the events are well explained when we consider quasi-parallel MHD shocks with γ = 5/3. When we use polarized brightness (pB) measurements for coronal density distributions, we also find similar results: 8% (1/12) under GD theory and 100% (12/12) under MHD theory. Our results demonstrate that the bow shock relationships based on MHD theory are more suitable than those based on GD theory for analyzing CME-driven shock signatures.

Which Bow Shock Theory, Gasdynamic or Magnetohydrodynamic, Better Explains CME Stand-off Distance Ratios from LASCO-C2 Observations ?

DOE Office of Scientific and Technical Information (OSTI.GOV)

Lee, Jae-Ok; Moon, Y.-J.; Lee, Jin-Yi

It is generally believed that fast coronal mass ejections (CMEs) can generate their associated shocks, which are characterized by faint structures ahead of CMEs in white-light coronagraph images. In this study, we examine whether the observational stand-off distance ratio, defined as the CME stand-off distance divided by its radius, can be explained by bow shock theories. Of 535 SOHO /LASCO CMEs (from 1996 to 2015) with speeds greater than 1000 km s{sup −1} and angular widths wider than 60°, we select 18 limb CMEs with the following conditions: (1) their Alfvénic Mach numbers are greater than one under Mann’s magneticmore » field and Saito’s density distributions; and (2) the shock structures ahead of the CMEs are well identified. We determine observational CME stand-off distance ratios by using brightness profiles from LASCO-C2 observations. We compare our estimates with theoretical stand-off distance ratios from gasdynamic (GD) and magnetohydrodynamic (MHD) theories. The main results are as follows. Under the GD theory, 39% (7/18) of the CMEs are explained in the acceptable ranges of adiabatic gamma ( γ ) and CME geometry. Under the MHD theory, all the events are well explained when we consider quasi-parallel MHD shocks with γ = 5/3. When we use polarized brightness (pB) measurements for coronal density distributions, we also find similar results: 8% (1/12) under GD theory and 100% (12/12) under MHD theory. Our results demonstrate that the bow shock relationships based on MHD theory are more suitable than those based on GD theory for analyzing CME-driven shock signatures.« less

SOURCE REGIONS OF THE TYPE II RADIO BURST OBSERVED DURING A CME–CME INTERACTION ON 2013 MAY 22

DOE Office of Scientific and Technical Information (OSTI.GOV)

Mäkelä, P.; Reiner, M. J.; Akiyama, S.

2016-08-20

We report on our study of radio source regions during the type II radio burst on 2013 May 22 based on direction-finding analysis of the Wind /WAVES and STEREO /WAVES (SWAVES) radio observations at decameter–hectometric wavelengths. The type II emission showed an enhancement that coincided with the interaction of two coronal mass ejections (CMEs) launched in sequence along closely spaced trajectories. The triangulation of the SWAVES source directions posited the ecliptic projections of the radio sources near the line connecting the Sun and the STEREO-A spacecraft. The WAVES and SWAVES source directions revealed shifts in the latitude of the radiomore » source, indicating that the spatial location of the dominant source of the type II emission varies during the CME–CME interaction. The WAVES source directions close to 1 MHz frequencies matched the location of the leading edge of the primary CME seen in the images of the LASCO/C3 coronagraph. This correspondence of spatial locations at both wavelengths confirms that the CME–CME interaction region is the source of the type II enhancement. Comparison of radio and white-light observations also showed that at lower frequencies scattering significantly affects radio wave propagation.« less

Superposed epoch analysis of ion temperatures during CME- and CIR/HSS-driven storms

NASA Astrophysics Data System (ADS)

Keesee, A. M.; Scime, E. E.

2012-12-01

The NASA Two Wide-angle Imaging Neutral atom Spectrometers (TWINS) Mission provides a global view of the magnetosphere with near-continuous coverage. Utilizing a novel technique to calculate ion temperatures from the TWINS energetic neutral atom (ENA) measurements, we generate ion temperature maps of the magnetosphere. These maps can be used to study ion temperature evolution during geomagnetic storms. A superposed epoch analysis of the ion temperature evolution during 48 storms will be presented. Zaniewski et al. [2006] performed a superposed epoch analysis of ion temperatures by storm interval using data from the MENA instrument on the IMAGE mission, demonstrating significant dayside ion heating during the main phase. The TWINS measurements provide more continuous coverage and improved spatial and temporal resolution. Denton and Borovsky [2008] noted differences in ion temperature evolution at geosynchronous orbit between coronal mass ejection (CME)- and corotating interaction region (CIR)/high speed stream (HSS)- driven storms. Using our global ion temperature maps, we have found consistent results for select individual storms [Keesee et al., 2012]. We will present superposed epoch analyses for the subgroups of CME- and CIR/HSS-driven storms to compare global ion temperature evolution during the two types of storms.

Auto-detection of Halo CME Parameters as the Initial Condition of Solar Wind Propagation

NASA Astrophysics Data System (ADS)

Choi, Kyu-Cheol; Park, Mi-Young; Kim, Jae-Hun

2017-12-01

Halo coronal mass ejections (CMEs) originating from solar activities give rise to geomagnetic storms when they reach the Earth. Variations in the geomagnetic field during a geomagnetic storm can damage satellites, communication systems, electrical power grids, and power systems, and induce currents. Therefore, automated techniques for detecting and analyzing halo CMEs have been eliciting increasing attention for the monitoring and prediction of the space weather environment. In this study, we developed an algorithm to sense and detect halo CMEs using large angle and spectrometric coronagraph (LASCO) C3 coronagraph images from the solar and heliospheric observatory (SOHO) satellite. In addition, we developed an image processing technique to derive the morphological and dynamical characteristics of halo CMEs, namely, the source location, width, actual CME speed, and arrival time at a 21.5 solar radius. The proposed halo CME automatic analysis model was validated using a model of the past three halo CME events. As a result, a solar event that occurred at 03:38 UT on Mar. 23, 2014 was predicted to arrive at Earth at 23:00 UT on Mar. 25, whereas the actual arrival time was at 04:30 UT on Mar. 26, which is a difference of 5 hr and 30 min. In addition, a solar event that occurred at 12:55 UT on Apr. 18, 2014 was estimated to arrive at Earth at 16:00 UT on Apr. 20, which is 4 hr ahead of the actual arrival time of 20:00 UT on the same day. However, the estimation error was reduced significantly compared to the ENLIL model. As a further study, the model will be applied to many more events for validation and testing, and after such tests are completed, on-line service will be provided at the Korean Space Weather Center to detect halo CMEs and derive the model parameters.

The Integrated Joslin Performance Improvement/CME Program: A New Paradigm for Better Diabetes Care

ERIC Educational Resources Information Center

Brown, Julie A.; Beaser, Richard S.; Neighbours, James; Shuman, Jill

2011-01-01

Ongoing continuing medical education is an essential component of life-long learning and can have a positive influence on patient outcomes. However, some evidence suggests that continuing medical education has not fulfilled its potential as a performance improvement (PI) tool, in part due to a paradigm of CME that has focused on the quantity of…

Exercise motivation of college students in online, face-to-face, and blended basic studies physical activity and wellness course delivery formats.

PubMed

Sidman, Cara Lynn; Fiala, Kelly Ann; D'Abundo, Michelle Lee

2011-01-01

The purpose of this study was to assess exercise motivation among college students self-selected into 4 online (OL) and face-to-face (F2F) basic studies' physical activity and wellness course delivery formats. Out of 1,037 enrolled students during the Spring 2009 semester, 602 responded online to demographic questions and to the Behavioural Regulation in Exercise Questionnaire, which assessed exercise motivation on 5 subscales. There were no significant differences (p > .05) in exercise motivation for students across course delivery formats, but there was a significant difference in age and employment status between the completely OL and F2F course formats. Health and physical educators can utilize these findings to better understand that physical activity and wellness students are not necessarily trying to avoid physical activity when selecting the OL course format, but are more likely trying to balance work and school responsibilities and need greater flexibility in time and location.

Future capabilities of CME polarimetric 3D reconstructions with the METIS instrument: A numerical test

NASA Astrophysics Data System (ADS)

Pagano, P.; Bemporad, A.; Mackay, D. H.

2015-10-01

Context. Understanding the 3D structure of coronal mass ejections (CMEs) is crucial for understanding the nature and origin of solar eruptions. However, owing to the optical thinness of the solar corona we can only observe the line of sight integrated emission. As a consequence the resulting projection effects hide the true 3D structure of CMEs. To derive information on the 3D structure of CMEs from white-light (total and polarized brightness) images, the polarization ratio technique is widely used. The soon-to-be-launched METIS coronagraph on board Solar Orbiter will use this technique to produce new polarimetric images. Aims: This work considers the application of the polarization ratio technique to synthetic CME observations from METIS. In particular we determine the accuracy at which the position of the centre of mass, direction and speed of propagation, and the column density of the CME can be determined along the line of sight. Methods: We perform a 3D MHD simulation of a flux rope ejection where a CME is produced. From the simulation we (i) synthesize the corresponding METIS white-light (total and polarized brightness) images and (ii) apply the polarization ratio technique to these synthesized images and compare the results with the known density distribution from the MHD simulation. In addition, we use recent results that consider how the position of a single blob of plasma is measured depending on its projected position in the plane of the sky. From this we can interpret the results of the polarization ratio technique and give an estimation of the error associated with derived parameters. Results: We find that the polarization ratio technique reproduces with high accuracy the position of the centre of mass along the line of sight. However, some errors are inherently associated with this determination. The polarization ratio technique also allows information to be derived on the real 3D direction of propagation of the CME. The determination of this is of

Inner Structure of CME Shock Fronts Revealed by the Electromotive Force and Turbulent Transport Coefficients in Helios-2 Observations

NASA Astrophysics Data System (ADS)

Bourdin, Philippe-A.; Hofer, Bernhard; Narita, Yasuhito

2018-03-01

Electromotive force is an essential quantity in dynamo theory. During a coronal mass ejection (CME), magnetic helicity gets decoupled from the Sun and advected into the heliosphere with the solar wind. Eventually, a heliospheric magnetic transient event might pass by a spacecraft, such as the Helios space observatories. Our aim is to investigate the electromotive force, the kinetic helicity effect (α term), the turbulent diffusion (β term), and the cross-helicity effect (γ term) in the inner heliosphere below 1 au. We set up a one-dimensional model of the solar wind velocity and magnetic field for a hypothetic interplanetary CME. Because turbulent structures within the solar wind evolve much slower than this structure needs to pass by the spacecraft, we use a reduced curl operator to compute the current density and vorticity. We test our CME shock-front model against an observed magnetic transient that passes by the Helios-2 spacecraft. At the peak of the fluctuations in this event we find strongly enhanced α, β, and γ terms, as well as a strong peak in the total electromotive force. Our method allows us to automatically identify magnetic transient events from any in situ spacecraft observations that contain magnetic field and plasma velocity data of the solar wind.

Transforming in-situ observations of CME-driven shock accelerated protons into the shock's reference frame.

NASA Astrophysics Data System (ADS)

Robinson, I. M.; Simnett, G. M.

2005-07-01

We examine the solar energetic particle event following solar activity from 14, 15 April 2001 which includes a "bump-on-the-tail" in the proton energy spectra at 0.99 AU from the Sun. We find this population was generated by a CME-driven shock which arrived at 0.99 AU around midnight 18 April. As such this population represents an excellent opportunity to study in isolation, the effects of proton acceleration by the shock. The peak energy of the bump-on-the-tail evolves to progressively lower energies as the shock approaches the observing spacecraft at the inner Lagrange point. Focusing on the evolution of this peak energy we demonstrate a technique which transforms these in-situ spectral observations into a frame of reference co-moving with the shock whilst making allowance for the effects of pitch angle scattering and focusing. The results of this transform suggest the bump-on-the-tail population was not driven by the 15 April activity but was generated or at least modulated by a CME-driven shock which left the Sun on 14 April. The existence of a bump-on-the-tail population is predicted by models in Rice et al. (2003) and Li et al. (2003) which we compare with observations and the results of our analysis in the context of both the 14 April and 15 April CMEs. We find an origin of the bump-on-the-tail at the 14 April CME-driven shock provides better agreement with these modelled predictions although some discrepancy exists as to the shock's ability to accelerate 100 MeV protons. Keywords. Solar physics, astrophysics and astronomy (Energetic particles; Flares and mass ejections) Space plasma physics (Transport processes)

Evolution of the magnetic helicity flux during the formation and eruption of flux ropes

DOE Office of Scientific and Technical Information (OSTI.GOV)

Romano, P.; Zuccarello, F. P.; Guglielmino, S. L.

We describe the evolution and the magnetic helicity flux for two active regions (ARs) since their appearance on the solar disk: NOAA 11318 and NOAA 11675. Both ARs hosted the formation and destabilization of magnetic flux ropes. In the former AR, the formation of the flux rope culminated in a flare of C2.3 GOES class and a coronal mass ejection (CME) observed by Large Angle and Spectrometric Coronagraph Experiment. In the latter AR, the region hosting the flux rope was involved in several flares, but only a partial eruption with signatures of a minor plasma outflow was observed. We foundmore » a different behavior in the accumulation of the magnetic helicity flux in the corona, depending on the magnetic configuration and on the location of the flux ropes in the ARs. Our results suggest that the complexity and strength of the photospheric magnetic field is only a partial indicator of the real likelihood of an AR producing the eruption of a flux rope and a subsequent CME.« less

Statistical Literacy as a Function of Online versus Hybrid Course Delivery Format for an Introductory Graduate Statistics Course

ERIC Educational Resources Information Center

Hahs-Vaughn, Debbie L.; Acquaye, Hannah; Griffith, Matthew D.; Jo, Hang; Matthews, Ken; Acharya, Parul

2017-01-01

Statistical literacy refers to understanding fundamental statistical concepts. Assessment of statistical literacy can take the forms of tasks that require students to identify, translate, compute, read, and interpret data. In addition, statistical instruction can take many forms encompassing course delivery format such as face-to-face, hybrid,…

Tethered Prominence-CME Systems Captured during the 2012 November 13 and 2013 November 3 Total Solar Eclipses

NASA Astrophysics Data System (ADS)

Druckmüller, Miloslav; Habbal, Shadia R.; Alzate, Nathalia; Emmanouilidis, Constantinos

2017-12-01

We report on white light observations of high latitude tethered prominences acquired during the total solar eclipses of 2012 November 13 and 2013 November 3, at solar maximum, with a field of view spanning several solar radii. Distinguished by their pinkish hue, characteristic of emission from neutral hydrogen and helium, the four tethered prominences were akin to twisted flux ropes, stretching out to the limit of the field of view, while remaining anchored at the Sun. Cotemporal observations in the extreme ultraviolet from the Solar Dynamics Observatory (SDO/AIA) clearly showed that the pinkish emission from the cool (≈ {10}4-{10}5 K) filamentary prominences was cospatial with the 30.4 nm He II emission, and was directly linked to filamentary structures emitting at coronal temperatures ≥slant {10}6 K in 17.1 and 19.3 nm. The tethered prominences evolved from typical tornado types. Each one formed the core of different types of coronal mass ejections (CMEs), as inferred from coordinated LASCO C2, C3, and STEREO A and B coronagraph observations. Two of them evolved into a series of faint, unstructured puffs. One was a normal CME. The most striking one was a “light-bulb” type CME, whose three-dimensional structure was confirmed from all four coronagraphs. These first uninterrupted detections of prominence-CME systems anchored at the Sun, and stretching out to at least the edge of the field of view of LASCO C3, provide the first observational confirmation for the source of counter-streaming electron fluxes measured in interplanetary CMEs, or ICMEs.

Synthesis and reaction of [[HC(CMeNAr)2]Mn]2 (Ar = 2,6-iPr2C6H3): the complex containing three-coordinate manganese(I) with a Mn-Mn bond exhibiting unusual magnetic properties and electronic structure.

PubMed

Chai, Jianfang; Zhu, Hongping; Stückl, A Claudia; Roesky, Herbert W; Magull, Jörg; Bencini, Alessandro; Caneschi, Andrea; Gatteschi, Dante

2005-06-29

This paper reports on the synthesis, X-ray structure, magnetic properties, and DFT calculations of [[HC(CMeNAr)2]Mn]2 (Ar = 2,6-iPr2C6H3) (2), the first complex with three-coordinate manganese(I). Reduction of the iodide [[HC(CMeNAr)2]Mn(mu-I)]2 (1) with Na/K in toluene afforded 2 as dark-red crystals. The molecule of 2 contains a Mn2(2+) core with a Mn-Mn bond. The magnetic investigations show a rare example of a high-spin manganese(I) complex with an antiferromagnetic interaction between the two Mn(I) centers. The DFT calculations indicate a strong s-s interaction of the two Mn(I) ions with the open shell configuration (3d54s1). This suggests that the magnetic behavior of 2 could be correctly described as the coupling between two S1 = S2 = 5/2 spin centers. The Mn-Mn bond energy is estimated at 44 kcal mol(-1) by first principle calculations with the B3LYP functional. The further oxidative reaction of 2 with KMnO4 or O2 resulted in the formation of manganese(III) oxide [[HC(CMeNAr)2]Mn(mu-O)]2 (3). Compound 3 shows an antiferromagnetic coupling between the two oxo-bridged manganese(III) centers by magnetic measurements.

E-learning for occupational physicians' CME: a study case.

PubMed

Mazzoleni, M Cristina; Rognoni, Carla; Finozzi, Enrico; Gri, Tommaso; Pagani, Marco; Imbriani, Marcello

2011-01-01

The present study reports the results of the evaluation of an e-learning CME course in the field of Occupational Medicine. In particular the following aspects have been investigated: If and how the course contents have met the educational users' needs; The effectiveness of the course in terms of knowledge improvement; Users' behaviour. Attendance data and results of a sample of 1128 attendees have been analyzed via ad hoc developed tools for direct inspection of Moodle CMS database. The results document the effectiveness of the e-learning course, as regards meeting the educational needs of physicians and also the improvement in terms of knowledge and problem solving skill acquisition. Users' behaviour has revealed a certain tendency for passing the tests, more than for pursuing the best possible result. Interaction with the tutor is low.

Are online learning modules an effective way to deliver hand trauma management continuing medical education to emergency physicians?

PubMed

Williams, Jason G

2014-01-01

The enormity of modern medical knowledge and the rapidity of change have created increased need for ongoing or continuing medical education (CME) for physicians. Online CME is attractive for its availability at any time and any place, low cost and potentially increased effectiveness compared with traditional face-to-face delivery. To determine whether online CME modules are an effective method for delivering plastic surgery CME to primary care physicians. A needs assessment survey was conducted among all emergency and family physicians in Nova Scotia. Results indicated that this type of program was appealing, and that hand trauma related topics were most desired for CME. 7 Lesson Builder (SoftChalk LLC, www.softchalk.com) was used to construct a multimedia e-learning module that was distributed along with a pretest, post-test and feedback questionnaire. Quantitative (pre- and post-test scores) and qualitative (feedback responses) data were analyzed. The 32 participants who completed the study indicated that it was a positive and enjoyable experience, and that there was a need for more resources like this. Compared with pretest scores, there was a significant gain in knowledge following completion of the module (P=0.001). The present study demonstrated that an e-learning format is attractive for this population and effective in increasing knowledge. This positive outcome will lead to development of additional modules.

43 CFR 11.42 - How does the authorized official apply the NRDAM/CME or NRDAM/GLE?

Code of Federal Regulations, 2010 CFR

2010-10-01

... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false How does the authorized official apply the NRDAM/CME or NRDAM/GLE? 11.42 Section 11.42 Public Lands: Interior Office of the Secretary of the Interior NATURAL RESOURCE DAMAGE ASSESSMENTS Type A Procedures § 11.42 How does the authorized official...

43 CFR 11.42 - How does the authorized official apply the NRDAM/CME or NRDAM/GLE?

Code of Federal Regulations, 2011 CFR

2011-10-01

... 43 Public Lands: Interior 1 2011-10-01 2011-10-01 false How does the authorized official apply the NRDAM/CME or NRDAM/GLE? 11.42 Section 11.42 Public Lands: Interior Office of the Secretary of the Interior NATURAL RESOURCE DAMAGE ASSESSMENTS Type A Procedures § 11.42 How does the authorized official...

Sawtooth events and O+ in the plasma sheet and boundary layer: CME- and SIR-driven events

NASA Astrophysics Data System (ADS)

Lund, E. J.; Nowrouzi, N.; Kistler, L. M.; Cai, X.; Liao, J.

2017-12-01

The role of ionospheric ions in sawtooth events is an open question. Simulations[1,2,3] suggest that O+ from the ionosphere produces a feedback mechanism for driving sawtooth events. However, observational evidence[4,5] suggest that the presence of O+ in the plasma sheet is neither necessary nor sufficient. In this study we investigate whether the solar wind driver of the geomagnetic storm has an effect on the result. Building on an earlier study[4] that used events for which Cluster data is available in the plasma sheet and boundary layer, we perform a superposed epoch analysis for coronal mass ejection (CME) driven storms and streaming interaction region (SIR) driven storms separately, to investigate the hypothesis that ionospheric O+ is an important contributor for CME-driven storms but not SIR-driven storms[2]. [1]O. J. Brambles et al. (2011), Science 332, 1183.[2]O. J. Brambles et al. (2013), JGR 118, 6026.[3]R. H. Varney et al. (2016), JGR 121, 9688.[4]J. Liao et al. (2014), JGR 119, 1572.[5]E. J. Lund et al. (2017), JGR, submitted.

Coronal mass ejection (CME) activity of low mass M stars as an important factor for the habitability of terrestrial exoplanets. I. CME impact on expected magnetospheres of Earth-like exoplanets in close-in habitable zones.

PubMed

Khodachenko, Maxim L; Ribas, Ignasi; Lammer, Helmut; Griessmeier, Jean-Mathias; Leitner, Martin; Selsis, Franck; Eiroa, Carlos; Hanslmeier, Arnold; Biernat, Helfried K; Farrugia, Charles J; Rucker, Helmut O

2007-02-01

Low mass M- and K-type stars are much more numerous in the solar neighborhood than solar-like G-type stars. Therefore, some of them may appear as interesting candidates for the target star lists of terrestrial exoplanet (i.e., planets with mass, radius, and internal parameters identical to Earth) search programs like Darwin (ESA) or the Terrestrial Planet Finder Coronagraph/Inferometer (NASA). The higher level of stellar activity of low mass M stars, as compared to solar-like G stars, as well as the closer orbital distances of their habitable zones (HZs), means that terrestrial-type exoplanets within HZs of these stars are more influenced by stellar activity than one would expect for a planet in an HZ of a solar-like star. Here we examine the influences of stellar coronal mass ejection (CME) activity on planetary environments and the role CMEs may play in the definition of habitability criterion for the terrestrial type exoplanets near M stars. We pay attention to the fact that exoplanets within HZs that are in close proximity to low mass M stars may become tidally locked, which, in turn, can result in relatively weak intrinsic planetary magnetic moments. Taking into account existing observational data and models that involve the Sun and related hypothetical parameters of extrasolar CMEs (density, velocity, size, and occurrence rate), we show that Earth-like exoplanets within close-in HZs should experience a continuous CME exposure over long periods of time. This fact, together with small magnetic moments of tidally locked exoplanets, may result in little or no magnetospheric protection of planetary atmospheres from a dense flow of CME plasma. Magnetospheric standoff distances of weakly magnetized Earth-like exoplanets at orbital distances

The continuing medical education activities and attitudes of Australian doctors working in different clinical specialties and practice locations.

PubMed

Stewart, Grant D; Khadra, Mohamed H

2009-02-01

Currently, it is not clear which continuing medical education (CME) methods are being used by senior doctors and what their attitudes towards them are. The aims of this study were to investigate which modes of CME delivery senior Australian doctors utilise, to assess doctors' attitudes towards CME and to determine any differences in modes used and attitudes between clinical specialties and practice locations. A 52-statement questionnaire enquiring about doctors' current CME activities and their attitudes towards CME was distributed to 1336 senior Australian doctors. 494 doctors responded to the questionnaire. Traditional forms of CME (eg, meetings, conferences, journals and lectures) were most commonly used. Doctors thought CME involving face-to-face interaction was superior to electronic forms of CME. All doctors, especially those in hospital practice, had a positive attitude towards CME but found lack of time a barrier to learning. Rural doctors found CME sessions more difficult to attend than did their metropolitan colleagues. Traditional forms of CME were more popular than modern CME approaches, such as e-learning. Australian doctors had a positive attitude towards undertaking CME despite struggling to find time to perform CME. The differences in attitudes towards CME demonstrated between specialties and different practice location will aid future CME planning.

X-ray Magnetosheath Emission from Solar Wind Charge Exchange During Two CME Events in 2001

NASA Astrophysics Data System (ADS)

Sembay, S.; Whittaker, I. C.; Read, A.; Carter, J. A.; Milan, S. E.; Palmroth, M.

2016-12-01

Using a combination of the GUMICS-4 MHD model and observed solar wind heavy ion abundances from ACE, we produce case studies looking at X-ray emission from charge exchange in the Earth's magnetosheath. We specifically look in the 0.5-0.7 keV range, which is dominated by highly ionised oxygen emission. Previous studies looking at solar wind charge exchange (SWCX) emission have verified our modelling process via comparison to the XMM-Newton X-ray observatory, and we use the same simulation process here. This study investigates the emission magnitude changes that occur during two coronal mass ejection (CME) events (31 March 2001 and 21 October 2001). As part of this work we also provide a novel masking technique to exclude the plasma of terrestrial origin in the MHD model. As expected the two CME cases examined provide an increased dynamic pressure which pushes the magnetopause closer to the Earth, with a high temporal variation. We show how these changes cause an increase in the peak SWCX emission signature by over an order of magnitude from the quiescent solar wind case. Imaging of this SWCX emission allows a global view of the magnetopause shape and position, a technique planned for future missions such as SMILE (Solar wind Magnetosphere Ionosphere Link Explorer).

A framework for assessing the uncertainty in wave energy delivery to targeted subsurface formations

NASA Astrophysics Data System (ADS)

Karve, Pranav M.; Kallivokas, Loukas F.; Manuel, Lance

2016-02-01

Stress wave stimulation of geological formations has potential applications in petroleum engineering, hydro-geology, and environmental engineering. The stimulation can be applied using wave sources whose spatio-temporal characteristics are designed to focus the emitted wave energy into the target region. Typically, the design process involves numerical simulations of the underlying wave physics, and assumes a perfect knowledge of the material properties and the overall geometry of the geostructure. In practice, however, precise knowledge of the properties of the geological formations is elusive, and quantification of the reliability of a deterministic approach is crucial for evaluating the technical and economical feasibility of the design. In this article, we discuss a methodology that could be used to quantify the uncertainty in the wave energy delivery. We formulate the wave propagation problem for a two-dimensional, layered, isotropic, elastic solid truncated using hybrid perfectly-matched-layers (PMLs), and containing a target elastic or poroelastic inclusion. We define a wave motion metric to quantify the amount of the delivered wave energy. We, then, treat the material properties of the layers as random variables, and perform a first-order uncertainty analysis of the formation to compute the probabilities of failure to achieve threshold values of the motion metric. We illustrate the uncertainty quantification procedure using synthetic data.

MEMS: Enabled Drug Delivery Systems.

PubMed

Cobo, Angelica; Sheybani, Roya; Meng, Ellis

2015-05-01

Drug delivery systems play a crucial role in the treatment and management of medical conditions. Microelectromechanical systems (MEMS) technologies have allowed the development of advanced miniaturized devices for medical and biological applications. This Review presents the use of MEMS technologies to produce drug delivery devices detailing the delivery mechanisms, device formats employed, and various biomedical applications. The integration of dosing control systems, examples of commercially available microtechnology-enabled drug delivery devices, remaining challenges, and future outlook are also discussed. © 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

RNA interfering molecule delivery from in situ forming biodegradable hydrogels for enhancement of bone formation in rat calvarial bone defects.

PubMed

Nguyen, Minh K; Jeon, Oju; Dang, Phuong N; Huynh, Cong T; Varghai, Davood; Riazi, Hooman; McMillan, Alexandra; Herberg, Samuel; Alsberg, Eben

2018-06-06

RNA interference (RNAi) may be an effective and valuable tool for promoting the growth of functional tissue, as short interfering RNA (siRNA) and microRNA (miRNA) can block the expression of genes that have negative effects on tissue regeneration. Our group has recently reported that the localized and sustained presentation of siRNA against noggin (siNoggin) and miRNA-20a from in situ forming poly(ethylene glycol) (PEG) hydrogels enhanced osteogenic differentiation of encapsulated human bone marrow-derived mesenchymal stem cells (hMSCs). Here, the capacity of the hydrogel system to accelerate bone formation in a rat calvarial bone defect model is presented. After 12 weeks post-implantation, the hydrogels containing encapsulated hMSCs and miRNA-20a resulted in more bone formation in the defects than the hydrogels containing hMSCs without siRNA or with negative control siRNA. This localized and sustained RNA interfering molecule delivery system may provide an excellent platform for healing bony defects and other tissues. Delivery of RNAi molecules may be a valuable strategy to guide cell behavior for tissue engineering applications, but to date there have been no reports of a biomaterial system capable of both encapsulation of cells and controlled delivery of incorporated RNA. Here, we present PEG hydrogels that form in situ via Michael type reaction, and that permit encapsulation of hMSCs and the concomitant controlled delivery of siNoggin and/or miRNA-20a. These RNAs were chosen to suppress noggin, a BMP-2 antagonist, and/or PPAR-γ, a negative regulator of BMP-2-mediated osteogenesis, and therefore promote osteogenic differentiation of hMSCs and subsequent bone repair in critical-sized rat calvarial defects. Simultaneous delivery of hMSCs and miRNA-20a enhanced repair of these defects compared to hydrogels containing hMSCs without siRNA or with negative control siRNA. This in situ forming PEG hydrogel system offers an exciting platform for healing critical

Kinematic Treatment of CME Evolution in the Solar Wind

NASA Technical Reports Server (NTRS)

Riley, Pete; Crooker, N. U.

2004-01-01

We present a kinematic study of the evolution of coronal mass ejections (CMEs) in the solar wind. Specifically, we consider the effects of: (1) spherical expansion; and (2) uniform expansion due to pressure gradients between the Interplanetary CME (ICME) and the ambient solar wind. We compare these results with an MHD model, which allows us to isolate these effects from the combined kinematic and dynamical effects, which are included in MHD models. They also provide compelling evidence that the fundamental cross section of so-called "force-free" flux ropes (or magnetic clouds) is neither circular or elliptical, but rather a convex-outward, "pancake" shape. We apply a force-free fitting to the magnetic vectors from the MHD simulation to assess how the distortion of the flux rope affects the fitting. In spite of these limitations, force-free fittings, which are straightforward to apply, do provide an important description of a number of parameters, including the radial dimension, orientation and chirality of the ICME.

Spatial Offsets in Flare-CME Current Sheets

DOE Office of Scientific and Technical Information (OSTI.GOV)

Raymond, John C.; Giordano, Silvio; Ciaravella, Angela, E-mail: jraymond@cfa.harvard.edu

Magnetic reconnection plays an integral part in nearly all models of solar flares and coronal mass ejections (CMEs). The reconnection heats and accelerates the plasma, produces energetic electrons and ions, and changes the magnetic topology to form magnetic flux ropes and to allow CMEs to escape. Structures that appear between flare loops and CME cores in optical, UV, EUV, and X-ray observations have been identified as current sheets and have been interpreted in terms of the nature of the reconnection process and the energetics of the events. Many of these studies have used UV spectral observations of high temperature emissionmore » features in the [Fe xviii] and Si xii lines. In this paper, we discuss several surprising cases in which the [Fe xviii] and Si xii emission peaks are spatially offset from each other. We discuss interpretations based on asymmetric reconnection, on a thin reconnection region within a broader streamer-like structure, and on projection effects. Some events seem to be easily interpreted as the projection of a sheet that is extended along the line of sight that is viewed an angle, but a physical interpretation in terms of asymmetric reconnection is also plausible. Other events favor an interpretation as a thin current sheet embedded in a streamer-like structure.« less

One-step formation of lipid-polyacrylic acid-calcium carbonate nanoparticles for co-delivery of doxorubicin and curcumin.

PubMed

Peng, Jianqing; Fumoto, Shintaro; Miyamoto, Hirotaka; Chen, Yi; Kuroda, Naotaka; Nishida, Koyo

2017-09-01

A doxorubicin (Dox) and curcumin (Cur) combination treatment regimen has been widely studied in pre-clinical research. However, the nanoparticles developed for this combination therapy require a consecutive drug loading process because of the different water-solubility of these drugs. This study provides a strategy for the "one-step" formation of nanoparticles encapsulating both Dox and Cur. We took advantage of polyacrylic acid (PAA) and calcium carbonate (CaCO 3 ) to realise a high drug entrapment efficiency (EE) and pH-sensitive drug release using a simplified preparation method. Optimisation of lipid ratios and concentrations of CaCO 3 was conducted. Under optimal conditions, the mean diameter of PEGylated lipid/PAA/CaCO 3 nanoparticles with encapsulated Cur and Dox (LPCCD) was less than 100 nm. An obvious pH-sensitive release of both drugs was observed, with different Dox and Cur release rates. Successful co-delivery of Cur and Dox was achieved via LPCCD on HepG2 cells. LPCCD altered the bio-distribution of Dox and Cur in vivo and decreased Dox-induced cardiotoxicity. The current investigation has developed an efficient ternary system for co-delivery of Dox and Cur to tumours, using a "one-step" formation resulting in nanoparticles possessing remarkable pH-sensitive drug release behaviour, which may be valuable for further clinical studies and eventual clinical application.

Thermal energy creation and transport and X-ray/EUV emission in a thermodynamic MHD CME simulation

NASA Astrophysics Data System (ADS)

Reeves, K.; Mikic, Z.; Torok, T.; Linker, J.; Murphy, N. A.

2017-12-01

We model a CME using the PSI 3D numerical MHD code that includes coronal heating, thermal conduction and radiative cooling in the energy equation. The magnetic flux distribution at 1 Rs is produced by a localized subsurface dipole superimposed on a global dipole field, mimicking the presence of an active region within the global corona. We introduce transverse electric fields near the neutral line in the active region to form a flux rope, then a converging flow is imposed that causes the eruption. We follow the formation and evolution of the current sheet and find that instabilities set in soon after the reconnection commences. We simulate XRT and AIA EUV emission and find that the instabilities manifest as bright features emanating from the reconnection region. We examine the quantities responsible for plasma heating and cooling during the eruption, including thermal conduction, radiation, adiabatic compression and expansion, coronal heating and ohmic heating due to dissipation of currents. We find that the adiabatic compression plays an important role in heating the plasma around the current sheet, especially in the later stages of the eruption when the instabilities are present. Thermal conduction also plays an important role in the transport of thermal energy away from the current sheet region throughout the reconnection process.

Competition Between Radial Loss and EMIC Wave Scattering of MeV Electrons During Strong CME-shock Driven Storms

NASA Astrophysics Data System (ADS)

Hudson, M. K.; Jaynes, A. N.; Li, Z.; Malaspina, D.; Millan, R. M.; Patel, M.; Qin, M.; Shen, X.; Wiltberger, M. J.

2017-12-01

The two strongest storms of Solar Cycle 24, 17 March and 22 June 2015, provide a contrast between magnetospheric response to CME-shocks at equinox and solstice. The 17 March CME-shock initiated storm produced a stronger ring current response with Dst = - 223 nT, while the 22 June CME-shock initiated storm reached a minimum Dst = - 204 nT. The Van Allen Probes ECT instrument measured a dropout in flux for both events which can be characterized by magnetopause loss at higher L values prior to strong recovery1. However, rapid loss is seen at L 3 for the June storm at high energies with maximum drop in the 5.2 MeV channel of the REPT instrument coincident with the observation of EMIC waves in the H+ band by the EMFISIS wave instrument. The rapid time scale of loss can be determined from the 65 minute delay in passage of the Probe A relative to the Probe B spacecraft. The distinct behavior of lower energy electrons at higher L values has been modeled with MHD-test particle simulations, while the rapid loss of higher energy electrons is examined in terms of the minimum resonant energy criterion for EMIC wave scattering, and compared with the timescale for loss due to EMIC wave scattering which has been modeled for other storm events.2 1Baker, D. N., et al. (2016), Highly relativistic radiation belt electron acceleration, transport, and loss: Large solar storm events of March and June 2015, J. Geophys. Res. Space Physics, 121, 6647-6660, doi:10.1002/2016JA022502. 2Li, Z., et al. (2014), Investigation of EMIC wave scattering as the cause for the BARREL 17 January 2013 relativistic electron precipitation event: A quantitative comparison of simulation with observations, Geophys. Res. Lett., 41, 8722-8729, doi:10.1002/2014GL062273.

Importance of CME Radial Expansion on the Ability of Slow CMEs to Drive Shocks

NASA Astrophysics Data System (ADS)

Lugaz, N.; Farrugia, C. J.; Winslow, R. M.; Small, C. R.; Manion, T.; Savani, N.

2017-12-01

Coronal mass ejections (CMEs) may disturb the solar wind either by overtaking it, or by expanding into it, or both. CMEs whose front moves faster in the solar wind frame than the fast magnetosonic speed, drive shocks. In general, near 1 AU, CMEs with speed greater than about 500 km s-1 drive shocks, whereas slower CMEs do not. However, CMEs as slow as 350 km s-1 may sometimes, although rarely, drive shocks. Here, we study these slow CMEs with shocks and investigate the importance of CME expansion in contributing to their ability to drive shocks and in enhancing shock strength. Our focus is on CMEs with average speeds under 375 km s-1. From Wind measurements from 1996 to 2016, we find 22 cases of such shock-driving slow CMEs, and, for about half of them, the existence of the shock appears to be strongly related to CME expansion. We also investigate the proportion of all CMEs with speeds under 500 km s-1 with and without shocks in solar cycles 23 and 24, depending on their speed. We find no systematic difference, as might have been expected on the basis of the lower solar wind and Alfven speeds reported for solar cycle 24 vs. 23. The slower expansion speed of CMEs in solar cycle 24 is a reasonable explanation for this lack of increased frequency of shocks, but further studies are required.

Longitudinal Dependence of SEP Peak Intensities as Evidence of CME-Driven Shock Particle Acceleration

NASA Astrophysics Data System (ADS)

Lario, D.; Roelof, E. C.; Decker, R. B.

2014-05-01

Multi-spacecraft observations of solar energetic particle (SEP) events allow us to estimate the longitudinal distributions of SEP peak intensities. By fitting a Gaussian functional form to the ensemble of SEP peak intensities measured by two or more spacecraft as a function of the longitudinal distance between the associated parent solar flare and the footpoint labels of the magnetic field lines connecting each spacecraft with the Sun, we found that such distributions are not centered at nominal well-connected flare longitudes but slightly offset to the west of the associated flare (Lario et al. 2006, 2013). We offer an interpretation of this result in terms of long-lived particle injection from shocks driven by the associated coronal mass ejections (CMEs). By assuming that (i) CME-driven shocks are centered on the longitude of the associated solar flare, (ii) the injection of shock accelerated particles maximizes at the nose of the shock which propagates radially outward from the Sun, and (iii) SEP particle injection from the shock starts at a certain distance above the solar surface, we infer an average radial distance where shocks are located when peak intensities in the prompt component of the SEP events are observed. We estimate the heliocentric distance of the CME-driven shock when particle injection from the shock maximizes and conclude that the injection of ˜20 MeV protons and near-relativistic electrons maximizes well inside ˜0.2 AU.

Ultrasound-guided drug delivery in cancer

PubMed Central

2017-01-01

Recent advancements in ultrasound and microbubble (USMB) mediated drug delivery technology has shown that this approach can improve spatially confined delivery of drugs and genes to target tissues while reducing systemic dose and toxicity. The mechanism behind enhanced delivery of therapeutics is sonoporation, the formation of openings in the vasculature, induced by ultrasound-triggered oscillations and destruction of microbubbles. In this review, progress and challenges of USMB mediated drug delivery are summarized, with special focus on cancer therapy. PMID:28607323

Planetary formation and water delivery in the habitable zone around solar-type stars in different dynamical environments

NASA Astrophysics Data System (ADS)

Zain, P. S.; de Elía, G. C.; Ronco, M. P.; Guilera, O. M.

2018-01-01

Context. Observational and theoretical studies suggest that there are many and various planetary systems in the Universe. Aims: We study the formation and water delivery of planets in the habitable zone (HZ) around solar-type stars. In particular, we study different dynamical environments that are defined by the most massive body in the system. Methods: First of all, a semi-analytical model was used to define the mass of the protoplanetary disks that produce each of the five dynamical scenarios of our research. Then, we made use of the same semi-analytical model to describe the evolution of embryos and planetesimals during the gaseous phase. Finally, we carried out N-body simulations of planetary accretion in order to analyze the formation and water delivery of planets in the HZ in the different dynamical environments. Results: Water worlds are efficiently formed in the HZ in different dynamical scenarios. In systems with a giant planet analog to Jupiter or Saturn around the snow line, super-Earths tend to migrate into the HZ from outside the snow line as a result of interactions with other embryos and accrete water only during the gaseous phase. In systems without giant planets, Earths and super-Earths with high water by mass contents can either be formed in situ in the HZ or migrate into it from outer regions, and water can be accreted during the gaseous phase and in collisions with water-rich embryos and planetesimals. Conclusions: The formation of planets in the HZ with very high water by mass contents seems to be a common process around Sun-like stars. Our research suggests that such planets are still very efficiently produced in different dynamical environments. Moreover, our study indicates that the formation of planets in the HZ with masses and water contents similar to those of Earth seems to be a rare process around solar-type stars in the systems under consideration.

Well-defined EUV wave associated with a CME-driven shock

NASA Astrophysics Data System (ADS)

Cunha-Silva, R. D.; Selhorst, C. L.; Fernandes, F. C. R.; Oliveira e Silva, A. J.

2018-05-01

Aims: We report on a well-defined EUV wave observed by the Extreme Ultraviolet Imager (EUVI) on board the Solar Terrestrial Relations Observatory (STEREO) and the Atmospheric Imaging Assembly (AIA) on board the Solar Dynamics Observatory (SDO). The event was accompanied by a shock wave driven by a halo CME observed by the Large Angle and Spectrometric Coronagraph (LASCO-C2/C3) on board the Solar and Heliospheric Observatory (SOHO), as evidenced by the occurrence of type II bursts in the metric and dekameter-hectometric wavelength ranges. We investigated the kinematics of the EUV wave front and the radio source with the purpose of verifying the association between the EUV wave and the shock wave. Methods: The EUV wave fronts were determined from the SDO/AIA images by means of two appropriate directions (slices). The heights (radial propagation) of the EUV wave observed by STEREO/EUVI and of the radio source associated with the shock wave were compared considering the whole bandwidth of the harmonic lane of the radio emission, whereas the speed of the shock was estimated using the lowest frequencies of the harmonic lane associated with the undisturbed corona, using an appropriate multiple of the Newkirk (1961, ApJ, 133, 983) density model and taking into account the H/F frequency ratio fH/fF = 2. The speed of the radio source associated with the interplanetary shock was determined using the Mann et al. (1999, A&A, 348, 614) density model. Results: The EUV wave fronts determined from the SDO/AIA images revealed the coexistence of two types of EUV waves, a fast one with a speed of 560 km s-1, and a slower one with a speed of 250 km s-1, which corresponds approximately to one-third of the average speed of the radio source ( 680 km s-1). The radio signature of the interplanetary shock revealed an almost constant speed of 930 km s-1, consistent with the linear speed of the halo CME (950 km s-1) and with the values found for the accelerating coronal shock ( 535-823 km s-1

The ability of a collagen/calcium phosphate scaffold to act as its own vector for gene delivery and to promote bone formation via transfection with VEGF(165).

PubMed

Keeney, Michael; van den Beucken, Jeroen J J P; van der Kraan, Peter M; Jansen, John A; Pandit, Abhay

2010-04-01

Collagen/calcium phosphate scaffolds have been used for bone reconstruction due to their inherent similarities to the bone extracellular matrix. Calcium phosphate alone has also been used as a non-viral vector for gene delivery. The aim of this study was to determine the capability of a collagen/calcium phosphate scaffold to deliver naked plasmid DNA and mediate transfection in vivo. The second goal of the study was to deliver a plasmid encoding vascular endothelial growth factor(165) (pVEGF(165)) to promote angiogenesis, and hence bone formation, in a mouse intra-femoral model. The delivery of naked plasmid DNA resulted in a 7.6-fold increase in mRNA levels of beta-Galactosidase compared to the delivery of plasmid DNA complexed with a partially degraded PAMAM dendrimer (dPAMAM) in a subcutaneous murine model. When implanted in a muirne intra-femoral model, the delivery of pVEGF(165) resulted in a 2-fold increase in bone volume at the defect site relative to control scaffolds without pVEGF(165). It was concluded that a collagen/calcium phosphate scaffold can mediate transfection without the use of additional transfection vectors and can promote bone formation in a mouse model via the delivery of pVEGF(165). 2009 Elsevier Ltd. All rights reserved.

CME Eruption Onset Observations from EIT and SXT

NASA Technical Reports Server (NTRS)

Sterling, A. C.

2004-01-01

Why CMEs erupt is a major outstanding puzzle of solar physics. Signatures observable at the earliest stages of eruption onset may hold precious clues about the onset mechanism. We present observations in EUV from SOHO/EIT and in soft X-rays from Yohkoh/SXT of the re-eruption and eruption phases of CME expulsion, along with the eruption's magnetic setting found from SOHO/MDI magnetograms. Most of our events involve clearly-observable filament eruptions and multiple neutral lines, and we use the magnetic settings and motions of the filaments to help infer the geometry and behavior of the associated erupting magnetic fields. Pre-eruption and early-eruption signatures include a relatively slow filament rise prior to eruption, and intensity "dimmings" and brightenings, both in the immediate neighborhood of the "core" (location of greatest magnetic shear) of the erupting fields and at locations remote from the core. These signatures and their relative timings place observational constraints on eruption mechanisms; our recent work has focused on implications for the so-called "tether cutting" and "breakout" models, but the same observational constraints are applicable to any model.

Direct Observations of Magnetic Flux Rope Formation during a Solar Coronal Mass Ejection

NASA Astrophysics Data System (ADS)

Song, H. Q.; Zhang, J.; Chen, Y.; Cheng, X.

2014-09-01

Coronal mass ejections (CMEs) are the most spectacular eruptive phenomena in the solar atmosphere. It is generally accepted that CMEs are the results of eruptions of magnetic flux ropes (MFRs). However, there is heated debate on whether MFRs exist prior to the eruptions or if they are formed during the eruptions. Several coronal signatures, e.g., filaments, coronal cavities, sigmoid structures, and hot channels (or hot blobs), are proposed as MFRs and observed before the eruption, which support the pre-existing MFR scenario. There is almost no reported observation of MFR formation during the eruption. In this Letter, we present an intriguing observation of a solar eruptive event that occurred on 2013 November 21 with the Atmospheric Imaging Assembly on board the Solar Dynamic Observatory, which shows the formation process of the MFR during the eruption in detail. The process began with the expansion of a low-lying coronal arcade, possibly caused by the flare magnetic reconnection underneath. The newly formed ascending loops from below further pushed the arcade upward, stretching the surrounding magnetic field. The arcade and stretched magnetic field lines then curved in just below the arcade vertex, forming an X-point. The field lines near the X-point continued to approach each other and a second magnetic reconnection was induced. It is this high-lying magnetic reconnection that led to the formation and eruption of a hot blob (~10 MK), presumably an MFR, producing a CME. We suggest that two spatially separated magnetic reconnections occurred in this event, which were responsible for producing the flare and the hot blob (CME).

Direct Observations of Magnetic Flux Rope Formation during a Solar Coronal Mass Ejection

NASA Astrophysics Data System (ADS)

Song, H.; Zhang, J.; Chen, Y.; Cheng, X.

2014-12-01

Coronal mass ejections (CMEs) are the most spectacular eruptive phenomena in the solar atmosphere. It is generally accepted that CMEs are results of eruptions of magnetic flux ropes (MFRs). However, a heated debate is on whether MFRs pre-exist before the eruptions or they are formed during the eruptions. Several coronal signatures, e.g., filaments, coronal cavities, sigmoid structures and hot channels (or hot blobs), are proposed as MFRs and observed before the eruption, which support the pre existing MFR scenario. There is almost no reported observation about MFR formation during the eruption. In this presentation, we present an intriguing observation of a solar eruptive event with the Atmospheric Imaging Assembly on board the Solar Dynamic Observatory, which shows a detailed formation process of the MFR during the eruption. The process started with the expansion of a low lying coronal arcade, possibly caused by the flare magnetic reconnection underneath. The newly-formed ascending loops from below further pushed the arcade upward, stretching the surrounding magnetic field. The arcade and stretched magnetic field lines then curved-in just below the arcade vertex, forming an X-point. The field lines near the X-point continued to approach each other and a second magnetic reconnection was induced. It is this high-lying magnetic reconnection that led to the formation and eruption of a hot blob (~ 10 MK), presumably a MFR, producing a CME. We suggest that two spatially-separated magnetic reconnections occurred in this event, responsible for producing the flare and the hot blob (CME), respectively.

Computational Modeling and Simulations of Bioparticle Internalization Through Clathrin-mediated Endocytosis

NASA Astrophysics Data System (ADS)

Deng, Hua; Dutta, Prashanta; Liu, Jin

2016-11-01

Clathrin-mediated endocytosis (CME) is one of the most important endocytic pathways for the internalization of bioparticles at lipid membrane of cells, which plays crucial roles in fundamental understanding of viral infections and interacellular/transcelluar targeted drug delivery. During CME, highly dynamic clathrin-coated pit (CCP), formed by the growth of ordered clathrin lattices, is the key scaffolding component that drives the deformation of plasma membrane. Experimental studies have shown that CCP alone can provide sufficient membrane curvature for facilitating membrane invagination. However, currently there is no computational model that could couple cargo receptor binding with membrane invagination process, nor simulations of the dynamic growing process of CCP. We develop a stochastic computational model for the clathrin-mediated endocytosis based on Metropolis Monte Carlo simulations. In our model, the energetic costs of bending membrane and CCP are linked with antigen-antibody interactions. The assembly of clathrin lattices is a dynamic process that correlates with antigen-antibody bond formation. This model helps study the membrane deformation and the effects of CCP during functionalized bioparticles internalization through CME. This work is supported by NSF Grants: CBET-1250107 and CBET-1604211.

Laboratory Simulations of CME-Solar Wind Interactions Using a Coaxial Gun and Background Plasma

NASA Astrophysics Data System (ADS)

Wallace, B. H.; Zhang, Y.; Fisher, D.; Gilmore, M.

2016-12-01

Understanding and predicting solar coronal mass ejections (CMEs) is of critical importance for mitigating their disruptive behavior on ground- and space-based technologies. While predictive models of CME propagation and evolution have relied primarily on sparse in-situ data along with ground and satellite images for validation purposes, emerging laboratory efforts have shown that CME-like events can be created with parameters applicable to the solar regime that may likewise aid in predictive modeling. A modified version of the coaxial plasma gun from the Plasma Bubble Expansion Experiment (PBEX) [A. G. Lynn, Y. Zhang, S. C. Hsu, H. Li, W. Liu, M. Gilmore, and C. Watts, Bull. Amer. Phys. Soc. 52, 53 (2007)] will be used in conjunction with the Helicon-Cathode (HelCat) basic plasma science device in order to observe the magnetic characteristics of CMEs as they propagate through the solar wind. The evolution of these interactions will be analyzed using a multi-tip Langmuir probe array, a 33-position B-dot probe array, and a high speed camera. The results of this investigation will be used alongside the University of Michigan's BATS-R-US 3-D MHD numerical code, which will be used to perform simulations of the coaxial plasma gun experiment. The results of these two approaches will be compared in order to validate the capabilities of the BATS-R-US code as well as to further our understanding of magnetic reconnection and other processes that take place as CMEs propagate through the solar wind. The details of the experimental setup as well as the analytical approach are discussed.

Information Delivery Options over Three Decades.

ERIC Educational Resources Information Center

Kennedy, H. Edward

1986-01-01

The rate of new technology-driven innovations for information delivery has accelerated over the past three decades. New information delivery formats in the 1950s and 1960s included microforms and, in response to demands from librarians, indexing and abstracting services began to make their publications available on this medium. Electronic…

Local delivery of FTY720 accelerates cranial allograft incorporation and bone formation.

PubMed

Huang, Cynthia; Das, Anusuya; Barker, Daniel; Tholpady, Sunil; Wang, Tiffany; Cui, Quanjun; Ogle, Roy; Botchwey, Edward

2012-03-01

Endogenous stem cell recruitment to the site of skeletal injury is key to enhanced osseous remodeling and neovascularization. To this end, this study utilized a novel bone allograft coating of poly(lactic-co-glycolic acid) (PLAGA) to sustain the release of FTY720, a selective agonist for sphingosine 1-phosphate (S1P) receptors, from calvarial allografts. Uncoated allografts, vehicle-coated, low dose FTY720 in PLAGA (1:200 w:w) and high dose FTY720 in PLAGA (1:40) were implanted into critical size calvarial bone defects. The ability of local FTY720 delivery to promote angiogenesis, maximize osteoinductivity and improve allograft incorporation by recruitment of bone progenitor cells from surrounding soft tissues and microcirculation was evaluated. FTY720 bioactivity after encapsulation and release was confirmed with sphingosine kinase 2 assays. HPLC-MS quantified about 50% loaded FTY720 release of the total encapsulated drug (4.5 μg) after 5 days. Following 2 weeks of defect healing, FTY720 delivery led to statistically significant increases in bone volumes compared to controls, with total bone volume increases for uncoated, coated, low FTY720 and high FTY720 of 5.98, 3.38, 7.2 and 8.9 mm(3), respectively. The rate and extent of enhanced bone growth persisted through week 4 but, by week 8, increases in bone formation in FTY720 groups were no longer statistically significant. However, micro-computed tomography (microCT) of contrast enhanced vascular ingrowth (MICROFIL®) and histological analysis showed enhanced integration as well as directed bone growth in both high and low dose FTY720 groups compared to controls.

Local delivery of FTY720 accelerates cranial allograft incorporation and bone formation

PubMed Central

Huang, Cynthia; Das, Anusuya; Barker, Daniel; Tholpady, Sunil; Wang, Tiffany; Cui, Quanjun; Ogle, Roy

2012-01-01

Endogenous stem cell recruitment to the site of skeletal injury is key to enhanced osseous remodeling and neovascularization. To this end, this study utilized a novel bone allograft coating of poly(lactic-co-glycolic acid) (PLAGA) to sustain the release of FTY720, a selective agonist for sphingosine 1-phosphate (S1P) receptors, from calvarial allografts. Uncoated allografts, vehicle-coated, low dose FTY720 in PLAGA (1:200 w:w) and high dose FTY720 in PLAGA (1:40) were implanted into critical size calvarial bone defects. The ability of local FTY720 delivery to promote angiogenesis, maximize osteoinductivity and improve allograft incorporation by recruitment of bone progenitor cells from surrounding soft tissues and microcirculation was evaluated. FTY720 bioactivity after encapsulation and release was confirmed with sphingosine kinase 2 assays. HPLC-MS quantified about 50% loaded FTY720 release of the total encapsulated drug (4.5 µg) after 5 days. Following 2 weeks of defect healing, FTY720 delivery led to statistically significant increases in bone volumes compared to controls, with total bone volume increases for uncoated, coated, low FTY720 and high FTY720 of 5.98, 3.38, 7.2 and 8.9 mm3, respectively. The rate and extent of enhanced bone growth persisted through week 4 but, by week 8, increases in bone formation in FTY720 groups were no longer statistically significant. However, micro-computed tomography (microCT) of contrast enhanced vascular ingrowth (MICROFIL®) and histological analysis showed enhanced integration as well as directed bone growth in both high and low dose FTY720 groups compared to controls. PMID:21863314

On the Feasibility of a Pulsed 14 TeV C.M.E. Muon Collider in the LHC Tunnel

DOE Office of Scientific and Technical Information (OSTI.GOV)

Shiltsev, Vladimir; Neuffer, D.

We discuss the technical feasibility, key machine pa-rameters and major challenges of a 14 TeV c.m.e. muon-muon collider in the LHC tunnel [1]. The luminosity of the collider is evaluated for three alternative muon sources – the PS synchrotron, one of a type developed by the US Muon Accelerator Program (MAP) and a low-emittance option based on resonant μ-pair production.

Radio signature of magnetic reconnection and bi-directional shock waves in a flare-CME event on April 15, 1998

NASA Astrophysics Data System (ADS)

Huang, Guang-Li

2003-03-01

A flare-CME event on April 15, 1998 is studied with data of Nobeyama Radio Polarimeters (NoRP) and Heliograph (NoRH), the radio spectrometers of Chinese National Astronomical Observatories (1.0-2.0 GHz and 2.6-2.8 GHz), and the Astrophysical Institute of Postdam (200-800 MHz), as well as the data of YOHKOH, SOHO, BATSE, and GOES. There were strong fluctuations superposed on the initial phase of the BATSE hard X-ray burst, and the radio burst at 1.0-2.0 GHz with a group of type III-like positive and negative frequency drift pairs, which may be interpreted as the process of magnetic reconnection or particle acceleration in corona. A type II-like burst with a series of pulsations at 200-800 MHz followed the maximum phase of the radio and hard X-ray burst, and slowly drifted to lower frequencies with typical zebra feature. After 10 min of that, a similar dynamic spectrum was recorded at 2.6-3.8 GHz, where the type II-like signal drifted to higher frequencies with a series of pulsations and zebra structures. The polarization sense was strongly RCP at 2.6-3.8 GHz, and weakly LCP at 1.0-2.0 GHz, which was confirmed by the observations of NoRP. The radiation mechanism of these pulsations may be caused by the electron cyclotron maser instability. The local magnetic field strength and source height are estimated based on the gyro-synchrotron second harmonic emission. The ambient plasma density is calculated from the YOHKOH/SXT data. The ratio between the electron plasma frequency and gyro-frequency is around 1.3, which corresponds to the reversal value from extraordinary mode (LCP) to ordinary mode (RCP). Moreover, both the time scale and the modularity of an individual pulse increase statistically with the increase in the burst flux, which may be explained by the acceleration process of non-thermal electrons in the shock wave-fronts propagated upward and downward. Therefore, the radio observations may provide an important signature that flare and CME are triggered

Effects of Alternate Format In-Service Delivery on Teacher Knowledge Base and Problem-Solving Related to Autism & Adaptations: What Teachers Need to Know

ERIC Educational Resources Information Center

Bruening, Marie Diane

2010-01-01

This study's purpose was to explore effectiveness of alternate format in-service delivery for what teachers needed to know to effectively teach their students with Autism Spectrum Disorder/High Functioning Autism/Asperger Syndrome (ASD/HFA/AS) in the general education setting. The study's research questions included: Did participants learn…

Importance of CME Radial Expansion on the Ability of Slow CMEs to Drive Shocks

DOE Office of Scientific and Technical Information (OSTI.GOV)

Lugaz, Noé; Farrugia, Charles J.; Winslow, Reka M.

Coronal mass ejections (CMEs) may disturb the solar wind by overtaking it or expanding into it, or both. CMEs whose front moves faster in the solar wind frame than the fast magnetosonic speed drive shocks. Such shocks are important contributors to space weather, by triggering substorms, compressing the magnetosphere, and accelerating particles. In general, near 1 au, CMEs with speed greater than about 500 km s{sup −1} drive shocks, whereas slower CMEs do not. However, CMEs as slow as 350 km s{sup −1} may sometimes, although rarely, drive shocks. Here we study these slow CMEs with shocks and investigate themore » importance of CME expansion in contributing to their ability to drive shocks and in enhancing shock strength. Our focus is on CMEs with average speeds under 375 km s{sup −1}. From Wind measurements from 1996 to 2016, we find 22 cases of such shock-driving slow CMEs, and for about half of them (11 out of the 22), the existence of the shock appears to be strongly related to CME expansion. We also investigate the proportion of all CMEs with speeds under 500 km s{sup −1} with and without shocks in solar cycles 23 and 24, depending on their speed. We find no systematic difference, as might have been expected on the basis of the lower solar wind and Alfvén speeds reported for solar cycle 24 versus 23. The slower expansion speed of CMEs in solar cycle 24 might be an explanation for this lack of increased frequency of shocks, but further studies are required.« less

Distinctive activation and functionalization of hydrocarbon C-H bonds initiated by Cp*W(NO)(η(3)-allyl)(CH2CMe3) complexes.

PubMed

Baillie, Rhett A; Legzdins, Peter

2014-02-18

Converting hydrocarbon feedstocks into value-added chemicals continues to offer challenges to contemporary preparative chemists. A particularly important remaining challenge is the selective activation and functionalization of the C(sp(3))-H linkages of alkanes, which are relatively abundant but chemically inert. This Account outlines the discovery and development of C-H bond functionalization mediated by a family of tungsten organometallic nitrosyl complexes. Specifically, it describes how gentle thermolyses of any of four 18-electron Cp*W(NO)(η(3)-allyl)(CH2CMe3) complexes (Cp* = η(5)-C5Me5; η(3)-allyl = η(3)-H2CCHCHMe, η(3)-H2CCHCHSiMe3, η(3)-H2CCHCHPh, or η(3)-H2CCHCMe2) results in the loss of neopentane and the transient formation of a 16-electron intermediate species, Cp*W(NO)(η(2)-allene) and/or Cp*W(NO)(η(2)-diene). We have never detected any of these species spectroscopically, but we infer their existence based on trapping experiments with trimethylphosphine (PMe3) and labeling experiments using deuterated hydrocarbon substrates. This Account first summarizes the syntheses and properties of the four chiral Cp*W(NO)(η(3)-allyl)(CH2CMe3) complexes. It then outlines the various types of C-H activations we have effected with each of the 16-electron (η(2)-allene) or (η(2)-diene) intermediate nitrosyl complexes, and presents the results of mechanistic investigations of some of these processes. It next describes the characteristic chemical properties of the Cp*W(NO)(η(3)-allyl)(η(1)-hydrocarbyl) compounds formed by the single activations of C(sp(3))-H bonds, with particular emphasis on those reactions that result in the selective functionalization of the original hydrocarbon substrate. We are continuing development of methods to release the acyl ligands from the metal centers while keeping the Cp*W(NO)(η(3)-allyl) fragments intact, with the ultimate aim of achieving these distinctive conversions of alkanes into functionalized organics in a

The Delivery of Water During Terrestrial Planet Formation

NASA Astrophysics Data System (ADS)

O'Brien, David P.; Izidoro, Andre; Jacobson, Seth A.; Raymond, Sean N.; Rubie, David C.

2018-02-01

The planetary building blocks that formed in the terrestrial planet region were likely very dry, yet water is comparatively abundant on Earth. Here we review the various mechanisms proposed for the origin of water on the terrestrial planets. Various in-situ mechanisms have been suggested, which allow for the incorporation of water into the local planetesimals in the terrestrial planet region or into the planets themselves from local sources, although all of those mechanisms have difficulties. Comets have also been proposed as a source, although there may be problems fitting isotopic constraints, and the delivery efficiency is very low, such that it may be difficult to deliver even a single Earth ocean of water this way. The most promising route for water delivery is the accretion of material from beyond the snow line, similar to carbonaceous chondrites, that is scattered into the terrestrial planet region as the planets are growing. Two main scenarios are discussed in detail. First is the classical scenario in which the giant planets begin roughly in their final locations and the disk of planetesimals and embryos in the terrestrial planet region extends all the way into the outer asteroid belt region. Second is the Grand Tack scenario, where early inward and outward migration of the giant planets implants material from beyond the snow line into the asteroid belt and terrestrial planet region, where it can be accreted by the growing planets. Sufficient water is delivered to the terrestrial planets in both scenarios. While the Grand Tack scenario provides a better fit to most constraints, namely the small mass of Mars, planets may form too fast in the nominal case discussed here. This discrepancy may be reduced as a wider range of initial conditions is explored. Finally, we discuss several more recent models that may have important implications for water delivery to the terrestrial planets.

Formation and Initiation of Erupting Flux Rope and Embedded Filament Driven by Photospheric Converging Motion

DOE Office of Scientific and Technical Information (OSTI.GOV)

Zhao Xiaozhou; Gan, Weiqun; Xia, Chun

2017-06-01

In this paper, we study how a flux rope (FR) is formed and evolves into the corresponding structure of a coronal mass ejection (CME) numerically driven by photospheric converging motion. A two-and-a-half-dimensional magnetohydrodynamics simulation is conducted in a chromosphere-transition-corona setup. The initial arcade-like linear force-free magnetic field is driven by an imposed slow motion converging toward the magnetic inversion line at the bottom boundary. The convergence brings opposite-polarity magnetic flux to the polarity inversion, giving rise to the formation of an FR by magnetic reconnection and eventually to the eruption of a CME. During the FR formation, an embedded prominencemore » gets formed by the levitation of chromospheric material. We confirm that the converging flow is a potential mechanism for the formation of FRs and a possible triggering mechanism for CMEs. We investigate the thermal, dynamical, and magnetic properties of the FR and its embedded prominence by tracking their thermal evolution, analyzing their force balance, and measuring their kinematic quantities. The phase transition from the initiation phase to the acceleration phase of the kinematic evolution of the FR was observed in our simulation. The FR undergoes a series of quasi-static equilibrium states in the initiation phase; while in the acceleration phase the FR is driven by Lorentz force and the impulsive acceleration occurs. The underlying physical reason for the phase transition is the change of the reconnection mechanism from the Sweet–Parker to the unsteady bursty regime of reconnection in the evolving current sheet underneath the FR.« less

Formation of Radio Type II Bursts During a Multiple Coronal Mass Ejection Event

NASA Astrophysics Data System (ADS)

Al-Hamadani, Firas; Pohjolainen, Silja; Valtonen, Eino

2017-12-01

We study the solar event on 27 September 2001 that consisted of three consecutive coronal mass ejections (CMEs) originating from the same active region, which were associated with several periods of radio type II burst emission at decameter-hectometer (DH) wavelengths. Our analysis shows that the first radio burst originated from a low-density environment, formed in the wake of the first, slow CME. The frequency-drift of the burst suggests a low-speed burst driver, or that the shock was not propagating along the large density gradient. There is also evidence of band-splitting within this emission lane. The origin of the first shock remains unclear, as several alternative scenarios exist. The second shock showed separate periods of enhanced radio emission. This shock could have originated from a CME bow shock, caused by the fast and accelerating second or third CME. However, a shock at CME flanks is also possible, as the density depletion caused by the three CMEs would have affected the emission frequencies and hence the radio source heights could have been lower than usual. The last type II burst period showed enhanced emission in a wider bandwidth, which was most probably due to the CME-CME interaction. Only one shock that could reliably be associated with the investigated CMEs was observed to arrive near Earth.

Accurate Treatment of Collisions and Water-Delivery in Models of Terrestrial Planet Formation

NASA Astrophysics Data System (ADS)

Haghighipour, Nader; Maindl, Thomas; Schaefer, Christoph

2017-10-01

It is widely accepted that collisions among solid bodies, ignited by their interactions with planetary embryos is the key process in the formation of terrestrial planets and transport of volatiles and chemical compounds to their accretion zones. Unfortunately, due to computational complexities, these collisions are often treated in a rudimentary way. Impacts are considered to be perfectly inelastic and volatiles are considered to be fully transferred from one object to the other. This perfect-merging assumption has profound effects on the mass and composition of final planetary bodies as it grossly overestimates the masses of these objects and the amounts of volatiles and chemical elements transferred to them. It also entirely neglects collisional-loss of volatiles (e.g., water) and draws an unrealistic connection between these properties and the chemical structure of the protoplanetary disk (i.e., the location of their original carriers). We have developed a new and comprehensive methodology to simulate growth of embryos to planetary bodies where we use a combination of SPH and N-body codes to accurately model collisions as well as the transport/transfer of chemical compounds. Our methodology accounts for the loss of volatiles (e.g., ice sublimation) during the orbital evolution of their careers and accurately tracks their transfer from one body to another. Results of our simulations show that traditional N-body modeling of terrestrial planet formation overestimates the amount of the mass and water contents of the final planets by over 60% implying that not only the amount of water they suggest is far from being realistic, small planets such as Mars can also form in these simulations when collisions are treated properly. We will present details of our methodology and discuss its implications for terrestrial planet formation and water delivery to Earth.

X-ray and EUV Observations of CME Eruption Onset

NASA Technical Reports Server (NTRS)

Sterling, A. C.

2004-01-01

Why Coronal Mass Ejections (CMEs) erupt is a major outstanding puzzle of solar physics. Signatures observable at the earliest stages of eruption onset may hold precious clues about the onset mechanism. We present observations from SOHO/EIT and from TRACE in EUV, and from Yohkoh/SXT in soft X-rays of the pre-eruption and eruption phases of CME expulsion, along with the eruption's magnetic setting found from SOHO/MDI magnetograms. Most of our events involve clearly-observable filament eruptions and multiple neutral lines, and we use the magnetic settings and motions of the filaments to help infer the geometry and behavior of the associated erupting magnetic fields. Pre-eruption and early-eruption signatures include a relatively slow filament rise prior to eruption, and intensity "dimmings" and brightenings, both in the immediate neighborhood of the "core" (location of greatest magnetic shear) of the erupting fields and at locations remote from the core. These signatures and their relative timings place observational constraints on eruption mechanisms; our recent work has focused on implications for the so-called "tether cutting" and "breakout" models, but the same observational constraints are applicable to any model.

A study of the formation, purification and application as a SWNT growth catalyst of the nanocluster [HxPMo12O40[subset]H4Mo72Fe30(O2CMe)15O254(H2O)98].

PubMed

Anderson, Robin E; Colorado, Ramon; Crouse, Christopher; Ogrin, Douglas; Maruyama, Benji; Pender, Mark J; Edwards, Christopher L; Whitsitt, Elizabeth; Moore, Valerie C; Koveal, Dorothy; Lupu, Corina; Stewart, Michael P; Smalley, Richard E; Tour, James M; Barron, Andrew R

2006-07-07

The synthetic conditions for the isolation of the iron-molybdenum nanocluster FeMoC [HxPMo12O40 [subset]H4Mo72Fe30(O2CMe)15O254(H2O)98], along with its application as a catalyst precursor for VLS growth of SWNTs have been studied. As-prepared FeMoC is contaminated with the Keplerate cage [H4Mo72Fe30(O2CMe)15O254(H2O)98] without the Keggin [HxPMo12O40]n- template, however, isolation of pure FeMoC may be accomplished by Soxhlet extraction with EtOH. The resulting EtOH solvate is consistent with the replacement of the water ligands coordinated to Fe being substituted by EtOH. FeMoC-EtOH has been characterized by IR, UV-vis spectroscopy, MS, XPS and 31P NMR. The solid-state 31P NMR spectrum for FeMoC-EtOH (delta-5.3 ppm) suggests little effect of the paramagnetic Fe3+ centers in the Keplerate cage on the Keggin ion's phosphorous. The high chemical shift anisotropy, and calculated T1 (35 ms) and T2 (8 ms) values are consistent with a weak magnetic interaction between the Keggin ion's phosphorus symmetrically located within the Keplerate cage. Increasing the FeCl2 concentration and decreasing the pH of the reaction mixture optimizes the yield of FeMoC. The solubility and stability of FeMoC in H2O and MeOH-H2O is investigated. The TGA of FeMoC-EtOH under air, Ar and H2 (in combination with XPS) shows that upon thermolysis the resulting Fe : Mo ratio is highly dependent on the reaction atmosphere: thermolysis in air results in significant loss of volatile molybdenum components. Pure FeMoC-EtOH is found to be essentially inactive as a pre-catalyst for the VLS growth of single-walled carbon nanotubes (SWNTs) irrespective of the substrate or reaction conditions. However, reaction of FeMoC with pyrazine (pyz) results in the formation of aggregates that are found to be active catalysts for the growth of SWNTs. Activation of FeMoC may also be accomplished by the addition of excess iron. The observation of prior work's reported growth of SWNTs from FeMoC is discussed with respect

A Qualitative Evaluation of an Online Expert-Facilitated Course on Tobacco Dependence Treatment.

PubMed

Ebn Ahmady, Arezoo; Barker, Megan; Dragonetti, Rosa; Fahim, Myra; Selby, Peter

2017-01-01

Qualitative evaluations of courses prove difficult due to low response rates. Online courses may permit the analysis of qualitative feedback provided by health care providers (HCPs) during and after the course is completed. This study describes the use of qualitative methods for an online continuing medical education (CME) course through the analysis of HCP feedback for the purpose of quality improvement. We used formative and summative feedback from HCPs about their self-reported experiences of completing an online expert-facilitated course on tobacco dependence treatment (the Training Enhancement in Applied Cessation Counselling and Health [TEACH] Project). Phenomenological, inductive, and deductive approaches were applied to develop themes. QSR NVivo 11 was used to analyze the themes derived from free-text comments and responses to open-ended questions. A total of 277 out of 287 participants (96.5%) completed the course evaluations and provided 690 comments focused on how to improve the program. Five themes emerged from the formative evaluations: overall quality, content, delivery method, support, and time. The majority of comments (22.6%) in the formative evaluation expressed satisfaction with overall course quality. Suggestions for improvement were mostly for course content and delivery method (20.4% and 17.8%, respectively). Five themes emerged from the summative evaluation: feedback related to learning objectives, interprofessional collaboration, future topics of relevance, overall modifications, and overall satisfaction. Comments on course content, website function, timing, and support were the identified areas for improvement. This study provides a model to evaluate the effectiveness of online educational interventions. Significantly, this constructive approach to evaluation allows CME providers to take rapid corrective action.

A Qualitative Evaluation of an Online Expert-Facilitated Course on Tobacco Dependence Treatment

PubMed Central

Ebn Ahmady, Arezoo; Barker, Megan; Dragonetti, Rosa; Fahim, Myra; Selby, Peter

2017-01-01

Qualitative evaluations of courses prove difficult due to low response rates. Online courses may permit the analysis of qualitative feedback provided by health care providers (HCPs) during and after the course is completed. This study describes the use of qualitative methods for an online continuing medical education (CME) course through the analysis of HCP feedback for the purpose of quality improvement. We used formative and summative feedback from HCPs about their self-reported experiences of completing an online expert-facilitated course on tobacco dependence treatment (the Training Enhancement in Applied Cessation Counselling and Health [TEACH] Project). Phenomenological, inductive, and deductive approaches were applied to develop themes. QSR NVivo 11 was used to analyze the themes derived from free-text comments and responses to open-ended questions. A total of 277 out of 287 participants (96.5%) completed the course evaluations and provided 690 comments focused on how to improve the program. Five themes emerged from the formative evaluations: overall quality, content, delivery method, support, and time. The majority of comments (22.6%) in the formative evaluation expressed satisfaction with overall course quality. Suggestions for improvement were mostly for course content and delivery method (20.4% and 17.8%, respectively). Five themes emerged from the summative evaluation: feedback related to learning objectives, interprofessional collaboration, future topics of relevance, overall modifications, and overall satisfaction. Comments on course content, website function, timing, and support were the identified areas for improvement. This study provides a model to evaluate the effectiveness of online educational interventions. Significantly, this constructive approach to evaluation allows CME providers to take rapid corrective action. PMID:28992759

Why S, Not X, Marks the Spot for CME/Flare Eruptions

NASA Technical Reports Server (NTRS)

Moore, Ronald L.; Sterling, Alphonse; Gary, Allen; Cirtain, Jonathan; Falconer, David

2010-01-01

For any major CME/flare eruption: I. The field that erupts is an arcade in which the interior is greatly sheared and twisted. Most of the free magnetic energy to be released: a) Is in the shear and twist of the interior field. b) Is Not due to a big current sheet. The eruption is unleashed by reconnection at a growing current sheet. The current sheet is still little when the reconnection turns on. The unleashed eruption then makes the current sheet much bigger by building it up faster than the reconnection can tear it down. II. Most X-ray jets work the opposite way: a) Tapped free energy is in the field of a pre-jet current sheet. b) Current sheet built by small arcade emerging into ambient field. c) Current sheet still much smaller than the arcade when reconnection turns on and tears it down, producing a jet. III. These rules reflect the low-beta condition in the eruptive magnetic field

Characteristics That Predict Physician Participation in a Web-Based CME Activity: The MI-Plus Study

PubMed Central

Schoen, Michael J.; Tipton, Edmond F.; Houston, Thomas K.; Funkhouser, Ellen; Levine, Deborah A.; Estrada, Carlos A.; Allison, Jeroan J.; Williams, O. Dale; Kiefe, Catarina I.

2011-01-01

Introduction Physician use of the Internet for practice improvement has increased dramatically over the last decade, but research shows that many physicians choose not to participate. The current study investigated the association of specific physician characteristics with enrollment rates and intensity of participation in a specific Internet-delivered educational intervention to improve care to post–myocardial infarction (MI) patients. Methods Primary-care physicians were recruited for participation in a randomized controlled trial designed to compare effectiveness of an intervention Web site versus a control Web site in the management of adult chronic disease. Physicians were informed that the intervention focused on ambulatory post–myocardial infarction patients. Physician characteristics were obtained from a commercial vendor with data merged from the American Medical Association and Alabama State Licensing Board. Enrollment and Web use were tracked electronically. Results Out of a sample of 1337 eligible physicians, 177 (13.2%) enrolled in the study. Enrollment was higher for physicians with more post-MI patients (≥20 vs < 20 patients, 15.3% vs 9.3%, P = .002) and for those practicing in rural compared to urban areas (16.3% vs 12.1%, P = .046). Intensity of use of the Internet courses after initial enrollment was not predicted by physician characteristics in the current sample. Discussion Physicians with more post-MI patients and rural practice location were found to predict enrollment in an Internet-delivered continuing medical education (CME) intervention designed to improve care for post-MI patients. These factors predicted program interest but not program use. More research is needed to replicate these findings to investigate variables that determine physician engagement in Internet CME. PMID:19998447

Cost of goods sold and total cost of delivery for oral and parenteral vaccine packaging formats.

PubMed

Sedita, Jeff; Perrella, Stefanie; Morio, Matt; Berbari, Michael; Hsu, Jui-Shan; Saxon, Eugene; Jarrahian, Courtney; Rein-Weston, Annie; Zehrung, Darin

2018-03-14

Despite limitations of glass packaging for vaccines, the industry has been slow to implement alternative formats. Polymer containers may address many of these limitations, such as breakage and delamination. However, the ability of polymer containers to achieve cost of goods sold (COGS) and total cost of delivery (TCOD) competitive with that of glass containers is unclear, especially for cost-sensitive low- and lower-middle-income countries. COGS and TCOD models for oral and parenteral vaccine packaging formats were developed based on information from subject matter experts, published literature, and Kenya's comprehensive multiyear plan for immunization. Rotavirus and inactivated poliovirus vaccines (IPV) were used as representative examples of oral and parenteral vaccines, respectively. Packaging technologies evaluated included glass vials, blow-fill-seal (BFS) containers, preformed polymer containers, and compact prefilled auto-disable (CPAD) devices in both BFS and preformed formats. For oral vaccine packaging, BFS multi-monodose (MMD) ampoules were the least expensive format, with a COGS of $0.12 per dose. In comparison, oral single-dose glass vials had a COGS of $0.40. BFS MMD ampoules had the lowest TCOD of oral vaccine containers at $1.19 per dose delivered, and ten-dose glass vials had a TCOD of $1.61 per dose delivered. For parenteral vaccines, the lowest COGS was achieved with ten-dose glass vials at $0.22 per dose. In contrast, preformed CPAD devices had the highest COGS at $0.60 per dose. Ten-dose glass vials achieved the lowest TCOD of the parenteral vaccine formats at $1.56 per dose delivered. Of the polymer containers for parenteral vaccines, BFS MMD ampoules achieved the lowest TCOD at $1.89 per dose delivered, whereas preformed CPAD devices remained the most expensive format, at $2.25 per dose delivered. Given their potential to address the limitations of glass and reduce COGS and TCOD, polymer containers deserve further consideration as alternative

Effectiveness of CME on "Pediatric Emergencies and Management" Among the Health Personnels in Community Health Centre, Karikalampakkam, Puducherry.

PubMed

Vasudevaiah, V; Dash, Manjubala

2014-05-01

To assess the level of knowledge among health personnels on pediatric emergencies and their management and to evaluate the effectiveness of CME programme on the same. This study was conducted at Karikalampakkam village of Puducherry. Karikalampakkam is a Community Health Center with seven subcenters under it. The research design was one of the Quasi Experimental Design pre and post test with one group. All the health personnels like ANM, PHN, Health educators were considered as subjects for the study. The sample size was 40 and selected by purposive sampling technique. Pretest was conducted before the CME programme with the structured interview schedule. Post test was conducted after completion of the programme with the help of same tool. The pretest mean knowledge score among the health personnels was 3.15 ± 0.89 with the mean percentage 7.8 % whereas the posttest mean knowledge score was 4.47 ± 1.58 with mean percentage 11.17 %. The Z value was -2.555 and the p value was 0.011 (p < 0.05) which was significant at 0.05 level. Though the health personnels are already trained, during pretest their knowledge level was found to be poor and after training, the results show that their knowledge improved. Thus, there is a necessity to conduct inservice training programmes to update knowledge and skill of health personnels.

Continuing medical education for general practitioners: a practice format

PubMed Central

VanNieuwenborg, Lena; Goossens, Martine; De Lepeleire, Jan; Schoenmakers, Birgitte

2016-01-01

Introduction Our current knowledge-based society and the many actualisations within the medical profession require a great responsibility of physicians to continuously develop and refine their skills. In this article, we reflect on some recent findings in the field of continuing education for professional doctors (continuing medical education, CME). Second, we describe the development of a CME from the Academic Center for General Practice (ACHG) of the KU Leuven. Methods First, we performed a literature study and we used unpublished data of a need assessment performed (2013) in a selected group of general practitioners. Second, we describe the development of a proposal to establish a CME programme for general practitioners. Results CME should go beyond the sheer acquisition of knowledge, and also seek changes in practice, attitudes and behaviours of physicians. The continuing education offerings are subject to the goals of the organising institution, but even more to the needs and desires of the end user. Conclusions Integrated education is crucial to meet the conditions for efficient and effective continuing education. The ACHG KU Leuven decided to offer a postgraduate programme consisting of a combination of teaching methods: online courses (self-study), contact courses (traditional method) and a materials database. PMID:26850504

Comparison of interplanetary CME arrival times and solar wind parameters based on the WSA-ENLIL model with three cone types and observations

NASA Astrophysics Data System (ADS)

Jang, Soojeong; Moon, Y.-J.; Lee, Jae-Ok; Na, Hyeonock

2014-09-01

We have made a comparison between coronal mass ejection (CME)-associated shock propagations based on the Wang-Sheeley-Arge (WSA)-ENLIL model using three cone types and in situ observations. For this we use 28 full-halo CMEs, whose cone parameters are determined and their corresponding interplanetary shocks were observed at the Earth, from 2001 to 2002. We consider three different cone types (an asymmetric cone model, an ice cream cone model, and an elliptical cone model) to determine 3-D CME cone parameters (radial velocity, angular width, and source location), which are the input values of the WSA-ENLIL model. The mean absolute error of the CME-associated shock travel times for the WSA-ENLIL model using the ice-cream cone model is 9.9 h, which is about 1 h smaller than those of the other models. We compare the peak values and profiles of solar wind parameters (speed and density) with in situ observations. We find that the root-mean-square errors of solar wind peak speed and density for the ice cream and asymmetric cone model are about 190 km/s and 24/cm3, respectively. We estimate the cross correlations between the models and observations within the time lag of ± 2 days from the shock travel time. The correlation coefficients between the solar wind speeds from the WSA-ENLIL model using three cone types and in situ observations are approximately 0.7, which is larger than those of solar wind density (cc ˜0.6). Our preliminary investigations show that the ice cream cone model seems to be better than the other cone models in terms of the input parameters of the WSA-ENLIL model.

Alfven Profile in the Lower Corona: Implications for Shock Formation

NASA Astrophysics Data System (ADS)

Evans, R. M.; Opher, M.; Manchester, W. B.; Velli, M.; Gombosi, T. I.

2007-12-01

Recent events (e.g. Tylka et al. 2005) indicate that CME-driven shocks can form at 1-3 solar radii and are responsible for the GeV/nucleon energies observed in some ground level solar energetic particle events. The formation of shocks depends crucially on the background solar wind environment, in particular on the profile of the background Alfvén speed in the corona. Significant strides have been made in the effort to develop realistic models of CME events; however, there is no consensus as to the profile of the Alfvén speed in the lower corona. Here we provide an overview of ten state-of-the-art models, which includes various methods to model magnetic field and density, as well as different strategies for accelerating the solar wind. We present the Alfvén speed profile for each model in the lower corona. We find that the "valley" and "hump" structures anticipated by Mann et al. (2003) are sometimes present, but in some models the Alfvén profiles drop off quickly. We discuss the implications of these profiles, such as whether it will allow a shock to form, dissipate, and form again (i.e. multiple shocks). Our study indicates that it is crucial to establish the Alfvén speed as a function of height before determining if shocks can form in the lower corona.

Formation of multimeric antibodies for self-delivery of active monomers.

PubMed

Dekel, Yaron; Machluf, Yossy; Gefen, Tal; Eidelshtein, Gennady; Kotlyar, Alexander; Bram, Yaron; Shahar, Ehud; Reslane, Farah; Aizenshtein, Elina; Pitcovski, Jacob

2017-11-01

Proteins and peptides have been used as drugs for almost a century. Technological advances in the past 30 years have enabled the production of pure, stable proteins in vast amounts. In contrast, administration of proteins based on their native active conformation (and thus necessitating the use of subcutaneous injections) has remained solely unchanged. The therapeutic anti-HER2 humanized monoclonal immunoglobulin (IgG) Trastuzumab (Herceptin) is a first line of the treatment for breast cancer. Chicken IgY is a commercially important polyclonal antibody (Ab). These Abs were examined for their ability to self-assemble and form ordered aggregates, by several biophysical methods. Atomic force microscopy analyses revealed the formation of multimeric nanostructures. The biological activity of multimeric IgG or IgY particles was retained and restored, in a dilution/time-dependent manner. IgG activity was confirmed by a binding assay using HER2 + human breast cancer cell line, SKBR3, while IgY activity was confirmed by ELISA assay using the VP2 antigen. Competition assay with native Herceptin antibodies demonstrated that the binding availability of the multimer formulation remained unaffected. Under long incubation periods, IgG multimers retained five times more activity than native IgG. In conclusion, the multimeric antibody formulations can serve as a storage depositories and sustained-release particles. These two important characteristics make this formulation promising for future novel administration protocols and altogether bring to light a different conceptual approach for the future use of therapeutic proteins as self-delivery entities rather than conjugated/encapsulated to other bio-compounds.

Autonomous Guidance Strategy for Spacecraft Formations and Reconfiguration Maneuvers

NASA Astrophysics Data System (ADS)

Wahl, Theodore P.

A guidance strategy for autonomous spacecraft formation reconfiguration maneuvers is presented. The guidance strategy is presented as an algorithm that solves the linked assignment and delivery problems. The assignment problem is the task of assigning the member spacecraft of the formation to their new positions in the desired formation geometry. The guidance algorithm uses an auction process (also called an "auction algorithm''), presented in the dissertation, to solve the assignment problem. The auction uses the estimated maneuver and time of flight costs between the spacecraft and targets to create assignments which minimize a specific "expense'' function for the formation. The delivery problem is the task of delivering the spacecraft to their assigned positions, and it is addressed through one of two guidance schemes described in this work. The first is a delivery scheme based on artificial potential function (APF) guidance. APF guidance uses the relative distances between the spacecraft, targets, and any obstacles to design maneuvers based on gradients of potential fields. The second delivery scheme is based on model predictive control (MPC); this method uses a model of the system dynamics to plan a series of maneuvers designed to minimize a unique cost function. The guidance algorithm uses an analytic linearized approximation of the relative orbital dynamics, the Yamanaka-Ankersen state transition matrix, in the auction process and in both delivery methods. The proposed guidance strategy is successful, in simulations, in autonomously assigning the members of the formation to new positions and in delivering the spacecraft to these new positions safely using both delivery methods. This guidance algorithm can serve as the basis for future autonomous guidance strategies for spacecraft formation missions.

CME Expansion as the Driver of Metric Type II Shock Emission as Revealed by Self-consistent Analysis of High-Cadence EUV Images and Radio Spectrograms

NASA Astrophysics Data System (ADS)

Kouloumvakos, A.; Patsourakos, S.; Hillaris, A.; Vourlidas, A.; Preka-Papadema, P.; Moussas, X.; Caroubalos, C.; Tsitsipis, P.; Kontogeorgos, A.

2014-06-01

On 13 June 2010, an eruptive event occurred near the solar limb. It included a small filament eruption and the onset of a relatively narrow coronal mass ejection (CME) surrounded by an extreme ultraviolet (EUV) wave front recorded by the Solar Dynamics Observatory's (SDO) Atmospheric Imaging Assembly (AIA) at high cadence. The ejection was accompanied by a GOES M1.0 soft X-ray flare and a Type-II radio burst; high-resolution dynamic spectra of the latter were obtained by the Appareil de Routine pour le Traitement et l'Enregistrement Magnetique de l'Information Spectral (ARTEMIS IV) radio spectrograph. The combined observations enabled a study of the evolution of the ejecta and the EUV wave front and its relationship with the coronal shock manifesting itself as metric Type-II burst. By introducing a novel technique, which deduces a proxy of the EUV compression ratio from AIA imaging data and compares it with the compression ratio deduced from the band-split of the Type-II metric radio burst, we are able to infer the potential source locations of the radio emission of the shock on that AIA images. Our results indicate that the expansion of the CME ejecta is the source for both EUV and radio shock emissions. Early in the CME expansion phase, the Type-II burst seems to originate in the sheath region between the EUV bubble and the EUV shock front in both radial and lateral directions. This suggests that both the nose and the flanks of the expanding bubble could have driven the shock.

A model on CME/Flare initiation: Loss of Equilibrium caused by mass loss of quiescent prominences

NASA Astrophysics Data System (ADS)

Miley, George; Chon Nam, Sok; Kim, Mun Song; Kim, Jik Su

2015-08-01

Coronal Mass Ejections (CMEs) model should give an answer to enough energy storage for giant bulk plasma into interplanetary space to escape against the sun’s gravitation and its explosive eruption. Advocates of ‘Mass Loading’ model (e.g. Low, B. 1996, SP, 167, 217) suggested a simple mechanism of CME initiation, the loss of mass from a prominence anchoring magnetic flux rope, but they did not associate the mass loss with the loss of equilibrium. The catastrophic loss of equilibrium model is considered as to be a prospective CME/Flare model to explain sudden eruption of magnetic flux systems. Isenberg, P. A., et al (1993, ApJ, 417, 368)developed ideal magnetohydrodynamic theory of the magnetic flux rope to show occurrence of catastrophic loss of equilibrium according to increasing magnetic flux transported into corona.We begin with extending their study including gravity on prominence’s material to obtain equilibrium curves in case of given mass parameters, which are the strengths of the gravitational force compared with the characteristic magnetic force. Furthermore, we study quasi-static evolution of the system including massive prominence flux rope and current sheet below it to obtain equilibrium curves of prominence’s height according to decreasing mass parameter in a properly fixed magnetic environment. The curves show equilibrium loss behaviors to imply that mass loss result in equilibrium loss. Released fractions of magnetic energy are greater than corresponding zero-mass case. This eruption mechanism is expected to be able to apply to the eruptions of quiescent prominences, which is located in relatively weak magnetic environment with 105 km of scale length and 10G of photospheric magnetic field.

Porous silicon for drug delivery systems

NASA Astrophysics Data System (ADS)

Abramova, E. N.; Khort, A. M.; Yakovenko, A. G.; Kornilova, D. S.; Slipchenko, E. A.; Prokhorov, D. I.; Shvets, V. I.

2018-01-01

The article deals with main principles of the formation of porous silicon (por-Si) to produce containers for drug delivery systems. Most important por-Si characteristics to produce nanocontainers with required parameters are determined.

Height of shock formation in the solar corona inferred from observations of type II radio bursts and coronal mass ejections

NASA Astrophysics Data System (ADS)

Gopalswamy, N.; Xie, H.; Mäkelä, P.; Yashiro, S.; Akiyama, S.; Uddin, W.; Srivastava, A. K.; Joshi, N. C.; Chandra, R.; Manoharan, P. K.; Mahalakshmi, K.; Dwivedi, V. C.; Jain, R.; Awasthi, A. K.; Nitta, N. V.; Aschwanden, M. J.; Choudhary, D. P.

2013-06-01

Employing coronagraphic and EUV observations close to the solar surface made by the Solar Terrestrial Relations Observatory (STEREO) mission, we determined the heliocentric distance of coronal mass ejections (CMEs) at the starting time of associated metric type II bursts. We used the wave diameter and leading edge methods and measured the CME heights for a set of 32 metric type II bursts from solar cycle 24. We minimized the projection effects by making the measurements from a view that is roughly orthogonal to the direction of the ejection. We also chose image frames close to the onset times of the type II bursts, so no extrapolation was necessary. We found that the CMEs were located in the heliocentric distance range from 1.20 to 1.93 solar radii (Rs), with mean and median values of 1.43 and 1.38 Rs, respectively. We conclusively find that the shock formation can occur at heights substantially below 1.5 Rs. In a few cases, the CME height at type II onset was close to 2 Rs. In these cases, the starting frequency of the type II bursts was very low, in the range 25-40 MHz, which confirms that the shock can also form at larger heights. The starting frequencies of metric type II bursts have a weak correlation with the measured CME/shock heights and are consistent with the rapid decline of density with height in the inner corona.

Height of Shock Formation in the Solar Corona Inferred from Observations of Type II Radio Bursts and Coronal Mass Ejections

NASA Technical Reports Server (NTRS)

Gopalswamy, N.; Xie, H.; Makela, P.; Yashiro, S.; Akiyama, S.; Uddin, W.; Srivastava, A. K.; Joshi, N. C.; Chandra, R.; Manoharan, P. K.

2013-01-01

Employing coronagraphic and EUV observations close to the solar surface made by the Solar Terrestrial Relations Observatory (STEREO) mission, we determined the heliocentric distance of coronal mass ejections (CMEs) at the starting time of associated metric type II bursts. We used the wave diameter and leading edge methods and measured the CME heights for a set of 32 metric type II bursts from solar cycle 24. We minimized the projection effects by making the measurements from a view that is roughly orthogonal to the direction of the ejection. We also chose image frames close to the onset times of the type II bursts, so no extrapolation was necessary. We found that the CMEs were located in the heliocentric distance range from 1.20 to 1.93 solar radii (Rs), with mean and median values of 1.43 and 1.38 Rs, respectively. We conclusively find that the shock formation can occur at heights substantially below 1.5 Rs. In a few cases, the CME height at type II onset was close to 2 Rs. In these cases, the starting frequency of the type II bursts was very low, in the range 25-40 MHz, which confirms that the shock can also form at larger heights. The starting frequencies of metric type II bursts have a weak correlation with the measured CME/shock heights and are consistent with the rapid decline of density with height in the inner corona.

Adhesion barriers at cesarean delivery: advertising compared with the evidence.

PubMed

Albright, Catherine M; Rouse, Dwight J

2011-07-01

Cesarean delivery, the most common surgery performed in the United States, is complicated by adhesion formation in 24-73% of cases. Because adhesions have potential sequelae, different synthetic adhesion barriers are currently heavily marketed as a means of reducing adhesion formation resultant from cesarean delivery. However, their use for this purpose has been studied in only two small, nonblinded and nonrandomized trials, both of which were underpowered and subject to bias. Neither demonstrated improvement in meaningful clinical outcomes. In the only cost-effectiveness analysis of adhesion barriers to date, the use of synthetic adhesion barriers was cost-effective only when the subsequent rate of small bowel obstruction was at least 2.4%, a rate far higher than that associated with cesarean delivery. In fact, intra-abdominal adhesions from prior cesarean delivery rarely cause maternal harm and have not been demonstrated to adversely affect perinatal outcome. Based on our review of the available literature, we think the use of adhesion barriers at the time of cesarean delivery would be ill-advised at the present time.

Who is driving continuing medical education for family medicine?

PubMed

Klein, Douglas; Allan, G Michael; Manca, Donna; Sargeant, Joan; Barnett, Carly

2009-01-01

Considerable time and money are invested in continuing medical education (CME) for family physicians (FPs) but the effectiveness is uncertain. The participation of FPs as coordinators and teachers is not well known. The goal of this project was to describe the role of FPs in organizing and teaching CME events that are accredited for FPs. Information about accredited CME events occurring in Alberta and Nova Scotia was requested from universities, provincial chapters of the College of Family Physicians of Canada, and pharmaceutical companies. Location, coordinating site, organizing committee members, teaching faculty, and format were recorded from each event. The number and proportion of FPs involved in both organizing and teaching CME events accredited for FPs were calculated and compared. A total of 314 CME events were collected, comprising a total of 1,472 hours of CME. From the CME events collected, there were 1,730 organizing committee members and 1,647 teachers. FPs constitute 59% of the organizing committees and 17% of the teachers. Significant differences in the numbers of FP planners and teachers were related to organizing group, format, location, and expected audience composition. The accreditation requirement for FPs on organizing committees likely helps preserve a reasonable proportion of FP organizers but not teachers in FP CME. The proportions of true FP planners and teachers may actually be lower than planning documents indicate. Low level of family physician teachers in CME may be due to FPs' not selecting FP teachers, the FP teaching pool's being inadequate, or the organizing committee's being unaware of FPs who are knowledgeable in particular areas.

Importance of dual delivery systems for bone tissue engineering.

PubMed

Farokhi, Mehdi; Mottaghitalab, Fatemeh; Shokrgozar, Mohammad Ali; Ou, Keng-Liang; Mao, Chuanbin; Hosseinkhani, Hossein

2016-03-10

Bone formation is a complex process that requires concerted function of multiple growth factors. For this, it is essential to design a delivery system with the ability to load multiple growth factors in order to mimic the natural microenvironment for bone tissue formation. However, the short half-lives of growth factors, their relatively large size, slow tissue penetration, and high toxicity suggest that conventional routes of administration are unlikely to be effective. Therefore, it seems that using multiple bioactive factors in different delivery systems can develop new strategies for improving bone tissue regeneration. Combination of these factors along with biomaterials that permit tunable release profiles would help to achieve truly spatiotemporal regulation during delivery. This review summarizes the various dual-control release systems that are used for bone tissue engineering. Copyright © 2015 Elsevier B.V. All rights reserved.

A study of a long duration B9 flare-CME event and associated shock

NASA Astrophysics Data System (ADS)

Chandra, R.; Chen, P. F.; Fulara, A.; Srivastava, A. K.; Uddin, W.

2018-01-01

We present and discuss here the observations of a small long duration GOES B-class flare associated with a quiescent filament eruption, a global EUV wave and a CME on 2011 May 11. The event was well observed by the Solar Dynamics Observatory (SDO), GONG H α , STEREO and Culgoora spectrograph. As the filament erupted, ahead of the filament we observed the propagation of EIT wave fronts, as well as two flare ribbons on both sides of the polarity inversion line (PIL) on the solar surface. The observations show the co-existence of two types of EUV waves, i.e., a fast and a slow one. A type II radio burst with up to the third harmonic component was also associated with this event. The evolution of photospheric magnetic field showed flux emergence and cancellation at the filament site before its eruption.

eLearning: a review of Internet-based continuing medical education.

PubMed

Wutoh, Rita; Boren, Suzanne Austin; Balas, E Andrew

2004-01-01

The objective was to review the effect of Internet-based continuing medical education (CME) interventions on physician performance and health care outcomes. Data sources included searches of MEDLINE (1966 to January 2004), CINAHL (1982 to December 2003), ACP Journal Club (1991 to July/August 2003), and the Cochrane Database of Systematic Reviews (third quarter, 2003). Studies were included in the analyses if they were randomized controlled trials of Internet-based education in which participants were practicing health care professionals or health professionals in training. CME interventions were categorized according to the nature of the intervention, sample size, and other information about educational content and format. Sixteen studies met the eligibility criteria. Six studies generated positive changes in participant knowledge over traditional formats; only three studies showed a positive change in practices. The remainder of the studies showed no difference in knowledge levels between Internet-based interventions and traditional formats for CME. The results demonstrate that Internet-based CME programs are just as effective in imparting knowledge as traditional formats of CME. Little is known as to whether these positive changes in knowledge are translated into changes in practice. Subjective reports of change in physician behavior should be confirmed through chart review or other objective measures. Additional studies need to be performed to assess how long these new learned behaviors could be sustained. eLearning will continue to evolve as new innovations and more interactive modes are incorporated into learning.

Thiol–ene click hydrogels for therapeutic delivery

PubMed Central

Kharkar, Prathamesh M.; Rehmann, Matthew S.; Skeens, Kelsi M.; Maverakis, Emanual; Kloxin, April M.

2016-01-01

Hydrogels are of growing interest for the delivery of therapeutics to specific sites in the body. For use as a delivery vehicle, hydrophilic precursors are usually laden with bioactive moieties and then directly injected to the site of interest for in situ gel formation and controlled release dictated by precursor design. Hydrogels formed by thiol–ene click reactions are attractive for local controlled release of therapeutics owing to their rapid reaction rate and efficiency under mild aqueous conditions, enabling in situ formation of gels with tunable properties often responsive to environmental cues. Herein, we will review the wide range of applications for thiol–ene hydrogels, from the prolonged release of anti-inflammatory drugs in the spine to the release of protein-based therapeutics in response to cell-secreted enzymes, with a focus on their clinical relevance. We will also provide a brief overview of thiol–ene click chemistry and discuss the available alkene chemistries pertinent to macromolecule functionalization and hydrogel formation. These chemistries include functional groups susceptible to Michael type reactions relevant for injection and radically-mediated reactions for greater temporal control of formation at sites of interest using light. Additionally, mechanisms for the encapsulation and controlled release of therapeutic cargoes are reviewed, including i) tuning the mesh size of the hydrogel initially and temporally for cargo entrapment and release and ii) covalent tethering of the cargo with degradable linkers or affinity binding sequences to mediate release. Finally, myriad thiol–ene hydrogels and their specific applications also are discussed to give a sampling of the current and future utilization of this chemistry for delivery of therapeutics, such as small molecule drugs, peptides, and biologics. PMID:28361125

CME Velocity and Acceleration Error Estimates Using the Bootstrap Method

NASA Technical Reports Server (NTRS)

Michalek, Grzegorz; Gopalswamy, Nat; Yashiro, Seiji

2017-01-01

The bootstrap method is used to determine errors of basic attributes of coronal mass ejections (CMEs) visually identified in images obtained by the Solar and Heliospheric Observatory (SOHO) mission's Large Angle and Spectrometric Coronagraph (LASCO) instruments. The basic parameters of CMEs are stored, among others, in a database known as the SOHO/LASCO CME catalog and are widely employed for many research studies. The basic attributes of CMEs (e.g. velocity and acceleration) are obtained from manually generated height-time plots. The subjective nature of manual measurements introduces random errors that are difficult to quantify. In many studies the impact of such measurement errors is overlooked. In this study we present a new possibility to estimate measurements errors in the basic attributes of CMEs. This approach is a computer-intensive method because it requires repeating the original data analysis procedure several times using replicate datasets. This is also commonly called the bootstrap method in the literature. We show that the bootstrap approach can be used to estimate the errors of the basic attributes of CMEs having moderately large numbers of height-time measurements. The velocity errors are in the vast majority small and depend mostly on the number of height-time points measured for a particular event. In the case of acceleration, the errors are significant, and for more than half of all CMEs, they are larger than the acceleration itself.

Multi-spacecraft Observations of the Rotation and Nonradial Motion of a CME Flux Rope Causing an Intense Geomagnetic Storm

NASA Astrophysics Data System (ADS)

Liu, Yi A.; Liu, Ying D.; Hu, Huidong; Wang, Rui; Zhao, Xiaowei

2018-02-01

We present an investigation of the rotation and nonradial motion of a coronal mass ejection (CME) from AR 12468 on 2015 December 16 using observations from SDO, SOHO, STEREO A, and Wind. The EUV and HMI observations of the source region show that the associated magnetic flux rope (MFR) axis pointed to the east before the eruption. We use a nonlinear force-free field (NLFFF) extrapolation to determine the configuration of the coronal magnetic field and calculate the magnetic energy density distributions at different heights. The distribution of the magnetic energy density shows a strong gradient toward the northeast. The propagation direction of the CME from a Graduated Cylindrical Shell (GCS) modeling deviates from the radial direction of the source region by about 45° in longitude and about 30° in latitude, which is consistent with the gradient of the magnetic energy distribution around the AR. The MFR axis determined by the GCS modeling points southward, which has rotated counterclockwise by about 95° compared with the orientation of the MFR in the low corona. The MFR reconstructed by a Grad–Shafranov (GS) method at 1 au has almost the same orientation as the MFR from the GCS modeling, which indicates that the MFR rotation occurred in the low corona. It is the rotation of the MFR that caused the intense geomagnetic storm with the minimum D st of ‑155 nT. These results suggest that the coronal magnetic field surrounding the MFR plays a crucial role in the MFR rotation and propagation direction.

Migrating Jupiter up to the habitable zone: Earth-like planet formation and water delivery

NASA Astrophysics Data System (ADS)

Darriba, L. A.; de Elía, G. C.; Guilera, O. M.; Brunini, A.

2017-11-01

Context. Several observational works have shown the existence of Jupiter-mass planets covering a wide range of semi-major axes around Sun-like stars. Aims: We aim to analyse the planetary formation processes around Sun-like stars that host a Jupiter-mass planet at intermediate distances ranging from 1 au to 2 au. Our study focusses on the formation and evolution of terrestrial-like planets and water delivery in the habitable zone (HZ) of the system. Our goal is also to analyse the long-term dynamical stability of the resulting systems. Methods: A semi-analytic model was used to define the properties of a protoplanetary disk that produces a Jupiter-mass planet around the snow line, which is located at 2.7 au for a solar-mass star. Then, it was used to describe the evolution of embryos and planetesimals during the gaseous phase up to the formation of the Jupiter-mass planet, and we used the results as the initial conditions to carry out N-body simulations of planetary accretion. We developed sixty N-body simulations to describe the dynamical processes involved during and after the migration of the gas giant. Results: Our simulations produce three different classes of planets in the HZ: "water worlds", with masses between 2.75 M⊕ and 3.57 M⊕ and water contents of 58% and 75% by mass, terrestrial-like planets, with masses ranging from 0.58 M⊕ to 3.8 M⊕ and water contents less than 1.2% by mass, and "dry worlds", simulations of which show no water. A relevant result suggests the efficient coexistence in the HZ of a Jupiter-mass planet and a terrestrial-like planet with a percentage of water by mass comparable to the Earth. Moreover, our study indicates that these planetary systems are dynamically stable for at least 1 Gyr. Conclusions: Systems with a Jupiter-mass planet located at 1.5-2 au around solar-type stars are of astrobiological interest. These systems are likely to harbour terrestrial-like planets in the HZ with a wide diversity of water contents.

What is meant by Format Version? Product Version? Collection?

Atmospheric Science Data Center

2017-10-12

The format Version is used to distinguish between software deliveries to ASDC that result in a product format change. The format version is given in the MISR data file name using the designator _Fnn_ where nn is the version number. ...

Cologne Consensus Conference: providers in accredited CME/CPD 11–12 September 2015, Cologne, Germany

PubMed Central

Simper, Julie

2016-01-01

On 11–12 September 2015, the fourth annual Cologne Consensus Conference (CCC) was held in Cologne, Germany. The 2-day educational event was organised by the European Cardiology Section Foundation (ECSF) and the European Board for Accreditation in Cardiology (EBAC), a specialty continuing medical education–continuing professional development (CME—CPD) accreditation board of the European Union of Medical Specialists (UEMS). The conference was again planned in cooperation with an impressive group of international organisations and faculty members representing leading European and North American institutions. Each year, the CCC is organised around a specific topic area. For the conference's fourth iteration, the providers in accredited CME/CPD were the focus. The CCC 2015 set out to share ideas, discuss concepts, and increase collaborations amongst the various groups. This report provides a summary of the presentations and discussions from the educational event. PMID:29644122

Strategies for Controlled Delivery of Biologics for Cartilage Repair

PubMed Central

Lam, Johnny; Lu, Steven; Kasper, F. Kurtis; Mikos, Antonios G.

2014-01-01

The delivery of biologics is an important component in the treatment of osteoarthritis and the functional restoration of articular cartilage. Numerous factors have been implicated in the cartilage repair process, but the uncontrolled delivery of these factors may not only reduce their full reparative potential and can also cause unwanted morphological effects. It is therefore imperative to consider the type of biologic to be delivered, the method of delivery, and the temporal as well as spatial presentation of the biologic to achieve the desired effect in cartilage repair. Additionally, the delivery of a single factor may not be sufficient in guiding neo-tissue formation, motivating recent research towards the delivery of multiple factors. This review will discuss the roles of various biologics involved in cartilage repair and the different methods of delivery for appropriate healing responses. A number of spatiotemporal strategies will then be emphasized for the controlled delivery of single and multiple bioactive factors in both in vitro and in vivo cartilage tissue engineering applications. PMID:24993610

Injectable shear-thinning nanoengineered hydrogels for stem cell delivery

NASA Astrophysics Data System (ADS)

Thakur, Ashish; Jaiswal, Manish K.; Peak, Charles W.; Carrow, James K.; Gentry, James; Dolatshahi-Pirouz, Alireza; Gaharwar, Akhilesh K.

2016-06-01

Injectable hydrogels are investigated for cell encapsulation and delivery as they can shield cells from high shear forces. One of the approaches to obtain injectable hydrogels is to reinforce polymeric networks with high aspect ratio nanoparticles such as two-dimensional (2D) nanomaterials. 2D nanomaterials are an emerging class of ultrathin materials with a high degree of anisotropy and they strongly interact with polymers resulting in the formation of shear-thinning hydrogels. Here, we present 2D nanosilicate reinforced kappa-carrageenan (κCA) hydrogels for cellular delivery. κCA is a natural polysaccharide that resembles native glycosaminoglycans and can form brittle hydrogels via ionic crosslinking. The chemical modification of κCA with photocrosslinkable methacrylate groups renders the formation of a covalently crosslinked network (MκCA). Reinforcing the MκCA with 2D nanosilicates results in shear-thinning characteristics, and enhanced mechanical stiffness, elastomeric properties, and physiological stability. The shear-thinning characteristics of nanocomposite hydrogels are investigated for human mesenchymal stem cell (hMSC) delivery. The hMSCs showed high cell viability after injection and encapsulated cells showed a circular morphology. The proposed shear-thinning nanoengineered hydrogels can be used for cell delivery for cartilage tissue regeneration and 3D bioprinting.

Development and evaluation of a web-based breast cancer cultural competency course for primary healthcare providers.

PubMed

Palmer, Richard C; Samson, Raquel; Triantis, Maria; Mullan, Irene D

2011-08-15

To develop and evaluate a continuing medical education (CME) course aimed at improving healthcare provider knowledge about breast cancer health disparities and the importance of cross-cultural communication in provider-patient interactions about breast cancer screening. An interactive web-based CME course was developed and contained information about breast cancer disparities, the role of culture in healthcare decision making, and demonstrated a model of cross-cultural communication. A single group pre-/post-test design was used to assess knowledge changes. Data on user satisfaction was also collected. In all, 132 participants registered for the CME with 103 completing both assessments. Differences between pre-/post-test show a significant increase in knowledge (70% vs. 94%; p < .001). Ninety-five percent of participants agreed that the web based training was an appropriate tool to train healthcare providers about cultural competency and health disparities. There was an overall high level of satisfaction among all users. Users felt that learning objectives were met and the web-based format was appropriate and easy to use and suggests that web-based CME formats are an appropriate tool to teach cultural competency skills. However, more information is needed to understand how the CME impacted practice behaviors.

Mechanoregulation of clathrin-mediated endocytosis in isolated cells and developing tissues

NASA Astrophysics Data System (ADS)

Kural, Comert

Clathrin-coated assemblies bear the largest fraction of the endocytic load from the plasma membrane of eukaryotic cells. However, dynamics of clathrin-mediated endocytosis (CME) have not been established within tissues of multicellular organisms due to experimental and analytical bottlenecks in determining the lifespan of clathrin-coated structures. We found that clathrin coat growth rates obtained from fluorescence microscopy acquisitions can be utilized as reporters of CME dynamics. Growth rates can be assembled within time windows shorter than the average clathrin coat lifetime and, thereby, allow probing the changes in CME dynamics in real time. Furthermore, this novel approach is applicable to tissues as it is not prone to particle detection and tracking errors, which result in underestimation of the clathrin coat lifetimes. Exploiting these advantages, we detected spatial and temporal changes in CME dynamics within Drosophila amnioserosa tissues at different stages of embryo development. We also found that increased membrane tension impedes CME through inhibition of formation and dissolution of clathrin-coated structures. Therefore, the parameters defining clathrin coat dynamics (i.e., lifetime, formation density and growth rates) can be utilized to monitor the spatiotemporal gradients of the plasma membrane tension during cell migration and spreading.

Information Delivery Systems: The Future Is Here.

ERIC Educational Resources Information Center

O'Malley, Penelope Grenoble

1993-01-01

Looks at developments in information delivery (including new interactive media formats, vastly increased channel capacity for standard cable television, and the development of wireless cable and other distribution technologies) that are revolutionizing the communications industry. Raises questions about the role technical communicators are being…

Applicability of the theory of planned behavior in explaining the general practitioners eLearning use in continuing medical education.

PubMed

Hadadgar, Arash; Changiz, Tahereh; Masiello, Italo; Dehghani, Zahra; Mirshahzadeh, Nahidossadat; Zary, Nabil

2016-08-22

General practitioners (GP) update their knowledge and skills by participating in continuing medical education (CME) programs either in a traditional or an e-Learning format. GPs' beliefs about electronic format of CME have been studied but without an explicit theoretical framework which makes the findings difficult to interpret. In other health disciplines, researchers used theory of planned behavior (TPB) to predict user's behavior. In this study, an instrument was developed to investigate GPs' intention to use e-Learning in CME based on TPB. The goodness of fit of TPB was measured using confirmatory factor analysis and the relationship between latent variables was assessed using structural equation modeling. A total of 148 GPs participated in the study. Most of the items in the questionnaire related well to the TPB theoretical constructs, and the model had good fitness. The perceived behavioral control and attitudinal constructs were included, and the subjective norms construct was excluded from the structural model. The developed questionnaire could explain 66 % of the GPs' intention variance. The TPB could be used as a model to construct instruments that investigate GPs' intention to participate in e-Learning programs in CME. The findings from the study will encourage CME managers and researchers to explore the developed instrument as a mean to explain and improve the GPs' intentions to use eLearning in CME.

Continuing Medical Education for European General Practitioners in Doctor-Patient Relationship Skills and Psychosocial Issues.

ERIC Educational Resources Information Center

Barker, L. Randol

1998-01-01

Most of the 23 European providers of continuing medical education (CME) surveyed reported programming on the doctor-patient relationship and psychosocial issues. Visits to programs in France, the Netherlands, and Spain identified the formats used most often in small group instruction, intensive individual learning, and national-level CME. (SK)

ElEvoHI: A Novel CME Prediction Tool for Heliospheric Imaging Combining an Elliptical Front with Drag-based Model Fitting

NASA Astrophysics Data System (ADS)

Rollett, T.; Möstl, C.; Isavnin, A.; Davies, J. A.; Kubicka, M.; Amerstorfer, U. V.; Harrison, R. A.

2016-06-01

In this study, we present a new method for forecasting arrival times and speeds of coronal mass ejections (CMEs) at any location in the inner heliosphere. This new approach enables the adoption of a highly flexible geometrical shape for the CME front with an adjustable CME angular width and an adjustable radius of curvature of its leading edge, I.e., the assumed geometry is elliptical. Using, as input, Solar TErrestrial RElations Observatory (STEREO) heliospheric imager (HI) observations, a new elliptic conversion (ElCon) method is introduced and combined with the use of drag-based model (DBM) fitting to quantify the deceleration or acceleration experienced by CMEs during propagation. The result is then used as input for the Ellipse Evolution Model (ElEvo). Together, ElCon, DBM fitting, and ElEvo form the novel ElEvoHI forecasting utility. To demonstrate the applicability of ElEvoHI, we forecast the arrival times and speeds of 21 CMEs remotely observed from STEREO/HI and compare them to in situ arrival times and speeds at 1 AU. Compared to the commonly used STEREO/HI fitting techniques (Fixed-ϕ, Harmonic Mean, and Self-similar Expansion fitting), ElEvoHI improves the arrival time forecast by about 2 to ±6.5 hr and the arrival speed forecast by ≈ 250 to ±53 km s-1, depending on the ellipse aspect ratio assumed. In particular, the remarkable improvement of the arrival speed prediction is potentially beneficial for predicting geomagnetic storm strength at Earth.

DESTABILIZATION OF A SOLAR PROMINENCE/FILAMENT FIELD SYSTEM BY A SERIES OF EIGHT HOMOLOGOUS ERUPTIVE FLARES LEADING TO A CME

DOE Office of Scientific and Technical Information (OSTI.GOV)

Panesar, Navdeep K.; Moore, Ronald L.; Sterling, Alphonse C.

2015-09-20

Homologous flares are flares that occur repetitively in the same active region, with similar structure and morphology. A series of at least eight homologous flares occurred in active region NOAA 11237 over 2011 June 16–17. A nearby prominence/filament was rooted in the active region, and situated near the bottom of a coronal cavity. The active region was on the southeast solar limb as seen from the Solar Dynamics Observatory/Atmospheric Imaging Assembly, and on the disk as viewed from the Solar TErrestrial RElations Observatory/EUVI-B. The dual perspective allows us to study in detail behavior of the prominence/filament material entrained in themore » magnetic field of the repeatedly erupting system. Each of the eruptions were mainly confined, but expelled hot material into the prominence/filament cavity system (PFCS). The field carrying and containing the ejected hot material interacted with the PFCS and caused it to inflate, resulting in a step-wise rise of the PFCS approximately in step with the homologous eruptions. The eighth eruption triggered the PFCS to move outward slowly, accompanied by a weak coronal dimming. As this slow PFCS eruption was underway, a final “ejective” flare occurred in the core of the active region, resulting in strong dimming in the EUVI-B images and expulsion of a coronal mass ejection (CME). A plausible scenario is that the repeated homologous flares could have gradually destabilized the PFCS, and its subsequent eruption removed field above the acitive region and in turn led to the ejective flare, strong dimming, and CME.« less

Methods and apparatuses for reagent delivery, reactive barrier formation, and pest control

DOEpatents

Gilmore, Tyler [Pasco, WA; Kaplan, Daniel I [Aiken, SC; Last, George [Richland, WA

2002-07-09

A reagent delivery method includes positioning reagent delivery tubes in contact with soil. The tubes can include a wall that is permeable to a soil-modifying reagent. The method further includes supplying the reagent in the tubes, diffusing the reagent through the permeable wall and into the soil, and chemically modifying a selected component of the soil using the reagent. The tubes can be in subsurface contact with soil, including groundwater, and can be placed with directional drilling equipment independent of groundwater well casings. The soil-modifying reagent includes a variety of gases, liquids, colloids, and adsorbents that may be reactive or non-reactive with soil components. The method may be used inter alia to form reactive barriers, control pests, and enhance soil nutrients for microbes and plants.

Preconditioning of Interplanetary Space Due to Transient CME Disturbances

DOE Office of Scientific and Technical Information (OSTI.GOV)

Temmer, M.; Reiss, M. A.; Hofmeister, S. J.

Interplanetary space is characteristically structured mainly by high-speed solar wind streams emanating from coronal holes and transient disturbances such as coronal mass ejections (CMEs). While high-speed solar wind streams pose a continuous outflow, CMEs abruptly disrupt the rather steady structure, causing large deviations from the quiet solar wind conditions. For the first time, we give a quantification of the duration of disturbed conditions (preconditioning) for interplanetary space caused by CMEs. To this aim, we investigate the plasma speed component of the solar wind and the impact of in situ detected interplanetary CMEs (ICMEs), compared to different background solar wind modelsmore » (ESWF, WSA, persistence model) for the time range 2011–2015. We quantify in terms of standard error measures the deviations between modeled background solar wind speed and observed solar wind speed. Using the mean absolute error, we obtain an average deviation for quiet solar activity within a range of 75.1–83.1 km s{sup −1}. Compared to this baseline level, periods within the ICME interval showed an increase of 18%–32% above the expected background, and the period of two days after the ICME displayed an increase of 9%–24%. We obtain a total duration of enhanced deviations over about three and up to six days after the ICME start, which is much longer than the average duration of an ICME disturbance itself (∼1.3 days), concluding that interplanetary space needs ∼2–5 days to recover from the impact of ICMEs. The obtained results have strong implications for studying CME propagation behavior and also for space weather forecasting.« less

Genome editing via delivery of Cas9 ribonucleoprotein.

PubMed

DeWitt, Mark A; Corn, Jacob E; Carroll, Dana

2017-05-15

The CRISPR-Cas genome editing system is very powerful. The format of the CRISPR reagents and the means of delivery are often important factors in targeting efficiency. Delivery of recombinant Cas9 protein and guide RNA (gRNA) as a preformed ribonucleoprotein (RNP) complex has recently emerged as a powerful and general approach to genome editing. Here we outline methods to produce and deliver Cas9 RNPs. A donor DNA carrying desired sequence changes can also be included to program precise sequence introduction or replacement. RNP delivery limits exposure to genome editing reagents, reduces off-target events, drives high rates of homology-dependent repair, and can be applied to embryos to rapidly generate animal models. RNP delivery thus minimizes some of the pitfalls of alternative editing modalities and is rapidly being adopted by the genome editing community. Copyright © 2017 Elsevier Inc. All rights reserved.

Development of the community midwifery education initiative and its influence on women's health and empowerment in Afghanistan: a case study.

PubMed

Speakman, Elizabeth M; Shafi, Ahmad; Sondorp, Egbert; Atta, Nooria; Howard, Natasha

2014-09-15

Political transition in Afghanistan enabled reconstruction of the destroyed health system. Maternal health was prioritised due to political will and historically high mortality. However, severe shortages of skilled birth attendants--particularly in rural areas--hampered safe motherhood initiatives. The Community Midwifery Education (CME) programme began training rural midwives in 2002, scaling-up nationally in 2005. This case study analyses CME development and implementation to help determine successes and challenges. Data were collected through documentary review and key informant interviews. Content analysis was informed by Walt and Gilson's policy triangle framework. The CME programme has contributed to consistently positive indicators, including up to a 1273/100,000 reduction in maternal mortality ratios, up to a 28% increase in skilled deliveries, and a six-fold increase in qualified midwives since 2002. Begun as a small pilot, CME has gained support of international donors, the Afghan government, and civil society. CME is considered by stakeholders to be a positive model for promoting women's education, employment, and health. However, its future is threatened by insecurity, corruption, lack of regulation, and funding uncertainties. Strategic planning and resource mobilisation are required for it to achieve its potential of transforming maternal healthcare in Afghanistan.

Thiomers for oral delivery of hydrophilic macromolecular drugs.

PubMed

Bernkop-Schnürch, Andreas; Hoffer, Martin H; Kafedjiiski, Krum

2004-11-01

In recent years thiolated polymers (thiomers) have appeared as a promising new tool in oral drug delivery. Thiomers are obtained by the immobilisation of thio-bearing ligands to mucoadhesive polymeric excipients. By the formation of disulfide bonds with mucus glycoproteins, the mucoadhesive properties of thiomers are up to 130-fold improved compared with the corresponding unmodified polymers. Owing to the formation of inter- and intramolecular disulfide bonds within the thiomer itself, matrix tablets and particulate delivery systems show strong cohesive properties, resulting in comparatively higher stability, prolonged disintegration times and a more controlled drug release. The permeation of hydrophilic macromolecular drugs through the gastrointestinal (GI) mucosa can be improved by the use of thiomers. Furthermore, some thiomers exhibit improved inhibitory properties towards GI peptidases. The efficacy of thiomers in oral drug delivery has been demonstrated by various in vivo studies. A pharmacological efficacy of 1%, for example, was achieved in rats by oral administration of calcitonin tablets comprising a thiomer. Furthermore, tablets comprising a thiomer and pegylated insulin resulted in a pharmacological efficacy of 7% after oral application to diabetic mice. Low-molecular-weight heparin embedded in thiolated polycarbophil led to an absolute bioavailability of > or = 20% after oral administration to rats. In these studies, formulations comprising the corresponding unmodified polymer had only a marginal or no effect. These results indicate drug carrier systems based on thiomers appear to be a promising tool for oral delivery of hydrophilic macromolecular drugs.

An Asynchronous Augmentation to Traditional Course Delivery.

ERIC Educational Resources Information Center

Wolverton, Marvin L.; Wolverton, Mimi

Asynchronous augmentation facilitates distributed learning, which relies heavily on technology and self-learning. This paper reports the results of delivering a real estate principles course using an asynchronous course delivery format. It highlights one of many ways to enhance learning using technology, and it provides information concerning how…

Correlated fluorescence-atomic force microscopy studies of the clathrin mediated endocytosis in SKMEL cells

NASA Astrophysics Data System (ADS)

Hor, Amy; Luu, Anh; Kang, Lin; Scott, Brandon; Bailey, Elizabeth; Hoppe, Adam; Smith, Steve

2017-02-01

Clathrin-mediated endocytosis (CME) is one of the central pathways for cargo transport into cells, and plays a major role in the maintenance of cellular functions, such as intercellular signaling, nutrient intake, and turnover of plasma membrane in cells. The clathrin-mediated endocytosis process involves invagination and formation of clathrin-coated vesicles. However, the biophysical mechanisms of vesicle formation are still debated. Currently, there are two models describing membrane bending during the formation of clathrin cages: the first involves the deposition of all clathrin molecules to the plasma membrane, forming a flat lattice prior to membrane bending, whereas in the second model, membrane bending happens simultaneously as the clathrin arrives to the site to form a clathrin-coated cage. We investigate clathrin vesicle formation mechanisms through the utilization of tapping-mode atomic force microscopy for high resolution topographical imaging in neutral buffer solution of unroofed cells exposing the inner membrane, combined with fluorescence imaging to definitively label intracellular constituents with specific fluorophores (actin filaments labeled with green phalloidin and clathrin coated vesicles with the fusion protein Tq2) in SKMEL (Human Melanoma) cells. An extensive statistical survey of many hundreds of CME events, at various stages of progression, are observed via this method, allowing inferences about the dominant mechanisms active in CME in SKMEL cells. Results indicate a mixed model incorporating aspects of both the aforementioned mechanisms for CME.

Students’ Attitudes, Academic Performance and Preferences for Content Delivery in a Very Large Self-Care Course Redesign

PubMed Central

Mistry, Amee; Schnee, David; Tataronis, Gary; Taglieri, Catherine; Zaiken, Kathy; Patel, Dhiren; Nigro, Stefanie; Jacobson, Susan; Goldman, Jennifer

2016-01-01

Objective. To evaluate students’ performance/attitudes toward a flipped team-based learning (TBL) format in a “very large” self-care course based on student content delivery preference. Design. Third-year students enrolled in the course were surveyed regarding elements of redesign and homework completion. Additionally, their performance and incoming grade point average were evaluated. Assessment. A survey was completed by 286 of 305 students. Nineteen percent of respondents preferred traditional content delivery, whereas 30% preferred flipped TBL, 48% preferred a mixed format, and 3% had no preference. The grades achieved in the course were: A (49%), B (48%), C (3%) and D (0%). The majority completed “all” or “most” of the homework, appreciated attributes of course redesign, felt home preparation and in-class activities engaged them, and reported improved communication/evaluation skills. Content delivery preference significantly affected attitudes. Conclusion. Students positively received a flipped team-based learning classroom format, especially those who preferred flipped TBL or mixed content delivery. A minority with preference for traditional teaching style did not enjoy the new format; however, their academic performance did not differ significantly from those who did. PMID:27293234

Observing Flux Rope Formation During the Impulsive Phase of a Solar Eruption

NASA Astrophysics Data System (ADS)

Cheng, X.; Zhang, J.; Liu, Y.; Ding, M. D.

2011-05-01

Magnetic flux ropes are believed to be an important structural component of coronal mass ejections (CMEs). While there exists much observational evidence of flux ropes after the eruption, e.g., as seen in remote-sensing coronagraph images or in situ solar wind data, the direct observation of flux ropes during CME impulsive phase has been rare. In this Letter, we present an unambiguous observation of a flux rope still in the formation phase in the low corona. The CME of interest occurred above the east limb on 2010 November 3 with footpoints partially blocked. The flux rope was seen as a bright blob of hot plasma in the Atmospheric Imaging Assembly (AIA) 131 Å passband (peak temperature ~11 MK) rising from the core of the source active region, rapidly moving outward and stretching the surrounding background magnetic field upward. The stretched magnetic field seemed to curve-in behind the core, similar to the classical magnetic reconnection scenario in eruptive flares. On the other hand, the flux rope appeared as a dark cavity in the AIA 211 Å passband (2.0 MK) and 171 Å passband (0.6 MK) in these relatively cool temperature bands, a bright rim clearly enclosed the dark cavity. The bright rim likely represents the pileup of the surrounding coronal plasma compressed by the expanding flux rope. The composite structure seen in AIA multiple temperature bands is very similar to that in the corresponding coronagraph images, which consists of a bright leading edge and a dark cavity, commonly believed to be a flux rope.

Observing Flux Rope Formation During the Impulsive Phase of a Solar Eruption

NASA Astrophysics Data System (ADS)

Cheng, Xin; Zhang, J.; Yang, L.; Ding, M.

2011-05-01

Magnetic flux rope is believed to be an important structural component of coronal mass ejections (CMEs). While there exist much observational evidence of the flux rope post the eruption, e.g., as seen in remote-sensing coronagraph images or in-situ solar wind data, the direct observation of flux ropes during CME impulsive phase has been rare or non-exist. In this Letter, we present an unambiguous observation of a flux rope still in the formation phase in the low corona. The CME of interest occurred above the east limb on 2010 November 03 with footpoints partially blocked. The flux rope was seen as a blob of hot plasma in AIA 131 A passband (peak temperature 11 MK) rising from the core of the source active region, rapidly moving outward and stretching upward the surrounding background magnetic field. The stretched magnetic field seemed to curve-in, similar to the classical magnetic reconnection scenario in eruptive flares. The flux rope was also seen as a dark cavity in AIA 211 A passpand (2.0 MK) and 171 A passband (0.6 MK); in these relatively cool temperature bands, a bright rim clearly enclosed the dark cavity. The bright rim likely represents the pile-up of the surrounding coronal plasma compressed by the expanding flux rope. The composite structure seen in AIA multiple temperature bands is very similar to that in the corresponding coronagraph images, which consists of a bright leading edge and a dark cavity, commonly believed to be a flux rope.

Continuing medical education revisited: theoretical assumptions and practical implications: a qualitative study.

PubMed

Dionyssopoulos, Alexander; Karalis, Thanassis; Panitsides, Eugenia A

2014-12-31

Recent research has evidenced that although investment in Continuing Medical Education (CME), both in terms of participation as well as financial resources allocated to it, has been steadily increasing to catch up with accelerating advances in health information and technology, effectiveness of CME is reported to be rather limited. Poor and disproportional returns can be attributed to failure of CME courses to address and stimulate an adult audience. The present study initially drew on research findings and adult learning theories, providing the basis for comprehending adult learning, while entailing practical implications on fostering effectiveness in the design and delivery of CME. On a second level, a qualitative study was conducted with the aim to elucidate parameters accounting for effectiveness in educational interventions. Qualitative data was retrieved through 12 in-depth interviews, conducted with a random sample of participants in the 26th European Workshop of Advanced Plastic Surgery (EWAPS). The data underwent a three level qualitative analysis, following the "grounded theory" methodology, comprising 'open coding', 'axial coding' and 'selective coding'. Findings from the EWAPS study come in line with relevant literature, entailing significant implications for the necessity to apply a more effective and efficient paradigm in the design and delivery of educational interventions, advocating for implementing learner-centered schemata in CME and benefiting from a model that draws on the learning environment and social aspects of learning. What emerged as a pivotal parameter in designing educational interventions is to focus on small group educational events which could provide a supportive friendly context, enhance motivation through learner-centered approaches and allow interaction, experimentation and critical reflection. It should be outlined however that further research is required as the present study is limited in scope, having dealt with a limited

Professional Development Integrating Technology: Does Delivery Format Matter?

ERIC Educational Resources Information Center

Claesgens, Jennifer; Rubino-Hare, Lori; Bloom, Nena; Fredrickson, Kristi; Henderson-Dahms, Carol; Menasco, Jackie; Sample, James

2013-01-01

The goal of the two Power of Data (POD) projects was to increase science, technology and math skills through the implementation of project-based learning modules that teach students how to solve problems through data collection and analysis utilizing geospatial technologies. Professional development institutes in two formats were offered to…

Diclofenac enables unprecedented week-long microneedle-enhanced delivery of a skin impermeable medication in humans

PubMed Central

Brogden, Nicole K.; Banks, Stan L.; Crofford, Leslie J.; Stinchcomb, Audra L.

2013-01-01

Microneedles applied to the skin create micropores, allowing transdermal drug delivery of skin-impermeable compounds. The first human study with this technique demonstrated delivery of naltrexone (an opioid antagonist) for two to three days. Rapid micropore closure, however, blunts the delivery window. Application of diclofenac (an anti-inflammatory) allows seven days of naltrexone delivery in animals. Purpose the purpose of the current work was to demonstrate delivery of naltrexone for seven days following one microneedle treatment in humans. Methods Human subjects were treated with microneedles, diclofenac (or placebo), and naltrexone. Impedance measurements were used as a surrogate marker to measure micropore formation, and plasma naltrexone concentrations were measured for seven days post-microneedle application. Results Impedance dropped significantly from baseline to post-microneedle treatment, confirming micropore formation. Naltrexone was detected for seven days in Group 1 (diclofenac + naltrexone, n = 6), vs. 72 hours in Group 2 (placebo + naltrexone, n = 2). At study completion, a significant difference in impedance was observed between intact and microneedle-treated skin in Group 1 (confirming the presence of micropores). Conclusion This is the first study demonstrating week-long drug delivery after one microneedle application, which would increase patient compliance and allow delivery of therapies for chronic diseases. PMID:23761054

Physician preferences for accredited online continuing medical education.

PubMed

Young, Kevin J; Kim, Julie J; Yeung, George; Sit, Christina; Tobe, Sheldon W

2011-01-01

The need for up-to-date and high-quality continuing medical education (CME) is growing while the financial investment in CME is shrinking. Despite online technology's potential to efficiently deliver electronic CME (eCME) to large numbers of users, it has not yet displaced traditional CME. The purpose of this study was to explore what health care providers want in eCME and how they want to use it. This was a qualitative study. Two 3-hour focus groups were held with physicians in both academic and community practices as well as trainees knowledgeable in the hypertension clinical practice guidelines with a willingness to discuss eCME. Content/thematic analysis was used to examine the data. Three main themes emerged: credibility, content/context, and control. Credibility was the most consistent and dominant theme. Affiliations with medical organizations and accreditation were suggested as methods by which eCME can gain credibility. The content and need for discussion of the content emerged as a key pivot point between eCME and traditional CME: a greater need for discussion was linked to a preference for traditional face-to-face CME. Control over the content and how it was accessed was an emergent theme, giving learners the ability to control the depth of learning and the time spent. They valued the ability to quickly find information that was in a format (podcast, video, mobile device) that best suited their learning needs or preferences at the time. This study provides insight into physician preferences for eCME and hypotheses that can be used to guide further research. Copyright © 2011 The Alliance for Continuing Medical Education, the Society for Academic Continuing Medical Education, and the Council on CME, Association for Hospital Medical Education.

Dual Delivery of EPO and BMP2 from a Novel Modular Poly-ɛ-Caprolactone Construct to Increase the Bone Formation in Prefabricated Bone Flaps

PubMed Central

Patel, Janki Jayesh; Modes, Jane E.; Flanagan, Colleen L.; Krebsbach, Paul H.; Edwards, Sean P.

2015-01-01

Poly-ɛ-caprolactone (PCL) is a biocompatible polymer that has mechanical properties suitable for bone tissue engineering; however, it must be integrated with biologics to stimulate bone formation. Bone morphogenetic protein-2 (BMP2) delivered from PCL produces bone when implanted subcutaneously, and erythropoietin (EPO) works synergistically with BMP2. In this study, EPO and BMP2 are adsorbed separately on two 3D-printed PCL scaffold modules that are assembled for codelivery on a single scaffold structure. This assembled modular PCL scaffold with dual BMP2 and EPO delivery was shown to increase bone growth in an ectopic location when compared with BMP2 delivery along a replicate scaffold structure. EPO (200 IU/mL) and BMP2 (65 μg/mL) were adsorbed onto the outer and inner portions of a modular scaffold, respectively. Protein binding and release studies were first quantified. Subsequently, EPO+BMP2 and BMP2 scaffolds were implanted subcutaneously in mice for 4 and 8 weeks, and the regenerated bone was analyzed with microcomputed tomography and histology; 8.6±1.4 μg BMP2 (22%) and 140±29 IU EPO (69.8%) bound to the scaffold and <1% BMP2 and 83% EPO was released in 7 days. Increased endothelial cell proliferation on EPO-adsorbed PCL discs indicated protein bioactivity. At 4 and 8 weeks, dual BMP2 and EPO delivery regenerated more bone (5.1±1.1 and 5.5±1.6 mm3) than BMP2 alone (3.8±1.1 and 4.3±1.7 mm3). BMP2 and EPO scaffolds had more ingrowth (1.4%±0.6%) in the outer module when compared with BMP2 (0.8%±0.3%) at 4 weeks. Dual delivery produced more dense cellular marrow, while BMP2 had more fatty marrow. Dual EPO and BMP2 delivery is a potential method to regenerate bone faster for prefabricated flaps. PMID:25809081

Dual Delivery of EPO and BMP2 from a Novel Modular Poly-ɛ-Caprolactone Construct to Increase the Bone Formation in Prefabricated Bone Flaps.

PubMed

Patel, Janki Jayesh; Modes, Jane E; Flanagan, Colleen L; Krebsbach, Paul H; Edwards, Sean P; Hollister, Scott J

2015-09-01

Poly-ɛ-caprolactone (PCL) is a biocompatible polymer that has mechanical properties suitable for bone tissue engineering; however, it must be integrated with biologics to stimulate bone formation. Bone morphogenetic protein-2 (BMP2) delivered from PCL produces bone when implanted subcutaneously, and erythropoietin (EPO) works synergistically with BMP2. In this study, EPO and BMP2 are adsorbed separately on two 3D-printed PCL scaffold modules that are assembled for codelivery on a single scaffold structure. This assembled modular PCL scaffold with dual BMP2 and EPO delivery was shown to increase bone growth in an ectopic location when compared with BMP2 delivery along a replicate scaffold structure. EPO (200 IU/mL) and BMP2 (65 μg/mL) were adsorbed onto the outer and inner portions of a modular scaffold, respectively. Protein binding and release studies were first quantified. Subsequently, EPO+BMP2 and BMP2 scaffolds were implanted subcutaneously in mice for 4 and 8 weeks, and the regenerated bone was analyzed with microcomputed tomography and histology; 8.6±1.4 μg BMP2 (22%) and 140±29 IU EPO (69.8%) bound to the scaffold and <1% BMP2 and 83% EPO was released in 7 days. Increased endothelial cell proliferation on EPO-adsorbed PCL discs indicated protein bioactivity. At 4 and 8 weeks, dual BMP2 and EPO delivery regenerated more bone (5.1±1.1 and 5.5±1.6 mm(3)) than BMP2 alone (3.8±1.1 and 4.3±1.7 mm(3)). BMP2 and EPO scaffolds had more ingrowth (1.4%±0.6%) in the outer module when compared with BMP2 (0.8%±0.3%) at 4 weeks. Dual delivery produced more dense cellular marrow, while BMP2 had more fatty marrow. Dual EPO and BMP2 delivery is a potential method to regenerate bone faster for prefabricated flaps.

One Quiz File, Several Modes of Delivery

ERIC Educational Resources Information Center

Herbert, John C.

2012-01-01

This report offers online course designers, particularly those keen on using Moodle CMSs, a means of diversifying accessibility to their educational materials via multiple modes of delivery that do not require the creation of numerous files and formats for just one activity. The author has made contributions to the development of an open source…

Examination of the Relationship of Community College Opticianry Student Outcomes with Instructional Delivery Methods and Student Age

ERIC Educational Resources Information Center

Underwood, William B.; Hernandez-Gantes, Victor M.

2017-01-01

The purpose of this study was to determine whether student outcomes are a function of participation in different modes of delivery and student age in an Opticianry program at the community college level. The three instructional delivery methods were traditional face-to-face instruction, online delivery, and a hybrid format where students take…

Nanoparticle (star polymer) delivery of nitric oxide effectively negates Pseudomonas aeruginosa biofilm formation.

PubMed

Duong, Hien T T; Jung, Kenward; Kutty, Samuel K; Agustina, Sri; Adnan, Nik Nik M; Basuki, Johan S; Kumar, Naresh; Davis, Thomas P; Barraud, Nicolas; Boyer, Cyrille

2014-07-14

Biofilms are increasingly recognized as playing a major role in human infectious diseases, as they can form on both living tissues and abiotic surfaces, with serious implications for applications that rely on prolonged exposure to the body such as implantable biomedical devices or catheters. Therefore, there is an urgent need to develop improved therapeutics to effectively eradicate unwanted biofilms. Recently, the biological signaling molecule nitric oxide (NO) was identified as a key regulator of dispersal events in biofilms. In this paper, we report a new class of core cross-linked star polymers designed to store and release nitric oxide, in a controlled way, for the dispersion of biofilms. First, core cross-linked star polymers were prepared by reversible addition-fragmentation chain transfer polymerization (RAFT) via an arm first approach. Poly(oligoethylene methoxy acrylate) chains were synthesized by RAFT polymerization, and then chain extended in the presence of 2-vinyl-4,4-dimethyl-5-oxazolone monomer (VDM) with N,N-methylenebis(acrylamide) employed as a cross-linker to yield functional core cross-linked star polymers. Spermine was successfully attached to the star core by reaction with VDM. Finally, the secondary amine groups were reacted with NO gas to yield NO-core cross-linked star polymers. The core cross-linked star polymers were found to release NO in a controlled, slow delivery in bacterial cultures showing great efficacy in preventing both cell attachment and biofilm formation in Pseudomonas aeruginosa over time via a nontoxic mechanism, confining bacterial growth to the suspended liquid.

Self-assembled peptide-based nanostructures: Smart nanomaterials toward targeted drug delivery.

PubMed

Habibi, Neda; Kamaly, Nazila; Memic, Adnan; Shafiee, Hadi

2016-02-01

Self-assembly of peptides can yield an array of well-defined nanostructures that are highly attractive nanomaterials for many biomedical applications such as drug delivery. Some of the advantages of self-assembled peptide nanostructures over other delivery platforms include their chemical diversity, biocompatibility, high loading capacity for both hydrophobic and hydrophilic drugs, and their ability to target molecular recognition sites. Furthermore, these self-assembled nanostructures could be designed with novel peptide motifs, making them stimuli-responsive and achieving triggered drug delivery at disease sites. The goal of this work is to present a comprehensive review of the most recent studies on self-assembled peptides with a focus on their "smart" activity for formation of targeted and responsive drug-delivery carriers.

An industry update: the latest developments in Therapeutic delivery.

PubMed

Steinbach, Oliver C

2018-05-01

The present industry update covers the period of 1 January-31 January 2018, with information sourced from company press releases, regulatory and patent agencies as well as scientific literature. Several public offerings (Gecko, Insmed), licensing (Foresee) and commercialization agreements (Alnylam, Collegium Pharmaceutical) as well as patent filings (Elute) continue to prove the sustained investments in the drug delivery market. In increasing numbers, more effective ways to deliver the active ingredient to the right location and the right dose through devices (Boehringer Ingelheim's Respimat, Medtronics' SynchroMedII) or improved compound properties through formulation (Aquestive Therapeutics' PharmFilm, Noven Pharmaceuticals' transdermal patch) are reaching the market. Furthering biologics and gene delivery (Avacta, Bracco) proves that novel drug delivery technologies are successfully addressing more challenging drug formats.

Development of the Community Midwifery Education initiative and its influence on women’s health and empowerment in Afghanistan: a case study

PubMed Central

2014-01-01

Background Political transition in Afghanistan enabled reconstruction of the destroyed health system. Maternal health was prioritised due to political will and historically high mortality. However, severe shortages of skilled birth attendants - particularly in rural areas - hampered safe motherhood initiatives. The Community Midwifery Education (CME) programme began training rural midwives in 2002, scaling-up nationally in 2005. Methods This case study analyses CME development and implementation to help determine successes and challenges. Data were collected through documentary review and key informant interviews. Content analysis was informed by Walt and Gilson’s policy triangle framework. Results The CME programme has contributed to consistently positive indicators, including up to a 1273/100,000 reduction in maternal mortality ratios, up to a 28% increase in skilled deliveries, and a six-fold increase in qualified midwives since 2002. Begun as a small pilot, CME has gained support of international donors, the Afghan government, and civil society. Conclusion CME is considered by stakeholders to be a positive model for promoting women’s education, employment, and health. However, its future is threatened by insecurity, corruption, lack of regulation, and funding uncertainties. Strategic planning and resource mobilisation are required for it to achieve its potential of transforming maternal healthcare in Afghanistan. PMID:25220577

Optically generated ultrasound for enhanced drug delivery

DOEpatents

Visuri, Steven R.; Campbell, Heather L.; Da Silva, Luiz

2002-01-01

High frequency acoustic waves, analogous to ultrasound, can enhance the delivery of therapeutic compounds into cells. The compounds delivered may be chemotherapeutic drugs, antibiotics, photodynamic drugs or gene therapies. The therapeutic compounds are administered systemically, or preferably locally to the targeted site. Local delivery can be accomplished through a needle, cannula, or through a variety of vascular catheters, depending on the location of routes of access. To enhance the systemic or local delivery of the therapeutic compounds, high frequency acoustic waves are generated locally near the target site, and preferably near the site of compound administration. The acoustic waves are produced via laser radiation interaction with an absorbing media and can be produced via thermoelastic expansion, thermodynamic vaporization, material ablation, or plasma formation. Acoustic waves have the effect of temporarily permeabilizing the membranes of local cells, increasing the diffusion of the therapeutic compound into the cells, allowing for decreased total body dosages, decreased side effects, and enabling new therapies.

Quantitative evaluation of 3D dosimetry for stereotactic volumetric‐modulated arc delivery using COMPASS

PubMed Central

Manigandan, Durai; Karrthick, Karukkupalayam Palaniappan; Sambasivaselli, Raju; Senniandavar, Vellaingiri; Ramu, Mahendran; Rajesh, Thiyagarajan; Lutz, Muller; Muthukumaran, Manavalan; Karthikeyan, Nithyanantham; Tejinder, Kataria

2014-01-01

The purpose of this study was to evaluate quantitatively the patient‐specific 3D dosimetry tool COMPASS with 2D array MatriXX detector for stereotactic volumetric‐modulated arc delivery. Twenty‐five patients CT images and RT structures from different sites (brain, head & neck, thorax, abdomen, and spine) were taken from CyberKnife Multiplan planning system for this study. All these patients underwent radical stereotactic treatment in CyberKnife. For each patient, linac based volumetric‐modulated arc therapy (VMAT) stereotactic plans were generated in Monaco TPS v3.1 using Elekta Beam Modulator MLC. Dose prescription was in the range of 5–20 Gy per fraction. Target prescription and critical organ constraints were tried to match the delivered treatment plans. Each plan quality was analyzed using conformity index (CI), conformity number (CN), gradient Index (GI), target coverage (TC), and dose to 95% of volume (D95). Monaco Monte Carlo (MC)‐calculated treatment plan delivery accuracy was quantitatively evaluated with COMPASS‐calculated (CCA) dose and COMPASS indirectly measured (CME) dose based on dose‐volume histogram metrics. In order to ascertain the potential of COMPASS 3D dosimetry for stereotactic plan delivery, 2D fluence verification was performed with MatriXX using MultiCube phantom. Routine quality assurance of absolute point dose verification was performed to check the overall delivery accuracy. Quantitative analyses of dose delivery verification were compared with pass and fail criteria of 3 mm and 3% distance to agreement and dose differences. Gamma passing rate was compared with 2D fluence verification from MatriXX with MultiCube. Comparison of COMPASS reconstructed dose from measured fluence and COMPASS computed dose has shown a very good agreement with TPS calculated dose. Each plan was evaluated based on dose volume parameters for target volumes such as dose at 95% of volume (D95) and average dose. For critical organs dose at 20% of

Development of a full ice-cream cone model for halo CME structures

NASA Astrophysics Data System (ADS)

Na, Hyeonock; Moon, Yong-Jae

2015-04-01

The determination of three dimensional parameters (e.g., radial speed, angular width, source location) of Coronal Mass Ejections (CMEs) is very important for space weather forecast. To estimate these parameters, several cone models based on a flat cone or a shallow ice-cream cone with spherical front have been suggested. In this study, we investigate which cone model is proper for halo CME morphology using 33 CMEs which are identified as halo CMEs by one spacecraft (SOHO or STEREO-A or B) and as limb CMEs by the other ones. From geometrical parameters of these CMEs such as their front curvature, we find that near full ice-cream cone CMEs (28 events) are dominant over shallow ice-cream cone CMEs (5 events). So we develop a new full ice-cream cone model by assuming that a full ice-cream cone consists of many flat cones with different heights and angular widths. This model is carried out by the following steps: (1) construct a cone for given height and angular width, (2) project the cone onto the sky plane, (3) select points comprising the outer boundary, (4) minimize the difference between the estimated projection points with the observed ones. We apply this model to several halo CMEs and compare the results with those from other methods such as a Graduated Cylindrical Shell model and a geometrical triangulation method.

Unusual solar energetic proton fluxes at 1 AU within an interplanetary CME

NASA Astrophysics Data System (ADS)

Mulligan, T.; Blake, J. B.; Mewaldt, R. A.

In mid December 2006 several flares on the Sun occurred in rapid succession, spawning several CMEs and bathing the Earth in multiple solar energetic particle (SEP) events. One such SEP occurring on December 15th was observed at the Earth just as an interplanetary CME (ICME) from a previous flare on December 13th was transiting the Earth. Although solar wind observations during this time show typical energetic proton fluxes from the prior SEP and IP shock driven ahead of the ICME, as the ICME passes the Earth unusual energetic particle signatures are observed. Measurements from ACE, Wind, and STEREO show unusual proton flux variations at energies ranging from ~3 MeV up to greater than 70 MeV. Within the Earth’s magnetosphere Polar HIST also sees unusual proton flux variations at energies greater than 10 MeV while crossing open field lines in the southern polar cap. However, no such variation in the energetic proton flux is observed at the GOES 10 or GOES 11 spacecraft in geosynchronous orbit. Differential fluxes observed at GOES 12 in the 15-40 MeV energy range show some variation. However, the overall energetic particle signature within the ICME at GEO orbits remains unclear. This event illustrates the need for caution when using GEO data in statistical studies of SEP events and in interplanetary models of energetic particle transport to 1 AU.

Comparison of CME radial velocities from a flux rope model and an ice cream cone model

NASA Astrophysics Data System (ADS)

Kim, T.; Moon, Y.; Na, H.

2011-12-01

Coronal Mass Ejections (CMEs) on the Sun are the largest energy release process in the solar system and act as the primary driver of geomagnetic storms and other space weather phenomena on the Earth. So it is very important to infer their directions, velocities and three-dimensional structures. In this study, we choose two different models to infer radial velocities of halo CMEs since 2008 : (1) an ice cream cone model by Xue et al (2005) using SOHO/LASCO data, (2) a flux rope model by Thernisien et al. (2009) using the STEREO/SECCHI data. In addition, we use another flux rope model in which the separation angle of flux rope is zero, which is morphologically similar to the ice cream cone model. The comparison shows that the CME radial velocities from among each model have very good correlations (R>0.9). We will extending this comparison to other partial CMEs observed by STEREO and SOHO.

Comparison of CME masses and kinetic energies near the Sun and in the inner heliosphere

NASA Technical Reports Server (NTRS)

Webb, D. F.; Howard, R. A.; Jackson, B. V.

1995-01-01

Masses have now been determined for many of the CMEs observed in the inner heliosphere by the HELIOS 1 and 2 zodiacal light photometers. The speed of the brightest material of each CME has also been measured so that, for events having both mass and speed determinations, the kinetic energies of the CMEs are estimated. We compare the masses and kinetic energies of the individual CMEs measured in the inner heliosphere by HELIOS and near the Sun from observations by the SOLWIND (1979-1983) and SMM coronagraphs (1980). Where feasible we also compare the speeds of the same CMEs. We find that the HELIOS masses and energies tend to be somewhat larger by factors of 2-5 than those derived from the coronagraph data. We also compare the distribution of the masses and energies of the HELIOS and coronagraph CMEs over the solar cycle. These results provide an important baseline for observations of CMEs from coronagraphs, from the ISEE-3/ICE, WIND and Ulysses spacecraft and in the future from SOHO.

Deciphering dynamics of clathrin-mediated endocytosis in a living organism

PubMed Central

Heidotting, Spencer P.; Huber, Scott D.

2016-01-01

Current understanding of clathrin-mediated endocytosis (CME) dynamics is based on detection and tracking of fluorescently tagged clathrin coat components within cultured cells. Because of technical limitations inherent to detection and tracking of single fluorescent particles, CME dynamics is not characterized in vivo, so the effects of mechanical cues generated during development of multicellular organisms on formation and dissolution of clathrin-coated structures (CCSs) have not been directly observed. Here, we use growth rates of fluorescence signals obtained from short CCS intensity trace fragments to assess CME dynamics. This methodology does not rely on determining the complete lifespan of individual endocytic assemblies. Therefore, it allows for real-time monitoring of spatiotemporal changes in CME dynamics and is less prone to errors associated with particle detection and tracking. We validate the applicability of this approach to in vivo systems by demonstrating the reduction of CME dynamics during dorsal closure of Drosophila melanogaster embryos. PMID:27458134

Carboxymethyl starch and lecithin complex as matrix for targeted drug delivery: I. Monolithic mesalamine forms for colon delivery.

PubMed

Mihaela Friciu, Maria; Canh Le, Tien; Ispas-Szabo, Pompilia; Mateescu, Mircea Alexandru

2013-11-01

For drugs expected to act locally in the colon, and for successful treatment, a delivery device is necessary, in order to limit the systemic absorption which decreases effectiveness and causes important side effects. Various delayed release systems are currently commercialized; most of them based on pH-dependent release which is sensitive to gastrointestinal pH variation. This study proposes a novel excipient for colon delivery. This new preparation consists in the complexation between carboxymethyl starch (CMS) and Lecithin (L). As opposed to existing excipients, the new complex is pH-independent, inexpensive, and easy to manufacture and allows a high drug loading. FTIR, X-ray, and SEM structural analysis all support the hypothesis of the formation of a complex. By minor variation of the excipient content within the tablet, it is possible to modulate the release time and delivery at specific sites of the gastrointestinal tract. This study opens the door to a new pH-independent delivery system for mesalamine targeted administration. Our novel formulation fits well with the posology of mesalamine, used in the treatment of Inflammatory Bowel Disease (IBD), which requires repeated administrations (1g orally four times a day) to maintain a good quality of life. Copyright © 2013 Elsevier B.V. All rights reserved.

Targeted Vascular Drug Delivery in Cerebral Cancer.

PubMed

Humle, Nanna; Johnsen, Kasper Bendix; Arendt, Gitte Abildgaard; Nielsen, Rikke Paludan; Moos, Torben; Thomsen, Louiza Bohn

2016-01-01

This review presents the present-day literature on the anatomy and physiological mechanisms of the blood-brain barrier and the problematic of cerebral drug delivery in relation to malignant brain tumors. First step in treatment of malignant brain tumors is resection, but there is a high risk of single remnant infiltrative tumor cells in the outer zone of the brain tumor. These infiltrative single-cells will be supplied by capillaries with an intact BBB as opposed to the partly leaky BBB found in the tumor tissue before resection. Even though BBB penetrance of a chemotherapeutic agent is considered irrelevant though the limited success rate for chemotherapeutic treatability of GBM tumors indicate otherwise. Therefore drug delivery strategies to cerebral cancer after resection should be tailored to being able to both penetrate the intact BBB and target the cancer cells. In this review the intact bloodbrain barrier and cerebral cancer with main focus on glioblastoma multiforme (GBM) is introduced. The GBM induced formation of a blood-tumor barrier and the consequences hereof is described and discussed with emphasis on the impact these changes of the BBB has on drug delivery to GBM. The most commonly used drug carriers for drug delivery to GBM is described and the current drug delivery strategies for glioblastoma multiforme including possible routes through the BBB and epitopes, which can be targeted on the GBM cells is outlined. Overall, this review aims to address targeted drug delivery in GBM treatment when taking the differing permeability of the BBB into consideration.

Nanoparticles Effectively Target Rapamycin Delivery to Sites of Experimental Aortic Aneurysm in Rats.

PubMed

Shirasu, Takuro; Koyama, Hiroyuki; Miura, Yutaka; Hoshina, Katsuyuki; Kataoka, Kazunori; Watanabe, Toshiaki

2016-01-01

Several drugs targeting the pathogenesis of aortic aneurysm have shown efficacy in model systems but not in clinical trials, potentially owing to the lack of targeted drug delivery. Here, we designed a novel drug delivery system using nanoparticles to target the disrupted aortic aneurysm micro-structure. We generated poly(ethylene glycol)-shelled nanoparticles incorporating rapamycin that exhibited uniform diameter and long-term stability. When injected intravenously into a rat model in which abdominal aortic aneurysm (AAA) had been induced by infusing elastase, labeled rapamycin nanoparticles specifically accumulated in the AAA. Microscopic analysis revealed that rapamycin nanoparticles were mainly distributed in the media and adventitia where the wall structures were damaged. Co-localization of rapamycin nanoparticles with macrophages was also noted. Rapamycin nanoparticles injected during the process of AAA formation evinced significant suppression of AAA formation and mural inflammation at 7 days after elastase infusion, as compared with rapamycin treatment alone. Correspondingly, the activities of matrix metalloproteinases and the expression of inflammatory cytokines were significantly suppressed by rapamycin nanoparticle treatment. Our findings suggest that the nanoparticle-based delivery system achieves specific delivery of rapamycin to the rat AAA and might contribute to establishing a drug therapy approach targeting aortic aneurysm.

California Integrated Service Delivery Evaluation Report. Phase I

ERIC Educational Resources Information Center

Moore, Richard W.; Rossy, Gerard; Roberts, William; Chapman, Kenneth; Sanchez, Urte; Hanley, Chris

2010-01-01

This study is a formative evaluation of the OneStop Career Center Integrated Service Delivery (ISD) Model within the California Workforce System. The study was sponsored by the California Workforce Investment Board. The study completed four in-depth case studies of California OneStops to describe how they implemented the ISD model which brings…

An Optimal Delivery Format for Presentations Targeting Older Adults.

ERIC Educational Resources Information Center

Austin-Wells, Vonnette; Zimmerman, Teena; McDougall, Graham J., Jr.

2003-01-01

African-American, Hispanic, and white older adults (n=34) attended three information sessions presented via flipcharts, transparencies, and PowerPoint (one format per session). In focus groups, participants rated accessibility, novelty, and efficiency. They overwhelmingly preferred PowerPoint on all dimensions. (SK)

76 FR 72414 - Agency Information Collection Activities: Proposed Collection; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-23

... participating in a CME activity to determine the degree to which the learning activities with integrated EHC... awareness of and willingness to learn about results from comparative effectiveness research studies. The... learning programs for delivery through the Eisenberg Center for Clinical Decisions and Communications...

75 FR 65359 - Common Formats for Patient Safety Data Collection and Event Reporting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-22

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Common Formats..., and analyze confidential information regarding the quality and safety of healthcare delivery. The... Information Technology (HIT) Device format and the remaining Common Formats Version 1.1 can be accessed...

Co-delivery of vascular endothelial growth factor and angiopoietin-1 using injectable microsphere/hydrogel hybrid systems for therapeutic angiogenesis.

PubMed

Shin, Seung-Hwa; Lee, Jangwook; Ahn, Dong-Gyun; Lee, Kuen Yong

2013-08-01

We hypothesized that combined delivery of vascular endothelial growth factor (VEGF) and angiopoietin-1 (Ang-1) using microsphere/hydrogel hybrid systems could enhance mature vessel formation compared with administration of each factor alone. Hybrid delivery systems composed of alginate hydrogels and poly(D,L-lactic-co-glycolic acid) (PLGA) microspheres containing angiogenic factors were prepared. The release behavior of angiogenic factors from hybrid systems was monitored in vitro. The hybrid systems were injected into an ischemic rodent model, and blood vessel formation at the ischemic site was evaluated. The sustained release over 4 weeks of both VEGF and Ang-1 from hybrid systems was achieved in vitro. Co-delivery of VEGF and Ang-1 was advantageous to retain muscle tissues and significantly induced vessel enlargement at the ischemic site, compared to mice treated with either VEGF or Ang-1 alone. Sustained and combined delivery of VEGF and Ang-1 significantly enhances vessel enlargement at the ischemic site, compared with sustained delivery of either factor alone. Microsphere/hydrogel hybrid systems may be a promising vehicle for delivery of multiple drugs for many therapeutic applications.

Successful Developmental Math Students in Traditional Format and Online Delivery: A Comparative Study

ERIC Educational Resources Information Center

Thomas, Jeremy Lloyd

2016-01-01

The purpose of this study was to compare student performance in online and traditional classroom based developmental math courses at Texas community colleges. This study specifically examined: (a) student performance in both delivery methods, (b) students who successfully completed the developmental math course, and (c) student performance in the…

Dual delivery of rhPDGF-BB and bone marrow mesenchymal stromal cells expressing the BMP2 gene enhance bone formation in a critical-sized defect model.

PubMed

Park, Shin-Young; Kim, Kyoung-Hwa; Shin, Seung-Yun; Koo, Ki-Tae; Lee, Yong-Moo; Seol, Yang-Jo

2013-11-01

Bone tissue healing is a dynamic, orchestrated process that relies on multiple growth factors and cell types. Platelet-derived growth factor-BB (PDGF-BB) is released from platelets at wound sites and induces cellular migration and proliferation necessary for bone regeneration in the early healing process. Bone morphogenetic protein-2 (BMP-2), the most potent osteogenic differentiation inducer, directs new bone formation at the sites of bone defects. This study evaluated a combinatorial treatment protocol of PDGF-BB and BMP-2 on bone healing in a critical-sized defect model. To mimic the bone tissue healing process, a dual delivery approach was designed to deliver the rhPDGF-BB protein transiently during the early healing phase, whereas BMP-2 was supplied by rat bone marrow stromal cells (BMSCs) transfected with an adenoviral vector containing the BMP2 gene (AdBMP2) for prolonged release throughout the healing process. In in vitro experiments, the dual delivery of rhPDGF-BB and BMP2 significantly enhanced cell proliferation. However, the osteogenic differentiation of BMSCs was significantly suppressed even though the amount of BMP-2 secreted by the AdBMP2-transfected BMSCs was not significantly affected by the rhPDGF-BB treatment. In addition, dual delivery inhibited the mRNA expression of BMP receptor type II and Noggin in BMSCs. In in vivo experiments, critical-sized calvarial defects in rats showed enhanced bone regeneration by dual delivery of autologous AdBMP2-transfected BMSCs and rhPDGF-BB in both the amount of new bone formed and the bone mineral density. These enhancements in bone regeneration were greater than those observed in the group treated with AdBMP2-transfected BMSCs alone. In conclusion, the dual delivery of rhPDGF-BB and AdBMP2-transfected BMSCs improved the quality of the regenerated bone, possibly due to the modulation of PDGF-BB on BMP-2-induced osteogenesis.

48 CFR 1436.270-1 - Uniform contract format.

Code of Federal Regulations, 2010 CFR

2010-10-01

... contract format does not apply, the CO should so mark that section in the solicitation. Upon award, the CO... Deliveries or performance. G Contract administration data. H Special contract requirements. Part IV...

CME Dynamics Using STEREO and LASCO Observations: The Relative Importance of Lorentz Forces and Solar Wind Drag

NASA Astrophysics Data System (ADS)

Sachdeva, Nishtha; Subramanian, Prasad; Vourlidas, Angelos; Bothmer, Volker

2017-09-01

We seek to quantify the relative contributions of Lorentz forces and aerodynamic drag on the propagation of solar coronal mass ejections (CMEs). We use Graduated Cylindrical Shell (GCS) model fits to a representative set of 38 CMEs observed with the Solar and Heliospheric Observatory (SOHO) and the Solar and Terrestrial Relations Observatory (STEREO) spacecraft. We find that the Lorentz forces generally peak between 1.65 and 2.45 R⊙ for all CMEs. For fast CMEs, Lorentz forces become negligible in comparison to aerodynamic drag as early as 3.5 - 4 R⊙. For slow CMEs, however, they become negligible only by 12 - 50 R⊙. For these slow events, our results suggest that some of the magnetic flux might be expended in CME expansion or heating. In other words, not all of it contributes to the propagation. Our results are expected to be important in building a physical model for understanding the Sun-Earth dynamics of CMEs.

A chemistry/physics pathway with nanofibrous scaffolds for gene delivery.

PubMed

Wan, Fen; Tang, Zhaohui; He, Weidong; Chu, Benjamin

2010-10-21

This perspective is to introduce a new pathway for non-viral gene delivery by taking advantage of nanofibrous scaffolds as gene storage devices, gene carriers and homing devices. During gene delivery to the target, the DNA has to be protected in order to pass through a set of barriers before reaching the nucleus. The DNA can form a complex with polycations, and numerous publications exist on how to stabilize the DNA fragments by natural and synthetic materials. Electrospun nanofibrous scaffolds can be used to store the DNA, especially in the form of a more stabilized polyplex, and then to deliver the DNA (polyplex) to cells that are attached to the scaffold. While each essential step has been tested experimentally, the overall yet untested process, especially for in vivo experiments, may lead to a promising specific approach for gene/drug storage and delivery. The pathway described herein is based mainly on our understanding of the physics and chemistry of gene storage and delivery processes, in contrast to using pure biological concepts. Novel biodegradable, biocompatible nanofibrous materials with imbedded DNA (e.g., in the polyplex form) can then be designed to fabricate an intelligent scaffold for gene delivery. To achieve the above goal, the first step is to stabilize the DNA so that it can be incorporated into nanofibrous scaffolds. In this respect, we shall discuss the different methods of DNA/gene condensation and complex formation, and then explain the strategy used to incorporate DNA into electrospun nanofibers. Solvent-induced DNA condensation and then encapsulation were achieved. However, the released naked DNA was not sufficiently protected for gene transfection in cells. The objective of the current perspective is to suggest that, instead of the solvent-induced DNA condensation, one can combine the recently developed polyplex formation by using branched polyethyleneimine (bPEI). More importantly, free bPEI can be incorporated into the nanofibers

48 CFR 1436.270-1 - Uniform contract format.

Code of Federal Regulations, 2011 CFR

2011-10-01

... contract format does not apply, the CO should so mark that section in the solicitation. Upon award, the CO... Deliveries or performance. G Contract administration data. H Special contract requirements. Part II—Contract...

Preparation of self-assembled microspheres and their potential for drug delivery.

PubMed

Mellors, Rachel; Benzeval, Ian; Eisenthal, Robert; Hubble, John

2010-01-01

Dextran solutions intended for use as plasma extenders have been observed to form insoluble precipitates. Earlier studies of precipitation have shown that in solutions of 50% and 60% w/w of dextran molecular mass 6000 g mol(-1) beaded precipitates are formed over a two-week period. This study considers dextran precipitation over a wider molecular mass range and the kinetics, of formation, morphology and potential utility of these precipitates is investigated. Results show precipitation occurs over the dextran molecular mass range 6000-17,000 g mol(-1), with lower molecular mass material showing more rapid precipitation. As bead formation is accompanied by an increase in turbidity, formation kinetics were quantified spectrophotometrically confirming that precipitation rates were inversely proportional to molecular mass. The utility of these precipitates for drug delivery applications was assessed using bovine serum albumin as a protein drug analogue. The results showed that the inclusion of protein did not prevent bead formation and that entrapped protein was subsequently released from dextran beads in a time dependant manner. This suggests that dextran beads of this type may find application in the drug delivery area, as they combine the advantages of mild entrapment conditions with the use of an unmodified clinically approved polymer.

Endovascular Gene Delivery from a Stent Platform: Gene- Eluting Stents

PubMed Central

Fishbein, Ilia; Chorny, Michael; Adamo, Richard F; Forbes, Scott P; Corrales, Ricardo A; Alferiev, Ivan S; Levy, Robert J

2015-01-01

A synergistic impact of research in the fields of post-angioplasty restenosis, drug-eluting stents and vascular gene therapy over the past 15 years has shaped the concept of gene-eluting stents. Gene-eluting stents hold promise of overcoming some biological and technical problems inherent to drug-eluting stent technology. As the field of gene-eluting stents matures it becomes evident that all three main design modules of a gene-eluting stent: a therapeutic transgene, a vector and a delivery system are equally important for accomplishing sustained inhibition of neointimal formation in arteries treated with gene delivery stents. This review summarizes prior work on stent-based gene delivery and discusses the main optimization strategies required to move the field of gene-eluting stents to clinical translation. PMID:26225356

Interprofessional Communities of Practice in Continuing Medical Education for Promoting and Sustaining Practice Change: A Prospective Cohort Study.

PubMed

Barker, Megan; Lecce, Julia; Ivanova, Anna; Zawertailo, Laurie; Dragonetti, Rosa; Selby, Peter

2018-01-01

Standard knowledge delivery formats for CME may have limited impact on long-term practice change. A community of practice (CoP) is one tool that may enhance competencies and support practice change. This study explores the utility of an interprofessional CoP as an adjunct to a CME program in tobacco addiction treatment (Training Enhancement in Applied Counselling and Health [TEACH] Project) to promote and sustain practice change. A prospective cohort design was utilized to examine the long-term impact of the TEACH CoP on practice change. An online survey was administered to TEACH-trained practitioners to assess perceived feasibility, importance, and confidence related to course competencies, involvement in TEACH CoP activities, engagement in knowledge transfer (KT), and implementation of new programming. Chi-square tests were used to detect differences in KT and program development associated with CoP participation. Course competency scores from immediate postcourse surveys and long-term follow-up surveys were compared. No significant differences in participant characteristics were found between those who did (n = 300) and did not (n = 122) participate in the TEACH CoP. Mean self-perceived competency scores were greater immediately after course than at long-term follow-up; however, self-ratings of competency in pharmacological interventions and motivational interviewing were higher at follow-up. TEACH CoP participation was associated with significantly greater engagement in KT and implementation of new programming after training. The findings from this evaluation suggest the value of interprofessional CoPs offered posttraining as a mechanism to enhance practice. CME providers should consider offering CoPs as a component of training programs to promote and sustain practice change.

Workplace injury management: using new technology to deliver and evaluate physician continuing medical education.

PubMed

Karlinsky, Harry; Dunn, Celina; Clifford, Bill; Atkins, Jim; Pachev, George; Cunningham, Ken; Fenrich, Peter; Bayani, Yassaman

2006-12-01

Physicians typically receive little continuing medical education (CME) about their role in workplace injury management as well as on workplace injuries and disease. Although new technologies may help educate physicians in these areas, careful evaluation is required, given the understudied nature of these interventions. The objective of this study is to evaluate two promising new technologies to deliver CME (online learning and videoconferencing) and to compare the effectiveness of these delivery methods to traditional CME interventions (large urban traditional conference lectures and small group local face-to-face outreach) in their impact on physician knowledge related to workplace injury management. This study utilized a prospective, controlled evaluation of two educational programs for BC physicians: 1) The Diagnosis and Management of Lateral Epicondylitis; and 2) Is Return-to-Work Good Medicine? Each educational module was delivered in each of four ways (Outreach Visit, Videoconference Session, Conference Lecture, Online) and physicians self-selected their participation--both in terms of topic and delivery method. Questionnaires related to knowledge as well as learner attitude and satisfaction were administered prior (pre-test) and following (post-test) all educational sessions. 581 physician encounters occurred as a result of the educational interventions and a significant percentage of the physicians participated in the research per se (i.e. there were 358 completed sets of pre-test and post-test 'Knowledge' questionnaires). Overall the results showed that the developed training programs increased physicians' knowledge of both Lateral Epicondylitis and the physician's role in Return-To-Work planning as reflected in improved post-test performance when compared to pre-test scores. Furthermore, videoconferencing and online training were at least as effective as conference lectures and instructor-led small group outreach sessions in their impact on physician

Endosomolytic Nano-Polyplex Platform Technology for Cytosolic Peptide Delivery To Inhibit Pathological Vasoconstriction.

PubMed

Evans, Brian C; Hocking, Kyle M; Kilchrist, Kameron V; Wise, Eric S; Brophy, Colleen M; Duvall, Craig L

2015-06-23

A platform technology has been developed and tested for delivery of intracellular-acting peptides through electrostatically complexed nanoparticles, or nano-polyplexes, formulated from an anionic endosomolytic polymer and cationic therapeutic peptides. This delivery platform has been initially tested and optimized for delivery of two unique vasoactive peptides, a phosphomimetic of heat shock protein 20 and an inhibitor of MAPKAP kinase II, to prevent pathological vasoconstriction (i.e., vasospasm) in human vascular tissue. These peptides inhibit vasoconstriction and promote vasorelaxation by modulating actin dynamics in vascular smooth muscle cells. Formulating these peptides into nano-polyplexes significantly enhances peptide uptake and retention, facilitates cytosolic delivery through a pH-dependent endosomal escape mechanism, and enhances peptide bioactivity in vitro as measured by inhibition of F-actin stress fiber formation. In comparison to treatment with the free peptides, which were endowed with cell-penetrating sequences, the nano-polyplexes significantly increased vasorelaxation, inhibited vasoconstriction, and decreased F-actin formation in the human saphenous vein ex vivo. These results suggest that these formulations have significant potential for treatment of conditions such as cerebral vasospasm following subarachnoid hemorrhage. Furthermore, because many therapeutic peptides include cationic cell-penetrating segments, this simple and modular platform technology may have broad applicability as a cost-effective approach for enhancing the efficacy of cytosolically active peptides.

Nanoparticles Effectively Target Rapamycin Delivery to Sites of Experimental Aortic Aneurysm in Rats

PubMed Central

Shirasu, Takuro; Koyama, Hiroyuki; Miura, Yutaka; Hoshina, Katsuyuki; Kataoka, Kazunori; Watanabe, Toshiaki

2016-01-01

Several drugs targeting the pathogenesis of aortic aneurysm have shown efficacy in model systems but not in clinical trials, potentially owing to the lack of targeted drug delivery. Here, we designed a novel drug delivery system using nanoparticles to target the disrupted aortic aneurysm micro-structure. We generated poly(ethylene glycol)-shelled nanoparticles incorporating rapamycin that exhibited uniform diameter and long-term stability. When injected intravenously into a rat model in which abdominal aortic aneurysm (AAA) had been induced by infusing elastase, labeled rapamycin nanoparticles specifically accumulated in the AAA. Microscopic analysis revealed that rapamycin nanoparticles were mainly distributed in the media and adventitia where the wall structures were damaged. Co-localization of rapamycin nanoparticles with macrophages was also noted. Rapamycin nanoparticles injected during the process of AAA formation evinced significant suppression of AAA formation and mural inflammation at 7 days after elastase infusion, as compared with rapamycin treatment alone. Correspondingly, the activities of matrix metalloproteinases and the expression of inflammatory cytokines were significantly suppressed by rapamycin nanoparticle treatment. Our findings suggest that the nanoparticle-based delivery system achieves specific delivery of rapamycin to the rat AAA and might contribute to establishing a drug therapy approach targeting aortic aneurysm. PMID:27336852

Manipulating the membrane penetration mechanism of helical polypeptides via aromatic modification for efficient gene delivery.

PubMed

Zheng, Nan; Song, Ziyuan; Yang, Jiandong; Liu, Yang; Li, Fangfang; Cheng, Jianjun; Yin, Lichen

2017-08-01

The delivery performance of non-viral gene vectors is greatly related to their intracellular kinetics. Cationic helical polypeptides with potent membrane penetration properties and gene transfection efficiencies have been recently developed by us. However, they suffer from severe drawbacks in terms of their membrane penetration mechanisms that mainly include endocytosis and pore formation. The endocytosis mechanism leads to endosomal entrapment of gene cargos, while the charge- and helicity-induced pore formation causes appreciable cytotoxicity at high concentrations. With the attempt to overcome such critical challenges, we incorporated aromatic motifs into the design of helical polypeptides to enhance their membrane activities and more importantly, to manipulate their membrane penetration mechanisms. The aromatically modified polypeptides exhibited higher cellular internalization level than the unmodified analogue by up to 2.5 folds. Such improvement is possibly because aromatic domains promoted the polypeptides to penetrate cell membranes via direct transduction, a non-endocytosis and non-pore formation mechanism. As such, gene cargos were more efficiently delivered into cells by bypassing endocytosis and subsequently avoiding endosomal entrapment, and the material toxicity associated with excessive pore formation was also reduced. The top-performing aromatic polypeptide containing naphthyl side chains at the incorporated content of 20mol% revealed notably higher transfection efficiencies than commercial reagents in melanoma cells in vitro (by 11.7 folds) and in vivo (by 9.1 folds), and thus found potential utilities toward topical gene delivery for cancer therapy. Cationic helical polypeptides, as efficient gene delivery materials, suffer from severe drawbacks in terms of their membrane penetration mechanisms. The main cell penetration mechanisms involved are endocytosis and pore formation. However, the endocytosis mechanism has the limitation of endosomal

Chiral magnetic currents with QGP medium response in heavy-ion collisions at RHIC and LHC energies

NASA Astrophysics Data System (ADS)

She, Duan; Feng, Sheng-Qin; Zhong, Yang; Yin, Zhong-Bao

2018-03-01

We calculate the electromagnetic current with a more realistic approach in the RHIC and LHC energy regions in the article. We take the partons formation time as the initial time of the magnetic field response of QGP medium. The maximum electromagnetic current and the time-integrated current are two important characteristics of the chiral magnetic effect (CME), which can characterize the intensity and duration of fluctuations of CME. We consider the finite frequency response of CME to a time-varying magnetic field, find a significant impact from QGP medium feedback, and estimate the generated electromagnetic current as a function of time, beam energy and impact parameter.

Student Attitudes toward Information Systems Graduate Program Design and Delivery

ERIC Educational Resources Information Center

Thouin, Mark F.; Hefley, William E.; Raghunathan, Srinivasan

2018-01-01

This study examines student preferences regarding graduate management information systems (MIS) education. One hundred and eighty four graduate students responded to a survey exploring student attitudes towards degree program content, delivery format, and peer group interaction. Study results indicate that students prefer a program with an even…

An Optimal Approach for Laparoscopic D3 Lymphadenectomy Plus Complete Mesocolic Excision (D3+CME) for Right-Sided Colon Cancer.

PubMed

Xie, Daxing; Yu, Chaoran; Gao, Chun; Osaiweran, Hasan; Hu, Junbo; Gong, Jianping

2017-05-01

It is common knowledge that high ligation of blood vessels at the D3 level and complete mesocolic excision (CME) are two critical points of right hemicolectomy for right colon cancer (RCC). 1-5 To date, a safe strategy for completing these two procedures under laparoscopic surgery has not been extensively described. The authors provide a video to demonstrate laparoscopic right hemicolectomy (D3 + CME) with an optimal mesentery-defined approach. By identifying three "tri-junctions," this approach facilitates dissection of the entire mesocolon along the embryologic planes as far centrally as possible and enables the high tie of feeding vessels at bifurcation. The authors propose that this approach is safe, decreases blood loss, and is a secure method for right colon cancer intervention. Between June 2014 and June 2015, the study recruited 36 patients with informed consent, and these patients underwent laparoscopic D3+CME for right colon cancer by a single surgeon. All the participants provided informed written consent to participate in the study. This study was approved by the Tongji Hospital Ethics Committee. The patients' demographics, oncologic charac- teristics, postoperative outcomes within 30 days, and follow-up data were collected. The perioperative outcomes included blood lost, number of retrieved lymph nodes, postoperative hospital length of stay, and morbidity. The postoperative 30-day morbidity included cardiovascular, pulmonary, and urinary complications, as well as wound infection, anastomotic leakage, and postoperative ileus. The complications were diagnosed and categorized based on relevant clinical manifestations. For this procedure, all patients are placed in the Trendelenburg position, with five trocars inserted. Carbon dioxide (CO 2 ) is inflated through the intraumbilical trocar, maintaining steady intraabdominal pressure. The operating surgeon stands between the patient's legs, with the camera holder on the left and the assistant on the right

Comparison of the Effectiveness of Interactive Didactic Lecture Versus Online Simulation-Based CME Programs Directed at Improving the Diagnostic Capabilities of Primary Care Practitioners.

PubMed

McFadden, Pam; Crim, Andrew

2016-01-01

Diagnostic errors in primary care contribute to increased morbidity and mortality, and billions in costs each year. Improvements in the way practicing physicians are taught so as to optimally perform differential diagnosis can increase patient safety and lower the costs of care. This study represents a comparison of the effectiveness of two approaches to CME training directed at improving the primary care practitioner's diagnostic capabilities against seven common and important causes of joint pain. Using a convenience sampling methodology, one group of primary care practitioners was trained by a traditional live, expert-led, multimedia-based training activity supplemented with interactive practice opportunities and feedback (control group). The second group was trained online with a multimedia-based training activity supplemented with interactive practice opportunities and feedback delivered by an artificial intelligence-driven simulation/tutor (treatment group). Before their respective instructional intervention, there were no significant differences in the diagnostic performance of the two groups against a battery of case vignettes presenting with joint pain. Using the same battery of case vignettes to assess postintervention diagnostic performance, there was a slight but not statistically significant improvement in the control group's diagnostic accuracy (P = .13). The treatment group, however, demonstrated a significant improvement in accuracy (P < .02; Cohen d, effect size = 0.79). These data indicate that within the context of a CME activity, a significant improvement in diagnostic accuracy can be achieved by the use of a web-delivered, multimedia-based instructional activity supplemented by practice opportunities and feedback delivered by an artificial intelligence-driven simulation/tutor.

In situ pneumococcal vaccine production and delivery through a hybrid biological-biomaterial vector

PubMed Central

Li, Yi; Beitelshees, Marie; Fang, Lei; Hill, Andrew; Ahmadi, Mahmoud Kamal; Chen, Mingfu; Davidson, Bruce A.; Knight, Paul; Smith, Randall J.; Andreadis, Stelios T.; Hakansson, Anders P.; Jones, Charles H.; Pfeifer, Blaine A.

2016-01-01

The type and potency of an immune response provoked during vaccination will determine ultimate success in disease prevention. The basis for this response will be the design and implementation of antigen presentation to the immune system. Whereas direct antigen administration will elicit some form of immunological response, a more sophisticated approach would couple the antigen of interest to a vector capable of broad delivery formats and designed for heightened response. New antigens associated with pneumococcal disease virulence were used to test the delivery and adjuvant capabilities of a hybrid biological-biomaterial vector consisting of a bacterial core electrostatically coated with a cationic polymer. The hybrid design provides (i) passive and active targeting of antigen-presenting cells, (ii) natural and multicomponent adjuvant properties, (iii) dual intracellular delivery mechanisms, and (iv) a simple formulation mechanism. In addition, the hybrid format enables device-specific, or in situ, antigen production and consolidation via localization within the bacterial component of the vector. This capability eliminates the need for dedicated antigen production and purification before vaccination efforts while leveraging the aforementioned features of the overall delivery device. We present the first disease-specific utilization of the vector toward pneumococcal disease highlighted by improved immune responses and protective capabilities when tested against traditional vaccine formulations and a range of clinically relevant Streptococcus pneumoniae strains. More broadly, the results point to similar levels of success with other diseases that would benefit from the production, delivery, and efficacy capabilities offered by the hybrid vector. PMID:27419235

pH-Responsive Capsules Engineered from Metal-Phenolic Networks for Anticancer Drug Delivery.

PubMed

Ping, Yuan; Guo, Junling; Ejima, Hirotaka; Chen, Xi; Richardson, Joseph J; Sun, Huanli; Caruso, Frank

2015-05-06

A new class of pH-responsive capsules based on metal-phenolic networks (MPNs) for anticancer drug loading, delivery and release is reported. The fabrication of drug-loaded MPN capsules, which is based on the formation of coordination complexes between natural polyphenols and metal ions over a drug-coated template, represents a rapid strategy to engineer robust and versatile drug delivery carriers. © 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Van Allen Probes observations of outer radiation belt evolution during CME and CIR storms

NASA Astrophysics Data System (ADS)

Hudson, M. K.; Shen, X.; Jaynes, A. N.; Shi, Q.; Tian, A.; Claudepierre, S. G.; Qin, M.; Zong, Q.; Sun, W.

2017-12-01

Storm time outer radiation belt evolutes dramatically. It is still an stuff problem to model and predict the evolutions. The MeV electron flux can loss, no change or increase during different storms. Most of the previous statistical results were made by low altitude polar orbiting satellites, such as SAMPEX and NOAA POES, or geosynchronous orbiting satellites, such as GOES. Although part of the electron flux observed by polar orbiting satellites can be treated as trapped electrons, they are already close to the ionosphere with pitch angles apart from 90 degrees. Geosynchronous orbiting satellites are limited to r=6.6 RE (geocentric radial distance in Earth radii). The Van Allen Probes twin spacecraft, launched on 30 August 2012 with orbit near the equatorial plane, apogee at 5.8 RE and perigee at 620 km, give us a good oppurtuinity to study the storm-time outer radiation belt evolutions. During the time period from the begining of 2013 to the end of 2016, 31 CMEs and 28 CIRs are identified from OMNI-2 dataset. Superposed epoch analysis shows that CIR-storms which increased flux closer to geosynchronous orbit consistent with earlier studies, while CME-storms likely produce deeper penetration of enhanced flux and local heating which is greater at higher energies at lower L*.

Kinetic Approaches to Shear-Driven Magnetic Reconnection for Multi-Scale Modeling of CME Initiation

NASA Astrophysics Data System (ADS)

Black, C.; Antiochos, S. K.; DeVore, C.; Germaschewski, K.; Karpen, J. T.

2013-12-01

In the standard model for coronal mass ejections (CME) and/or solar flares, the free energy for the event resides in the strongly sheared magnetic field of a filament channel. The pre-eruption force balance, consisting of an upward force due to the magnetic pressure of the sheared field balanced by a downward tension due to overlying un-sheared field, is widely believed to be disrupted by magnetic reconnection. Therefore, understanding initiation of solar explosive phenomena requires a true multi-scale model of reconnection onset driven by the buildup of magnetic shear. While the application of magnetic-field shear is a trivial matter in MHD simulations, it is a significant challenge in a PIC code. The driver must be implemented in a self-consistent manner and with boundary conditions that avoid the generation of waves that destroy the applied shear. In this work, we describe drivers for 2.5D, aperiodic, PIC systems and discuss the implementation of driver-consistent boundary conditions that allow a net electric current to flow through the walls. Preliminary tests of these boundaries with a MHD equilibrium are shown. This work was supported, in part, by the NASA Living With a Star TR&T Program.

Peptide and protein delivery using new drug delivery systems.

PubMed

Jain, Ashish; Jain, Aviral; Gulbake, Arvind; Shilpi, Satish; Hurkat, Pooja; Jain, Sanjay K

2013-01-01

Pharmaceutical and biotechnological research sorts protein drug delivery systems by importance based on their various therapeutic applications. The effective and potent action of the proteins/peptides makes them the drugs of choice for the treatment of numerous diseases. Major research issues in protein delivery include the stabilization of proteins in delivery devices and the design of appropriate target-specific protein carriers. Many efforts have been made for effective delivery of proteins/peptidal drugs through various routes of administrations for successful therapeutic effects. Nanoparticles made of biodegradable polymers such as poly lactic acid, polycaprolactone, poly(lactic-co-glycolic acid), the poly(fumaric-co-sebacic) anhydride chitosan, and modified chitosan, as well as solid lipids, have shown great potential in the delivery of proteins/peptidal drugs. Moreover, scientists also have used liposomes, PEGylated liposomes, niosomes, and aquasomes, among others, for peptidal drug delivery. They also have developed hydrogels and transdermal drug delivery systems for peptidal drug delivery. A receptor-mediated delivery system is another attractive strategy to overcome the limitation in drug absorption that enables the transcytosis of the protein across the epithelial barrier. Modification such as PEGnology is applied to various proteins and peptides of the desired protein and peptides also increases the circulating life, solubility and stability, pharmacokinetic properties, and antigenicity of protein. This review focuses on various approaches for effective protein/peptidal drug delivery, with special emphasis on insulin delivery.

Simulation of Homologous and Cannibalistic Coronal Mass Ejections produced by the Emergence of a Twisted Flux Rope into the Solar Corona

NASA Astrophysics Data System (ADS)

Chatterjee, Piyali; Fan, Yuhong

2013-11-01

We report the first results of a magnetohydrodynamic simulation of the development of a homologous sequence of three coronal mass ejections (CMEs) and demonstrate their so-called cannibalistic behavior. These CMEs originate from the repeated formations and partial eruptions of kink unstable flux ropes as a result of continued emergence of a twisted flux rope across the lower boundary into a pre-existing coronal potential arcade field. The simulation shows that a CME erupting into the open magnetic field created by a preceding CME has a higher speed. The second of the three successive CMEs is cannibalistic, catching up and merging with the first into a single fast CME before exiting the domain. All the CMEs including the leading merged CME, attained speeds of about 1000 km s-1 as they exit the domain. The reformation of a twisted flux rope after each CME eruption during the sustained flux emergence can naturally explain the X-ray observations of repeated reformations of sigmoids and "sigmoid-under-cusp" configurations at a low-coronal source of homologous CMEs.

The Sustained Delivery of Resveratrol or a Defined Grape Powder Inhibits New Blood Vessel Formation in a Mouse Model of Choroidal Neovascularization

PubMed Central

Kanavi, Mozhgan Rezaie; Darjatmoko, Soesiawati; Wang, Shoujian; Azari, Amir A.; Farnoodian, Mitra; Kenealey, Jason D.; van Ginkel, Paul R.; Albert, Daniel M.; Sheibani, Nader; Polans, Arthur S.

2015-01-01

The objective of this study was to determine whether resveratrol or a defined, reconstituted grape powder can attenuate the formation of new blood vessels in a mouse model of choroidal neovascularization (CNV). To accomplish this objective, C57BL/6J mice were randomized into control or treatment groups which received either resveratrol or grape powder by daily oral gavage, resveratrol or grape powder delivered ad libitum through the drinking water, or resveratrol by slow release via implanted osmotic pumps. A laser was used to rupture Bruch’s membrane to induce CNV which was then detected in sclerochoroidal eyecups stained with antibodies against intercellular adhesion molecule-2. CNV area was measured using fluorescence microscopy and Image J software. Ad libitum delivery of both resveratrol and grape powder was shown to significantly reduce the extent of CNV by 68% and 57%, respectively. Parallel experiments conducted in vitro demonstrated that resveratrol activates p53 and inactivates Akt/protein kinase B in choroidal endothelial cells, contributing to its anti-proliferative and anti-migratory properties. In addition resveratrol was shown to inhibit the formation of endothelial cell networks, augmenting its overall anti-angiogenic effects. The non-toxic nature of resveratrol makes it an especially attractive candidate for the prevention and/or treatment of CNV. PMID:25361423

Collagen shield delivery of tissue plasminogen activator: functional and pharmacokinetic studies of anterior segment delivery.

PubMed

Murray, T G; Jaffe, G J; McKay, B S; Han, D P; Burke, J M; Abrams, G W

1992-01-01

Postoperative fibrin formation remains a major complication associated with intraocular surgery, especially after vitreoretinal surgery for proliferative vitreoretinopathy, proliferative diabetic retinopathy, trauma, or endophthalmitis. Tissue plasminogen activator (tPA) has been shown, both in experimental studies and clinical trials, to specifically dissolve formed intraocular fibrin after intracameral or intravitreal injection. We studied collagen shield delivery of tPA to the anterior segment and vitreous of rabbit eyes to evaluate a noninvasive delivery modality. Anterior segment fibrin clots were formed in rabbit eyes by injecting citrated rabbit plasma. The tPA hydrated collagen shields, or control shields, were then placed on the rabbit corneas and the extent of fibrin clot was followed. In other rabbit eyes, tPA hydrated collagen shields were placed on the rabbit corneas and an enzyme-linked immunosorbent assay (ELISA) was utilized to determine aqueous, vitreous, and blood levels of tPA over time. Collagen shield tPA delivery shortened the time to fibrin clot lysis by 50% (mean clearance time = 49 +/- 23 hours; P less than .05). ELISA for tPA levels noted measurable vitreous levels by 2 hours after tPA hydrated collagen shield application with a peak at 24 hours. Aqueous tPA levels were not measurable until 18 hours after tPA collagen shield application and peaked at 36 hours. Vitreous tPA levels were greater than aqueous tPA levels at all time points (P less than .05). No evidence of corneal edema or opacification, hemorrhage, or cataract was seen. These results document the efficacy and safety of tPA delivery to the aqueous and vitreous via a hydrated collagen shield in this animal model.

Thiomers: potential excipients for non-invasive peptide delivery systems.

PubMed

Bernkop-Schnürch, Andreas; Krauland, Alexander H; Leitner, Verena M; Palmberger, Thomas

2004-09-01

In recent years thiolated polymers or so-called thiomers have appeared as a promising alternative in the arena of non-invasive peptide delivery. Thiomers are generated by the immobilisation of thiol-bearing ligands to mucoadhesive polymeric excipients. By formation of disulfide bonds with mucus glycoproteins, the mucoadhesive properties of these polymers are improved up to 130-fold. Due to formation of inter- and intramolecular disulfide bonds within the thiomer itself, dosage forms such as tablets or microparticles display strong cohesive properties resulting in comparatively higher stability, prolonged disintegration times and a more controlled release of the embedded peptide drug. The permeation of peptide drugs through mucosa can be improved by the use of thiolated polymers. Additionally some thiomers exhibit improved inhibitory properties towards peptidases. The efficacy of thiomers in non-invasive peptide delivery could be demonstrated by various in vivo studies. Tablets comprising a thiomer and pegylated insulin, for instance, resulted in a pharmacological efficacy of 7% after oral application to diabetic mice. Furthermore, a pharmacological efficacy of 1.3% was achieved in rats by oral administration of calcitonin tablets comprising a thiomer. Human growth hormone in a thiomer-gel was applied nasally to rats and led to a bioavailability of 2.75%. In all these studies, formulations comprising the corresponding unmodified polymer had only a marginal or no effect. According to these results drug carrier systems based on thiomers seem to be a promising tool for non-invasive peptide drug delivery.

Particle acceleration and transport at a 2D CME-driven shock using the HAFv3 and PATH Code

NASA Astrophysics Data System (ADS)

Li, G.; Ao, X.; Fry, C. D.; Verkhoglyadova, O. P.; Zank, G. P.

2012-12-01

We study particle acceleration at a 2D CME-driven shock and the subsequent transport in the inner heliosphere (up to 2 AU) by coupling the kinematic Hakamada-Akasofu-Fry version 3 (HAFv3) solar wind model (Hakamada and Akasofu, 1982, Fry et al. 2003) with the Particle Acceleration and Transport in the Heliosphere (PATH) model (Zank et al., 2000, Li et al., 2003, 2005, Verkhoglyadova et al. 2009). The HAFv3 provides the evolution of a two-dimensional shock geometry and other plasma parameters, which are fed into the PATH model to investigate the effect of a varying shock geometry on particle acceleration and transport. The transport module of the PATH model is parallelized and utilizes the state-of-the-art GPU computation technique to achieve a rapid physics-based numerical description of the interplanetary energetic particles. Together with a fast execution of the HAFv3 model, the coupled code gives us a possibility to nowcast/forecast the interplanetary radiation environment.

Intranasal mucoadhesive microemulsions of clonazepam: preliminary studies on brain targeting.

PubMed

Vyas, Tushar K; Babbar, A K; Sharma, R K; Singh, Shashi; Misra, Ambikanandan

2006-03-01

The aim of this investigation was to prepare clonazepam microemulsions (CME) for rapid drug delivery to the brain to treat acute status epileptic patients and to characterize and evaluate the performance of CME in vitro and in vivo in rats. The CME were prepared by the titration method and were characterized for globule size and size distribution, zeta potential, and drug content. CME was radiolabeled with (99m)Tc (technetium) and biodistribution of drug in the brain was studied in Swiss albino rats after intranasal and intravenous administrations. Brain scintigraphy imaging in rabbits was also performed to ascertain the uptake of the drug into the brain. Pre and postCME formulation treated human nasal mucosa was subjected to transmission electron microscopy to investigate the mechanism of drug uptake across the nasal mucosa. CME were transparent and stable with mean globule size of 15 +/- 10 nm and zeta potential of -30 mV to -40 mV. (99m)Tc-labeled clonazepam solution ((99m)Tc CS)/ clonazepam microemulsion (CME)/clonazepam mucoadhesive microemulsion (CMME) were found to be stable and suitable for in vivo studies. Brain/blood uptake ratios at 0.50 hour (h) following intranasal CMME, CME, clonazepam solution (CS), and intravenous CME administrations were found to be 0.67, 0.50, 0.48, and 0.13, respectively indicating more effective targeting with intranasal administration and best targeting of the brain with intranasal CMME. Brain/blood ratio at all sampling points up to 8 h following intranasal administration of CMME compared to intravenous was found to be twofold higher indicating larger extent of distribution of the drug in brain. Rabbit brain scintigraphy also showed higher intranasal uptake of the drug into the brain. Transmission electron microscopy revealed significant accretion of CMME within interstitial spaces and paracellular mode of transport due to stretching of the tight junctions present in the nasal mucosa. This investigation demonstrates a more

Synergistic effect of amino acids modified on dendrimer surface in gene delivery.

PubMed

Wang, Fei; Wang, Yitong; Wang, Hui; Shao, Naimin; Chen, Yuanyuan; Cheng, Yiyun

2014-11-01

Design of an efficient gene vector based on dendrimer remains a great challenge due to the presence of multiple barriers in gene delivery. Single-functionalization on dendrimer cannot overcome all the barriers. In this study, we synthesized a list of single-, dual- and triple-functionalized dendrimers with arginine, phenylalanine and histidine for gene delivery using a one-pot approach. The three amino acids play different roles in gene delivery: arginine is essential in formation of stable complexes, phenylalanine improves cellular uptake efficacy, and histidine increases pH-buffering capacity and minimizes cytotoxicity of the cationic dendrimer. A combination of these amino acids on dendrimer generates a synergistic effect in gene delivery. The dual- and triple-functionalized dendrimers show minimal cytotoxicity on the transfected NIH 3T3 cells. Using this combination strategy, we can obtain triple-functionalized dendrimers with comparable transfection efficacy to several commercial transfection reagents. Such a combination strategy should be applicable to the design of efficient and biocompatible gene vectors for gene delivery. Copyright © 2014 Elsevier Ltd. All rights reserved.

Simulations of Emerging Magnetic Flux. II. The Formation of Unstable Coronal Flux Ropes and the Initiation of Coronal Mass Ejections

NASA Technical Reports Server (NTRS)

Leake, James E.; Linton, Mark G.; Antiochos, Spiro K.

2014-01-01

We present results from three-dimensional magnetohydrodynamic simulations of the emergence of a twisted convection zone flux tube into a pre-existing coronal dipole field. As in previous simulations, following the partial emergence of the sub-surface flux into the corona, a combination of vortical motions and internal magnetic reconnection forms a coronal flux rope. Then, in the simulations presented here, external reconnection between the emerging field and the pre-existing dipole coronal field allows further expansion of the coronal flux rope into the corona. After sufficient expansion, internal reconnection occurs beneath the coronal flux rope axis, and the flux rope erupts up to the top boundary of the simulation domain (approximately 36 Mm above the surface).We find that the presence of a pre-existing field, orientated in a direction to facilitate reconnection with the emerging field, is vital to the fast rise of the coronal flux rope. The simulations shown in this paper are able to self-consistently create many of the surface and coronal signatures used by coronal mass ejection (CME) models. These signatures include surface shearing and rotational motions, quadrupolar geometry above the surface, central sheared arcades reconnecting with oppositely orientated overlying dipole fields, the formation of coronal flux ropes underlying potential coronal field, and internal reconnection which resembles the classical flare reconnection scenario. This suggests that proposed mechanisms for the initiation of a CME, such as "magnetic breakout," are operating during the emergence of new active regions.

3D-printed dimethyloxallyl glycine delivery scaffolds to improve angiogenesis and osteogenesis.

PubMed

Min, Zhu; Shichang, Zhao; Chen, Xin; Yufang, Zhu; Changqing, Zhang

2015-08-01

Angiogenesis-osteogenesis coupling processes are vital in bone tissue engineering. Normal biomaterials implanted in bone defects have issues in the sufficient formation of blood vessels, especially in the central part. Single delivery of vascular endothelial growth factors (VEGF) to foci in previous studies did not show satisfactory results due to low loading doses, a short protein half-life and low efficiency. Development of a hypoxia-mimicking microenvironment for cells by local prolyl-4-hydroxylase inhibitor release, which can stabilize hypoxia-inducible factor 1α (HIF-1α) expression, is an alternative method. The aim of this study was to design a dimethyloxallyl glycine (DMOG) delivering scaffold composed of mesoporous bioactive glasses and poly(3-hydroxybutyrate-co-3-hydroxyhexanoate) polymers (MPHS scaffolds), so as to investigate whether the sustained release of DMOG promotes local angiogenesis and bone healing. The morphology and microstructure of composite scaffolds were characterized. The DMOG release patterns from scaffolds loaded with different DMOG dosages were evaluated, and the effects of DMOG delivery on human bone marrow stromal cell (hBMSC) adhesion, viability, proliferation, osteogenic differentiation and angiogenic-relative gene expressions with scaffolds were also investigated. In vivo studies were carried out to observe vascular formations and new bone ingrowth with DMOG-loaded scaffolds. The results showed that DMOG could be released in a sustained manner over 4 weeks from MPHS scaffolds and obviously enhance the angiogenesis and osteogenesis in the defects. Microfil perfusion showed a significantly increased formation of vessels in the defects with DMOG delivery. Furthermore, micro-CT imaging and fluorescence labeling indicated larger areas of bone formation for DMOG-loaded scaffolds. It is concluded that MPHS-DMOG scaffolds are promising for enhancing bone healing of osseous defects.

Ultradeformable Liposomes: a Novel Vesicular Carrier For Enhanced Transdermal Delivery of Procyanidins: Effect of Surfactants on the Formation, Stability, and Transdermal Delivery.

PubMed

Chen, Rencai; Li, Rongli; Liu, Qian; Bai, Chao; Qin, Benlin; Ma, Yue; Han, Jing

2017-07-01

The aims of this work were to develop a novel vesicular carrier, procyanidins, ultradeformable liposomes (PUDLs), to expand the applications for procyanidins, and increase their stability and transdermal delivery. In this study, we prepared procyanidins ultradeformable liposomes using thin film hydration method and evaluated their encapsulation efficiency, vesicle deformability, storage stability, and skin permeation in vitro. The influence of different surfactants on the properties of PUDLs was also investigated. The results obtained showed that the PUDLs containing Tween 80 had a high entrapment efficiency (80.27 ± 0.99%), a small particle size (140.6 ± 19 nm), high elasticity, and prolonged drug release. Compared with procyanidins solution, the stability of procyanidins in PUDLs improved significantly when stored at 4, 25, and 30°C. The penetration rate of PUDLs was 6.25-fold greater than that of procyanidins solution. Finally, the results of our study suggested that PUDLs could increase the transdermal flux, prolong the release and improve the stability of procyanidins, and could serve as an effective dermal delivery system for procyanidins.

Brian Barry: innovative contributions to transdermal and topical drug delivery.

PubMed

Williams, A C

2013-01-01

Brian Barry published over 300 research articles across topics ranging from colloid science, vasoconstriction and the importance of thermodynamics in dermal drug delivery to exploring the structure and organisation of the stratum corneum barrier lipids and numerous strategies for improving topical and transdermal drug delivery, including penetration enhancers, supersaturation, coacervation, eutectic formation and the use of varied liposomes. As research in the area blossomed in the early 1980s, Brian wrote the book that became essential reading for both new and established dermal delivery scientists, explaining the background mathematics and principles through to formulation design. Brian also worked with numerous scientists, as collaborators and students, who have themselves taken his rigorous approach to scientific investigation into their own research groups. This paper can only describe a small fraction of the many significant contributions that Brian made to the field during his 40-year academic career.

Ionic liquids in drug delivery.

PubMed

Shamshina, Julia L; Barber, Patrick S; Rogers, Robin D

2013-10-01

To overcome potential problems with solid-state APIs, such as polymorphism, solubility and bioavailability, pure liquid salt (ionic liquid) forms of active pharmaceutical ingredients (API-ILs) are considered here as a design strategy. After a critical review of the current literature, the recent development of the API-ILs strategy is presented, with a particular focus on the liquefaction of drugs. A variety of IL tools for control over the liquid salt state of matter are discussed including choice of counterion to produce an IL from a given API; the concept of oligomeric ions that enables liquefaction of solid ILs by changing the stoichiometry or complexity of the ions; formation of 'liquid co-crystals' where hydrogen bonding is the driving force in the liquefaction of a neutral acid-base complex; combining an IL strategy with the prodrug strategy to improve the delivery of solid APIs; using ILs as delivery agents via trapping a drug in a micelle and finally ILs designed with tunable hydrophilic-lipophilic balance that matches the structural requirements needed to solubilize poorly water-soluble APIs. The authors believe that API-IL approaches may save failed lead candidates, extend the patent life of current APIs, lead to new delivery options or even new pharmaceutical action. They encourage the pharmaceutical industry to invest more research into the API-IL platform as it could lead to fast-tracked approval based on similarities to the APIs already approved.

Transdermal drug delivery

PubMed Central

Prausnitz, Mark R.; Langer, Robert

2009-01-01

Transdermal drug delivery has made an important contribution to medical practice, but has yet to fully achieve its potential as an alternative to oral delivery and hypodermic injections. First-generation transdermal delivery systems have continued their steady increase in clinical use for delivery of small, lipophilic, low-dose drugs. Second-generation delivery systems using chemical enhancers, non-cavitational ultrasound and iontophoresis have also resulted in clinical products; the ability of iontophoresis to control delivery rates in real time provides added functionality. Third-generation delivery systems target their effects to skin’s barrier layer of stratum corneum using microneedles, thermal ablation, microdermabrasion, electroporation and cavitational ultrasound. Microneedles and thermal ablation are currently progressing through clinical trials for delivery of macromolecules and vaccines, such as insulin, parathyroid hormone and influenza vaccine. Using these novel second- and third-generation enhancement strategies, transdermal delivery is poised to significantly increase impact on medicine. PMID:18997767

Expanding Alternative Delivery Systems.

ERIC Educational Resources Information Center

Baltzer, Jan A.

Alternative educational delivery systems that might be useful to community colleges are considered. The following categories of delivery systems are covered: broadcast delivery systems; copy delivery systems, print delivery systems, computer delivery systems, telephone delivery systems, and satellites. Among the applications for broadcast…

Perivascular Delivery of Notch 1 siRNA Inhibits Injury-Induced Arterial Remodeling

PubMed Central

Redmond, Eileen M.; Liu, Weimin; Hamm, Katie; Hatch, Ekaterina; Cahill, Paul A.; Morrow, David

2014-01-01

Objectives To determine the efficacy of perivascular delivery of Notch 1 siRNA in preventing injury-induced arterial remodeling. Methods and Results Carotid artery ligation was performed to induce arterial remodeling. After 14 days, morphometric analysis confirmed increased vSMC growth and subsequent media thickening and neointimal formation. Laser capture microdissection, quantitative qRT-PCR and immunoblot analysis of medial tissue revealed a significant increase in Notch1 receptor and notch target gene, Hrt 1 and 2 expression in the injured vessels. Perivascular delivery of Notch 1 siRNA by pluronic gel inhibited the injury-induced increase in Notch 1 receptor and target gene expression when compared to scrambled siRNA controls while concomitantly reducing media thickening and neointimal formation to pre-injury, sham-operated levels. Selective Notch 1 knockdown also reversed the injury-induced inhibition of pro-apoptotic Bax expression while decreasing injury-induced anti-apoptotic Bcl-XL expression to sham-operated control levels. In parallel experiments, proliferative cyclin levels, as measured by PCNA expression, were reversed to sham-operated control levels following selective Notch 1 knockdown. Conclusion These results suggest that injury-induced arterial remodeling can be successfully inhibited by localized perivascular delivery of Notch 1 siRNA. PMID:24416200

Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME.

PubMed

Vanderbilt, Allison A; Pappada, Scott M; Stein, Howard; Harper, David; Papadimos, Thomas J

2017-01-01

Hospitals have struggled for years regarding the handoff process of communicating patient information from one health care professional to another. Ineffective handoff communication is recognized as a serious patient safety risk within the health care community. It is essential to take communication into consideration when examining the safety of neonates who require immediate medical attention after birth; effective communication is vital for positive patient outcomes, especially with neonates in a delivery room setting. Teamwork and effective communication across the health care continuum are essential for providing efficient, quality care that leads to favorable patient outcomes. Interprofessional simulation and team training can benefit health care professionals by improving interprofessional competence, defined as one's knowledge of other professionals including an understanding of their training and skillsets, and role clarity. Interprofessional teams that include members with specialization in obstetrics, gynecology, and neonatology have the potential to considerably benefit from training effective handoff and communication practices that would ensure the safety of the neonate upon birth. We must strive to provide the most comprehensive systematic, standardized, interprofessional handoff communication training sessions for such teams, through Graduate Medical Education and Continuing Medical Education that will meet the needs across the educational continuum.

MHD simulations of homologous and cannibalistic coronal mass ejections

NASA Astrophysics Data System (ADS)

Fan, Yuhong; Chatterjee, Piyali

2014-06-01

We present magneto-hydrodynamic simulations of the development of a homologous sequence of coronal mass ejections (CMEs) and demonstrate their so-called cannibalistic behavior. These CMEs originate from the repeated formations and partial eruptions of kink unstable flux ropes as a result of the continued emergence of a twisted flux rope across the lower boundary into a pre-existing coronal potential arcade field. The simulations show that a CME erupting into the open magnetic field created by a preceding CME has a higher speed, and therefore tends to be cannibalistic, catching up and merging with the preceding one into a single fast CME. All the CMEs attained speeds of about 1000 km/s as they exit the domain. The reformation of a twisted flux rope after each CME eruption during the sustained flux emergence can naturally explain the X-ray observations of repeated reformations of sigmoids and “sigmoid-under-cusp” configurations at a low-coronal source of homologous CMEs.

CSAM Metrology Software Tool

NASA Technical Reports Server (NTRS)

Vu, Duc; Sandor, Michael; Agarwal, Shri

2005-01-01

CSAM Metrology Software Tool (CMeST) is a computer program for analysis of false-color CSAM images of plastic-encapsulated microcircuits. (CSAM signifies C-mode scanning acoustic microscopy.) The colors in the images indicate areas of delamination within the plastic packages. Heretofore, the images have been interpreted by human examiners. Hence, interpretations have not been entirely consistent and objective. CMeST processes the color information in image-data files to detect areas of delamination without incurring inconsistencies of subjective judgement. CMeST can be used to create a database of baseline images of packages acquired at given times for comparison with images of the same packages acquired at later times. Any area within an image can be selected for analysis, which can include examination of different delamination types by location. CMeST can also be used to perform statistical analyses of image data. Results of analyses are available in a spreadsheet format for further processing. The results can be exported to any data-base-processing software.

Silk-elastin-like protein biomaterials for the controlled delivery of therapeutics.

PubMed

Huang, Wenwen; Rollett, Alexandra; Kaplan, David L

2015-05-01

Genetically engineered biomaterials are useful for controlled delivery owing to their rational design, tunable structure-function, biocompatibility, degradability and target specificity. Silk-elastin-like proteins (SELPs), a family of genetically engineered recombinant protein polymers, possess these properties. Additionally, given the benefits of combining semi-crystalline silk-blocks and elastomeric elastin-blocks, SELPs possess multi-stimuli-responsive properties and tunability, thereby becoming promising candidates for targeted cancer therapeutics delivery and controlled gene release. An overview of SELP biomaterials for drug delivery and gene release is provided. Biosynthetic strategies used for SELP production, fundamental physicochemical properties and self-assembly mechanisms are discussed. The review focuses on sequence-structure-function relationships, stimuli-responsive features and current and potential drug delivery applications. The tunable material properties allow SELPs to be pursued as promising biomaterials for nanocarriers and injectable drug release systems. Current applications of SELPs have focused on thermally-triggered biomaterial formats for the delivery of therapeutics, based on local hyperthermia in tumors or infections. Other prominent controlled release applications of SELPs as injectable hydrogels for gene release have also been pursued. Further biomedical applications that utilize other stimuli to trigger the reversible material responses of SELPs for targeted delivery, including pH, ionic strength, redox, enzymatic stimuli and electric field, are in progress. Exploiting these additional stimuli-responsive features will provide a broader range of functional biomaterials for controlled therapeutics release and tissue regeneration.

Crystallization processes in pharmaceutical technology and drug delivery design

NASA Astrophysics Data System (ADS)

Shekunov, B. Yu; York, P.

2000-04-01

Crystallization is a major technological process for particle formation in pharmaceutical industry and, in addition, plays an important role in defining the stability and drug release properties of the final dosage forms. Industrial and regulatory aspects of crystallization are briefly reviewed with reference to solid-state properties of pharmaceuticals. Crystallization, incorporating wider definition to include precipitation and solid-state transitions, is considered in terms of preparation of materials for direct compression, formation of amorphous, solvated and polymorphic forms, chiral separation of drugs, production of materials for inhalation drug delivery and injections. Finally, recent developments in supercritical fluid particle technology is considered in relationship to the areas discussed.

Amorphous Calcium Carbonate Based-Microparticles for Peptide Pulmonary Delivery.

PubMed

Tewes, Frederic; Gobbo, Oliviero L; Ehrhardt, Carsten; Healy, Anne Marie

2016-01-20

Amorphous calcium carbonate (ACC) is known to interact with proteins, for example, in biogenic ACC, to form stable amorphous phases. The control of amorphous/crystalline and inorganic/organic ratios in inhalable calcium carbonate microparticles may enable particle properties to be adapted to suit the requirements of dry powders for pulmonary delivery by oral inhalation. For example, an amorphous phase can immobilize and stabilize polypeptides in their native structure and amorphous and crystalline phases have different mechanical properties. Therefore, inhalable composite microparticles made of inorganic (i.e., calcium carbonate and calcium formate) and organic (i.e., hyaluronan (HA)) amorphous and crystalline phases were investigated for peptide and protein pulmonary aerosol delivery. The crystalline/amorphous ratio and polymorphic form of the inorganic component was altered by changing the microparticle drying rate and by changing the ammonium carbonate and HA initial concentration. The bioactivity of the model peptide, salmon calcitonin (sCT), coprocessed with alpha-1-antitrypsin (AAT), a model protein with peptidase inhibitor activity, was maintained during processing and the microparticles had excellent aerodynamic properties, making them suitable for pulmonary aerosol delivery. The bioavailability of sCT after aerosol delivery as sCT and AAT-loaded composite microparticles to rats was 4-times higher than that of sCT solution.

Homologous and cannibalistic coronal mass ejections from twisted magnetic flux rope simulations

NASA Astrophysics Data System (ADS)

Chatterjee, Piyali; Fan, Yuhong

We present results from magnetohydrodynamic simulations of the development of homologous sequence of coronal mass ejections (CMEs) and demonstrate their so-called cannibalistic behavior. These CMEs originate from the repeated formations and partial eruptions of kink unstable flux ropes as a result of continued emergence of a twisted flux rope across the lower boundary into a pre-existing coronal potential arcade field. Our simulation shows that a CME erupting into the open magnetic field created by a preceding CME has a higher speed. The second of the three successive CMEs in one of the simulations is cannibalistic, catching up and merging with the first into a single fast CME before exiting the domain. All the CMEs including the leading merged CME, attained speeds of about 1000 km s-1 as they exit the domain. The reformation of a twisted flux rope after each CME eruption during the sustained flux emergence can naturally explain the X-ray observations of repeated reformations of sigmoids and "sigmoid-under-cusp" configurations at a low-coronal source of homologous CMEs. We also investigate the initiation mechanism and ejecta topology of these energetic CMEs as a function of the twist parameter of the flux rope.

Use of Formative Classroom Assessment Techniques in a Project Management Course

ERIC Educational Resources Information Center

Purcell, Bernice M.

2014-01-01

Formative assessment is considered to be an evaluation technique that informs the instructor of the level of student learning, giving evidence when it may be necessary for the instructor to make a change in delivery based upon the results. Several theories of formative assessment exist, all which propound the importance of feedback to the student.…

Multifunctional pH-Sensitive Amino Lipids for siRNA Delivery.

PubMed

Gujrati, Maneesh; Vaidya, Amita; Lu, Zheng-Rong

2016-01-20

RNA interference (RNAi) represents a powerful modality for human disease therapy that can regulate gene expression signature using small interfering RNA (siRNA). Successful delivery of siRNA into the cytoplasm of target cells is imperative for efficient RNAi and also constitutes the primary stumbling block in the clinical applicability of RNAi. Significant progress has been made in the development of lipid-based siRNA delivery systems, which have practical advantages like simple chemistry and easy formulation of nanoparticles with siRNA. This review discusses the recent development of pH-sensitive amino lipids, with particular focus on multifunctional pH-sensitive amino lipids for siRNA delivery. The key components of these multifunctional lipids include a protonatable amino head group, distal lipid tails, and two cross-linkable thiol groups, which together facilitate the facile formation of stable siRNA-nanoparticles, easy surface modification for target-specific delivery, endosomal escape in response to the pH decrease during subcellular trafficking, and reductive dissociation of the siRNA-nanoparticles for cytoplasmic release of free siRNA. By virtue of these properties, multifunctional pH-sensitive lipids can mediate efficient cytosolic siRNA delivery and gene silencing. Targeted siRNA nanoparticles can be readily formulated with these lipids, without the need for other helper lipids, to promote systemic delivery of therapeutic siRNAs. Such targeted siRNA nanoparticles have been shown to effectively regulate the expression of cancer-related genes, resulting in significant efficacy in the treatment of aggressive tumors, including metastatic triple negative breast cancer. These multifunctional pH-sensitive lipids constitute a promising platform for the systemic and targeted delivery of therapeutic siRNA for the treatment of human diseases. This review summarizes the structure-property relationship of the multifunctional pH-sensitive lipids and their efficacy in

Using grey literature to prepare pharmacy students for an evolving healthcare delivery system.

PubMed

Happe, Laura E; Walker, Desiree'

2013-05-13

To assess the impact of using "grey literature" (information internally produced in print or electronic format by agencies such as hospitals, government, businesses, etc) rather than a textbook in a course on healthcare delivery systems on students' perception of the relevance of healthcare delivery system topics and their ability to identify credible sources of this information. A reading from the grey literature was identified and assigned to the students for each topic in the course. Pre- and post-course survey instruments were used for the assessment. Students reported healthcare delivery systems topics to be moderately relevant to the profession of pharmacy on both the pre- and post-course survey instruments. Students' knowledge of current and credible sources of information on healthcare delivery system topics significantly improved based on self-reports and scores on objective assessments (p<0.05). Assignment of grey literature in a course on healthcare delivery systems can be used to ensure that information in the pharmacy school curriculum is the most current and credible information available.

Giant Planet Formation

NASA Astrophysics Data System (ADS)

D'Angelo, G.; Durisen, R. H.; Lissauer, J. J.

2010-12-01

Gas giant planets play a fundamental role in shaping the orbital architecture of planetary systems and in affecting the delivery of volatile materials to terrestrial planets in the habitable zones. Current theories of gas giant planet formation rely on either of two mechanisms: the core accretion model and the disk instability model. In this chapter, we describe the essential principles upon which these models are built and discuss the successes and limitations of each model in explaining observational data of giant planets orbiting the Sun and other stars.

Opening the Black Box: Exploring the Effect of Transformation on Online Service Delivery in Local Governments

NASA Astrophysics Data System (ADS)

van Veenstra, Anne Fleur; Zuurmond, Arre

To enhance the quality of their online service delivery, many government organizations seek to transform their organization beyond merely setting up a front office. This transformation includes elements such as the formation of service delivery chains, the adoption of a management strategy supporting process orientation and the implementation of enterprise architecture. This paper explores whether undertaking this transformation has a positive effect on the quality of online service delivery, using data gathered from seventy local governments. We found that having an externally oriented management strategy in place, adopting enterprise architecture, aligning information systems to business and sharing activities between processes and departments are positively related to the quality of online service delivery. We recommend that further research should be carried out to find out whether dimensions of organizational development too have an effect on online service delivery in the long term.

Comparison of CME/Shock Propagation Models with Heliospheric Imaging and In Situ Observations

NASA Astrophysics Data System (ADS)

Zhao, Xinhua; Liu, Ying D.; Inhester, Bernd; Feng, Xueshang; Wiegelmann, Thomas; Lu, Lei

2016-10-01

The prediction of the arrival time for fast coronal mass ejections (CMEs) and their associated shocks is highly desirable in space weather studies. In this paper, we use two shock propagation models, I.e., Data Guided Shock Time Of Arrival (DGSTOA) and Data Guided Shock Propagation Model (DGSPM), to predict the kinematical evolution of interplanetary shocks associated with fast CMEs. DGSTOA is based on the similarity theory of shock waves in the solar wind reference frame, and DGSPM is based on the non-similarity theory in the stationary reference frame. The inputs are the kinematics of the CME front at the maximum speed moment obtained from the geometric triangulation method applied to STEREO imaging observations together with the Harmonic Mean approximation. The outputs provide the subsequent propagation of the associated shock. We apply these models to the CMEs on 2012 January 19, January 23, and March 7. We find that the shock models predict reasonably well the shock’s propagation after the impulsive acceleration. The shock’s arrival time and local propagation speed at Earth predicted by these models are consistent with in situ measurements of WIND. We also employ the Drag-Based Model (DBM) as a comparison, and find that it predicts a steeper deceleration than the shock models after the rapid deceleration phase. The predictions of DBM at 1 au agree with the following ICME or sheath structure, not the preceding shock. These results demonstrate the applicability of the shock models used here for future arrival time prediction of interplanetary shocks associated with fast CMEs.

Biodegradable Hybrid Stomatocyte Nanomotors for Drug Delivery

PubMed Central

2017-01-01

We report the self-assembly of a biodegradable platinum nanoparticle-loaded stomatocyte nanomotor containing both PEG-b-PCL and PEG-b-PS as a potential candidate for anticancer drug delivery. Well-defined stomatocyte structures could be formed even after incorporation of 50% PEG-b-PCL polymer. Demixing of the two polymers was expected at high percentage of semicrystalline poly(ε-caprolactone) (PCL), resulting in PCL domain formation onto the membrane due to different properties of two polymers. The biodegradable motor system was further shown to move directionally with speeds up to 39 μm/s by converting chemical fuel, hydrogen peroxide, into mechanical motion as well as rapidly delivering the drug to the targeted cancer cell. Uptake by cancer cells and fast doxorubicin drug release was demonstrated during the degradation of the motor system. Such biodegradable nanomotors provide a convenient and efficient platform for the delivery and controlled release of therapeutic drugs. PMID:28187254

Food formats for effective delivery of probiotics.

PubMed

Sanders, Mary Ellen; Marco, Maria L

2010-01-01

Probiotic bacteria are increasingly incorporated into food products intended to confer health benefits in the human gut and beyond. Little is known about how the food matrix and product formulation impacts probiotic functionality, even though such information is essential to scientific understanding and regulatory substantiation of health benefits. The food format has the potential to affect probiotic survival, physiology, and potentially efficacy, but few comparative studies in humans have been conducted. Human studies should account for the effects of the food base on human health and the bioactive components present in the foods that may augment or diminish interactions of the probiotic with the human host. Some studies show that food ingredients such as prebiotics and milk components can improve probiotic survival during the shelf life of foods, which may enhance probiotic efficacy through increased dose effects. Furthermore, there are indications that synbiotic products are more effective than either probiotics or prebiotics alone. Identification of probiotic adaptations to the food and gut environments holds promise for determining the specific cell components and potential bacterial-food interactions necessary for health benefits and determining how these factors are affected by changes in food formulation and host diet. These studies, combined with controlled human studies, are important future research activities for advancing this field.

Nanotopographical Cues for Modulating Fibrosis and Drug Delivery

NASA Astrophysics Data System (ADS)

Walsh, Laura Aiko Michelle

Nanotopography in the cellular microenvironment provides biological cues and therefore has potential to be a useful tool for directing cellular behavior. Fibrotic encapsulation of implanted devices and materials can wall off and eventually cause functional failure of the implant. Drug delivery requires penetrating the epithelium, which encapsulates the body and provides a barrier to separate the body from its external environment. Both of these challenges could be elegantly surmounted using nanotopography, which would harness innate cellular responses to topographic cues to elicit desired cellular behavior. To this end, we fabricated high and low aspect ratio nanotopographically patterned thin films. Using scanning electron microscopy, real time polymerase chain reaction, immunofluorescence microscopy, in vitro drug delivery assays, transmission electron microscopy, inhibitor studies, and rabbit and rat in vivo drug delivery studies, we investigated cellular response to our nanotopographic thin films. We determined that high aspect ratio topography altered fibroblast morphology and decreased proliferation, possibly due to decreased protein adsorption. The fibroblasts also down regulated expression of mRNA of key factors associated with fibrosis, such as collagens 1 and 3. Low aspect ratio nanotopography increased drug delivery in vitro across an intestinal epithelial model monolayer by increasing paracellular permeability and remodeling the tight junction. This increase in drug delivery required integrin engagement and MLCK activity, and is consistent with the increased focal adhesion formation. Tight junction remodeling was also observed in a multilayered keratinocyte model, showing this mechanism can be generalized to multiple epithelium types. By facilitating direct contact of nanotopography with the viable epidermis using microneedles to pierce the stratum corneum, we are able to transdermally deliver a 150 kiloDalton, IgG-based therapeutic in vivo..

Polymicrobial Biofilm Inhibition Effects of Acetate-Buffered Chitosan Sponge Delivery Device.

PubMed

Jennings, Jessica Amber; Beenken, Karen E; Parker, Ashley C; Smith, James Keaton; Courtney, Harry S; Smeltzer, Mark S; Haggard, Warren O

2016-04-01

Polymicrobial biofilm-associated implant infections present a challenging clinical problem. Through modifications of lyophilized chitosan sponges, degradable drug delivery devices for antibiotic solution have been fabricated for prevention and treatment of contaminated musculoskeletal wounds. Elution of amikacin, vancomycin, or a combination of both follows a burst release pattern with vancomycin released above minimum inhibitory concentration for Staphylococcus aureus for 72 h and amikacin released above inhibitory concentrations for Pseudomonas aeruginosa for 3 h. Delivery of a vancomycin, amikacin, or a combination of both reduces biofilm formation on polytetrafluoroethylene catheters in an in vivo model of contamination. Release of dual antibiotics from sponges is more effective at preventing biofilm formation than single-loaded chitosan sponges. Treatment of pre-formed biofilm with high-dose antibiotic release from chitosan sponges shows minimal reduction after 48 h. These results demonstrate infection-preventive efficacy for antibiotic-loaded sponges, as well as the need for modifications in the development of advanced materials to enhance treatment efficacy in removing established biofilm. © 2016 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Strategies for Controlled Delivery of Growth Factors and Cells for Bone Regeneration

PubMed Central

Vo, Tiffany N.; Kasper, F. Kurtis; Mikos, Antonios G.

2012-01-01

The controlled delivery of growth factors and cells within biomaterial carriers can enhance and accelerate functional bone formation. The carrier system can be designed with preprogrammed release kinetics to deliver bioactive molecules in a localized, spatiotemporal manner most similar to the natural wound healing process. The carrier can also act as an extracellular matrix-mimicking substrate for promoting osteoprogenitor cellular infiltration and proliferation for integrative tissue repair. This review discusses the role of various regenerative factors involved in bone healing and their appropriate combinations with different delivery systems for augmenting bone regeneration. The general requirements of protein, cell and gene therapy are described, with elaboration on how the selection of materials, configurations and processing affects growth factor and cell delivery and regenerative efficacy in both in vitro and in vivo applications for bone tissue engineering. PMID:22342771

Ocular delivery of macromolecules

PubMed Central

Kim, Yoo-Chun; Chiang, Bryce; Wu, Xianggen; Prausnitz, Mark R.

2014-01-01

Biopharmaceuticals are making increasing impact on medicine, including treatment of indications in the eye. Macromolecular drugs are typically given by physician-administered invasive delivery methods, because non--invasive ocular delivery methods, such as eye drops, and systemic delivery, have low bioavailability and/or poor ocular targeting. There is a need to improve delivery of biopharmaceuticals to enable less-invasive delivery routes, less-frequent dosing through controlled-release drug delivery and improved drug targeting within the eye to increase efficacy and reduce side effects. This review discusses the barriers to drug delivery via various ophthalmic routes of administration in the context of macromolecule delivery and discusses efforts to develop controlled-release systems for delivery of biopharmaceuticals to the eye. The growing number of macromolecular therapies in the eye needs improved drug delivery methods that increase drug efficacy, safety and patient compliance. PMID:24998941

Post Alpbach-summerschool project: CARRINGTON MISSION FOR CME DETECTION TO IMPROVE SPACE WEATHER FORECAST

NASA Astrophysics Data System (ADS)

Scheucher, Markus; Urbar, Jaroslav; Musset, Sophie; Andersson, Viktor; Gini, Francesco; Gorski, Jedrzej; Jüstel, Peter; Kiefer, René; Lee, Arrow; Meskers, Arjan; Miles, Oscar; Perakis, Nikolas; Rußwurm, Michael; Scully, Stephen; Seifert, Bernhard; Sorba, Arianna

2014-05-01

The effects of solar activity, especially Coronal Mass Ejections (CMEs), on Earth- and satellite-based systems are well-known and can cause major damage to space-dependent infrastructure. The main problem in current space weather forecasting is the inability to determine necessary forecast parameters of CMEs and Corotating Interaction Regions (CIRs) early enough to react. We present the design for a novel space mission consisting of two spacecraft that is aimed to perform stereoscopic measurements on Earth-directed CMEs and in-situ measurements of CIRs. The magnetic field orientation and structure of CMEs will be measured close to the Sun, using spectro-polarimetry. Geoeffectiveness will be derived by remote sensing the CMEs magnetic field at 0.64AU from the Sun, determining the full magnetic field vector of a CME. This will be achieved by the novel concept of measuring its polarising effects on spacecraft to spacecraft laser beams based upon heterodyne interferometry. Overall structure and trajectory of CMEs will also be monitored by heliospheric imagers and in-situ plasma instruments. To achieve the mission objectives, the orbit is heliocentric at 1AU with a separation angle from the Earth of ±50°. The operational mission lifetime is 6 years with a proposed 6 year extension. If implemented, Carrington will serve as a forecast system which will significantly improve the minimum forecast time for the fastest CMEs with 2000 km/s, from 13 minutes based on current L1 satellites, to around 3 hours.

Computational study of C(sp3)-O bond formation at a PdIV centre.

PubMed

Canty, Allan J; Ariafard, Alireza; Camasso, Nicole M; Higgs, Andrew T; Yates, Brian F; Sanford, Melanie S

2017-03-14

This report describes a computational study of C(sp 3 )-OR bond formation from Pd IV complexes of general structure Pd IV (CH 2 CMe 2 -o-C 6 H 4 -C,C')(F)(OR)(bpy-N,N') (bpy = 2,2'-bipyridine). Dissociation of - OR from the different octahedral Pd IV starting materials results in a common square-pyramidal Pd IV cation. An S N 2-type attack by - OR ( - OR = phenoxide, acetate, difluoroacetate, and nitrate) then leads to C(sp 3 )-OR bond formation. In contrast, when - OR = triflate, concerted C(sp 3 )-C(sp 2 ) bond-forming reductive elimination takes place, and the calculations indicate this outcome is the result of thermodynamic rather than kinetic control. The energy requirements for the dissociation and S N 2 steps with different - OR follow opposing trends. The S N 2 transition states exhibit "PdCO" angles in a tight range of 151.5 to 153.0°, resulting from steric interactions between the oxygen atom and the gem-dimethyl group of the ligand. Conformational effects for various OR ligands and isomerisation of the complexes were also examined as components of the solution dynamics in these systems. In all cases, the trends observed computationally agree with those observed experimentally.

Using SOHO to Understand CME-Producing Quiet-Region Filament Eruptions

NASA Technical Reports Server (NTRS)

Sterling, A. C.; Moore, R. L.; Harra, L. K.

2006-01-01

In recent years we have been studying solar eruptions in an attempt to determine their primary initiation mechanism. We have focused on events involving filaments, because motions of the filaments just prior to their violent eruption are indicative of changes in the entire magnetic field system involved in the eruption. When the pre-eruption filament resides in a quiet region, the motions leading up to eruption are slower than in similar eruptions in active regions due to the weaker magnetic field strength and correspondingly lower Alfven velocities. These early motions manifest themselves in a slow rise (a few km/s) of the filament, in some cases lasting several hours. After this the filament and associated magnetic structures erupt rapidly, accelerating to speeds of a few 10 kmh over a few minutes. Because of their slow evolution, quiet-region eruptions such as these can be effectively studied in EUV with SOHO/EIT, with its regular cadence of about 12 min. For several cases we have combined EIT images with SOHO/MDI magnetograms and data from other other instruments, and compared our observations with predictions from various eruption scenarios, in particular the "breakout" (Antiochos 1998), "tether cutting" (e.g., Moore et al. 2001), and MHD instability mechanisms. Here we present a representative example of a quiet-region eruption involving a filament ejection, that occurred on 2001 February 28 in a magnetically quadrupolar region and produced a halo CME in SOHO/LASCO images. In addition to EIT and MDI, we analyzed spectral data from SOHO/CDS and soft X-ray (SXR) images from Yohkoh/SXT. We found that flux emergence occurred near one end of the filament, and that both this emergence and resulting microflaring in SXRs and EUV were temporally and spatially closely related to the start of the filament's slow rise. Intensity changes (dimmings and brightenings) in the EIT and SXT images indicate that fields far removed from the erupting core were involved in the

Stabilization and delivery approaches for protein and peptide pharmaceuticals: an extensive review of patents.

PubMed

Swain, Suryakanta; Mondal, Debanik; Beg, Sarwar; Patra, Chinam Niranjan; Dinda, Subas Chandra; Sruti, Jammula; Rao, Muddana Eswara Bhanoji

2013-04-01

Proteins and peptides are the building blocks of human body and act as the arsenal to combat against the invading pathogenic organisms for treatment and management of diseases. Majority of such biomacromolecules are synthesized by the human body itself. However, entry of disease causing pathogens causes misleading in the synthesis of desired proteins for antibody formation. In such alarming situations, the delivery of requisite protein and peptide from external source helps in augmenting the body's immunity. The major drawbacks underlying poor biopharmaceutical performance of high molecular weight protein and peptide drugs are due to poor oral absorption, formulation stability, degradation in the gastric milieu, susceptible to presystemic metabolism. Numerous literature recounts the application of myriad drug delivery strategies for the effective delivery of protein and peptides viz. parentral, oral, transdermal, nasal, pulmonary, rectal, buccal and ocular drug delivery systems. There are many reviews on various delivery strategies for protein and peptide pharmaceuticals, but the present review article provides a bird's eye view on various novel drug delivery systems used for enhanced delivery of protein and peptide pharmaceuticals in the light of patent literature. Apart from this, the present manuscript endeavor provides idea on possible causes and major degradation pathways responsible for poor stability of protein and peptide drugs along with recent market instances on them utilizing novel drug delivery systems.

Delivery versus Time Devoted to Assignments: The Effect on Course Performance

ERIC Educational Resources Information Center

Guidry, Krisandra

2017-01-01

Research in the area of amount of time spent on assignments and effect on course performance has focused exclusively either on the lecture or online format, but not comparison of the two. Nowhere has both modes of delivery been studied using an objective measure of course involvement. This study examines what is most significant in predicting a…

Dendrimers in drug delivery and targeting: Drug-dendrimer interactions and toxicity issues

PubMed Central

Madaan, Kanika; Kumar, Sandeep; Poonia, Neelam; Lather, Viney; Pandita, Deepti

2014-01-01

Dendrimers are the emerging polymeric architectures that are known for their defined structures, versatility in drug delivery and high functionality whose properties resemble with biomolecules. These nanostructured macromolecules have shown their potential abilities in entrapping and/or conjugating the high molecular weight hydrophilic/hydrophobic entities by host-guest interactions and covalent bonding (prodrug approach) respectively. Moreover, high ratio of surface groups to molecular volume has made them a promising synthetic vector for gene delivery. Owing to these properties dendrimers have fascinated the researchers in the development of new drug carriers and they have been implicated in many therapeutic and biomedical applications. Despite of their extensive applications, their use in biological systems is limited due to toxicity issues associated with them. Considering this, the present review has focused on the different strategies of their synthesis, drug delivery and targeting, gene delivery and other biomedical applications, interactions involved in formation of drug-dendrimer complex along with characterization techniques employed for their evaluation, toxicity problems and associated approaches to alleviate their inherent toxicity. PMID:25035633

Development of in vivo impedance spectroscopy techniques for measurement of micropore formation following microneedle insertion

PubMed Central

Brogden, Nicole K.; Ghosh, Priyanka; Hardi, Lucia; Crofford, Leslie J.; Stinchcomb, Audra L.

2013-01-01

Microneedles provide a minimally invasive means to enhance skin permeability by creating micron-scale channels (micropores) that provide a drug delivery pathway. Adequate formation of the micropores is critical to the success of this unique drug delivery technique. The objective of these studies was to develop sensitive and reproducible impedance spectroscopy techniques to monitor micropore formation in animal models and human subjects. Hairless guinea pigs, a Yucatan miniature pig, and human volunteers were treated with 100 microneedle insertions per site following an overnight pre-hydration period. Repeated measurements were made pre- and post-microneedle treatment using dry and gel Ag/AgCl electrodes applied with light vs. direct pressure to hold the electrode to the skin surface. Impedance measurements dropped significantly post-microneedle application at all sites (p < 0.05, irrespective of electrode type or gel application), confirming micropore formation. In the Yucatan pig and human subjects, gel electrodes with direct pressure yielded the lowest variability (demonstrated by lower %RSD), whereas dry electrodes with direct pressure were superior in the guinea pigs. These studies confirm that impedance measurements are suitable for use in both clinical and animal research environments to monitor formation of new micropores that will allow for drug delivery through the impermeable skin layers. PMID:23589356

Physical non-viral gene delivery methods for tissue engineering.

PubMed

Mellott, Adam J; Forrest, M Laird; Detamore, Michael S

2013-03-01

The integration of gene therapy into tissue engineering to control differentiation and direct tissue formation is not a new concept; however, successful delivery of nucleic acids into primary cells, progenitor cells, and stem cells has proven exceptionally challenging. Viral vectors are generally highly effective at delivering nucleic acids to a variety of cell populations, both dividing and non-dividing, yet these viral vectors are marred by significant safety concerns. Non-viral vectors are preferred for gene therapy, despite lower transfection efficiencies, and possess many customizable attributes that are desirable for tissue engineering applications. However, there is no single non-viral gene delivery strategy that "fits-all" cell types and tissues. Thus, there is a compelling opportunity to examine different non-viral vectors, especially physical vectors, and compare their relative degrees of success. This review examines the advantages and disadvantages of physical non-viral methods (i.e., microinjection, ballistic gene delivery, electroporation, sonoporation, laser irradiation, magnetofection, and electric field-induced molecular vibration), with particular attention given to electroporation because of its versatility, with further special emphasis on Nucleofection™. In addition, attributes of cellular character that can be used to improve differentiation strategies are examined for tissue engineering applications. Ultimately, electroporation exhibits a high transfection efficiency in many cell types, which is highly desirable for tissue engineering applications, but electroporation and other physical non-viral gene delivery methods are still limited by poor cell viability. Overcoming the challenge of poor cell viability in highly efficient physical non-viral techniques is the key to using gene delivery to enhance tissue engineering applications.

Physical non-viral gene delivery methods for tissue engineering

PubMed Central

Mellott, Adam J.; Forrest, M. Laird; Detamore, Michael S.

2016-01-01

The integration of gene therapy into tissue engineering to control differentiation and direct tissue formation is not a new concept; however, successful delivery of nucleic acids into primary cells, progenitor cells, and stem cells has proven exceptionally challenging. Viral vectors are generally highly effective at delivering nucleic acids to a variety of cell populations, both dividing and non-dividing, yet these viral vectors are marred by significant safety concerns. Non-viral vectors are preferred for gene therapy, despite lower transfection efficiencies, and possess many customizable attributes that are desirable for tissue engineering applications. However, there is no single non-viral gene delivery strategy that “fits-all” cell types and tissues. Thus, there is a compelling opportunity to examine different non-viral vectors, especially physical vectors, and compare their relative degrees of success. This review examines the advantages and disadvantages of physical non-viral methods (i.e., microinjection, ballistic gene delivery, electroporation, sonoporation, laser irradiation, magnetofection, and electric field-induced molecular vibration), with particular attention given to electroporation because of its versatility, with further special emphasis on Nucleofection™. In addition, attributes of cellular character that can be used to improve differentiation strategies are examined for tissue engineering applications. Ultimately, electroporation exhibits a high transfection efficiency in many cell types, which is highly desirable for tissue engineering applications, but electroporation and other physical non-viral gene delivery methods are still limited by poor cell viability. Overcoming the challenge of poor cell viability in highly efficient physical non-viral techniques is the key to using gene delivery to enhance tissue engineering applications. PMID:23099792

Nonviral Vectors for Gene Delivery

NASA Astrophysics Data System (ADS)

Baoum, Abdulgader Ahmed

2011-12-01

The development of nonviral vectors for safe and efficient gene delivery has been gaining considerable attention recently. An ideal nonviral vector must protect the gene against degradation by nuclease in the extracellular matrix, internalize the plasma membrane, escape from the endosomal compartment, unpackage the gene at some point and have no detrimental effects. In comparison to viruses, nonviral vectors are relatively easy to synthesize, less immunogenic, low in cost, and have no limitation in the size of a gene that can be delivered. Significant progress has been made in the basic science and applications of various nonviral gene delivery vectors; however, the majority of nonviral approaches are still inefficient and often toxic. To this end, two nonviral gene delivery systems using either biodegradable poly(D,L-lactide- co-glycolide) (PLG) nanoparticles or cell penetrating peptide (CPP) complexes have been designed and studied using A549 human lung epithelial cells. PLG nanoparticles were optimized for gene delivery by varying particle surface chemistry using different coating materials that adsorb to the particle surface during formation. A variety of cationic coating materials were studied and compared to more conventional surfactants used for PLG nanoparticle fabrication. Nanoparticles (˜200 nm) efficiently encapsulated plasmids encoding for luciferase (80-90%) and slowly released the same for two weeks. After a delay, moderate levels of gene expression appeared at day 5 for certain positively charged PLG particles and gene expression was maintained for at least two weeks. In contrast, gene expression mediated by polyethyleneimine (PEI) ended at day 5. PLG particles were also significantly less cytotoxic than PEI suggesting the use of these vehicles for localized, sustained gene delivery to the pulmonary epithelium. On the other hand, a more simple method to synthesize 50-200 nm complexes capable of high transfection efficiency or high gene knockdown was

Applications of nanodiamonds in drug delivery and catalysis.

PubMed

Moosa, Basem; Fhayli, Karim; Li, Song; Julfakyan, Khatchatur; Ezzeddine, Alaa; Khashab, Niveen M

2014-01-01

The interest of researchers in utilizing nanomaterials as carriers for a wide spectrum of molecules has exploded in the last two decades. Nanodiamonds are one class of carbon-based nanomaterials that have emerged as promising drug delivery vehicles and imaging probes. Their ease of functionalization also led to the generation of stimuli-responsive nanodiamonds that deliver drugs on demand in a controlled manner. The ample surface area of NDs allowed for a higher loading of not only small molecules but also macromolecules like genes and proteins. Recently, the unique surface of NDs has attracted more attention as catalyst support in a huge range of organic modification and C-C bond formation reactions. Herein, recent advances in the utilization of nanodiamonds as a drug delivery vehicle and catalytical support are highlighted and summarized to illustrate the potential and versatility of this cheap and commercially available nanomaterial.

ESTIMATING THE HEIGHT OF CMEs ASSOCIATED WITH A MAJOR SEP EVENT AT THE ONSET OF THE METRIC TYPE II RADIO BURST DURING SOLAR CYCLES 23 AND 24

DOE Office of Scientific and Technical Information (OSTI.GOV)

Mäkelä, P.; Akiyama, S.; Xie, H.

2015-06-10

We studied the coronal mass ejection (CME) height at the onset of 59 metric type II radio bursts associated with major solar energetic particle (SEP) events, excluding ground level enhancements (GLEs), during solar cycles 23 and 24. We calculated CME heights using a simple flare-onset method used by Gopalswamy et al. to estimate CME heights at the metric type II onset for cycle 23 GLEs. We found the mean CME height for non-GLE events (1.72 R{sub ☉}) to be ∼12% greater than that (1.53 R{sub ☉}) for cycle 23 GLEs. The difference could be caused by more impulsive acceleration ofmore » the GLE-associated CMEs. For cycle 24 non-GLE events, we compared the CME heights obtained using the flare-onset method and the three-dimensional spherical-shock fitting method and found the correlation to be good (CC = 0.68). We found the mean CME height for cycle 23 non-GLE events (1.79 R{sub ☉}) to be greater than that for cycle 24 non-GLE events (1.58 R{sub ☉}), but statistical tests do not definitely reject the possibility of coincidence. We suggest that the lower formation height of the shocks during cycle 24 indicates a change in the Alfvén speed profile because solar magnetic fields are weaker and plasma density levels are closer to the surface than usual during cycle 24. We also found that complex type III bursts showing diminution of type III emission in the 7–14 MHz frequency range are more likely associated with events with a CME height at the type II onset above 2 R{sub ☉}, supporting suggestions that the CME/shock structure causes the feature.« less

ON THE ROLE OF THE BACKGROUND OVERLYING MAGNETIC FIELD IN SOLAR ERUPTIONS

DOE Office of Scientific and Technical Information (OSTI.GOV)

Nindos, A.; Patsourakos, S.; Wiegelmann, T., E-mail: anindos@cc.uoi.gr

2012-03-20

The primary constraining force that inhibits global solar eruptions is provided by the overlying background magnetic field. Using magnetic field data from both the Helioseismic and Magnetic Imager aboard the Solar Dynamics Observatory and the spectropolarimeter of the Solar Optical Telescope aboard Hinode, we study the long-term evolution of the background field in active region AR11158 that produced three major coronal mass ejections (CMEs). The CME formation heights were determined using EUV data. We calculated the decay index -(z/B)({partial_derivative}B/{partial_derivative}z) of the magnetic field B (i.e., how fast the field decreases with height, z) related to each event from the timemore » of the active region emergence until well after the CMEs. At the heights of CME formation, the decay indices were 1.1-2.1. Prior to two of the events, there were extended periods (of more than 23 hr) where the related decay indices at heights above the CME formation heights either decreased (up to -15%) or exhibited small changes. The decay index related to the third event increased (up to 118%) at heights above 20 Mm within an interval that started 64 hr prior to the CME. The magnetic free energy and the accumulated helicity into the corona contributed the most to the eruptions by their increase throughout the flux emergence phase (by factors of more than five and more than two orders of magnitude, respectively). Our results indicate that the initiation of eruptions does not depend critically on the temporal evolution of the variation of the background field with height.« less

Potential drug delivery approaches for XFS-associated and XFS-associated glaucoma.

PubMed

Kulkarni, Shreya S; Kompella, Uday B

2014-01-01

Key tissue targets in treating exfoliation syndrome (XFS) and the associated glaucoma include lens, iris, and ciliary body, which produce the exfoliative material, and the trabecular meshwork, which may be impaired by the exfoliative material. In addition to antiglaucoma drug therapy, strategies for treating the disease include approaches for preventing formation of exfoliative material as well as those aimed at digesting exfoliative material. A variety of drug molecules including small molecules, protein drugs, and nucleic acids are potential candidates for treating XFS. Potential drug classes include antioxidants, lysyl oxidase-like 1 enhancers, antifibrotics, anti-inflammatory agents, proteases, and chaperones. However, the delivery of these agents to the target tissues in the anterior segment is hindered by protective static and dynamic barriers of the eye. Thus, unique drug delivery approaches are needed for each drug type (small molecules, proteins, and nucleic acids). In addition, there is a need for sustaining drug therapy for treating XFS, which can potentially be addressed by using nanoparticles, microparticles, implants, and contact lens delivery systems. This article provides an overview of drug delivery challenges and opportunities in treating XFS with the focus being on nanomedicines.

Highly efficient local delivery of endothelial progenitor cells significantly potentiates angiogenesis and full-thickness wound healing.

PubMed

Wang, Chenggui; Wang, Qingqing; Gao, Wendong; Zhang, Zengjie; Lou, Yiting; Jin, Haiming; Chen, Xiaofeng; Lei, Bo; Xu, Huazi; Mao, Cong

2018-03-15

Wound therapy with a rapid healing performance remains a critical clinical challenge. Cellular delivery is considered to be a promising approach to improve the efficiency of healing, yet problems such as compromised cell viability and functionality arise due to the inefficient delivery. Here, we report the efficient delivery of endothelial progenitor cells (EPCs) with a bioactive nanofibrous scaffold (composed of collagen and polycaprolactone and bioactive glass nanoparticles, CPB) for enhancing wound healing. Under the stimulation of CPB nanofibrous system, the viability and angiogenic ability of EPCs were significantly enhanced through the activation of Hif-1α/VEGF/SDF-1α signaling. In vivo, CPB/EPC constructs significantly enhanced the formation of high-density blood vessels by greatly upregulating the expressions of Hif-1α, VEGF, and SDF-1α. Moreover, owing to the increased local delivery of cells and fast neovascularization within the wound site, cell proliferative activity, granulation tissue formation, and collagen synthesis and deposition were greatly promoted by CPB/EPC constructs resulting in rapid re-epithelialization and regeneration of skin appendages. As a result, the synergistic enhancement of wound healing was observed from CPB/EPC constructs, which suggests the highly efficient delivery of EPCs. CPB/EPC constructs may become highly competitive cell-based therapeutic products for efficient impaired wound healing application. This study may also provide a novel strategy to develop bioactive cell therapy constructs for angiogenesis-related regenerative medicine. This paper reported a highly efficient local delivery of EPCs using bioactive glass-based CPB nanofibrous scaffold for enhancing angiogenesis and wound regeneration. In vitro study showed that CPB can promote the proliferation, migration, and tube formation of EPCs through upregulation of the Hif-1α/VEGF/SDF-1α signaling pathway, indicating that the bioactivity and angiogenic ability of

Correlation of the CME Productivity of Solar Active Regions with Measures of their Global Nonpotentiality from Vector Magnetograms: Baseline Results

NASA Technical Reports Server (NTRS)

Falconer, David A.; Moore, Ron L.; Gary, G. Allen; Six, N. Frank (Technical Monitor)

2001-01-01

From conventional magnetograms and chromospheric and coronal images, it is known qualitatively that the fastest coronal mass ejections (CMEs) are magnetic explosions from sunspot active regions in which the magnetic field is globally strongly sheared and twisted from its minimum-energy potential configuration. In this paper, we present measurements from active-region vector magnetograms that begin to quantify the dependence of the CME productivity of an active region on the global nonpotentiality of its magnetic field. From each of 17 magnetograms of 12 bipolar active regions, we obtain a measure of the size of the active region (the magnetic flux content, phi) and three different measures of the global nonpotentiality (L(sub SS), the length of strong-shear, strong-field main neutral line; I(sub N), the net electric current arching from one polarity to the other; and alpha = muI(subN/phi), a flux-normalized measure of the field twist).

Application of ion exchange resin in floating drug delivery system.

PubMed

Upadhye, Abhijeet A; Ambike, Anshuman A; Mahadik, Kakasaheb R; Paradkar, Anant

2008-10-01

The purpose of this study was to explore the application of low-density ion exchange resin (IER) Tulsion(R) 344, for floating drug delivery system (FDDS), and study the effect of its particle size on rate of complexation, water uptake, drug release, and in situ complex formation. Batch method was used for the preparation of complexes, which were characterized by physical methods. Tablet containing resin with high degree of crosslinking showed buoyancy lag time (BLT) of 5-8 min. Decreasing the particle size of resin showed decrease in water uptake and drug release, with no significant effect on the rate of complexation and in situ complex formation for both preformed complexes (PCs) and physical mixtures (PMs). Thus, low-density and high degree of crosslinking of resin and water uptake may be the governing factor for controlling the initial release of tablet containing PMs but not in situ complex formation. However, further sustained release may be due to in situ complex formation.

Volatiles Delivery to the Terrestrial Planets

NASA Astrophysics Data System (ADS)

Marov, M. Ya.; Ipatov, S. I.

2006-08-01

Migration of small bodies and dust particles from the outer regions of the solar system is an important mechanism of the formation and evolution of atmospheres and hydrospheres of the terrestrial planets [1]. It is assumed that these bodies and particles could be responsible for the delivery of the original matter (mainly volatiles) and thus could give rise to the life origin. A fraction of dust particles migrated inward solar system is believed to be of interstellar origin embedded in presolar nebula and preserved for a long time at the fringe of the solar system. Our studies of volatiles delivery were based on results of numerical integration of the migration of small bodies and dust particles in the Solar System [2]. It was shown that the exogenous mechanism of heterogeneous accretion and the endogenous mechanism of the interior degassing may contribute to the formation of planetary atmospheres and hydrospheres at least comparably. If the total mass of planetesimals beyond Jupiter's orbit exceeded a hundred of Earth masses, then of the total mass of volatiles delivered to the Earth exceeded the amount of water in the Earth's oceans. The results of our studies of the migration of dust particles of various genesis lead to the conclusion that a portion of cometary and trans-Neptunian dust particles highly enriched by volatiles can be considerable among particles of other origin. Although it is difficult to obtain exact estimates of the dust influx to the Earth and neighboring planets, it was shown that, in comparison with small bodies, the dust contribution is 3-4 orders of magnitude smaller. However, dust particles could have been most efficient in the delivery of organic prebiogenic and, most likely, biogenic matter, because they are subjected to substantially weaker heating at the altitudes at which they enter the atmosphere and decelerate in it. This conclusion is confirmed by laboratory investigations into the probability of survival of bacteria and phages

Impact of Nuclear Laboratory Personnel Credentials & Continuing Education on Nuclear Cardiology Laboratory Quality Operations.

PubMed

Malhotra, Saurabh; Sobieraj, Diana M; Mann, April; Parker, Matthew W

2017-12-22

Background/Objectives: The specific credentials and continuing education (CME/CE) of nuclear cardiology laboratory medical and technical staff are important factors in the delivery of quality imaging services that have not been systematically evaluated. Methods: Nuclear cardiology accreditation application data from the Intersocietal Accreditation Commission (IAC) was used to characterize facilities performing myocardial perfusion imaging by setting, size, previous accreditation and credentials of the medical and technical staff. Credentials and CME/CE were compared against initial accreditation decisions (grant or delay) using multivariable logistic regression. Results: Complete data were available for 1913 nuclear cardiology laboratories from 2011-2014. Laboratories with initial positive accreditation decisions had a greater prevalence of Certification Board in Nuclear Cardiology (CBNC) certified medical directors and specialty credentialed technical directors. Certification and credentials of the medical and technical directors, respectively, staff CME/CE compliance, and assistance of a consultant with the application were positively associated with accreditation decisions. Conclusion: Nuclear cardiology laboratories directed by CBNC-certified physicians and NCT- or PET-credentialed technologists were less likely to receive delay decisions for MPI. CME/CE compliance of both the medical and technical directors was associated with accreditation decision. Medical and technical directors' years of experience were not associated with accreditation decision. Copyright © 2017 by the Society of Nuclear Medicine and Molecular Imaging, Inc.

Buccal drug delivery.

PubMed

Smart, John D

2005-05-01

Buccal formulations have been developed to allow prolonged localised therapy and enhanced systemic delivery. The buccal mucosa, however, while avoiding first-pass effects, is a formidable barrier to drug absorption, especially for biopharmaceutical products (proteins and oligonucleotides) arising from the recent advances in genomics and proteomics. The buccal route is typically used for extended drug delivery, so formulations that can be attached to the buccal mucosa are favoured. The bioadhesive polymers used in buccal drug delivery to retain a formulation are typically hydrophilic macro-molecules containing numerous hydrogen bonding groups. Newer second-generation bioadhesives have been developed and these include modified or new polymers that allow enhanced adhesion and/or drug delivery, in addition to site-specific ligands such as lectins. Over the last 20 years a wide range of formulations has been developed for buccal drug delivery (tablet, patch, liquids and semisolids) but comparatively few have found their way onto the market. Currently, this route is restricted to the delivery of a limited number of small lipophilic molecules that readily cross the buccal mucosa. However, this route could become a significant means for the delivery of a range of active agents in the coming years, if the barriers to buccal drug delivery are overcome. In particular, patient acceptability and the successful systemic delivery of large molecules (proteins, oligonucleotides and polysaccharides) via this route remains both a significant opportunity and challenge, and new/improved technologies may be required to address these.

The Influence of Coronal Mass Ejections on the Mass-loss Rates of Hot-Jupiters

DOE Office of Scientific and Technical Information (OSTI.GOV)

Cherenkov, A.; Bisikalo, D.; Fossati, L.

Hot-Jupiters are subject to extreme radiation and plasma flows coming from their host stars. Past ultraviolet Hubble Space Telescope observations, supported by hydrodynamic models, confirmed that these factors lead to the formation of an extended envelope, part of which lies beyond the Roche lobe. We use gas-dynamic simulations to study the impact of time variations in the parameters of the stellar wind, namely that of coronal mass ejections (CMEs), on the envelope of the typical hot-Jupiter HD 209458b. We consider three CMEs characterized by different velocities and densities, taking their parameters from typical CMEs observed for the Sun. The perturbationsmore » in the ram-pressure of the stellar wind during the passage of each CME tear off most of the envelope that is located beyond the Roche lobe. This leads to a substantial increase of the mass-loss rates during the interaction with the CME. We find that the mass lost by the planet during the whole crossing of a CME is of ≈10{sup 15} g, regardless of the CME taken into consideration. We also find that over the course of 1 Gyr, the mass lost by the planet because of CME impacts is comparable to that lost because of high-energy stellar irradiation.« less

Genipin-crosslinked catechol-chitosan mucoadhesive hydrogels for buccal drug delivery.

PubMed

Xu, Jinke; Strandman, Satu; Zhu, Julian X X; Barralet, Jake; Cerruti, Marta

2015-01-01

Drug administration via buccal mucosa is an attractive drug delivery strategy due to good patient compliance, prolonged localized drug effect, and avoidance of gastrointestinal drug metabolism and first-pass elimination. Buccal drug delivery systems need to maintain an intimate contact with the mucosa lining in the wet conditions of the oral cavity for long enough to allow drug release and absorption. For decades, mucoadhesive polymers such as chitosan (CS) and its derivatives have been explored to achieve this. In this study, inspired by the excellent wet adhesion of marine mussel adhesive protein, we developed a buccal drug delivery system using a novel catechol-functionalized CS (Cat-CS) hydrogel. We covalently bonded catechol functional groups to the backbone of CS, and crosslinked the polymer with a non-toxic crosslinker genipin (GP). We achieved two degrees of catechol conjugation (9% and 19%), forming Cat9-CS/GP and Cat19-CS/GP hydrogels, respectively. We confirmed covalent bond formation during the catechol functionalization and GP crosslinking during the gel formation. The gelation time and the mechanical properties of Cat-CS hydrogels are similar to those of CS only hydrogels. Catechol groups significantly enhanced mucoadhesion in vitro (7 out of the 10 Cat19-CS hydrogels were still in contact with porcine mucosal membrane after 6 h, whereas all of the CS hydrogels lost contact after 1.5 h). The new hydrogel systems sustained the release of lidocaine for about 3 h. In-vivo, we compared buccal patches made of Cat19-CS/GP and CS/GP adhered to rabbit buccal mucosa. We were able to detect lidocaine in the rabbit's serum at concentration about 1 ng/ml only from the Cat19-CS patch, most likely due to the intimate contact provided by mucoadhesive Cat19-CS/GP systems. No inflammation was observed on the buccal tissue in contact with any of the patches tested. These results show that the proposed catechol-modified CS hydrogel is a promising mucoadhesive and

Effect of cannabinoids on estrous cycle, ovulation and reproductive capacity of female A/J mice.

PubMed

Kostellow, A B; Ziegler, D; Kunar, J; Fujimoto, G I; Morrill, G A

1980-01-01

Virgin A/J female mice were intubated daily for 8 days (short term) or 70 days (long term) with 0, 1, 5, or 25 mg/kg delta 9-tetrahydrocannabinol (delta 9-THC) or 0, 3, 15, or 75 mg/kg crude marihuana extract (CME) in a sesame oil:polysorbate 80:saline vehicle. These dosages approximate light, moderate, and heavy human usage. Short-term exposure to CME has no significant effect on PMS-HCG-induced ovulation but appears to: (1) delay entry into proestrus at all dose levels; (2) depress serum progesterone during the luteal phase at the highest CME level used (75 mg/kg), and (3) inhibit female receptivity to males at least at the highest dosage. Long-term oral administration of CME or delta 9-thc had no significant effect on length of estrous cycles or mating (plug formation) but term pregnancies were reduced by 32 and 68% for medium and high dosages, respectively. After a 30-day recovery period, 80% of those females that failed to have successful pregnancies now became pregnant.

Micro-precise spatiotemporal delivery system embedded in 3D printing for complex tissue regeneration.

PubMed

Tarafder, Solaiman; Koch, Alia; Jun, Yena; Chou, Conrad; Awadallah, Mary R; Lee, Chang H

2016-04-25

Three dimensional (3D) printing has emerged as an efficient tool for tissue engineering and regenerative medicine, given its advantages for constructing custom-designed scaffolds with tunable microstructure/physical properties. Here we developed a micro-precise spatiotemporal delivery system embedded in 3D printed scaffolds. PLGA microspheres (μS) were encapsulated with growth factors (GFs) and then embedded inside PCL microfibers that constitute custom-designed 3D scaffolds. Given the substantial difference in the melting points between PLGA and PCL and their low heat conductivity, μS were able to maintain its original structure while protecting GF's bioactivities. Micro-precise spatial control of multiple GFs was achieved by interchanging dispensing cartridges during a single printing process. Spatially controlled delivery of GFs, with a prolonged release, guided formation of multi-tissue interfaces from bone marrow derived mesenchymal stem/progenitor cells (MSCs). To investigate efficacy of the micro-precise delivery system embedded in 3D printed scaffold, temporomandibular joint (TMJ) disc scaffolds were fabricated with micro-precise spatiotemporal delivery of CTGF and TGFβ3, mimicking native-like multiphase fibrocartilage. In vitro, TMJ disc scaffolds spatially embedded with CTGF/TGFβ3-μS resulted in formation of multiphase fibrocartilaginous tissues from MSCs. In vivo, TMJ disc perforation was performed in rabbits, followed by implantation of CTGF/TGFβ3-μS-embedded scaffolds. After 4 wks, CTGF/TGFβ3-μS embedded scaffolds significantly improved healing of the perforated TMJ disc as compared to the degenerated TMJ disc in the control group with scaffold embedded with empty μS. In addition, CTGF/TGFβ3-μS embedded scaffolds significantly prevented arthritic changes on TMJ condyles. In conclusion, our micro-precise spatiotemporal delivery system embedded in 3D printing may serve as an efficient tool to regenerate complex and inhomogeneous tissues.

Generation of Multiple Metadata Formats from a Geospatial Data Repository

NASA Astrophysics Data System (ADS)

Hudspeth, W. B.; Benedict, K. K.; Scott, S.

2012-12-01

The Earth Data Analysis Center (EDAC) at the University of New Mexico is partnering with the CYBERShARE and Environmental Health Group from the Center for Environmental Resource Management (CERM), located at the University of Texas, El Paso (UTEP), the Biodiversity Institute at the University of Kansas (KU), and the New Mexico Geo- Epidemiology Research Network (GERN) to provide a technical infrastructure that enables investigation of a variety of climate-driven human/environmental systems. Two significant goals of this NASA-funded project are: a) to increase the use of NASA Earth observational data at EDAC by various modeling communities through enabling better discovery, access, and use of relevant information, and b) to expose these communities to the benefits of provenance for improving understanding and usability of heterogeneous data sources and derived model products. To realize these goals, EDAC has leveraged the core capabilities of its Geographic Storage, Transformation, and Retrieval Engine (Gstore) platform, developed with support of the NSF EPSCoR Program. The Gstore geospatial services platform provides general purpose web services based upon the REST service model, and is capable of data discovery, access, and publication functions, metadata delivery functions, data transformation, and auto-generated OGC services for those data products that can support those services. Central to the NASA ACCESS project is the delivery of geospatial metadata in a variety of formats, including ISO 19115-2/19139, FGDC CSDGM, and the Proof Markup Language (PML). This presentation details the extraction and persistence of relevant metadata in the Gstore data store, and their transformation into multiple metadata formats that are increasingly utilized by the geospatial community to document not only core library catalog elements (e.g. title, abstract, publication data, geographic extent, projection information, and database elements), but also the processing steps used to

Comparing Web, Group and Telehealth Formats of a Military Parenting Program

DTIC Science & Technology

2016-06-01

AWARD NUMBER: W81XWH-14-1-0143 TITLE: Comparing Web, Group and Telehealth Formats of a Military Parenting Program PRINCIPAL INVESTIGATOR...SUBTITLE Comparing Web, Group and Telehealth Formats of a Military 5a. CONTRACT NUMBER W81XWH-14-1-0143 Parenting Program 5b. GRANT NUMBER 5c...conducting a three- group, two-site randomized trial to test the comparative effectiveness of three ADAPT delivery approaches for 360 reintegrating

Leukocytes as carriers for targeted cancer drug delivery.

PubMed

Mitchell, Michael J; King, Michael R

2015-03-01

Metastasis contributes to over 90% of cancer-related deaths. Numerous nanoparticle platforms have been developed to target and treat cancer, yet efficient delivery of these systems to the appropriate site remains challenging. Leukocytes, which share similarities to tumor cells in terms of their transport and migration through the body, are well suited to serve as carriers of drug delivery systems to target cancer sites. This review focuses on the use and functionalization of leukocytes for therapeutic targeting of metastatic cancer. Tumor cell and leukocyte extravasation, margination in the bloodstream, and migration into soft tissue are discussed, along with the potential to exploit these functional similarities to effectively deliver drugs. Current nanoparticle-based drug formulations for the treatment of cancer are reviewed, along with methods to functionalize delivery vehicles to leukocytes, either on the surface and/or within the cell. Recent progress in this area, both in vitro and in vivo, is also discussed, with a particular emphasis on targeting cancer cells in the bloodstream as a means to interrupt the metastatic process. Leukocytes interact with cancer cells both in the bloodstream and at the site of solid tumors. These interactions can be utilized to effectively deliver drugs to targeted areas, which can reduce both the amount of drug required and various nonspecific cytotoxic effects within the body. If drug delivery vehicle functionalization does not interfere with leukocyte function, this approach may be utilized to neutralize tumor cells in the bloodstream to prevent the formation of new metastases, and also to deliver drugs to metastatic sites within tissues.

Molecularly Imprinted Polymers: Novel Discovery for Drug Delivery.

PubMed

Dhanashree, Surve; Priyanka, Mohite; Manisha, Karpe; Vilasrao, Kadam

2016-01-01

Molecularly imprinted polymers (MIP) are novel carriers synthesized by imprinting of a template over a polymer. This paper presents the recent application of MIP for diagnostic and therapeutic drug delivery. MIP owing to their 3D polymeric structures and due to bond formation with the template serves as a reservoir of active causing stimuli sensitive, enantioselective, targetted and/or controlled release. The review elaborates about key factors for optimization of MIP, controlled release by MIP for various administration routes various forms like patches, contact lenses, nanowires along with illustrations. To overcome the limitation of organic solvent usage causing increased cost, water compatible MIP and use of supercritical fluid technology for molecular imprinting were developed. Novel methods for developing water compatible MIP like pickering emulsion polymerization, co-precipitation method, cyclodextrin imprinting, surface grafting, controlled/living radical chain polymerization methods are described with illustration in this review. Various protein imprinting methods like bulk, epitope and surface imprinting are described along with illustrations. Further, application of MIP in microdevices as biomimetic sensing element for personalized therapy is elaborated. Although development and application of MIP in drug delivery is still at its infancy, constant efforts of researchers will lead to a novel intelligent drug delivery with commercial value. Efforts should be directed in developing solid oral dosage forms consisting of MIP for therapeutic protein and peptide delivery and targeted release of potent drugs addressing life threatening disease like cancer. Amalgamation of bio-engineering and pharmaceutical techniques can make these future prospects into reality.

Direct Solution of the Chemical Master Equation Using Quantized Tensor Trains

PubMed Central

Kazeev, Vladimir; Khammash, Mustafa; Nip, Michael; Schwab, Christoph

2014-01-01

The Chemical Master Equation (CME) is a cornerstone of stochastic analysis and simulation of models of biochemical reaction networks. Yet direct solutions of the CME have remained elusive. Although several approaches overcome the infinite dimensional nature of the CME through projections or other means, a common feature of proposed approaches is their susceptibility to the curse of dimensionality, i.e. the exponential growth in memory and computational requirements in the number of problem dimensions. We present a novel approach that has the potential to “lift” this curse of dimensionality. The approach is based on the use of the recently proposed Quantized Tensor Train (QTT) formatted numerical linear algebra for the low parametric, numerical representation of tensors. The QTT decomposition admits both, algorithms for basic tensor arithmetics with complexity scaling linearly in the dimension (number of species) and sub-linearly in the mode size (maximum copy number), and a numerical tensor rounding procedure which is stable and quasi-optimal. We show how the CME can be represented in QTT format, then use the exponentially-converging -discontinuous Galerkin discretization in time to reduce the CME evolution problem to a set of QTT-structured linear equations to be solved at each time step using an algorithm based on Density Matrix Renormalization Group (DMRG) methods from quantum chemistry. Our method automatically adapts the “basis” of the solution at every time step guaranteeing that it is large enough to capture the dynamics of interest but no larger than necessary, as this would increase the computational complexity. Our approach is demonstrated by applying it to three different examples from systems biology: independent birth-death process, an example of enzymatic futile cycle, and a stochastic switch model. The numerical results on these examples demonstrate that the proposed QTT method achieves dramatic speedups and several orders of magnitude

Timing of delivery after external cephalic version and the risk for cesarean delivery.

PubMed

Kabiri, Doron; Elram, Tamar; Aboo-Dia, Mushira; Elami-Suzin, Matan; Elchalal, Uriel; Ezra, Yossef

2011-08-01

To estimate the association between time of delivery after external cephalic version at term and the risk for cesarean delivery. This retrospective cohort study included all successful external cephalic versions performed in a tertiary center between January 1997 and January 2010. Stepwise logistic regression was used to calculate the odds ratio (OR) for cesarean delivery. We included 483 external cephalic versions in this study, representing 53.1% of all external cephalic version attempts. The incidence of cesarean delivery for 139 women (29%) who gave birth less than 96 hours from external cephalic version was 16.5%; for 344 women (71%) who gave birth greater than 96 hours from external cephalic version, the incidence of cesarean delivery was 7.8% (P = .004). The adjusted OR for cesarean delivery was 2.541 (95% confidence interval 1.36-4.72). When stratified by parity, the risk for cesarean delivery when delivery occurred less than 96 hours after external cephalic version was 2.97 and 2.28 for nulliparous and multiparous women, respectively. Delivery at less than 96 hours after successful external cephalic version was associated with an increased risk for cesarean delivery. III.

Development of in vivo impedance spectroscopy techniques for measurement of micropore formation following microneedle insertion.

PubMed

Brogden, Nicole K; Ghosh, Priyanka; Hardi, Lucia; Crofford, Leslie J; Stinchcomb, Audra L

2013-06-01

Microneedles (MNs) provide a minimally invasive means to enhance skin permeability by creating micron-scale channels (micropores) that provide a drug delivery pathway. Adequate formation of the micropores is critical to the success of this unique drug delivery technique. The objective of the current work was to develop sensitive and reproducible impedance spectroscopy techniques to monitor micropore formation in animal models and human subjects. Hairless guinea pigs, a Yucatan miniature pig, and human volunteers were treated with 100 MN insertions per site following an overnight prehydration period. Repeated measurements were made pre- and post-MN treatment using dry and gel Ag/AgCl electrodes applied with light verses direct pressure to hold the electrode to the skin surface. Impedance measurements dropped significantly post-MN application at all sites (p < 0.05, irrespective of electrode type or gel application), confirming micropore formation. In the Yucatan pig and human subjects, gel electrodes with direct pressure yielded the lowest variability (demonstrated by lower %relative standard deviation), whereas dry electrodes with direct pressure were superior in the guinea pigs. These studies confirm that impedance measurements are suitable for use in both clinical and animal research environments to monitor the formation of new micropores that will allow for drug delivery through the impermeable skin layers. Copyright © 2013 Wiley Periodicals, Inc.

Biomedical Properties Study of Modified Chitosan Nanoparticles for Drug Delivery Systems

NASA Astrophysics Data System (ADS)

Saboktakin, Mohammad Reza

2013-09-01

The purpose of this review is to discuss and summarize some of the interesting findings and applications of modified chitosan (MCS) and their derivatives in different areas of drug delivery. This review highlights the important applications of MCS in the design of various novel delivery systems like liposomes, microspheres, microcapsules, and nanoparticles. In addition to their well-known effects on drug solubility and dissolution, bioavailability, safety, and stability, their uses as recipients in drug formulation are also discussed. This review also focuses on various factors influencing inclusion complex formation because an understanding of the same is necessary for proper handling of these versatile materials. Some important considerations in selecting MCS in drug formulation such as their commercial availability, regulatory status, and patent status are also summarized.

A Meta-analytic Comparison of Face-to-Face and Online Delivery in Ethics Instruction: The Case for a Hybrid Approach.

PubMed

Todd, E Michelle; Watts, Logan L; Mulhearn, Tyler J; Torrence, Brett S; Turner, Megan R; Connelly, Shane; Mumford, Michael D

2017-12-01

Despite the growing body of literature on training in the responsible conduct of research, few studies have examined the effectiveness of delivery formats used in ethics courses (i.e., face-to-face, online, hybrid). The present effort sought to address this gap in the literature through a meta-analytic review of 66 empirical studies, representing 106 ethics courses and 10,069 participants. The frequency and effectiveness of 67 instructional and process-based content areas were also assessed for each delivery format. Process-based contents were best delivered face-to-face, whereas contents delivered online were most effective when restricted to compliance-based instructional contents. Overall, hybrid courses were found to be most effective, suggesting that ethics courses are best delivered using a blend of formats and content areas. Implications and recommendations for future development of ethics education courses in the sciences are discussed.

Silver Ion Biocide Delivery System for Water Disinfection

NASA Technical Reports Server (NTRS)

Slote, Benjamin M.; Salley, Edward; Carr, Daniel; Kimble, Michael C.; Adam, Niklas

2016-01-01

U.S. space exploration missions have long considered returning to the Moon and exploration of Mars that challenge life support systems. For these long duration missions, there is interest in replacing the iodine water treatment system with ionic silver, a proven biocide. For long duration exploration missions, it is imperative that an effective biocide be used that prevents microbial growth, biofilm formation, and microbially induced corrosion in the water storage and distribution systems while minimizing logistical supply requirements associated with the biocide delivery system. Two biocide delivery systems have been developed that electrochemically produce silver ions for disinfecting water throughout the water storage and distribution system. One system uses a newly developed hybrid micro-filtration and ion-exchange membrane to produce an abundance of silver ions at the 1000 ppb level upstream in the water distribution system to prevent biofilm growth. This is followed by a downstream collection module that electrochemically removes these silver ions before the water is discharged. Another approach uses a membraneless reactor to produce a 1000 ppb silver ion concentration level that also has a mechanically driven electrode cleaning mechanism that removes oxide films ensuring long life operation. By maintaining a sufficiently high level of silver ions throughout the water storage and distribution system, biofilm formation is suppressed. This approach overcomes present concerns where spurious silver deposition occurs on the container and flow line surfaces thus lowering the silver ion concentration to unsatisfactory disinfection levels.

Crystals and crystallization in oil-in-water emulsions: implications for emulsion-based delivery systems.

PubMed

McClements, David Julian

2012-06-15

Many bioactive components intended for oral ingestion (pharmaceuticals and nutraceuticals) are hydrophobic molecules with low water-solubilities and high melting points, which poses considerable challenges to the formulation of oral delivery systems. Oil-in-water emulsions are often suitable vehicles for the encapsulation and delivery of this type of bioactive component. The bioactive component is usually dissolved in a carrier lipid phase by either dilution and/or heating prior to homogenization, and then the carrier lipid and water phases are homogenized to form an emulsion consisting of small oil droplets dispersed in water. The successful development of this kind of emulsion-based delivery system depends on a good understanding of the influence of crystals on the formation, stability, and properties of emulsions. This review article addresses the physicochemical phenomena associated with the encapsulation, retention, crystallization, release, and absorption of hydrophobic bioactive components within emulsions. This knowledge will be useful for the rational formulation of effective emulsion-based delivery systems for oral delivery of crystalline hydrophobic bioactive components in the food, health care, and pharmaceutical industries. Copyright © 2012 Elsevier B.V. All rights reserved.

Introduction for the special issue on recent advances in drug delivery across tissue barriers.

PubMed

Mrsny, Randall J; Brayden, David J

2016-01-01

This special issue of Tissue Barriers contains a series of reviews with the common theme of how biological barriers established at epithelial tissues limit the uptake of macromolecular therapeutics. By improving our functional understanding of these barriers, the majority of the authors have highlighted potential strategies that might be applied to the non-invasive delivery of biopharmaceuticals that would otherwise require an injection format for administration. Half of the articles focus on the potential of particular technologies to assist oral delivery of peptides, proteins and other macromolecules. These include use of prodrug chemistry to improve molecule stability and permeability, and the related potential for oral delivery of poorly permeable agents by cell-penetrating peptides and dendrimers. Safety aspects of intestinal permeation enhancers are discussed, along with the more recent foray into drug-device combinations as represented by intestinal microneedles and externally-applied ultrasound. Other articles highlight the crossover between food research and oral delivery based on nanoparticle technology, while the final one provides a fascinating interpretation of the physiological problems associated with subcutaneous insulin delivery and how inefficient it is at targeting the liver.

Gelatin device for the delivery of growth factors involved in endochondral ossification.

PubMed

Ahrens, Lucas A J; Vonwil, Daniel; Christensen, Jon; Shastri, V Prasad

2017-01-01

Controlled release drug delivery systems are well established as oral and implantable dosage forms. However, the controlled release paradigm can also be used to present complex soluble signals responsible for cellular organization during development. Endochondral ossification (EO), the developmental process of bone formation from a cartilage matrix is controlled by several soluble signals with distinct functions that vary in structure, molecular weight and stability. This makes delivering them from a single vehicle rather challenging. Herein, a gelatin-based delivery system suitable for the delivery of small molecules as well as recombinant human (rh) proteins (rhWNT3A, rhFGF2, rhVEGF, rhBMP4) is reported. The release behavior and biological activity of the released molecules was validated using analytical and biological assays, including cell reporter systems. The simplicity of fabrication of the gelatin device should foster its adaptation by the diverse scientific community interested in interrogating developmental processes, in vivo.

Gelatin device for the delivery of growth factors involved in endochondral ossification

PubMed Central

Ahrens, Lucas A. J.; Vonwil, Daniel; Christensen, Jon

2017-01-01

Controlled release drug delivery systems are well established as oral and implantable dosage forms. However, the controlled release paradigm can also be used to present complex soluble signals responsible for cellular organization during development. Endochondral ossification (EO), the developmental process of bone formation from a cartilage matrix is controlled by several soluble signals with distinct functions that vary in structure, molecular weight and stability. This makes delivering them from a single vehicle rather challenging. Herein, a gelatin-based delivery system suitable for the delivery of small molecules as well as recombinant human (rh) proteins (rhWNT3A, rhFGF2, rhVEGF, rhBMP4) is reported. The release behavior and biological activity of the released molecules was validated using analytical and biological assays, including cell reporter systems. The simplicity of fabrication of the gelatin device should foster its adaptation by the diverse scientific community interested in interrogating developmental processes, in vivo. PMID:28380024

Formation and stabilization of nanoemulsion-based vitamin E delivery systems using natural biopolymers: Whey protein isolate and gum arabic.

PubMed

Ozturk, Bengu; Argin, Sanem; Ozilgen, Mustafa; McClements, David Julian

2015-12-01

Natural biopolymers, whey protein isolate (WPI) and gum arabic (GA), were used to fabricate emulsion-based delivery systems for vitamin E-acetate. Stable delivery systems could be formed when vitamin E-acetate was mixed with sufficient orange oil prior to high pressure homogenization. WPI (d32=0.11 μm, 1% emulsifier) was better than GA (d32=0.38 μm, 10% emulsifier) at producing small droplets at low emulsifier concentrations. However, WPI-stabilized nanoemulsions were unstable to flocculation near the protein isoelectric point (pH 5.0), at high ionic strength (>100mM), and at elevated temperatures (>60 °C), whereas GA-stabilized emulsions were stable. This difference was attributed to differences in emulsifier stabilization mechanisms: WPI by electrostatic repulsion; GA by steric repulsion. These results provide useful information about the emulsifying and stabilizing capacities of natural biopolymers for forming food-grade vitamin-enriched delivery systems. Copyright © 2015 Elsevier Ltd. All rights reserved.

Great Service Pays: A Model for Service Delivery in an Academic Music Library

ERIC Educational Resources Information Center

Wilson, Andrew M.

2007-01-01

Special-subject libraries can be particularly intimidating for casual and seasoned patrons alike. Music libraries, with their variety of materials, formats, and vocabularies, can present particular challenges for the user. With this proposal for a model of service delivery, as well as many tips gained through experience working the front-of-house…

Cost Effective Delivery Strategies in Rural Areas: Programs for Young Handicapped Children. Vol. I. Making It Work in Rural Communities. A Rural Network Monograph.

ERIC Educational Resources Information Center

Black, Talbot, Ed.; Hutinger, Patricia, Ed.

Using a common format outlining program settings, agencies, children/families served, staff, services, delivery strategies, and program costs, descriptions of four cost-effective rural service delivery programs for young handicapped children provide evidence that good rural programs are affordable. The Early Lifestyle Program at King's Daughters'…

Host-guest interaction induced supramolecular amphiphilic star architecture and uniform nanovesicle formation for anticancer drug delivery

NASA Astrophysics Data System (ADS)

Zhu, Jing-Ling; Liu, Kerh Li; Wen, Yuting; Song, Xia; Li, Jun

2016-01-01

A star polymer of poly[(R,S)-3-hydroxybutyrate] (PHB) with adamantyl end-terminals extended from an α-cyclodextrin (α-CD) core is designed. It subsequently self-assembles to form controllable and uniform nanovesicles induced by host-guest interactions between heptakis(2,6-di-O-methyl)-β-CD and the adamantyl ends. The nanovesicles are suitable for loading and intracellular delivery of the anticancer drug doxorubicin.A star polymer of poly[(R,S)-3-hydroxybutyrate] (PHB) with adamantyl end-terminals extended from an α-cyclodextrin (α-CD) core is designed. It subsequently self-assembles to form controllable and uniform nanovesicles induced by host-guest interactions between heptakis(2,6-di-O-methyl)-β-CD and the adamantyl ends. The nanovesicles are suitable for loading and intracellular delivery of the anticancer drug doxorubicin. Electronic supplementary information (ESI) available: Polymer synthesis, characterization, preparation of drug-loaded nanovesicles, intracellular drug release and cytotoxicity assays, TEM and DLS measurements. See DOI: 10.1039/c5nr06744h

Systems and Components Fuel Delivery System, Water Delivery System, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Systems and Components - Fuel Delivery System, Water Delivery System, Derrick Crane System, and Crane System Details - Marshall Space Flight Center, F-1 Engine Static Test Stand, On Route 565 between Huntsville and Decatur, Huntsville, Madison County, AL

Data delivery workflow in an academic information warehouse.

PubMed

Erdal, Selnur; Rogers, Patrick; Santangelo, Jennifer; Buskirk, Jason; Ostrander, Michael; Liu, Jianhua; Kamal, Jyoti

2008-11-06

The Ohio State University Medical Center (OSUMC) Information Warehouse (IW) collects data from many systems throughout the OSUMC on load cycles ranging from real-time to on-demand. The data then is prepared for delivery to diversity of customers across the clinical, education, and research sectors of the OSUMC. Some of the data collected at the IW include patient management, billing and finance, procedures, medications, lab results, clinical reports, physician order entry, outcomes, demographics, and so on. This data is made available to the users of the IW in variety of formats and methods.

Integrated delivery systems focus on service delivery after capitation efforts stall.

PubMed

2005-03-01

Integrated delivery systems focus on service delivery after capitation efforts stall. Integrated delivery systems are going through changes that are focusing the provider organizations more on delivering care than managing risk, says Dean C. Coddington, one of the leading researchers into capitated organizations and a senior consultant with McManis Consulting in Denver.

In vitro and in vivo delivery of therapeutic proteins using cell penetrating peptides.

PubMed

Bolhassani, Azam; Jafarzade, Behnaz Sadat; Mardani, Golnaz

2017-01-01

The failure of proteins to penetrate mammalian cells or target tumor cells restricts their value as therapeutic tools in a variety of diseases such as cancers. Recently, protein transduction domains (PTDs) or cell penetrating peptides (CPPs) have been shown to promote the delivery of therapeutic proteins or peptides into live cells. The successful delivery of proteins mainly depends on their physicochemical properties. Although, linear cell penetrating peptides are one of the most effective delivery vehicles; but currently, cyclic CPPs has been developed to potently transport bioactive full-length proteins into cells. Up to now, several small protein transduction domains from viral proteins including Tat or VP22 could be fused to other peptides or proteins to entry them in various cell types at a dose-dependent approach. A major disadvantage of PTD-fusion proteins is primary uptake into endosomal vesicles leading to inefficient release of the fusion proteins into the cytosol. Recently, non-covalent complex formation (Chariot) between proteins and CPPs has attracted a special interest to overcome some delivery limitations (e.g., toxicity). Many preclinical and clinical trials of CPP-based delivery are currently under evaluation. Generally, development of more efficient protein transduction domains would significantly increase the potency of protein therapeutics. Moreover, the synergistic or combined effects of CPPs with other delivery systems for protein/peptide drug delivery would promote their therapeutic effects in cancer and other diseases. In this review, we will describe the functions and implications of CPPs for delivering the therapeutic proteins or peptides in preclinical and clinical studies. Copyright © 2016 Elsevier Inc. All rights reserved.

Vaginal delivery of carboplatin-loaded thermosensitive hydrogel to prevent local cervical cancer recurrence in mice.

PubMed

Wang, Xue; Wang, Jin; Wu, Wenbin; Li, Hongjun

2016-11-01

Local tumor recurrence after cervical cancer surgery remains a clinical problem. Vaginal delivery of thermosensitive hydrogel may be suited to reduce tumor relapse rate with more efficacy and safety. A pilot study was carried out to evaluate the efficacy of carboplatin-loaded poloxamer hydrogel to prevent local recurrence of cervical cancer after surgery. In vivo vaginal retention evaluation of 27% poloxamer hydrogel in mice was proven to be a suitable vaginal drug delivery formulation due to its low gelation temperature. A mimic orthotopic cervical/vaginal cancer recurrence model after surgery was established by injecting murine cervical cancer cell line U14 into the vaginal submucosa to simulate the residual tumor cells infiltrated in the surgical site, followed by drug administration 24 h later to interfere with the formation/recurrence of the tumor. By infusing fluorescein sodium-loaded hydrogel into the vagina of mice, a maximized accumulation of fluorescein sodium (Flu) in the vagina was achieved and few signals were observed in other organs. When used in the prevention of the cervical cancer formation/recurrence in mice, the carboplatin-loaded poloxamer hydrogel exhibited great efficacy and systemic safety. In conclusion, thermosensitive hydrogel presents a simple, practical approach for the local drug delivery via vagina against cervical cancer recurrence.

Trojan particles: Large porous carriers of nanoparticles for drug delivery

PubMed Central

Tsapis, N.; Bennett, D.; Jackson, B.; Weitz, D. A.; Edwards, D. A.

2002-01-01

We have combined the drug release and delivery potential of nanoparticle (NP) systems with the ease of flow, processing, and aerosolization potential of large porous particle (LPP) systems by spray drying solutions of polymeric and nonpolymeric NPs into extremely thin-walled macroscale structures. These hybrid LPPs exhibit much better flow and aerosolization properties than the NPs; yet, unlike the LPPs, which dissolve in physiological conditions to produce molecular constituents, the hybrid LPPs dissolve to produce NPs, with the drug release and delivery advantages associated with NP delivery systems. Formation of the large porous NP (LPNP) aggregates occurs via a spray-drying process that ensures the drying time of the sprayed droplet is sufficiently shorter than the characteristic time for redistribution of NPs by diffusion within the drying droplet, implying a local Peclet number much greater than unity. Additional control over LPNPs physical characteristics is achieved by adding other components to the spray-dried solutions, including sugars, lipids, polymers, and proteins. The ability to produce LPNPs appears to be largely independent of molecular component type as well as the size or chemical nature of the NPs. PMID:12200546

Improved overall delivery documentation following implementation of a standardized shoulder dystocia delivery form

PubMed Central

Moragianni, Vasiliki A.; Hacker, Michele R.; Craparo, Frank J.

2013-01-01

Objective Our objective was to evaluate whether using a standardized shoulder dystocia delivery form improved documentation. A standardized delivery form was added to our institution’s obstetrical record in August 2003. Methods A retrospective cohort study was conducted comparing 100 vaginal deliveries complicated by shoulder dystocia before, and 81 after implementation of the standardized delivery form. The two groups were compared in terms of obstetric characteristics, neonatal outcomes and documentation components. Results Charts that included the standardized delivery form were more likely to contain documentation of estimated fetal weight (82.7% vs. 39.0% without the form, P<0.001) and head-to-shoulder delivery interval (76.5% vs. 15.0% without the form, P<0.001). Both groups were statistically similar in terms of documenting estimated blood loss and fetal weight, umbilical cord pH, type and order of maneuvers utilized to relieve the shoulder dystocia, and second stage duration. Conclusions Inclusion of a standardized form in the delivery record improves the rate of documentation of both shoulder dystocia-specific and general delivery components. PMID:22017330

Real-Time CME Forecasting Using HMI Active-Region Magnetograms and Flare History

NASA Technical Reports Server (NTRS)

Falconer, David; Moore, Ron; Barghouty, Abdulnasser F.; Khazanov, Igor

2011-01-01

We have recently developed a method of predicting an active region s probability of producing a CME, an X-class Flare, an M-class Flare, or a Solar Energetic Particle Event from a free-energy proxy measured from SOHO/MDI line-of-sight magnetograms. This year we have added three major improvements to our forecast tool: 1) Transition from MDI magnetogram to SDO/HMI magnetogram allowing us near-real-time forecasts, 2) Automation of acquisition and measurement of HMI magnetograms giving us near-real-time forecasts (no older than 2 hours), and 3) Determination of how to improve forecast by using the active region s previous flare history in combination with its free-energy proxy. HMI was turned on in May 2010 and MDI was turned off in April 2011. Using the overlap period, we have calibrated HMI to yield what MDI would measure. This is important since the value of the free-energy proxy used for our forecast is resolution dependent, and the forecasts are made from results of a 1996-2004 database of MDI observations. With near-real-time magnetograms from HMI, near-real-time forecasts are now possible. We have augmented the code so that it continually acquires and measures new magnetograms as they become available online, and updates the whole-sun forecast from the coming day. The next planned improvement is to use an active region s previous flare history, in conjunction with its free-energy proxy, to forecast the active region s event rate. It has long been known that active regions that have produced flares in the past are likely to produce flares in the future, and that active regions that are nonpotential (have large free-energy) are more likely to produce flares in the future. This year we have determined that persistence of flaring is not just a reflection of an active region s free energy. In other words, after controlling for free energy, we have found that active regions that have flared recently are more likely to flare in the future.

Leukocytes as carriers for targeted cancer drug delivery

PubMed Central

Mitchell, Michael J

2017-01-01

Introduction Metastasis contributes to over 90% of cancer-related deaths. Numerous nanoparticle platforms have been developed to target and treat cancer, yet efficient delivery of these systems to the appropriate site remains challenging. Leukocytes, which share similarities to tumor cells in terms of their transport and migration through the body, are well suited to serve as carriers of drug delivery systems to target cancer sites. Areas covered This review focuses on the use and functionalization of leukocytes for therapeutic targeting of metastatic cancer. Tumor cell and leukocyte extravasation, margination in the bloodstream, and migration into soft tissue are discussed, along with the potential to exploit these functional similarities to effectively deliver drugs. Current nanoparticle-based drug formulations for the treatment of cancer are reviewed, along with methods to functionalize delivery vehicles to leukocytes, either on the surface and/or within the cell. Recent progress in this area, both in vitro and in vivo, is also discussed, with a particular emphasis on targeting cancer cells in the bloodstream as a means to interrupt the metastatic process. Expert opinion Leukocytes interact with cancer cells both in the bloodstream and at the site of solid tumors. These interactions can be utilized to effectively deliver drugs to targeted areas, which can reduce both the amount of drug required and various nonspecific cytotoxic effects within the body. If drug delivery vehicle functionalization does not interfere with leukocyte function, this approach may be utilized to neutralize tumor cells in the bloodstream to prevent the formation of new metastases, and also to deliver drugs to metastatic sites within tissues. PMID:25270379

Colloidal drug delivery system: amplify the ocular delivery.

PubMed

Ali, Javed; Fazil, Mohd; Qumbar, Mohd; Khan, Nazia; Ali, Asgar

2016-01-01

The ocular perceivers are the most voluntarily accessible organs in terms of location in the body, yet drug distribution to these tissues is one of the most intriguing and challenging endeavors and problematic to the pharmaceutical scientist. The most of ocular diseases are treated with topical application of conventional formulation, i.e. solutions, suspensions and ointment. Typically on installation of these conventional formulations, only <5% of the applied dose penetrates the cornea and reaches intraocular tissues, while a major fraction of the instilled dose is wastage due to the presence of many ocular barriers like external barriers, rapid loss of the instilled solution from the precorneal area and nasolacrimal drainage system. Systemic absorption caused systemic side effects varying from mild to life-threatening events. The main objective of this review is to explore the role of colloidal delivery of drug to minimize the drawbacks associated with them. This review provides an insight into the various constraints associated with ocular drug delivery, summarizes recent findings and applications of colloidal delivery systems, i.e. nanoparticles, nanosuspensions, liposomes, niosomes, dendrimers and contact lenses containing nanoparticles have the capacity to distribute ocular drugs to categorical target sites and hold promise to revolutionize the therapy of many ocular perceiver diseases and minimized the circumscription of conventional delivery. Form the basis of literature review, it has been found that the novel delivery system have greater impact to maximize ocular drug absorption, and minimize systemic absorption and side effects.

The Effect of a Low Fluoride Delivery System on Bacterial Metabolism.

DTIC Science & Technology

1980-09-01

Fluorides, an4 -Ique mechanisms, slow release delivery, temporary restora- tions, bacterial attachment, Streptococcus mutans , bacterial metabo’ilsm...concentrations of NaF, SnF 4 , Na2SnF6 , TiF 4 , and SnCI2 on altering plaque formation by Streptococcus mutans NCTC 10449. Specific tests were...preparation. Microorganisms, Growth Media, and Growth A streptomycin resistant mutant of Streptococcus mutans NCTC 10449 (Bratthall serotype c) has been

Intracochlear Drug Delivery Systems

PubMed Central

Borenstein, Jeffrey T.

2011-01-01

Introduction Advances in molecular biology and in the basic understanding of the mechanisms associated with sensorineural hearing loss and other diseases of the inner ear, are paving the way towards new approaches for treatments for millions of patients. However, the cochlea is a particularly challenging target for drug therapy, and new technologies will be required to provide safe and efficacious delivery of these compounds. Emerging delivery systems based on microfluidic technologies are showing promise as a means for direct intracochlear delivery. Ultimately, these systems may serve as a means for extended delivery of regenerative compounds to restore hearing in patients suffering from a host of auditory diseases. Areas covered in this review Recent progress in the development of drug delivery systems capable of direct intracochlear delivery is reviewed, including passive systems such as osmotic pumps, active microfluidic devices, and systems combined with currently available devices such as cochlear implants. The aim of this article is to provide a concise review of intracochlear drug delivery systems currently under development, and ultimately capable of being combined with emerging therapeutic compounds for the treatment of inner ear diseases. Expert Opinion Safe and efficacious treatment of auditory diseases will require the development of microscale delivery devices, capable of extended operation and direct application to the inner ear. These advances will require miniaturization and integration of multiple functions, including drug storage, delivery, power management and sensing, ultimately enabling closed-loop control and timed-sequence delivery devices for treatment of these diseases. PMID:21615213

Rapid wetland expansion during European settlement and its implication for marsh survival under modern sediment delivery rates

USGS Publications Warehouse

Kirwan, Matthew L.; Murray, A. Brad; Donnelly, Jeffrey P.; Corbett, D. Reide

2011-01-01

Fluctuations in sea-level rise rates are thought to dominate the formation and evolution of coastal wetlands. Here we demonstrate a contrasting scenario in which land-use-related changes in sediment delivery rates drive the formation of expansive marshland, and vegetation feedbacks maintain their morphology despite recent sediment supply reduction. Stratigraphic analysis and radiocarbon dating in the Plum Island Estuary (Massachusetts, United States) suggest that salt marshes expanded rapidly during the eighteenth and nineteenth centuries due to increased rates of sediment delivery following deforestation associated with European settlement. Numerical modeling coupled with the stratigraphic observations suggests that existing marshland could survive, but not form under the low suspended sediment concentrations observed in the estuary today. These results suggest that many of the expansive marshes that characterize the modern North American coast are metastable relicts of high nineteenth century sediment delivery rates, and that recent observations of degradation may represent a slow return to pre-settlement marsh extent. In contrast to ecosystem management practices in which restoring pre-anthropogenic conditions is seen as a way to increase ecosystem services, our results suggest that widespread efforts to restore valuable coastal wetlands actually prevent some systems from returning to a natural state.

A Candida Biofilm-Induced Pathway for Matrix Glucan Delivery: Implications for Drug Resistance

PubMed Central

Taff, Heather T.; Nett, Jeniel E.; Zarnowski, Robert; Ross, Kelly M.; Sanchez, Hiram; Cain, Mike T.; Hamaker, Jessica; Mitchell, Aaron P.; Andes, David R.

2012-01-01

Extracellular polysaccharides are key constituents of the biofilm matrix of many microorganisms. One critical carbohydrate component of Candida albicans biofilms, β-1,3 glucan, has been linked to biofilm protection from antifungal agents. In this study, we identify three glucan modification enzymes that function to deliver glucan from the cell to the extracellular matrix. These enzymes include two predicted glucan transferases and an exo-glucanase, encoded by BGL2, PHR1, and XOG1, respectively. We show that the enzymes are crucial for both delivery of β-1,3 glucan to the biofilm matrix and for accumulation of mature matrix biomass. The enzymes do not appear to impact cell wall glucan content of biofilm cells, nor are they necessary for filamentation or biofilm formation. We demonstrate that mutants lacking these genes exhibit enhanced susceptibility to the commonly used antifungal, fluconazole, during biofilm growth only. Transcriptional analysis and biofilm phenotypes of strains with multiple mutations suggest that these enzymes act in a complementary fashion to distribute matrix downstream of the primary β-1,3 glucan synthase encoded by FKS1. Furthermore, our observations suggest that this matrix delivery pathway works independently from the C. albicans ZAP1 matrix formation regulatory pathway. These glucan modification enzymes appear to play a biofilm-specific role in mediating the delivery and organization of mature biofilm matrix. We propose that the discovery of inhibitors for these enzymes would provide promising anti-biofilm therapeutics. PMID:22876186

The U.S. Twin Delivery Volume and Association with Cesarean Delivery Rates: A Hospital-Level Analysis.

PubMed

Easter, Sarah Rae; Robinson, Julian N; Carusi, Daniela; Little, Sarah E

2018-03-01

 The objective of this study was to test whether hospitals experienced in twin delivery have lower rates of cesarean delivery for twins.  We divided obstetric hospitals in the 2011 National Inpatient Sample by quartile of annual twin deliveries and compared twin cesarean delivery rates between hospitals with weighted linear regression. We used Pearson's coefficients to correlate a hospital's twin cesarean delivery rate to its overall cesarean delivery and vaginal birth after cesarean (VBAC) rates.  Annual twin delivery volume ranged from 1 to 506 across the 547 analyzed hospitals with a median of 10 and mode of 3. Adjusted rates of cesarean delivery were independent of delivery volume with a rate of 75.5 versus 74.8% in the lowest and highest volume hospitals ( p  = 0.09 across quartiles). A hospital's cesarean delivery rate for twins moderately correlated with the overall cesarean rate ( r  = 0.52, p  < 0.01) and inversely correlated with VBAC rate ( r  =  - 0.42, p  < 0.01).  Most U.S. obstetrical units perform a low volume of twin deliveries with no decrease in cesarean delivery rates at higher volume hospitals. Twin cesarean delivery rates correlate with other obstetric parameters such as singleton cesarean delivery and VBAC rates suggesting twin cesarean delivery rate is more closely related to a hospital's general obstetric practice than its twin delivery volume. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Comparison of outcomes between operative vaginal deliveries and spontaneous vaginal deliveries in southeast Nigeria.

PubMed

Lawani, Lucky O; Anozie, Okechukwu B; Ezeonu, Paul O; Iyoke, Chukwuemeka A

2014-06-01

To evaluate the incidence of, indications for, and outcome of operative vaginal deliveries compared with spontaneous vaginal deliveries in southeast Nigeria. A retrospective cohort study was conducted involving cases of operative vaginal delivery performed at Ebonyi State University Teaching Hospital over a 10-year period. Data on the procedures were abstracted from the operation notes of the medical records of parturients. An incidence of 4.7% (n = 461) was recorded. The most common indications for vacuum and forceps delivery were prolonged second stage of labor (44.9%) and poor maternal effort (27.8%). The only indication for destructive operation was intrauterine fetal death (3.7%). The risk ratio (RR) for hemorrhage/vulvar hematoma was 1.14 (95% confidence interval [CI], 0.53-2.48) for vacuum-assisted delivery and 5.49 (95% CI, 0.82-36.64) for forceps delivery. The RR for genital laceration was 1.21 (95% CI, 0.44-3.30) for vacuum-assisted delivery and 9.41 (95% CI, 1.33-66.65) for forceps delivery. The risk of fetal scalp bruises and caput succedaneum was higher for operative vaginal delivery than for spontaneous vaginal delivery, with no significant difference in maternal morbidity. The perinatal mortality rate was 0.9 per 1000 live births. Operative vaginal delivery by experienced healthcare providers is associated with good obstetric outcomes with minimal risk. Copyright © 2014 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

In Silico Models of Aerosol Delivery to the Respiratory Tract – Development and Applications

PubMed Central

Longest, P. Worth; Holbrook, Landon T.

2011-01-01

This review discusses the application of computational models to simulate the transport and deposition of inhaled pharmaceutical aerosols from the site of particle or droplet formation to deposition within the respiratory tract. Traditional one-dimensional (1-D) whole-lung models are discussed briefly followed by a more in-depth review of three-dimensional (3-D) computational fluid dynamics (CFD) simulations. The review of CFD models is organized into sections covering transport and deposition within the inhaler device, the extrathoracic (oral and nasal) region, conducting airways, and alveolar space. For each section, a general review of significant contributions and advancements in the area of simulating pharmaceutical aerosols is provided followed by a more in-depth application or case study that highlights the challenges, utility, and benefits of in silico models. Specific applications presented include the optimization of an existing spray inhaler, development of charge-targeted delivery, specification of conditions for optimal nasal delivery, analysis of a new condensational delivery approach, and an evaluation of targeted delivery using magnetic aerosols. The review concludes with recommendations on the need for more refined model validations, use of a concurrent experimental and CFD approach for developing aerosol delivery systems, and development of a stochastic individual path (SIP) model of aerosol transport and deposition throughout the respiratory tract. PMID:21640772

Insulin delivery through nasal route using thiolated microspheres.

PubMed

Nema, Tarang; Jain, Ashish; Jain, Aviral; Shilpi, Satish; Gulbake, Arvind; Hurkat, Pooja; Jain, Sanjay K

2013-01-01

The aim of the present study was to investigate the potential of developed thiolated microspheres for insulin delivery through nasal route. In the present study, cysteine was immobilized on carbopol using EDAC. A total of 269.93 µmol free thiol groups per gram polymer were determined. The prepared nonthiolated and thiolated microspheres were studied for particle shape, size, drug content, swellability, mucoadhesion and in vitro insulin release. The thiolated microspheres exhibited higher mucoadhesion due to formation of covalent bonds via disulfide bridges with the mucus gel layer. Drug permeation through goat nasal mucosa of nonthiolated and thiolated microspheres were found as 52.62 ± 2.4% and 78.85 ± 3.1% in 6 h, respectively. Thiolated microspheres bearing insulin showed better reduction in blood glucose level (BGL) in comparison to nonthiolated microspheres as 31.23 ± 2.12% and 75.25 ± 0.93% blood glucose of initial BGL were observed at 6 h after nasal delivery of thiolated and nonthiolated microspheres in streptozotocin-induced diabetic rabbits.

In Situ Forming Polymeric Drug Delivery Systems

PubMed Central

Madan, M.; Bajaj, A.; Lewis, S.; Udupa, N.; Baig, J. A.

2009-01-01

In situ forming polymeric formulations are drug delivery systems that are in sol form before administration in the body, but once administered, undergo gelation in situ, to form a gel. The formation of gels depends on factors like temperature modulation, pH change, presence of ions and ultra violet irradiation, from which the drug gets released in a sustained and controlled manner. Various polymers that are used for the formulation of in situ gels include gellan gum, alginic acid, xyloglucan, pectin, chitosan, poly(DL-lactic acid), poly(DL-lactide-co-glycolide) and poly-caprolactone. The choice of solvents like water, dimethylsulphoxide, N-methyl pyrrolidone, triacetin and 2-pyrrolidone for these formulations depends on the solubility of polymer used. Mainly in situ gels are administered by oral, ocular, rectal, vaginal, injectable and intraperitoneal routes. The in situ gel forming polymeric formulations offer several advantages like sustained and prolonged action in comparison to conventional drug delivery systems. The article presents a detailed review of these types of polymeric systems, their evaluation, advancements and their commercial formulations. From a manufacturing point of view, the production of such devices is less complex and thus lowers the investment and manufacturing cost. PMID:20490289

Levodopa delivery systems: advancements in delivery of the gold standard.

PubMed

Ngwuluka, Ndidi; Pillay, Viness; Du Toit, Lisa C; Ndesendo, Valence; Choonara, Yahya; Modi, Girish; Naidoo, Dinesh

2010-02-01

Despite the fact that Parkinson's disease (PD) was discovered almost 200 years ago, its treatment and management remain immense challenges because progressive loss of dopaminergic nigral neurons, motor complications experienced by the patients as the disease progresses and drawbacks of pharmacotherapeutic management still persist. Various therapeutic agents have been used in the management of PD, including levodopa (l-DOPA), selegiline, amantadine, bromocriptine, entacapone, pramipexole dihydrochloride and more recently istradefylline and rasagiline. Of all agents, l-DOPA although the oldest, remains the most effective. l-DOPA is easier to administer, better tolerated, less expensive and is required by almost all PD patients. However, l-DOPA's efficacy in advanced PD is significantly reduced due to metabolism, subsequent low bioavailability and irregular fluctuations in its plasma levels. Significant strides have been made to improve the delivery of l-DOPA in order to enhance its bioavailability and reduce plasma fluctuations as well as motor complications experienced by patients purportedly resulting from pulsatile stimulation of the striatal dopamine receptors. Drug delivery systems that have been instituted for the delivery of l-DOPA include immediate release formulations, liquid formulations, dispersible tablets, controlled release formulations, dual-release formulations, microspheres, infusion and transdermal delivery, among others. In this review, the l-DOPA-loaded drug delivery systems developed over the past three decades are elaborated. The ultimate aim was to assess critically the attempts made thus far directed at improving l-DOPA absorption, bioavailability and maintenance of constant plasma concentrations, including the drug delivery technologies implicated. This review highlights the fact that neuropharmaceutics is at a precipice, which is expected to spur investigators to take that leap to enable the generation of innovative delivery systems for the

Rumen-stable delivery systems.

PubMed

Papas; Wu

1997-12-08

Ruminants have a distinct digestive system which serves a unique symbiotic relationship between the host animal and predominantly anaerobic rumen bacteria and protozoa. Rumen fermentation can be both beneficial by enabling utilization of cellulose and non-protein nitrogen and detrimental by reducing the nutritive value of some carbohydrates, high biological value proteins and by hydrogenating unsaturated lipids. In addition it can also result in the modification and inactivation of many pharmacologically active ingredients administered to the host animal via the oral route. The advances in ruminant nutrition and health demand a rumen-stable delivery system which can deliver the active ingredient post-ruminally while simultaneously meet efficacy, safety and cost criteria. In contrast to drug delivery systems for humans, the demand for low-cost has hindered the development of effective rumen-stable delivery systems. Historically, heat and chemical treatment of feed components, low solubility analogues or lipid-based formulations have been used to achieve some degree of rumen-stability, and products have been developed accordingly. Recently, a polymeric pH-dependent rumen-stable delivery system has been developed and commercialized. The rationale of this delivery system is based on the pH difference between ruminal and abomasal fluids. The delivery system is composed of a basic polymer, a hydrophobic substance and a pigment material. It can be applied as a coating to solid particles via a common encapsulation method such as air-suspension coating. In the future, the delivery system could be used to deliver micronutrients and pharmaceuticals post-ruminally to ruminant animals. A further possible application of the delivery system is that it could also be combined with other controlled delivery devices/systems in order to enhance slow release or to achieve targeted delivery needs for ruminants. This paper discusses the rumen protection and the abomasal release mechanism

Can SPOC (Self-Paced Online Course) Live Long and Prosper? A Comparison Study of a New Species of Online Course Delivery

ERIC Educational Resources Information Center

Southard, Sheryne; Meddaugh, Joshua; France-Harris, Antoinette

2015-01-01

Numerous formats exist for online course delivery: pure online, blended or hybrid, flipped and web-enhanced. The literature is replete with comparison studies on the efficacy of online, hybrid and traditional format courses. However, the self-paced online course, a relatively new and rare variation, has received very little coverage in the body of…

Formative Evaluation of the Canada Student Loans Program. Final Report