Holocene Decadal to Multidecadal Hydrologic Variability in the Everglades: Climate and Implications for Ecosystem Management

NASA Astrophysics Data System (ADS)

Moses, C. S.; Anderson, W. T.; Saunders, C.; Rebenack, C.

2009-12-01

The Florida Everglades are a complex, unique ecosystem. Adding to the complexity, a system of canals and gates control the flow of waters from central Florida southward into the Everglades, and ultimately Florida Bay and the Gulf of Mexico. With south Florida’s distinct wet and dry seasons, the hydrology has driven ecosystem evolution over the last 4-5 kya. However, since the 1920s the water content of the Everglades has largely been anthropogenically modulated, with the exception of the natural variability of evaporation and precipitation over the large area south of the Tamiami Trail. Because of the incredibly flat nature of the Everglades, small changes in the freshwater balance have substantial impacts on the diversity and distribution of organisms. Decadal and multidecadal variability in precipitation, hurricane incidence, and sea level rise all have important effects on the ecosystem. During the instrumental record, the natural precipitation across south Florida has been strongly influenced by combinations of the Atlantic Multidecadal Oscillation, Pacific Decadal Oscillation, and ENSO. Here we discuss evidence of natural climate variability impacts on the ecosystem beyond the anthropogenic hydrological controls. Proxy environmental data from seeds, charcoal, and trees, plus the sparse, but available, instrumental records provide evidence of changes in the ecosystem over the Holocene, and suggest considerations for future management.

The controversy about a possible relationship between mobile phone use and cancer.

PubMed

Kundi, Michael

2010-08-01

Over the last decade, mobile phone use increased to almost 100% prevalence in many countries. Evidence for potential health hazards accumulated in parallel by epidemiologic investigations has raised controversies about the appropriate interpretation and the degree of bias and confounding responsible for reduced or increased risk estimates. Overall, 33 epidemiologic studies were identified in the peer-reviewed literature, mostly (25) about brain tumors. Methodologic considerations revealed that three important conditions for epidemiologic studies to detect an increased risk are not met:no evidence-based exposure metric is available; the observed duration of mobile phone use is generally still too low; no evidence-based selection of end points among the grossly different types of neoplasias is possible because of lack of etiologic hypotheses. The overall evidence speaks in favor of an increased risk, but its magnitude cannot be assessed at present because of insufficient information on long-term use.

Variable solar irradiance as a plausible agent for multidecadal variations in the Arctic-wide surface air temperature record of the past 130 years

NASA Astrophysics Data System (ADS)

Soon, Willie W.-H.

2005-08-01

This letter offers new evidence motivating a more serious consideration of the potential Arctic temperature responses as a consequence of the decadal, multidecadal and longer-term persistent forcing by the ever-changing solar irradiance both in terms of total solar irradiance (TSI, i.e., integrated over all wavelengths) and the related UV irradiance. The support for such a solar modulator can be minimally derived from the large (>75%) explained variance for the decadally-smoothed Arctic surface air temperatures (SATs) by TSI and from the time-frequency structures of the TSI and Arctic SAT variability as examined by wavelet analyses. The reconstructed Arctic SAT time series based on the inverse wavelet transform, which includes decadal (5-15 years) and multidecadal (40-80 years) variations and a longer-term trend, contains nonstationary but persistent features that are highly correlated with the Sun's intrinsic magnetic variability especially on multidecadal time scales.

The history and evolution of the clinical effectiveness of haemophilia type a treatment: a systematic review.

PubMed

Castro, Hector E; Briceño, María Fernanda; Casas, Claudia P; Rueda, Juan David

2014-03-01

First evidence of cases of haemophilia dates from ancient Egypt, but it was when Queen Victoria from England in the 19th century transmitted this illness to her descendants, when it became known as the "royal disease". Last decades of the 20th century account for major discoveries that improved the life expectancy and quality of life of these patients. The history and evolution of haemophilia healthcare counts ups and downs. The introduction of prophylactic schemes during the 1970s have proved to be more effective that the classic on-demand replacement of clotting factors, nevertheless many patients managed with frequent plasma transfusions or derived products became infected with the Human Immunodeficiency Virus (HIV) and Hepatitis C virus during the 1980s and 1990s. Recombinant factor VIII inception has decreased the risk of blood borne infections and restored back longer life expectancies. Main concerns for haemophilia healthcare are shifting from the pure clinical aspects to the economic considerations of long-term replacement therapy. Nowadays researchers' attention has been placed on the future costs and cost-effectiveness of costly long-term treatment. Equity considerations are relevant as well, and alternative options for less affluent countries are under the scope of further research. The aim of this review was to assess the evidence of different treatment options for haemophilia type A over the past four decades, focusing on the most important technological advances that have influenced the natural course of this "royal disease".

Mindfulness Interventions.

PubMed

Creswell, J David

2017-01-03

Mindfulness interventions aim to foster greater attention to and awareness of present moment experience. There has been a dramatic increase in randomized controlled trials (RCTs) of mindfulness interventions over the past two decades. This article evaluates the growing evidence of mindfulness intervention RCTs by reviewing and discussing (a) the effects of mindfulness interventions on health, cognitive, affective, and interpersonal outcomes; (b) evidence-based applications of mindfulness interventions to new settings and populations (e.g., the workplace, military, schools); (c) psychological and neurobiological mechanisms of mindfulness interventions; (d) mindfulness intervention dosing considerations; and (e) potential risks of mindfulness interventions. Methodologically rigorous RCTs have demonstrated that mindfulness interventions improve outcomes in multiple domains (e.g., chronic pain, depression relapse, addiction). Discussion focuses on opportunities and challenges for mindfulness intervention research and on community applications.

Nature Contact and Human Health: A Research Agenda.

PubMed

Frumkin, Howard; Bratman, Gregory N; Breslow, Sara Jo; Cochran, Bobby; Kahn, Peter H; Lawler, Joshua J; Levin, Phillip S; Tandon, Pooja S; Varanasi, Usha; Wolf, Kathleen L; Wood, Spencer A

2017-07-31

At a time of increasing disconnectedness from nature, scientific interest in the potential health benefits of nature contact has grown. Research in recent decades has yielded substantial evidence, but large gaps remain in our understanding. We propose a research agenda on nature contact and health, identifying principal domains of research and key questions that, if answered, would provide the basis for evidence-based public health interventions. We identify research questions in seven domains: a ) mechanistic biomedical studies; b ) exposure science; c ) epidemiology of health benefits; d ) diversity and equity considerations; e ) technological nature; f ) economic and policy studies; and g ) implementation science. Nature contact may offer a range of human health benefits. Although much evidence is already available, much remains unknown. A robust research effort, guided by a focus on key unanswered questions, has the potential to yield high-impact, consequential public health insights. https://doi.org/10.1289/EHP1663.

Nature Contact and Human Health: A Research Agenda

PubMed Central

Bratman, Gregory N.; Breslow, Sara Jo; Cochran, Bobby; Kahn Jr, Peter H.; Lawler, Joshua J.; Levin, Phillip S.; Tandon, Pooja S.; Varanasi, Usha; Wolf, Kathleen L.; Wood, Spencer A.

2017-01-01

Background: At a time of increasing disconnectedness from nature, scientific interest in the potential health benefits of nature contact has grown. Research in recent decades has yielded substantial evidence, but large gaps remain in our understanding. Objectives: We propose a research agenda on nature contact and health, identifying principal domains of research and key questions that, if answered, would provide the basis for evidence-based public health interventions. Discussion: We identify research questions in seven domains: a) mechanistic biomedical studies; b) exposure science; c) epidemiology of health benefits; d) diversity and equity considerations; e) technological nature; f) economic and policy studies; and g) implementation science. Conclusions: Nature contact may offer a range of human health benefits. Although much evidence is already available, much remains unknown. A robust research effort, guided by a focus on key unanswered questions, has the potential to yield high-impact, consequential public health insights. https://doi.org/10.1289/EHP1663 PMID:28796634

Stress echocardiography in contemporary clinical cardiology: practical considerations and accreditation

PubMed Central

Shah, Benoy N; MacNab, Anita; Lynch, Jane; Hampson, Reinette; Senior, Roxy; Steeds, Richard P

2018-01-01

Stress echocardiography is a widely utilised test in patients with known or suspected coronary artery disease (CAD), valvular heart disease and cardiomyopathies. Its advantages include the ubiquitous availability of echocardiography, lack of ionising radiation, choice of physiological or pharmacological stressors, good diagnostic accuracy and robust supporting evidence base. SE has evolved significantly as a technique over the past three decades and has benefitted considerably from improvements in overall image quality (superior resolution), machine technology (e.g. digital cine-loop acquisition and side-by-side image display) and development of second-generation ultrasound contrast agents that have improved reader confidence and diagnostic accuracy. The purpose of this article is to review the breadth of SE in contemporary clinical cardiology and discuss the recently launched British Society of Echocardiography (BSE) Stress Echocardiography accreditation scheme. PMID:29358185

Agulhas leakage dynamics affects decadal variability in Atlantic overturning circulation.

PubMed

Biastoch, A; Böning, C W; Lutjeharms, J R E

2008-11-27

Predicting the evolution of climate over decadal timescales requires a quantitative understanding of the dynamics that govern the meridional overturning circulation (MOC). Comprehensive ocean measurement programmes aiming to monitor MOC variations have been established in the subtropical North Atlantic (RAPID, at latitude 26.5 degrees N, and MOVE, at latitude 16 degrees N) and show strong variability on intraseasonal to interannual timescales. Observational evidence of longer-term changes in MOC transport remains scarce, owing to infrequent sampling of transoceanic sections over past decades. Inferences based on long-term sea surface temperature records, however, supported by model simulations, suggest a variability with an amplitude of +/-1.5-3 Sv (1 Sv = 10(6) m(3) s(-1)) on decadal timescales in the subtropics. Such variability has been attributed to variations of deep water formation in the sub-arctic Atlantic, particularly the renewal rate of Labrador Sea Water. Here we present results from a model simulation that suggest an additional influence on decadal MOC variability having a Southern Hemisphere origin: dynamic signals originating in the Agulhas leakage region at the southern tip of Africa. These contribute a MOC signal in the tropical and subtropical North Atlantic that is of the same order of magnitude as the northern source. A complete rationalization of observed MOC changes therefore also requires consideration of signals arriving from the south.

Is phage therapy acceptable in the immunocompromised host?

PubMed

Borysowski, Jan; Górski, Andrzej

2008-09-01

Over the last decade, bacteriophages (bacterial viruses) have emerged as the major alternative to antibiotics in the treatment of antibiotic-resistant infections. While a considerable body of evidence has accumulated for the efficacy and safety of phage therapy in immunocompetent patients, data remain relatively scarce regarding its use in the immunocompromised host. To our knowledge, the present article is the first to summarize all findings, of both experimental and clinical studies, that may be relevant to the employment of phage therapy in immunocompromised patients. The available data suggest that bacteriophages could also be an efficacious and safe therapeutic modality in such patients.

Current approaches for the treatment of multiple myeloma.

PubMed

Watanabe, Reiko; Tokuhira, Michihide; Kizaki, Masahiro

2013-03-01

The development of novel therapeutic agents over the past decade, including the proteasome inhibitor, bortezomib, and the immunomodulatory drugs, lenalidomide and thalidomide, has resulted in improved outcomes for patients with multiple myeloma. However, there is still considerable controversy as to which regimen should be used as first-line therapy, which patients should be considered for autologous or allogeneic transplantation, and how consolidation or maintenance therapy is used in patients that have a good response to first-line therapy. The present paper will review clinical evidence from previous and ongoing studies to explore issues related to these questions.

Beyond the hype and hope: Critical considerations for intranasal oxytocin research in autism spectrum disorder.

PubMed

Alvares, Gail A; Quintana, Daniel S; Whitehouse, Andrew J O

2017-01-01

Extensive research efforts in the last decade have been expended into understanding whether intranasal oxytocin may be an effective therapeutic in treating social communication impairments in individuals with autism spectrum disorder (ASD). After much hyped early findings, subsequent clinical trials of longer-term administration have yielded more conservative and mixed evidence. However, it is still unclear at this stage whether these more disappointing findings reflect a true null effect or are mitigated by methodological differences masking true effects. In this review, we comprehensively evaluate the rationale for oxytocin as a therapeutic, evaluating evidence from randomized controlled trials, case reports, and open-label studies of oxytocin administration in individuals with ASD. The evidence to date, including reviews of preregistered trials, suggests a number of critical considerations for the design and interpretation of research in this area. These include considering the choice of ASD outcome measures, dosing and nasal spray device issues, and participant selection. Despite these limitations in the field to date, there remains significant potential for oxytocin to ameliorate aspects of the persistent and debilitating social impairments in individuals with ASD. Given the considerable media hype around new treatments for ASD, as well as the needs of eager families, there is an urgent need for researchers to prioritise considering such factors when conducting well-designed and controlled studies to further advance this field. Autism Res 2017, 10: 25-41. © 2016 International Society for Autism Research, Wiley Periodicals, Inc. © 2016 International Society for Autism Research, Wiley Periodicals, Inc.

Screening in the Dark: Ethical Considerations of Providing Screening Tests to Individuals When Evidence is Insufficient to Support Screening Populations

PubMed Central

Burger, Ingrid M.; Kass, Nancy E.

2011-01-01

During the past decade, screening tests using computed tomography (CT) have disseminated into practice and been marketed to patients despite neither conclusive evidence nor professional agreement about their efficacy and cost-effectiveness at the population level. This phenomenon raises questions about physicians’ professional roles and responsibilities within the setting of medical innovation, as well as the appropriate scope of patient autonomy and access to unproven screening technology. This article explores how physicians ought to respond when new screening examinations that lack conclusive evidence of overall population benefit emerge in the marketplace and are requested by individual patients. To this end, the article considers the nature of evidence and how it influences decision-making for screening at both the public policy and individual patient levels. We distinguish medical and ethical differences between screening recommended for a population and screening considered on an individual patient basis. Finally, we discuss specific cases to explore how evidence, patient risk factors and preferences, and physician judgment ought to balance when making individual patient screening decisions. PMID:19326299

Gradual slowdown and thickening of Fimbulisen ice shelf, East Antarctica, over the past decade

NASA Astrophysics Data System (ADS)

van Oostveen, Jelte; Moholdt, Geir; Kääb, Andreas; Matsuoka, Kenichi

2017-04-01

Fimbulisen is a fast-flowing (up to 780±10 ma-1) ice shelf in the Dronning Maud Land region of East Antarctica. Fed by one of the few major outlet glaciers along that coast, Jutulstraumen, the ice shelf has the potential to affect the stability of a considerable part of the inland ice sheet. Here we present evidence of a slowdown and thickening of Fimbulisen over the last decade. We derive ice shelf velocities using synthetic aperture radar (SAR) data from Envisat in 2008 and Radarsat-2 in 2015. We find that the speeds of Fimbulisen have decreased by 10±2 ma-1 over the last 7 years, which is confirmed with repeated GPS stake readings from 2010-2011. The slow-down of Fimbulisen coincides with a gradual ice shelf thickening that we infer from ICESat (2003-2009) and CryoSat-2 (2010-2016) altimetry. Available surface mass balance data from Fimbulisen show no clear trends over the past decades, suggesting that ice dynamics is the main explanation for the observed thickening. Considering that Fimbulisen is in a long-term phase of advance after its main tongue calved off in 1967, it is plausible that the slowdown is cyclic and related to the longitudinal expansion of the ice shelf. In support of this theory we have found several uncharted ice rumples and stationary icebergs near the eastern front of the ice shelf, indicating the presence of shallow bathymetry that might affect the ice shelf dynamics considerably in the event of ice shelf grounding or ungrounding.

Shipyard Standards Program Development Guide

DTIC Science & Technology

1992-10-01

Given the opportunity, designers will use designs that have worked for them in the past . Unfortunately, not all designers have the same experience base...standards formally approved by shipyard management? The subject of labor productivity standards has received considerable attention during the past decade. A...research into this consideration during the past decade. References [23], [24], [25], [26], and [27] have reported beneficial results obtained by getting the

First evidence of a Late Upper Palaeolithic human presence in Ireland

NASA Astrophysics Data System (ADS)

Dowd, Marion; Carden, Ruth F.

2016-05-01

The colonisation of North West Europe by humans and fauna following the Last Glacial Maximum (LGM) has been the subject of considerable discussion in recent decades and within multiple disciplines. Here we present new evidence that pushes back the date of human footfall in Ireland by up to 2500 cal BP to the Upper Palaeolithic. An assemblage of animal bones recovered from a cave in the west of Ireland during antiquarian excavations in 1903 included a butchered brown bear bone (patella) which was recently subjected to two independent radiocarbon dating processes; the resultant dates were in agreement: 12,810-12,590 cal BP and 12,810-12,685 cal BP. This find rewrites the antiquity of human occupation of Ireland and challenges the traditional paradigm that certain biota may have naturally colonised the island prior to human arrival.

Mechanisms of long-term mean sea level variability in the North Sea

NASA Astrophysics Data System (ADS)

Dangendorf, Sönke; Calafat, Francisco; Øie Nilsen, Jan Even; Richter, Kristin; Jensen, Jürgen

2015-04-01

We examine mean sea level (MSL) variations in the North Sea on timescales ranging from months to decades under the consideration of different forcing factors since the late 19th century. We use multiple linear regression models, which are validated for the second half of the 20th century against the output of a state-of-the-art tide+surge model (HAMSOM), to determine the barotropic response of the ocean to fluctuations in atmospheric forcing. We demonstrate that local atmospheric forcing mainly triggers MSL variability on timescales up to a few years, with the inverted barometric effect dominating the variability along the UK and Norwegian coastlines and wind (piling up the water along the coast) controlling the MSL variability in the south from Belgium up to Denmark. However, in addition to the large inter-annual sea level variability there is also a considerable fraction of decadal scale variability. We show that on decadal timescales MSL variability in the North Sea mainly reflects steric changes, which are mostly remotely forced. A spatial correlation analysis of altimetry observations and baroclinic ocean model outputs suggests evidence for a coherent signal extending from the Norwegian shelf down to the Canary Islands. This supports the theory of longshore wind forcing along the eastern boundary of the North Atlantic causing coastally trapped waves to propagate along the continental slope. With a combination of oceanographic and meteorological measurements we demonstrate that ~80% of the decadal sea level variability in the North Sea can be explained as response of the ocean to longshore wind forcing, including boundary wave propagation in the Northeast Atlantic. These findings have important implications for (i) detecting significant accelerations in North Sea MSL, (ii) the conceptual set up of regional ocean models in terms of resolution and boundary conditions, and (iii) the development of adequate and realistic regional climate change projections.

Creating a Novel Cardiac Limited Ultrasound Exam Curriculum for Internal Medical Residency: Four Unanticipated Tasks

PubMed Central

Nardi, Melissa; Shaw, David J.; Amundson, Stanley A.; Phan, James N.; Kimura, Bruce J.

2016-01-01

Over the past two decades, our internal medicine residency has created a unique postgraduate education in internal medicine by incorporating a formal curriculum in point-of-care cardiac ultrasound as a mandatory component. The details regarding content and implementation were critical to the initial and subsequent success of this novel program. In this paper, we discuss the evidence-based advances, considerations, and pitfalls that we have encountered in the program's development through the discussion of four unanticipated tasks unique to a point-of-care ultrasound curriculum. The formatted discussion of these tasks will hopefully assist development of ultrasound programs at other institutions. PMID:29349308

Preliminary survey of the saline-water resources of the United States

USGS Publications Warehouse

Krieger, Robert A.; Hatchett, J.L.; Poole, J.L.

1957-01-01

Basic hydrologic data available in the field offices of the U. S. Geological Survey and reports issued by the Survey furnish evidence that saline water (defined in this report as water containing more than 1,000 parts per million of dissolved solids) is available under diverse geologic and hydrologic conditions throughout the United States.The number of areas in which undeveloped supplies of fresh water are available has diminished considerably with the rapid growth of industries and population in the past decade. Many areas previously considered to have relatively unlimited water resources have reached the point at which water-supply shortages exist or are threatened.

Epidemiology as a liberal art: from graduate school to middle school, an unfulfilled agenda.

PubMed

Bracken, Michael B

2014-03-01

Calls by Lilienfeld, Fraser, and others some three decades ago to introduce epidemiology into undergraduate college education remain largely unfulfilled. Consideration of epidemiology as a "liberal art" has also led to exploring possibilities for introducing epidemiology into early education: to high and even middle schools. Adding epidemiology to school curricula should help educate the public to understand science-based evidence concerning the causes and treatments of disease, help inoculate them against a tsunami of biased and fraudulent media messaging, and permit advancing postgraduate education in epidemiology to even higher levels of scholarship. Copyright © 2014 Elsevier Inc. All rights reserved.

Creating a Novel Cardiac Limited Ultrasound Exam Curriculum for Internal Medical Residency: Four Unanticipated Tasks.

PubMed

Nardi, Melissa; Shaw, David J; Amundson, Stanley A; Phan, James N; Kimura, Bruce J

2016-01-01

Over the past two decades, our internal medicine residency has created a unique postgraduate education in internal medicine by incorporating a formal curriculum in point-of-care cardiac ultrasound as a mandatory component. The details regarding content and implementation were critical to the initial and subsequent success of this novel program. In this paper, we discuss the evidence-based advances, considerations, and pitfalls that we have encountered in the program's development through the discussion of four unanticipated tasks unique to a point-of-care ultrasound curriculum. The formatted discussion of these tasks will hopefully assist development of ultrasound programs at other institutions.

Historical changes in genotypic frequencies at the Pantophysin locus in Atlantic cod (Gadus morhua) in Icelandic waters: evidence of fisheries-induced selection?

PubMed Central

Jakobsdóttir, Klara B; Pardoe, Heidi; Magnússon, Árni; Björnsson, Höskuldur; Pampoulie, Christophe; Ruzzante, Daniel E; Marteinsdóttir, Guðrún

2011-01-01

The intense fishing mortality imposed on Atlantic cod in Icelandic waters during recent decades has resulted in marked changes in stock abundance, as well as in age and size composition. Using a molecular marker known to be under selection (Pan I) along with a suite of six neutral microsatellite loci, we analysed an archived data set and revealed evidence of distinct temporal changes in the frequencies of genotypes at the Pan I locus among spawning Icelandic cod, collected between 1948 and 2002, a period characterized by high fishing pressure. Concurrently, temporal stability in the composition of the microsatellite loci was established within the same data set. The frequency of the Pan IBB genotype decreased over a period of six decades, concomitant with considerable spatial and technical changes in fishing effort that resulted in the disappearance of older individuals from the fishable stock. Consequently, these changes have likely led to a change in the genotype frequencies at this locus in the spawning stock of Icelandic cod. The study highlights the value of molecular genetic approaches that combine functional and neutral markers examined in the same set of individuals for investigations of the selective effects of harvesting and reiterates the need for an evolutionary dimension to fisheries management. PMID:25568005

An Evidence-Based Approach to the Assessment of Heart-Type Fatty Acid Binding Protein in Acute Coronary Syndrome

PubMed Central

Viswanathan, Karthik; Hall, Alistair S; Barth, Julian H

2012-01-01

Cardiac troponins have been the biomarkers of choice for the diagnosis of acute coronary syndrome (ACS) for over a decade. There has, however, been considerable interest over the last two decades for newer biomarkers that would bring added value to the measurement of troponin such as the provision of prognosis and assistance in the choice of therapeutic interventions. In this manuscript, we review the development of heart-type fatty acid binding protein (H-FABP) in patients with ACS using the evidence-based laboratory medicine format. Phase I studies have established that H-FABP reference intervals and pre-analytical factors influencing H-FABP. Phase II studies have confirmed a) that H-FABP is elevated in patients with established myocardial infarction; b) that its serum concentration is related to the extent of infarction using survival as a surrogate; and c) that its use in chest pain patients can identify ACS patients and also provide prognostic information on survival. Furthermore, it is an independent prognostic marker for patients with suspected ACS who are troponin negative. Phase III studies involving randomised control trials for diagnosis and prognosis have not yet been performed and Phase IV studies await uptake of H-FABP in a routine service. PMID:22363093

Global warming in the context of 2000 years of Australian alpine temperature and snow cover.

PubMed

McGowan, Hamish; Callow, John Nikolaus; Soderholm, Joshua; McGrath, Gavan; Campbell, Micheline; Zhao, Jian-Xin

2018-03-13

Annual resolution reconstructions of alpine temperatures are rare, particularly for the Southern Hemisphere, while no snow cover reconstructions exist. These records are essential to place in context the impact of anthropogenic global warming against historical major natural climate events such as the Roman Warm Period (RWP), Medieval Climate Anomaly (MCA) and Little Ice Age (LIA). Here we show for a marginal alpine region of Australia using a carbon isotope speleothem reconstruction, warming over the past five decades has experienced equivalent magnitude of temperature change and snow cover decline to the RWP and MCA. The current rate of warming is unmatched for the past 2000 years and seasonal snow cover is at a minimum. On scales of several decades, mean maximum temperatures have undergone considerable change ≈ ± 0.8 °C highlighting local scale susceptibility to rapid temperature change, evidence of which is often masked in regional to hemisphere scale temperature reconstructions.

Beverage-specific alcohol sales and violent mortality in Russia.

PubMed

Razvodovsky, Yury Evgeny

2010-01-01

High violent mortality rate in Russia and its profound fluctuation over recent decades have attracted considerable interest. A mounting body of evidence points to the binge drinking pattern as a potentially important contributor to the violent mortality crisis in Russia. In line with this evidence, we assume that higher level of vodka consumption in conjunction with binge drinking pattern results in close aggregate-level association between vodka sales and violent mortality rates in Russia. To test this hypothesis, trends in beverage-specific alcohol sales per capita and mortality rates from external causes in Russia between 1980 and 2005 were analyzed by means of ARIMA time-series analysis. Results of the analysis indicate that violent mortality rates tend to be more responsive to change in vodka sales per capita than to change in total level of alcohol sales. The analysis suggests that a 1-litre increase in vodka sales per capita would result in a 5% increase in violent mortality rate, an 11.3% increase in accidents and injuries mortality rate, a 9.2% increase in suicide rate, a 12.5% increase in homicide rate, and a 21.9% increase in fatal alcohol poisoning rate. The outcomes of this study provide support for the hypothesis that alcohol played a crucial role in the fluctuation in violent mortality rate in Russia in recent decades. Assuming that drinking vodka is usually associated with intoxication episodes, these findings provide additional evidence that the binge drinking pattern is an important determinant of the violent mortality crisis in Russia.

Is Oklahoma getting drier?

NASA Astrophysics Data System (ADS)

Lin, Bing; Stackhouse, Paul, Jr.; Sun, Wenbo; Hu, Yongxiang; Liu, Zhaoyan; Fan, Tai-Fang (Alice)

2013-06-01

Land surface hydrology is important to regional climate, ecosystem, agriculture, and even human activities. Changes in soil moisture can produce considerable impacts on socioeconomics. Analysis of assimilation model results, especially those from the Community Land Model, shows that soil moisture over Oklahoma region is continuously reduced from 1980 to 2009. The potential drying trend in the Oklahoma region is evaluated by observations taken during last three decades in this study. Satellite data from Global Precipitation Climatology Project exhibit a clear precipitation decrease in the Oklahoma region during the last decade or so compared with those of two or three decades ago. Accompanying with the precipitation variation, land surface net radiation and temperature over the region are found increases by satellite and/or in-situ measurements. These changes in regional climate conditions also likely result in reduction of regional evaporation and enhancement of sensible heat transport from land surface into the atmosphere as indicated in assimilated data. These observed and modeled evidences of the changes in regional water and energy cycles lead us to conclude that the soil moisture over the Oklahoma region was reduced during the last decade. This soil moisture drop could increase a risk in water shortage for agriculture in the Oklahoma state if the dry period continues. Further investigations on the drying in the Oklahoma State or even entire Southern Great Plains are needed to mitigate potential droughts, reductions in vegetation products, and other socioeconomic impacts.

Mind-body medicine: state of the science, implications for practice.

PubMed

Astin, John A; Shapiro, Shauna L; Eisenberg, David M; Forys, Kelly L

2003-01-01

Although emerging evidence during the past several decades suggests that psychosocial factors can directly influence both physiologic function and health outcomes, medicine had failed to move beyond the biomedical model, in part because of lack of exposure to the evidence base supporting the biopsychosocial model. The literature was reviewed to examine the efficacy of representative psychosocial-mind-body interventions, including relaxation, (cognitive) behavioral therapies, meditation, imagery, biofeedback, and hypnosis for several common clinical conditions. An electronic search was undertaken of the MEDLINE, PsycLIT, and the Cochrane Library databases and a manual search of the reference sections of relevant articles for related clinical trials and reviews of the literature. Studies examining mind-body interventions for psychological disorders were excluded. Owing to space limitations, studies examining more body-based therapies, such as yoga and tai chi chuan, were also not included. Data were extracted from relevant systematic reviews, meta-analyses, and randomized controlled trials. Drawing principally from systematic reviews and meta-analyses, there is considerable evidence of efficacy for several mind-body therapies in the treatment of coronary artery disease (eg, cardiac rehabilitation), headaches, insomnia, incontinence, chronic low back pain, disease and treatment-related symptoms of cancer, and improving postsurgical outcomes. We found moderate evidence of efficacy for mind-body therapies in the areas of hypertension and arthritis. Additional research is required to clarify the relative efficacy of different mind-body therapies, factors (such as specific patient characteristics) that might predict more or less successful outcomes, and mechanisms of action. Research is also necessary to examine the cost offsets associated with mind-body therapies. There is now considerable evidence that an array of mind-body therapies can be used as effective adjuncts to conventional medical treatment for a number of common clinical conditions.

Money or your life? The health-wealth trade-off in pharmaceutical regulation.

PubMed

Maynard, A; Cookson, R

2001-07-01

For decades the development of pharmaceuticals has been regulated by safety, efficacy and quality rules for product registration. In public health care systems, these three 'hurdles' are increasingly being supplemented by a fourth: the mandatory requirement to demonstrate economic efficiency in order to obtain reimbursement. This requirement challenges the wealth creation ethic of industry (money) with the population health ethic of public health and health economics (your life). Despite practical and methodological obstacles to the use of economic evidence in decisions, the logic of this development is evident: in order to maximise improvements in population health, scarce resources must be targeted towards developing and applying technologies that deliver the greatest health gains per unit cost. The impact of this policy change on industry practice and profits will be considerable, and companies that fail to demonstrate the economic efficiency of their products will stumble at the fourth hurdle.

Glycogen phosphorylase BB in myocardial infarction.

PubMed

Dobric, Milan; Ostojic, Miodrag; Giga, Vojislav; Djordjevic-Dikic, Ana; Stepanovic, Jelena; Radovanovic, Nebojsa; Beleslin, Branko

2015-01-01

Early experimental and clinical reports on glycogen phosphorylase BB (GPBB) kinetics following myocardial ischemic injury suggested that it could be a useful diagnostic marker for early detection of acute myocardial infarction (AMI). After more than two decades of investigation, there is now overwhelming body of evidence that do not support the use of GPBB measurement in diagnosis of acute AMI in patients presenting with acute chest pain. Currently, GPBB cannot be recommended as a diagnostic marker of AMI either as a stand-alone test or as an addition to (high-sensitive) troponin testing. It should be noted that these considerations apply to the early diagnosis of AMI, not to the prognostic stratification, which is also suggested but it warrants further investigation. The aim of this review is to summarize available evidence of GPBB measurement in early diagnosis of myocardial infarction. Copyright © 2014 Elsevier B.V. All rights reserved.

Beverage-specific alcohol sale and suicide in Russia.

PubMed

Razvodovsky, Y E

2009-01-01

The high suicide rate in Russia and its profound fluctuation over the past decades have attracted considerable interest. There is growing evidence that beverage preference and binge-drinking patterns, i.e., excessive consumption of strong spirits, results in a quicker and deeper level of intoxication, which increases the propensity for the alcohol-related suicide. In line with this evidence, we assumed that higher levels of vodka consumption, in conjunction with binge-drinking patterns, would result in a close, aggregate-level association between vodka sales and suicide in Russia. To test this hypothesis, trends in beverage-specific alcohol sales per capita and suicide rates from 1970 to 2005 in Russia were analyzed employing ARIMA time-series analysis. The results of the time-series analysis suggested that a 1 liter increase in overall alcohol sales would result in a 4% increase in the male suicide rate and a 2.8% increase in the female suicide rate; a 1 liter increase in vodka sales would increase the suicide rate by 9.3% for men and by 6% for women. This study replicates previous findings from other settings, which suggest that suicide rates tend to be more responsive to changes in distilled spirits consumption per capita than to the total level of alcohol consumption. Assuming that drinking spirits is usually associated with intoxication episodes, these findings provide additional evidence that the drinking pattern is an important determinant in the relationship between alcohol and suicide. The outcomes of this study also provide support for the hypothesis that suicide and alcohol are closely connected in cultures where an intoxication-oriented drinking pattern prevails and adds to the growing body of evidence that alcohol plays a crucial role in the fluctuation in suicide mortality rates in Russia during recent decades.

Non-Targeted Effects and LET: Considerations for Earth and Space Research

NASA Technical Reports Server (NTRS)

Sowa, Marianne B.

2016-01-01

It is evident from reports in the literature that there are many confounding factors that are capable of modulating radiation-induced non-targeted responses such as the bystander effect and the adaptive response. It has even been suggested that the observation of non-targeted responses may not be universally observable for differing radiation qualities. Dr. William Morgan made many contributions to the study of radiation induced non-targeted effects and it is indeed this area of research where we first began our collaboration more than a decade ago. In this presentation, I will discuss elements of this journey together with a particular emphasis on the role of LET in non-targeted effects.

Evidence for Interannual to Decadal Variations in Hadley and Walker Circulations and Links to Water and Energy Fluxes

NASA Technical Reports Server (NTRS)

Robertson, Franklin; Bosilovich, Michael; Miller, Timothy

2007-01-01

Mass and energy transports associated with the Hadley and Walker circulations are important components of the earth s climate system and are strongly linked to hydrologic processes. Interannual to decadal variation in these flows likely signify a combination of natural climate noise as well as a response to anthropgenic forcing. There remains considerable uncertainty in quantifying variations in these flows. Evidence in the surface pressure record supports a weakening of the Walker circulation over the Pacific in recent decades. Conversely the NCEP / NCAR and ERA 40 reanalyses indicate that the Hadley circulation has increased in strength over the last two decades, though these analyses depict significantly different mass circulation changes. Interestingly, the NCEP - II / DOE reanalysis contains essentially no Hadley circulation changes. Most climate model integrations anticipate a weakening of both tropical circulations associated with stronger static stability. Clearly there is much uncertainty not only with the mass transports, but also how they are linked to water and energy balance of the planet through variations in turbulent heat and radiative fluxes and horizontal exports / imports of energy. Here we examine heat and water budget variations from a number of reanalysis products and focus on the linear and nonlinear response of ENSO warm and cold events as opportunities to study budget variations over the past 15-20 years. Our analysis addresses such questions as To what extent do Hadley and Walker Cell variations compensate each other on mass and energy transport? Do static stability adjustments appear to constrain fractional precipitation response vs. fractional water vapor response? We appeal to constraints offered by GPCP precipitation, SSWI ocean evaporation estimates, and ISCCP-FD radiative fluxes, and other satellite data sets to interpret and confirm reanalysis-based diagnostics. Using our findings we also attempt to place in context the recent findings that tropical ocean evaporation increased by order 5% or more during the 1990s, reconciling this with GPCP precipitation variations.

Reduced arctic tundra productivity linked with landform and climate change interactions

USGS Publications Warehouse

Lara, Mark J.; Nitze, Ingmar; Grosse, Guido; Martin, Philip; McGuire, A. David

2018-01-01

Arctic tundra ecosystems have experienced unprecedented change associated with climate warming over recent decades. Across the Pan-Arctic, vegetation productivity and surface greenness have trended positively over the period of satellite observation. However, since 2011 these trends have slowed considerably, showing signs of browning in many regions. It is unclear what factors are driving this change and which regions/landforms will be most sensitive to future browning. Here we provide evidence linking decadal patterns in arctic greening and browning with regional climate change and local permafrost-driven landscape heterogeneity. We analyzed the spatial variability of decadal-scale trends in surface greenness across the Arctic Coastal Plain of northern Alaska (~60,000 km²) using the Landsat archive (1999–2014), in combination with novel 30 m classifications of polygonal tundra and regional watersheds, finding landscape heterogeneity and regional climate change to be the most important factors controlling historical greenness trends. Browning was linked to increased temperature and precipitation, with the exception of young landforms (developed following lake drainage), which will likely continue to green. Spatiotemporal model forecasting suggests carbon uptake potential to be reduced in response to warmer and/or wetter climatic conditions, potentially increasing the net loss of carbon to the atmosphere, at a greater degree than previously expected.

Reduced arctic tundra productivity linked with landform and climate change interactions.

PubMed

Lara, Mark J; Nitze, Ingmar; Grosse, Guido; Martin, Philip; McGuire, A David

2018-02-05

Arctic tundra ecosystems have experienced unprecedented change associated with climate warming over recent decades. Across the Pan-Arctic, vegetation productivity and surface greenness have trended positively over the period of satellite observation. However, since 2011 these trends have slowed considerably, showing signs of browning in many regions. It is unclear what factors are driving this change and which regions/landforms will be most sensitive to future browning. Here we provide evidence linking decadal patterns in arctic greening and browning with regional climate change and local permafrost-driven landscape heterogeneity. We analyzed the spatial variability of decadal-scale trends in surface greenness across the Arctic Coastal Plain of northern Alaska (~60,000 km²) using the Landsat archive (1999-2014), in combination with novel 30 m classifications of polygonal tundra and regional watersheds, finding landscape heterogeneity and regional climate change to be the most important factors controlling historical greenness trends. Browning was linked to increased temperature and precipitation, with the exception of young landforms (developed following lake drainage), which will likely continue to green. Spatiotemporal model forecasting suggests carbon uptake potential to be reduced in response to warmer and/or wetter climatic conditions, potentially increasing the net loss of carbon to the atmosphere, at a greater degree than previously expected.

Biodiversity and ecosystem stability in a decade-long grassland experiment.

PubMed

Tilman, David; Reich, Peter B; Knops, Johannes M H

2006-06-01

Human-driven ecosystem simplification has highlighted questions about how the number of species in an ecosystem influences its functioning. Although biodiversity is now known to affect ecosystem productivity, its effects on stability are debated. Here we present a long-term experimental field test of the diversity-stability hypothesis. During a decade of data collection in an experiment that directly controlled the number of perennial prairie species, growing-season climate varied considerably, causing year-to-year variation in abundances of plant species and in ecosystem productivity. We found that greater numbers of plant species led to greater temporal stability of ecosystem annual aboveground plant production. In particular, the decadal temporal stability of the ecosystem, whether measured with intervals of two, five or ten years, was significantly greater at higher plant diversity and tended to increase as plots matured. Ecosystem stability was also positively dependent on root mass, which is a measure of perenniating biomass. Temporal stability of the ecosystem increased with diversity, despite a lower temporal stability of individual species, because of both portfolio (statistical averaging) and overyielding effects. However, we found no evidence of a covariance effect. Our results indicate that the reliable, efficient and sustainable supply of some foods (for example, livestock fodder), biofuels and ecosystem services can be enhanced by the use of biodiversity.

Schema therapy for borderline personality disorder: a comprehensive review of its empirical foundations, effectiveness and implementation possibilities.

PubMed

Sempértegui, Gabriela A; Karreman, Annemiek; Arntz, Arnoud; Bekker, Marrie H J

2013-04-01

Borderline personality disorder is a serious psychiatric disorder for which the effectiveness of the current pharmacotherapeutical and psychotherapeutic approaches has shown to be limited. In the last decades, schema therapy has increased in popularity as a treatment of borderline personality disorder; however, systematic evaluation of both effectiveness and empirical evidence for the theoretical background of the therapy is limited. This literature review comprehensively evaluates the current empirical status of schema therapy for borderline personality disorder. We first described the theoretical framework and reviewed its empirical foundations. Next, we examined the evidence regarding effectiveness and implementability. We found evidence for a considerable number of elements of Young's schema model; however, the strength of the results varies and there are also mixed results and some empirical blanks in the theory. The number of studies on effectiveness is small, but reviewed findings suggest that schema therapy is a promising treatment. In Western-European societies, the therapy could be readily implemented as a cost-effective strategy with positive economic consequences. Copyright © 2012 Elsevier Ltd. All rights reserved.

Eurogin 2016 Roadmap: how HPV knowledge is changing screening practice.

PubMed

Wentzensen, Nicolas; Arbyn, Marc; Berkhof, Johannes; Bower, Mark; Canfell, Karen; Einstein, Mark; Farley, Christopher; Monsonego, Joseph; Franceschi, Silvia

2017-05-15

Human papillomaviruses (HPVs) are the necessary cause of most cervical cancers, a large proportion of other anogenital cancers, and a subset of oropharyngeal cancers. The knowledge about HPV has led to development of novel HPV-based prevention strategies with important impact on clinical and public health practice. Two complementary reviews have been prepared following the 2015 Eurogin Conference to evaluate how knowledge about HPV is changing practice in HPV infection and disease control through vaccination and screening. This review focuses on screening for cervical and anal cancers in increasingly vaccinated populations. The introduction of HPV vaccines a decade ago has led to reductions in HPV infections and early cancer precursors in countries with wide vaccination coverage. Despite the high efficacy of HPV vaccines, cervical cancer screening will remain important for many decades. Many healthcare systems are considering switching to primary HPV screening, which has higher sensitivity for cervical precancers and allows extending screening intervals. We describe different approaches to implementing HPV-based screening efforts in different healthcare systems with a focus in high-income countries. While the population prevalence for other anogenital cancers is too low for population-based screening, anal cancer incidence is very high in HIV-infected men who have sex with men, warranting consideration of early detection approaches. We summarize the current evidence on HPV-based prevention of anal cancers and highlight important evidence gaps. © 2016 UICC.

Decadal change in PAN & O3 and their precursors levels in Seoul during May and June

NASA Astrophysics Data System (ADS)

Kim, H.; Rhee, H.; Lee, M.; Lee, G.; Jang, J.; Shin, H. J.

2017-12-01

In Seoul, PAN and O3 concentrations were examined for the two months of May and June, when O3 concentration is the highest of the year. The measurement sets of PAN and O3 are available for 2004, 2005, 2015 and 2016. PAN was measured by a fast GC system coupled with Luminol chemiluminescence. The hourly maximum PAN and O3 concentrations were10 ppbv and 123 ppbv in 2004,8 ppbv and 141 ppbv in 2005, 4.4 ppbv and 143 ppbv in 2015, and 7.5 ppbv and 127 ppbv in 2016, respectively. The total concentrations of NOX and VOCs were evidently decreased but with different proportions in their subclasses. While alkans and aromatics were considerably decreased, biogenic VOC(BVOC) were increased about twice, leading to increased contribution of BVOC to OH reactivity. Although NOX was decreased by 35%, NO2/NOX ratio was increased for the decade. PAN levels were decreased over the years corresponding to decrease in precursor levels. However, the concentration of O3 was increased due to an increase in NO2 / NO ratio and BVOC.

Property rights and water markets in Australia: An evolutionary process toward institutional reform

NASA Astrophysics Data System (ADS)

Pigram, John J.

1993-04-01

In the past decade far-reaching reforms have taken place in the Australian water industry. Extensive restructuring of water administration has been accompanied by increased evidence of willingness by public agencies to consider alternative institutional arrangements to the traditional regulatory approach to water allocation and use. In irrigated agriculture, a market-based system linked to enforceable property rights to water is seen as preferable to rule-based management of water resources. However, significant social and economic considerations and political realities constrain the unfettered operation of water markets. The challenge facing the irrigation industry in Australia is to put in place institutional arrangements which reflect the most appropriate mix of incentive-based and regulatory mechanisms for water management.

Impact of HPV infection on the development of head and neck cancer

PubMed Central

Betiol, J.; Villa, L.L.; Sichero, L.

2013-01-01

Human papillomavirus (HPV)-related head and neck squamous cell carcinoma (HNSCC) is considered to be a distinct clinical entity with better prognosis than the classical tobacco- and alcohol-associated tumors. The increasing incidence of this neoplasia during the last decades highlights the need to better understand the role of HPV in the development of these cancers. Although the proportion of HNSCC attributed to HPV varies considerably according to anatomical site, overall approximately 25% of all HNSCC are HPV-DNA positive, and HPV-16 is by far the most prevalent type. In this review we discuss the existing evidence for a causal association between HPV infection and HNSCC at diverse anatomical head and neck subsites. PMID:23532264

Studying Supernovae under the Current Paradigm

DOE PAGES

Fryer, Chris L.

2016-10-27

Abstract The convection-enhanced paradigm behind core-collapse supernovae (SNe) invokes a multi-physics model where convection above the proto-neutron star is able to convert the energy released in the collapse to produce the violent explosions observed as SNe. Over the past decade, the evidence in support of this engine has grown, including constraints placed by SN neutrinos, energies, progenitors and remnants. Although considerable theoretical work remains to utilize this data, our understanding of normal SNe is advancing. To achieve a deeper level of understanding, we must find ways to compare detailed simulations with the increasing set of observational data. Here we reviewmore » the current constraints and how we can apply our current understanding to broaden our understanding of these powerful engines.« less

Light weakly interacting massive particles

NASA Astrophysics Data System (ADS)

Gelmini, Graciela B.

2017-08-01

Light weakly interacting massive particles (WIMPs) are dark matter particle candidates with weak scale interaction with the known particles, and mass in the GeV to tens of GeV range. Hints of light WIMPs have appeared in several dark matter searches in the last decade. The unprecedented possible coincidence into tantalizingly close regions of mass and cross section of four separate direct detection experimental hints and a potential indirect detection signal in gamma rays from the galactic center, aroused considerable interest in our field. Even if these hints did not so far result in a discovery, they have had a significant impact in our field. Here we review the evidence for and against light WIMPs as dark matter candidates and discuss future relevant experiments and observations.

Studying Supernovae under the Current Paradigm

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

Fryer, Chris L.

Abstract The convection-enhanced paradigm behind core-collapse supernovae (SNe) invokes a multi-physics model where convection above the proto-neutron star is able to convert the energy released in the collapse to produce the violent explosions observed as SNe. Over the past decade, the evidence in support of this engine has grown, including constraints placed by SN neutrinos, energies, progenitors and remnants. Although considerable theoretical work remains to utilize this data, our understanding of normal SNe is advancing. To achieve a deeper level of understanding, we must find ways to compare detailed simulations with the increasing set of observational data. Here we reviewmore » the current constraints and how we can apply our current understanding to broaden our understanding of these powerful engines.« less

Heterogeneous effects of oil shocks on exchange rates: evidence from a quantile regression approach.

PubMed

Su, Xianfang; Zhu, Huiming; You, Wanhai; Ren, Yinghua

2016-01-01

The determinants of exchange rates have attracted considerable attention among researchers over the past several decades. Most studies, however, ignore the possibility that the impact of oil shocks on exchange rates could vary across the exchange rate returns distribution. We employ a quantile regression approach to address this issue. Our results indicate that the effect of oil shocks on exchange rates is heterogeneous across quantiles. A large US depreciation or appreciation tends to heighten the effects of oil shocks on exchange rate returns. Positive oil demand shocks lead to appreciation pressures in oil-exporting countries and this result is robust across lower and upper return distributions. These results offer rich and useful information for investors and decision-makers.

The clinics of acute coronary syndrome

PubMed Central

Rastelli, Gianni

2016-01-01

Risk stratification and management of patients with chest pain continues to be challenging despite considerable efforts made in the last decades by many clinicians and researchers. The throutful evaluation necessitates that the physicians have a high index of suspicion for acute coronary syndrome (ACS) and always keep in mind the myriad of often subtle and atypical presentations of ischemic heart disease, especially in certain patient populations such as the elderly ones. In this article we aim to review and discuss the available evidence on the value of clinical presentation in patients with a suspected ACS, with special emphasis on history, characteristics of chest pain, associated symptoms, atypical presentations, precipitating and relieving factors, drugs, clinical rules and significance of clinical Gestalt. PMID:27294087

Obesity Stigma: Important Considerations for Public Health

PubMed Central

Heuer, Chelsea A.

2010-01-01

Stigma and discrimination toward obese persons are pervasive and pose numerous consequences for their psychological and physical health. Despite decades of science documenting weight stigma, its public health implications are widely ignored. Instead, obese persons are blamed for their weight, with common perceptions that weight stigmatization is justifiable and may motivate individuals to adopt healthier behaviors. We examine evidence to address these assumptions and discuss their public health implications. On the basis of current findings, we propose that weight stigma is not a beneficial public health tool for reducing obesity. Rather, stigmatization of obese individuals threatens health, generates health disparities, and interferes with effective obesity intervention efforts. These findings highlight weight stigma as both a social justice issue and a priority for public health. PMID:20075322

Clinical immunology review series: an approach to desensitization

PubMed Central

Krishna, M T; Huissoon, A P

2011-01-01

Allergen immunotherapy describes the treatment of allergic disease through administration of gradually increasing doses of allergen. This form of immune tolerance induction is now safer, more reliably efficacious and better understood than when it was first formally described in 1911. In this paper the authors aim to summarize the current state of the art in immunotherapy in the treatment of inhalant, venom and drug allergies, with specific reference to its practice in the United Kingdom. A practical approach has been taken, with reference to current evidence and guidelines, including illustrative protocols and vaccine schedules. A number of novel approaches and techniques are likely to change considerably the way in which we select and treat allergy patients in the coming decade, and these advances are previewed. PMID:21175592

The emergence of x-ray astronomy, neutron stars and black holes

NASA Astrophysics Data System (ADS)

Gursky, H.

2003-10-01

Remo Ruffini's professional career began just as X-ray astronomy began its second decade. His paper on the maximum mass of cold stars was instrumental in establishing Cygnus X-1 as a black hole. The idea of black holes and neutron stars had originated more than 40 years earlier based on considerations of white dwarfs. It was not until the explosion of technology that emerged after World War II that the observational evidence developed which enabled establishing the existence of these objects. The discovery of X-ray sources in 1962 and the subsequent maturing of that discipline and of radio astronomy were the key elements. By now a large number of stellar objects are found to be neutron stars and black holes.

[Pharmacogenomics in routine medical care].

PubMed

Rosskopf, D; Meyer zu Schwabedissen, H E; Kroemer, H K; Siegmund, W

2010-01-01

Pharmacogenomics investigates inherited differences in drug responses including beneficial and adverse reactions. While a considerable amount of evidence for genetic influences on drug responses has been accumulated within the last decade, predominantly in small studies, its value in routine therapy is still a matter of debate. The aim of this review is to discuss well established examples where pharmacogenomic techniques can improve routine treatment. Examples include genotyping of CYP2D6 in the context of antidepressant therapy, analysis of TPMT variants for the prediction of mercaptopurine-induced bone marrow depression, VKORC1 and CYP2C9 analyses for a better control of anticoagulant administration and the SLCO1B1 variant in the context of statin-induced myopathies. Georg Thieme Verlag KG Stuttgart.New York.

On the importance of listening comprehension

PubMed Central

Hogan, Tiffany P.; Adlof, Suzanne M.; Alonzo, Crystle

2015-01-01

The simple view of reading highlights the importance of two primary components which account for individual differences in reading comprehension across development: word recognition (i.e., decoding) and listening comprehension. While assessments and interventions for decoding have been the focus of pedagogy in the past several decades, the importance of listening comprehension has received less attention. This paper reviews evidence showing that listening comprehension becomes the dominating influence on reading comprehension starting even in the elementary grades. It also highlights a growing number of children who fail to develop adequate reading comprehension skills, primarily due to deficient listening comprehension skills: poor comprehenders. Finally it discusses key language influences on listening comprehension for consideration during assessment and treatment of reading disabilities. PMID:24833426

On the importance of listening comprehension.

PubMed

Hogan, Tiffany P; Adlof, Suzanne M; Alonzo, Crystle N

2014-06-01

The simple view of reading highlights the importance of two primary components which account for individual differences in reading comprehension across development: word recognition (i.e., decoding) and listening comprehension. While assessments and interventions for decoding have been the focus of pedagogy in the past several decades, the importance of listening comprehension has received less attention. This paper reviews evidence showing that listening comprehension becomes the dominating influence on reading comprehension starting even in the elementary grades. It also highlights a growing number of children who fail to develop adequate reading comprehension skills, primarily due to deficient listening comprehension skills (i.e., poor comprehenders). Finally we discuss key language influences on listening comprehension for consideration during assessment and treatment of reading disabilities.

Memory for murder. A psychological perspective on dissociative amnesia in legal contexts.

PubMed

Porter, S; Birt, A R; Yuille, J C; Hervé, H F

2001-01-01

There is currently a complex and inconsistent state in the law relating to dissociation and dissociative amnesia (McSherry, 1998). Although dissociative amnesia in defendants is relevant to both competency to stand trial and criminal responsibility in principle, courts have typically assumed a skeptical stance toward such claims in practice. However, there is considerable evidence from both nonoffender and offender populations to support the validity of dissociative amnesia in defendants. Further, there is information available to aid in the evaluation of amnesia, such as the quality of the report itself and characteristics of the person reporting the amnesia (e.g., psychopathy). When consideration is given to the legal response to reports of dissociative amnesia by complainants, the situation becomes even more complex. While some courts have rejected recovered memory evidence, others have convicted defendants of historical offenses based on such evidence. In some cases, judges have argued that jurors should be left to decide on the validity of recovered memories based on their common sense and experience. The uncritical acceptance of the validity of repressed memories in complainants by many courts stands in stark contrast to the response to claims of amnesia from defendants. It seems apparent that the courts need better guidelines around the issue of dissociative amnesia in both populations. We think that the increasing scientific understanding of memory in the past decade (see Schacter, 1999) can meaningfully contribute to the development of such guidelines. Responsible, nonpartisan expert testimony from mental health professionals would be one step in the direction of rectifying the current state of law in regards to dissociation.

Enhanced wintertime greenhouse effect reinforcing Arctic amplification and initial sea-ice melting.

PubMed

Cao, Yunfeng; Liang, Shunlin; Chen, Xiaona; He, Tao; Wang, Dongdong; Cheng, Xiao

2017-08-16

The speeds of both Arctic surface warming and sea-ice shrinking have accelerated over recent decades. However, the causes of this unprecedented phenomenon remain unclear and are subjects of considerable debate. In this study, we report strong observational evidence, for the first time from long-term (1984-2014) spatially complete satellite records, that increased cloudiness and atmospheric water vapor in winter and spring have caused an extraordinary downward longwave radiative flux to the ice surface, which may then amplify the Arctic wintertime ice-surface warming. In addition, we also provide observed evidence that it is quite likely the enhancement of the wintertime greenhouse effect caused by water vapor and cloudiness has advanced the time of onset of ice melting in mid-May through inhibiting sea-ice refreezing in the winter and accelerating the pre-melting process in the spring, and in turn triggered the positive sea-ice albedo feedback process and accelerated the sea ice melting in the summer.

Evidence for age-related performance degradation of (241)Am foil sources commonly used in UK schools.

PubMed

Whitcher, R; Page, R D; Cole, P R

2014-06-01

The characteristics of alpha radiation have for decades been demonstrated in UK schools using small sealed (241)Am sources. There is a small but steady number of schools who report a considerable reduction in the alpha count rate detected by an end-window GM detector compared with when the source was new. This cannot be explained by incorrect apparatus or set-up, foil surface contamination, or degradation of the GM detector. The University of Liverpool and CLEAPSS collaborated to research the cause of this performance degradation. The aim was to find what was causing the performance degradation and the ramifications for both the useful and safe service life of the sources. The research shows that these foil sources have greater energy straggling with a corresponding reduction in spectral peak energy. A likely cause for this increase in straggling is a significant diffusion of the metals over time. There was no evidence to suggest the foils have become unsafe, but precautionary checks should be made on old sources.

A Multidimensional Theory of Suicide.

PubMed

Leenaars, Antoon A; Dieserud, Gudrun; Wenckstern, Susanne; Dyregrov, Kari; Lester, David; Lyke, Jennifer

2018-04-05

Theory is the foundation of science; this is true in suicidology. Over decades of studies of suicide notes, Leenaars developed a multidimensional model of suicide, with international (crosscultural) studies and independent verification. To corroborate Leenaars's theory with a psychological autopsy (PA) study, examining age and sex of the decedent, and survivor's relationship to deceased. A PA study in Norway, with 120 survivors/informants was undertaken. Leenaars' theoretical-conceptual (protocol) analysis was undertaken of the survivors' narratives and in-depth interviews combined. Substantial interjudge reliability was noted (κ = .632). Overall, there was considerable confirmatory evidence of Leenaars's intrapsychic and interpersonal factors in suicide survivors' narratives. Differences were found in the age of the decedent, but not in sex, nor in the survivor's closeness of the relationship. Older deceased people were perceived to exhibit more heightened unbearable intrapsychic pain, associated with the suicide. Leenaars's theory has corroborative verification, through the decedents' suicide notes and the survivors' narratives. However, the multidimensional model needs further testing to develop a better evidence-based way of understanding suicide.

Prevention and Management of Type 2 Diabetes: Dietary Components and Nutritional Strategies

PubMed Central

Ley, Sylvia H.; Hamdy, Osama; Mohan, V.; Hu, Frank B.

2016-01-01

Summary In the past couple of decades, evidence from prospective observational studies and clinical trials has converged to support the importance of individual nutrients, foods, and dietary patterns in the prevention and management of type 2 diabetes. The quality of dietary fats and carbohydrates consumed is more crucial than the quantity of these macronutrients. Diets rich in whole grains, fruits, vegetables, legumes, nuts, moderate in alcohol consumption, and lower in refined grains, red/processed meats, and sugar-sweetened beverages have demonstrated to reduce diabetes risk and improve glycemic control and blood lipids in patients with diabetes. Several healthful dietary patterns emphasizing the overall diet quality can be adapted to appropriate personal and cultural food preferences and calorie needs for weight control and diabetes prevention and management. Although considerable progress has been made in developing and implementing evidence-based nutrition recommendations in developed countries, concerted global efforts and policies are warranted to alleviate regional disparities. PMID:24910231

Intranasal Dexmedetomidine for Procedural Sedation in Children, a Suitable Alternative to Chloral Hydrate.

PubMed

Cozzi, Giorgio; Norbedo, Stefania; Barbi, Egidio

2017-04-01

Sedation is often required for children undergoing diagnostic procedures. Chloral hydrate has been one of the sedative drugs most used in children over the last 3 decades, with supporting evidence for its efficacy and safety. Recently, chloral hydrate was banned in Italy and France, in consideration of evidence of its carcinogenicity and genotoxicity. Dexmedetomidine is a sedative with unique properties that has been increasingly used for procedural sedation in children. Several studies demonstrated its efficacy and safety for sedation in non-painful diagnostic procedures. Dexmedetomidine's impact on respiratory drive and airway patency and tone is much less when compared to the majority of other sedative agents. Administration via the intranasal route allows satisfactory procedural success rates. Studies that specifically compared intranasal dexmedetomidine and chloral hydrate for children undergoing non-painful procedures showed that dexmedetomidine was as effective as and safer than chloral hydrate. For these reasons, we suggest that intranasal dexmedetomidine could be a suitable alternative to chloral hydrate.

Schools as Developmental Contexts during Adolescence

ERIC Educational Resources Information Center

Eccles, Jacquelynne S.; Roeser, Robert W.

2011-01-01

Considerable strides have been made in the past decade in recognizing the centrality of the cultural context of schooling to adolescent development. In this review, adopting a developmental systems conceptualization of schooling, we focus on selected new research findings from the past decade regarding how (a) teachers, curricular tasks, and…

Other Than War: The American Military Experience and Operations in the Post-Cold War Decade

DTIC Science & Technology

2013-01-01

drugs" did not seem to legitimize the en - terprise within the military services that viewed counter-drug operations as outside the normal scope of their... immigration generated considerable work for United States Southern Command was head- quartered first in Panama and by the end of the decade in...1994-1995 immigrant interdiction (Cubans) Sustain Liberty 1994-1997 defense/security During the decade, other Caribbean countries, particularly Cuba

Networked Learning: Design Considerations for Online Instructors

ERIC Educational Resources Information Center

Czerkawski, Betul C.

2016-01-01

The considerable increase in web-based knowledge networks in the past two decades is strongly influencing learning environments. Learning entails information retrieval, use, communication, and production, and is strongly enriched by socially mediated discussions, debates, and collaborative activities. It is becoming critical for educators to…

20 CFR 322.4 - Consideration of evidence.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Consideration of evidence. 322.4 Section 322.4 Employees' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD UNEMPLOYMENT INSURANCE ACT REMUNERATION § 322.4 Consideration of evidence. (a) Initial proof. A claimant's certification...

20 CFR 322.4 - Consideration of evidence.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 20 Employees' Benefits 1 2012-04-01 2012-04-01 false Consideration of evidence. 322.4 Section 322.4 Employees' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD UNEMPLOYMENT INSURANCE ACT REMUNERATION § 322.4 Consideration of evidence. (a) Initial proof. A claimant's certification...

20 CFR 322.4 - Consideration of evidence.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 20 Employees' Benefits 1 2011-04-01 2011-04-01 false Consideration of evidence. 322.4 Section 322.4 Employees' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD UNEMPLOYMENT INSURANCE ACT REMUNERATION § 322.4 Consideration of evidence. (a) Initial proof. A claimant's certification...

Temperature response of soil respiration largely unaltered with experimental warming.

PubMed

Carey, Joanna C; Tang, Jianwu; Templer, Pamela H; Kroeger, Kevin D; Crowther, Thomas W; Burton, Andrew J; Dukes, Jeffrey S; Emmett, Bridget; Frey, Serita D; Heskel, Mary A; Jiang, Lifen; Machmuller, Megan B; Mohan, Jacqueline; Panetta, Anne Marie; Reich, Peter B; Reinsch, Sabine; Wang, Xin; Allison, Steven D; Bamminger, Chris; Bridgham, Scott; Collins, Scott L; de Dato, Giovanbattista; Eddy, William C; Enquist, Brian J; Estiarte, Marc; Harte, John; Henderson, Amanda; Johnson, Bart R; Larsen, Klaus Steenberg; Luo, Yiqi; Marhan, Sven; Melillo, Jerry M; Peñuelas, Josep; Pfeifer-Meister, Laurel; Poll, Christian; Rastetter, Edward; Reinmann, Andrew B; Reynolds, Lorien L; Schmidt, Inger K; Shaver, Gaius R; Strong, Aaron L; Suseela, Vidya; Tietema, Albert

2016-11-29

The respiratory release of carbon dioxide (CO 2 ) from soil is a major yet poorly understood flux in the global carbon cycle. Climatic warming is hypothesized to increase rates of soil respiration, potentially fueling further increases in global temperatures. However, despite considerable scientific attention in recent decades, the overall response of soil respiration to anticipated climatic warming remains unclear. We synthesize the largest global dataset to date of soil respiration, moisture, and temperature measurements, totaling >3,800 observations representing 27 temperature manipulation studies, spanning nine biomes and over 2 decades of warming. Our analysis reveals no significant differences in the temperature sensitivity of soil respiration between control and warmed plots in all biomes, with the exception of deserts and boreal forests. Thus, our data provide limited evidence of acclimation of soil respiration to experimental warming in several major biome types, contrary to the results from multiple single-site studies. Moreover, across all nondesert biomes, respiration rates with and without experimental warming follow a Gaussian response, increasing with soil temperature up to a threshold of ∼25 °C, above which respiration rates decrease with further increases in temperature. This consistent decrease in temperature sensitivity at higher temperatures demonstrates that rising global temperatures may result in regionally variable responses in soil respiration, with colder climates being considerably more responsive to increased ambient temperatures compared with warmer regions. Our analysis adds a unique cross-biome perspective on the temperature response of soil respiration, information critical to improving our mechanistic understanding of how soil carbon dynamics change with climatic warming.

Temperature response of soil respiration largely unaltered with experimental warming

USGS Publications Warehouse

Carey, Joanna C.; Tang, Jianwu; Templer, Pamela H.; Kroeger, Kevin D.; Crowther, Thomas W.; Burton, Andrew J.; Dukes, Jeffrey S.; Emmett, Bridget; Frey, Serita D.; Heskel, Mary A.; Jiang, Lifen; Machmuller, Megan B.; Mohan, Jacqueline; Panetta, Anne Marie; Reich, Peter B.; Reinsch, Sabine; Wang, Xin; Allison, Steven D.; Bamminger, Chris; Bridgham, Scott; Collins, Scott L.; de Dato, Giovanbattista; Eddy, William C.; Enquist, Brian J.; Estiarte, Marc; Harte, John; Henderson, Amanda; Johnson, Bart R.; Steenberg Larsen, Klaus; Luo, Yiqi; Marhan, Sven; Melillo, Jerry M.; Penuelas, Josep; Pfeifer-Meister, Laurel; Poll, Christian; Rastetter, Edward B.; Reinmann, Andrew B.; Reynolds, Lorien L.; Schmidt, Inger K.; Shaver, Gaius R.; Strong, Aaron L.; Suseela, Vidya; Tietema, Albert

2016-01-01

The respiratory release of carbon dioxide (CO2) from soil is a major yet poorly understood flux in the global carbon cycle. Climatic warming is hypothesized to increase rates of soil respiration, potentially fueling further increases in global temperatures. However, despite considerable scientific attention in recent decades, the overall response of soil respiration to anticipated climatic warming remains unclear. We synthesize the largest global dataset to date of soil respiration, moisture, and temperature measurements, totaling >3,800 observations representing 27 temperature manipulation studies, spanning nine biomes and over 2 decades of warming. Our analysis reveals no significant differences in the temperature sensitivity of soil respiration between control and warmed plots in all biomes, with the exception of deserts and boreal forests. Thus, our data provide limited evidence of acclimation of soil respiration to experimental warming in several major biome types, contrary to the results from multiple single-site studies. Moreover, across all nondesert biomes, respiration rates with and without experimental warming follow a Gaussian response, increasing with soil temperature up to a threshold of ∼25 °C, above which respiration rates decrease with further increases in temperature. This consistent decrease in temperature sensitivity at higher temperatures demonstrates that rising global temperatures may result in regionally variable responses in soil respiration, with colder climates being considerably more responsive to increased ambient temperatures compared with warmer regions. Our analysis adds a unique cross-biome perspective on the temperature response of soil respiration, information critical to improving our mechanistic understanding of how soil carbon dynamics change with climatic warming.

Temperature response of soil respiration largely unaltered with experimental warming

PubMed Central

Carey, Joanna C.; Tang, Jianwu; Templer, Pamela H.; Kroeger, Kevin D.; Crowther, Thomas W.; Burton, Andrew J.; Dukes, Jeffrey S.; Emmett, Bridget; Frey, Serita D.; Heskel, Mary A.; Jiang, Lifen; Machmuller, Megan B.; Mohan, Jacqueline; Panetta, Anne Marie; Reich, Peter B.; Reinsch, Sabine; Wang, Xin; Allison, Steven D.; Bamminger, Chris; Bridgham, Scott; de Dato, Giovanbattista; Eddy, William C.; Enquist, Brian J.; Estiarte, Marc; Harte, John; Henderson, Amanda; Johnson, Bart R.; Luo, Yiqi; Marhan, Sven; Melillo, Jerry M.; Peñuelas, Josep; Pfeifer-Meister, Laurel; Poll, Christian; Rastetter, Edward; Reinmann, Andrew B.; Reynolds, Lorien L.; Schmidt, Inger K.; Shaver, Gaius R.; Strong, Aaron L.; Suseela, Vidya; Tietema, Albert

2016-01-01

The respiratory release of carbon dioxide (CO2) from soil is a major yet poorly understood flux in the global carbon cycle. Climatic warming is hypothesized to increase rates of soil respiration, potentially fueling further increases in global temperatures. However, despite considerable scientific attention in recent decades, the overall response of soil respiration to anticipated climatic warming remains unclear. We synthesize the largest global dataset to date of soil respiration, moisture, and temperature measurements, totaling >3,800 observations representing 27 temperature manipulation studies, spanning nine biomes and over 2 decades of warming. Our analysis reveals no significant differences in the temperature sensitivity of soil respiration between control and warmed plots in all biomes, with the exception of deserts and boreal forests. Thus, our data provide limited evidence of acclimation of soil respiration to experimental warming in several major biome types, contrary to the results from multiple single-site studies. Moreover, across all nondesert biomes, respiration rates with and without experimental warming follow a Gaussian response, increasing with soil temperature up to a threshold of ∼25 °C, above which respiration rates decrease with further increases in temperature. This consistent decrease in temperature sensitivity at higher temperatures demonstrates that rising global temperatures may result in regionally variable responses in soil respiration, with colder climates being considerably more responsive to increased ambient temperatures compared with warmer regions. Our analysis adds a unique cross-biome perspective on the temperature response of soil respiration, information critical to improving our mechanistic understanding of how soil carbon dynamics change with climatic warming. PMID:27849609

20 CFR 322.4 - Consideration of evidence.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 20 Employees' Benefits 1 2014-04-01 2012-04-01 true Consideration of evidence. 322.4 Section 322.4 Employees' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD UNEMPLOYMENT INSURANCE ACT REMUNERATION § 322.4 Consideration of evidence. (a) Initial proof. A claimant's certification that he or she...

20 CFR 322.4 - Consideration of evidence.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 20 Employees' Benefits 1 2013-04-01 2012-04-01 true Consideration of evidence. 322.4 Section 322.4 Employees' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD UNEMPLOYMENT INSURANCE ACT REMUNERATION § 322.4 Consideration of evidence. (a) Initial proof. A claimant's certification that he or she...

Pluralism, Place, and Gertrude Bonnin's Counternativism from Utah to Washington, DC

ERIC Educational Resources Information Center

Newmark, Julianne

2012-01-01

In the first three decades of the twentieth century, racial nativism wielded considerable direct and indirect influence on policies that affected broader American attitudes concerning Native American people. In this three-decade period, many factors caused the kinds of national insecurity and instability that make a cultural climate ripe for…

Trade-offs mathematical modelling of 3DCE in new product development: real three dimensions and directions for development

NASA Astrophysics Data System (ADS)

Ilhami, M. A.; Subagyo; Masruroh, N. A.

2018-04-01

In the last two decades, coordinating product, process, and supply chain has become the main focus in recent years as a growing body of research, which mathematical modelling is leading technique used in the early phase design. In this paper, we aim to conduct a comprehensive literature review of published paper and propose directions for future research, especially in mathematical modelling. Our findings exhibit fact that evidently there are only a few papers coordinate “real three dimensions”. The other papers, in fact, show simply two dimensions. Finally, some suggestions are proposed such as paying more attention to “real three dimensions” research-based and more focus on minimizing time to market, product life cycle consideration, and product rollover.

Recent insights into cutaneous immunization: How to vaccinate via the skin.

PubMed

Engelke, Laura; Winter, Gerhard; Hook, Sarah; Engert, Julia

2015-09-08

Technologies and strategies for cutaneous vaccination have been evolving significantly during the past decades. Today, there is evidence for increased efficacy of cutaneously delivered vaccines allowing for dose reduction and providing a minimally invasive alternative to traditional vaccination. Considerable progress has been made within the field of well-established cutaneous vaccination strategies: Jet and powder injection technologies, microneedles, microporation technologies, electroporation, sonoporation, and also transdermal and transfollicular vaccine delivery. Due to recent advances, the use of cutaneous vaccination can be expanded from prophylactic vaccination for infectious diseases into therapeutic vaccination for both infectious and non-infectious chronic conditions. This review will provide an insight into immunological processes occurring in the skin and introduce the key innovations of cutaneous vaccination technologies. Copyright © 2015 Elsevier Ltd. All rights reserved.

Growing Typhoon Influence on East Asia

NASA Technical Reports Server (NTRS)

Wu, Liguang; Wang, BIn; Geng, Shuqin

2005-01-01

Numerical model studies have suggested that the ongoing global warming will likely affect tropical cyclone activity. But so far little observed evidence has been detected to support the projected future changes. Using satellite-supported best-track data from 1965 to 2003, we show for the first time that over the past four decades the two prevailing typhoon tracks in the western North Pacific (WNP) have shifted westward significantly; the typhoon activity over the South China Sea has considerably decreased; and East Asia has experienced increasing typhoon influence. Our trajectory model simulation indicates that the long-term shifts in the typhoon tracks result primarily from the changes in the mean translation velocity of typhoons or the large-scale steering flow, which is associated with the westward expansion and strengthening of the WNP subtropical high.

Apprenticeship Programme Requirements and Apprenticeship Completion Rates in Canada

ERIC Educational Resources Information Center

Coe, Patrick J.

2013-01-01

The past two decades have seen considerable growth in new apprenticeship registrations in Canada. However, this has not been matched by a corresponding increase in completions. Across provinces, trades and time, there is considerable variation in apprenticeship completion rates. In Canada, apprenticeship programmes are provincially regulated and…

Re-Establishing a Clean Climbing Ethic.

ERIC Educational Resources Information Center

Attarian, Aram

This paper addresses environmental impact issues associated with rock climbing and stresses the importance of reestablishing a clean climbing ethic through climber education and ethical considerations. The adventure sport of rock climbing has grown considerably over the last decade: it is estimated that there are currently over 200,000 rock…

Evidence-based dentistry and clinical implementation by third-year dental students.

PubMed

Teich, Sorin T; Demko, Catherine A; Lang, Lisa A

2013-10-01

Over the last two decades, the concept of evidence-based medicine (EBM) has become the standard of medical care. Defined by Sackett et al. as "the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients," EBM recognizes that the practitioner should combine individual clinical expertise with the best available external evidence for optimal care. Consideration of the patient's needs and preferences is also an integral component of the clinical application. Dental educators have to account for the fact that not all dental treatment outcomes have been researched with randomized clinical trials. Dogmas in dentistry still exist regarding restorative treatments and methods taught to next generations of practitioners, while limited evidence is available. The purpose of this study was to determine how third-year dental students at one U.S. dental school select articles to provide supportive evidence related to treatment planning. The results show that knowledge provided in a three-week course in evidence-based dentistry (EBD) for first-year dental students was not efficiently applied when the students reached their third year. A significant percentage of the students perceived the use of literature as not beneficial for sustaining clinical aspects of a treatment plan, and they did not use appropriate tools to access best available resources. As a result of these findings, the article proposes incorporation of specific learning objectives related to EBD principles throughout the curriculum and a simplified method to search for best available evidence that has the advantage of not requiring knowledge and training in rigorous formulation of clinical questions.

The palm oil supply chain, deforestation and peat clearing

NASA Astrophysics Data System (ADS)

Boucher, D. H.

2013-12-01

The palm oil industry has expanded rapidly in the last two decades, particularly in Indonesia. A considerable amount of this expansion has been at the expense of forests and peatlands, resulting in considerable greenhouse gas emissions. Now the industry is faced with two new challenges. There is a possible oversupply on the global market due to recent expansion and the time lag between clearing and new production coming on line, which may depress prices considerably. Furthermore, there is increasing pressure to reduce the industry's impact on climate and biodiversity, exemplified by the commitment by the businesses of the Consumer Goods Forum to eliminate deforestation from their supply chains by 2020. This presentation will examine the interaction between these two challenges and its implications for the industry, in both southeast Asia and new regions of expansion, and how this interaction could transform the industry's mode of expansion in the coming decade.

Evidence-based pathology in its second decade: toward probabilistic cognitive computing.

PubMed

Marchevsky, Alberto M; Walts, Ann E; Wick, Mark R

2017-03-01

Evidence-based pathology advocates using a combination of best available data ("evidence") from the literature and personal experience for the diagnosis, estimation of prognosis, and assessment of other variables that impact individual patient care. Evidence-based pathology relies on systematic reviews of the literature, evaluation of the quality of evidence as categorized by evidence levels and statistical tools such as meta-analyses, estimates of probabilities and odds, and others. However, it is well known that previously "statistically significant" information usually does not accurately forecast the future for individual patients. There is great interest in "cognitive computing" in which "data mining" is combined with "predictive analytics" designed to forecast future events and estimate the strength of those predictions. This study demonstrates the use of IBM Watson Analytics software to evaluate and predict the prognosis of 101 patients with typical and atypical pulmonary carcinoid tumors in which Ki-67 indices have been determined. The results obtained with this system are compared with those previously reported using "routine" statistical software and the help of a professional statistician. IBM Watson Analytics interactively provides statistical results that are comparable to those obtained with routine statistical tools but much more rapidly, with considerably less effort and with interactive graphics that are intuitively easy to apply. It also enables analysis of natural language variables and yields detailed survival predictions for patient subgroups selected by the user. Potential applications of this tool and basic concepts of cognitive computing are discussed. Copyright © 2016 Elsevier Inc. All rights reserved.

Two Decades of Generalizable Evidence on U.S. Instruction from National Surveys

ERIC Educational Resources Information Center

Camburn, Eric M.; Han, Seong Won

2011-01-01

Background: Students' instructional experiences--that is, their experiences working with subject matter during classroom instruction--are a major determinant of how they learn. Given the importance of classroom instruction, valid, generalizable evidence is needed by policymakers, researchers, and practitioners. Over the past two decades, a wealth…

Parkinson's disease and exposure to infectious agents and pesticides and the occurrence of brain injuries: role of neuroinflammation.

PubMed Central

Liu, Bin; Gao, Hui-Ming; Hong, Jau-Shyong

2003-01-01

Idiopathic Parkinson's disease (PD) is a devastating movement disorder characterized by selective degeneration of the nigrostriatal dopaminergic pathway. Neurodegeneration usually starts in the fifth decade of life and progresses over 5-10 years before reaching the fully symptomatic disease state. Despite decades of intense research, the etiology of sporadic PD and the mechanism underlying the selective neuronal loss remain unknown. However, the late onset and slow-progressing nature of the disease has prompted the consideration of environmental exposure to agrochemicals, including pesticides, as a risk factor. Moreover, increasing evidence suggests that early-life occurrence of inflammation in the brain, as a consequence of either brain injury or exposure to infectious agents, may play a role in the pathogenesis of PD. Most important, there may be a self-propelling cycle of inflammatory process involving brain immune cells (microglia and astrocytes) that drives the slow yet progressive neurodegenerative process. Deciphering the molecular and cellular mechanisms governing those intricate interactions would significantly advance our understanding of the etiology and pathogenesis of PD and aid the development of therapeutic strategies for the treatment of the disease. PMID:12826478

Epidemiological studies in incidence, prevalence, mortality, and comorbidity of the rheumatic diseases

PubMed Central

Gabriel, Sherine E; Michaud, Kaleb

2009-01-01

Epidemiology is the study of the distribution and determinants of disease in human populations. Over the past decade there has been considerable progress in our understanding of the fundamental descriptive epidemiology (levels of disease frequency: incidence and prevalence, comorbidity, mortality, trends over time, geographic distributions, and clinical characteristics) of the rheumatic diseases. This progress is reviewed for the following major rheumatic diseases: rheumatoid arthritis (RA), juvenile rheumatoid arthritis, psoriatic arthritis, osteoarthritis, systemic lupus erythematosus, giant cell arteritis, polymyalgia rheumatica, gout, Sjögren's syndrome, and ankylosing spondylitis. These findings demonstrate the dynamic nature of the incidence and prevalence of these conditions – a reflection of the impact of genetic and environmental factors. The past decade has also brought new insights regarding the comorbidity associated with rheumatic diseases. Strong evidence now shows that persons with RA are at a high risk for developing several comorbid disorders, that these conditions may have atypical features and thus may be difficult to diagnose, and that persons with RA experience poorer outcomes after comorbidity compared with the general population. Taken together, these findings underscore the complexity of the rheumatic diseases and highlight the key role of epidemiological research in understanding these intriguing conditions. PMID:19519924

Computer-Based Testing in the Medical Curriculum: A Decade of Experiences at One School

ERIC Educational Resources Information Center

McNulty, John; Chandrasekhar, Arcot; Hoyt, Amy; Gruener, Gregory; Espiritu, Baltazar; Price, Ron, Jr.

2011-01-01

This report summarizes more than a decade of experiences with implementing computer-based testing across a 4-year medical curriculum. Practical considerations are given to the fields incorporated within an item database and their use in the creation and analysis of examinations, security issues in the delivery and integrity of examinations,…

Towards an Integrated Framework for Accelerating the End of the Global HIV Epidemic among Young People

ERIC Educational Resources Information Center

DiClemente, Ralph J.; Jackson, Jerrold M.

2014-01-01

For decades, the HIV epidemic has exacted an enormous toll worldwide. However, trend analyses have discerned significant declines in the overall prevalence of HIV over the last two decades. More recently, advances in biomedical, behavioural, and structural interventions offer considerable promise in the battle against generalised epidemics.…

Conflicting character distribution within different data sets on cardueline finches: artifact or history?

PubMed

Fehrer, J

1996-01-01

Cardueline finches (Passeriformes: Fringillidae, Carduelinae) provide an example of unresolved species relationships despite decades of extensive study of the group. Existing morphological studies suffer from numerous cases of assumed parallel evolution due to a conflicting character distribution in different lineages. In this study, results of assumed parallel evolution due to a conflicting character distribution in different lineages. In this study, results of cytochrome b sequence analysis are compared with species relationships suggested by morphological and behavioral evidence. In the molecular analyses, species clusters mutually excluding each other were observed, lowering the statistical support of the internodes, i.e., the branches could not be resolved convincingly. Despite these difficulties, some phylogenetic signal was present in the molecular data as well as in the other approaches. In particular, any species or genus relationship suggested by cytochrome b sequence analysis was reflected by some other evidence. Based on this general congruence of the different data sets and on a considerable cytochrome b tree stability observed independent of species combination, choice of outgroup and tree-generating method, the short internodes are interpreted to reflect a historical reality. A model of cardueline evolution is proposed which assumes a population of cardueline ancestors with considerable polymorphism concerning the mitochondrial DNA and morphological characters alike. Retention of ancestral character states in different lineages and a subsequent rapid radiation are suggested to explain the conflicting character distributions observed in different fields of investigation.

The psychological structure of humility.

PubMed

Weidman, Aaron C; Cheng, Joey T; Tracy, Jessica L

2018-01-01

Psychological inquiry into humility has advanced considerably over the past decade, yet this literature suffers from 2 notable limitations. First, there is no clear consensus among researchers about what humility is, and conceptualizations vary considerably across studies. Second, researchers have uniformly operationalized humility as a positive, socially desirable construct, while dismissing evidence from lay opinion and theological and philosophical traditions suggesting that humility may also have a darker side. To redress these issues, we conducted the first comprehensive, bottom-up analysis of the psychological structure of humility. Here we report 5 studies (total N = 1,479) that involve: (a) cluster analysis and categorization of humility-related words, generated by both lay persons and academic experts; (b) exploratory and confirmatory factor analyses of momentary and dispositional humility experiences; and (c) experimental induction of a momentary humility experience. Across these studies, we found converging evidence that humility can take 2 distinct forms, which we labeled "appreciative" and "self-abasing" humility. Appreciative humility tends to be elicited by personal success, involve action tendencies oriented toward celebrating others, and is positively associated with dispositions such as authentic pride, guilt, and prestige-based status. In contrast, self-abasing humility tends to be elicited by personal failure, involves negative self-evaluations and action tendencies oriented toward hiding from others' evaluations, and is associated with dispositions such as shame, low self-esteem, and submissiveness. Together, these findings provide a systematic and empirically grounded understanding of humility. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

A Mixed Methods Study of Participant Reaction to Domestic Violence Research in Jordan

ERIC Educational Resources Information Center

Clark, Cari Jo; Shahrouri, Manal; Halasa, Louma; Khalaf, Inaam; Spencer, Rachael; Everson-Rose, Susan

2012-01-01

Research on domestic violence against women has increased considerably over the past few decades. Most participants in such studies find the exercise worthwhile and of greater benefit than emotional cost; however, systematic examination of participant reaction to research on violence is considerably lacking, especially in the Middle East region.…

Consistency of Estimated Global Water Cycle Variations Over the Satellite Era

NASA Technical Reports Server (NTRS)

Robertson, F. R.; Bosilovich, M. G.; Roberts, J. B.; Reichle, R. H.; Adler, R.; Ricciardulli, L.; Berg, W.; Huffman, G. J.

2013-01-01

Motivated by the question of whether recent indications of decadal climate variability and a possible "climate shift" may have affected the global water balance, we examine evaporation minus precipitation (E-P) variability integrated over the global oceans and global land from three points of view-remotely sensed retrievals / objective analyses over the oceans, reanalysis vertically-integrated moisture convergence (MFC) over land, and land surface models forced with observations-based precipitation, radiation and near-surface meteorology. Because monthly variations in area-averaged atmospheric moisture storage are small and the global integral of moisture convergence must approach zero, area-integrated E-P over ocean should essentially equal precipitation minus evapotranspiration (P-ET) over land (after adjusting for ocean and land areas). Our analysis reveals considerable uncertainty in the decadal variations of ocean evaporation when integrated to global scales. This is due to differences among datasets in 10m wind speed and near-surface atmospheric specific humidity (2m qa) used in bulk aerodynamic retrievals. Precipitation variations, all relying substantially on passive microwave retrievals over ocean, still have uncertainties in decadal variability, but not to the degree present with ocean evaporation estimates. Reanalysis MFC and P-ET over land from several observationally forced diagnostic and land surface models agree best on interannual variations. However, upward MFC (i.e. P-ET) reanalysis trends are likely related in part to observing system changes affecting atmospheric assimilation models. While some evidence for a low-frequency E-P maximum near 2000 is found, consistent with a recent apparent pause in sea-surface temperature (SST) rise, uncertainties in the datasets used here remain significant. Prospects for further reducing uncertainties are discussed. The results are interpreted in the context of recent climate variability (Pacific Decadal Oscillation, Atlantic Meridional Overturning), and efforts to distinguish these modes from longer-term trends.

Accuracy requirements. [for monitoring of climate changes

NASA Technical Reports Server (NTRS)

Delgenio, Anthony

1993-01-01

Satellite and surface measurements, if they are to serve as a climate monitoring system, must be accurate enough to permit detection of changes of climate parameters on decadal time scales. The accuracy requirements are difficult to define a priori since they depend on unknown future changes of climate forcings and feedbacks. As a framework for evaluation of candidate Climsat instruments and orbits, we estimate the accuracies that would be needed to measure changes expected over two decades based on theoretical considerations including GCM simulations and on observational evidence in cases where data are available for rates of change. One major climate forcing known with reasonable accuracy is that caused by the anthropogenic homogeneously mixed greenhouse gases (CO2, CFC's, CH4 and N2O). Their net forcing since the industrial revolution began is about 2 W/sq m and it is presently increasing at a rate of about 1 W/sq m per 20 years. Thus for a competing forcing or feedback to be important, it needs to be of the order of 0.25 W/sq m or larger on this time scale. The significance of most climate feedbacks depends on their sensitivity to temperature change. Therefore we begin with an estimate of decadal temperature change. Presented are the transient temperature trends simulated by the GISS GCM when subjected to various scenarios of trace gas concentration increases. Scenario B, which represents the most plausible near-term emission rates and includes intermittent forcing by volcanic aerosols, yields a global mean surface air temperature increase Delta Ts = 0.7 degrees C over the time period 1995-2015. This is consistent with the IPCC projection of about 0.3 degrees C/decade global warming (IPCC, 1990). Several of our estimates below are based on this assumed rate of warming.

Lifestyle medicine for depression

PubMed Central

2014-01-01

The prevalence of depression appears to have increased over the past three decades. While this may be an artefact of diagnostic practices, it is likely that there are factors about modernity that are contributing to this rise. There is now compelling evidence that a range of lifestyle factors are involved in the pathogenesis of depression. Many of these factors can potentially be modified, yet they receive little consideration in the contemporary treatment of depression, where medication and psychological intervention remain the first line treatments. “Lifestyle Medicine” provides a nexus between public health promotion and clinical treatments, involving the application of environmental, behavioural, and psychological principles to enhance physical and mental wellbeing. This may also provide opportunities for general health promotion and potential prevention of depression. In this paper we provide a narrative discussion of the major components of Lifestyle Medicine, consisting of the evidence-based adoption of physical activity or exercise, dietary modification, adequate relaxation/sleep and social interaction, use of mindfulness-based meditation techniques, and the reduction of recreational substances such as nicotine, drugs, and alcohol. We also discuss other potential lifestyle factors that have a more nascent evidence base, such as environmental issues (e.g. urbanisation, and exposure to air, water, noise, and chemical pollution), and the increasing human interface with technology. Clinical considerations are also outlined. While data supports that some of these individual elements are modifiers of overall mental health, and in many cases depression, rigorous research needs to address the long-term application of Lifestyle Medicine for depression prevention and management. Critically, studies exploring lifestyle modification involving multiple lifestyle elements are needed. While the judicious use of medication and psychological techniques are still advocated, due to the complexity of human illness/wellbeing, the emerging evidence encourages a more integrative approach for depression, and an acknowledgment that lifestyle modification should be a routine part of treatment and preventative efforts. PMID:24721040

On the role of plant mitochondrial metabolism and its impact on photosynthesis in both optimal and sub-optimal growth conditions.

PubMed

Araújo, Wagner L; Nunes-Nesi, Adriano; Fernie, Alisdair R

2014-02-01

Given that the pathways of photosynthesis and respiration catalyze partially opposing processes, it follows that their relative activities must be carefully regulated within plant cells. Recent evidence has shown that the components of the mitochondrial electron transport chain are essential for the proper maintenance of intracellular redox gradients, to allow considerable rates of photorespiration and in turn efficient photosynthesis. Thus considerable advances have been made in understanding the interaction between respiration and photosynthesis during the last decades and the potential mechanisms linking mitochondrial function and photosynthetic efficiency will be reviewed. Despite the fact that manipulation of various steps of mitochondrial metabolism has been demonstrated to alter photosynthesis under optimal growth conditions, it is likely that these changes will, by and large, not be maintained under sub-optimal situations. Therefore producing plants to meet this aim remains a critical challenge. It is clear, however, that although there have been a range of studies analysing changes in respiratory and photosynthetic rates in response to light, temperature and CO2, our knowledge of the environmental impact on these processes and its linkage still remains fragmented. We will also discuss the metabolic changes associated to plant respiration and photosynthesis as important components of the survival strategy as they considerably extend the period that a plant can withstand to a stress situation.

Evidence of the Atlantic Multidecadal Oscillation driving multi-decadal variability of summertime surface air quality in the eastern United States: Implications for air quality management in the coming decades

NASA Astrophysics Data System (ADS)

Shen, L.; Mickley, L. J.

2016-12-01

Atlantic sea surface temperatures have a significant influence on the summertime meteorology and air quality in the eastern United States. In this study, we investigate the effect of the Atlantic Multidecadal Oscillation (AMO) on two key air pollutants, surface ozone and PM2.5, over the eastern United States. The shift of AMO from cold to warm phase increases surface air temperatures by 0.5 K across the East and reduces precipitation, resulting in a warmer and drier summer. By applying observed, present-day relationships between these pollutants and meteorological variables to a variety of observations and historical reanalysis datasets, we calculate the impacts of AMO on U.S. air quality. Our study reveals a multidecadal variability in mean summertime (JJA) maximum daily 8-hour (MDA8) ozone and surface PM2.5 concentrations in the eastern United States. In one-half cycle ( 30 years) of the AMO from negative to positive phase with constant anthropogenic emissions, JJA MDA8 ozone concentrations increase by 1-3 ppbv in the Northeast and 2-5 ppbv in the Great Plains; JJA PM2.5 concentrations increase by 0.8-1.2 μg m-3 in the Northeast and Southeast. The resulting impact on mortality rates is 4000 excess deaths per half cycle of AMO. We suggest that a complete picture of air quality management in coming decades requires consideration of the AMO influence.

Hip surgery and its evidence base: progress over a decade?

PubMed

Hasan, Kamrul; Shankar, Shivakumar; Sharma, Aadhar; Carter, Alison; Zaidi, Razi; Cro, Suzie; Skinner, John; Goldberg, Andy

2016-12-01

The burden of traumatic and elective hip surgery is set to grow. With an increasing number of techniques and implants against the background of an aging population, the emphasis on evidence-based treatment has never been greater. The purpose of this study was to assess changes in the levels of evidence in the hip literature over a decade. Articles pertaining to hip surgery from the years 2000 and 2010 in Hip International, Journal of Arthroplasty, Journal of Bone and Joint Surgery and The Bone and Joint Journal were analysed. Articles were ranked by a five-point level of evidence scale and by type of study, according to guidelines from the Centre for Evidence-based Medicine. 531 articles were analysed from 48 countries. The kappa value for the inter-observer reliability showed excellent agreement between the reviewers for study type (κ = 0.956, P < 0.01) and for levels of evidence (κ = 0.772, P < 0.01). Between 2000 and 2010, the overall percentage of high-level evidence (levels I and II) studies more than doubled (12 to 31 %, P < 0.001). The most frequent study type was therapeutic; the USA and UK were the largest producers of published work in these journals, with contributions from other countries increasing markedly over the decade. There has been a significant increase in high levels of evidence in hip surgery over a decade (P < 0.001). We recommend that all orthopaedic journals consider implementing compulsory declaration by authors of the level of evidence to help enhance quality of evidence. Level 2: economic and decision analysis.

Toward an understanding of the neural mechanisms underlying dual-task performance: Contribution of comparative approaches using animal models.

PubMed

Watanabe, Kei; Funahashi, Shintaro

2018-01-01

The study of dual-task performance in human subjects has received considerable interest in cognitive neuroscience because it can provide detailed insights into the neural mechanisms underlying higher-order cognitive control. Despite many decades of research, our understanding of the neurobiological basis of dual-task performance is still limited, and some critical questions are still under debate. Recently, behavioral and neurophysiological studies of dual-task performance in animals have begun to provide intriguing evidence regarding how dual-task information is processed in the brain. In this review, we first summarize key evidence in neuroimaging and neuropsychological studies in humans and discuss possible reasons for discrepancies across studies. We then provide a comprehensive review of the literature on dual-task studies in animals and provide a novel working hypothesis that may reconcile the divergent results in human studies toward a unified view of the mechanisms underlying dual-task processing. Finally, we propose possible directions for future dual-task experiments in the framework of comparative cognitive neuroscience. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

Issues in localization of brain function: The case of lateralized frontal cortex in cognition, emotion, and psychopathology.

PubMed

Miller, Gregory A; Crocker, Laura D; Spielberg, Jeffrey M; Infantolino, Zachary P; Heller, Wendy

2013-01-01

The appeal of simple, sweeping portraits of large-scale brain mechanisms relevant to psychological phenomena competes with a rich, complex research base. As a prominent example, two views of frontal brain organization have emphasized dichotomous lateralization as a function of either emotional valence (positive/negative) or approach/avoidance motivation. Compelling findings support each. The literature has struggled to choose between them for three decades, without success. Both views are proving untenable as comprehensive models. Evidence of other frontal lateralizations, involving distinctions among dimensions of depression and anxiety, make a dichotomous view even more problematic. Recent evidence indicates that positive valence and approach motivation are associated with different areas in the left-hemisphere. Findings that appear contradictory at the level of frontal lobes as the units of analysis can be accommodated because hemodynamic and electromagnetic neuroimaging studies suggest considerable functional differentiation, in specialization and activation, of subregions of frontal cortex, including their connectivity to each other and to other regions. Such findings contribute to a more nuanced understanding of functional localization that accommodates aspects of multiple theoretical perspectives.

Issues in localization of brain function: The case of lateralized frontal cortex in cognition, emotion, and psychopathology

PubMed Central

Miller, Gregory A.; Crocker, Laura D.; Spielberg, Jeffrey M.; Infantolino, Zachary P.; Heller, Wendy

2013-01-01

The appeal of simple, sweeping portraits of large-scale brain mechanisms relevant to psychological phenomena competes with a rich, complex research base. As a prominent example, two views of frontal brain organization have emphasized dichotomous lateralization as a function of either emotional valence (positive/negative) or approach/avoidance motivation. Compelling findings support each. The literature has struggled to choose between them for three decades, without success. Both views are proving untenable as comprehensive models. Evidence of other frontal lateralizations, involving distinctions among dimensions of depression and anxiety, make a dichotomous view even more problematic. Recent evidence indicates that positive valence and approach motivation are associated with different areas in the left-hemisphere. Findings that appear contradictory at the level of frontal lobes as the units of analysis can be accommodated because hemodynamic and electromagnetic neuroimaging studies suggest considerable functional differentiation, in specialization and activation, of subregions of frontal cortex, including their connectivity to each other and to other regions. Such findings contribute to a more nuanced understanding of functional localization that accommodates aspects of multiple theoretical perspectives. PMID:23386814

Role of Ambulatory and Home Blood Pressure Monitoring in Clinical Practice: A Narrative Review

PubMed Central

Shimbo, Daichi; Abdalla, Marwah; Falzon, Louise; Townsend, Raymond R.; Muntner, Paul

2015-01-01

Hypertension, a common cardiovascular disease (CVD) risk factor, is usually diagnosed and treated based on blood pressure readings obtained in the clinic setting. Blood pressure may differ considerably when measured in the clinic versus outside of the clinic setting. Over the past several decades, evidence has accumulated on two approaches for measuring out-of-clinic blood pressure: ambulatory blood pressure monitoring (ABPM) and home blood pressure monitoring (HBPM). Blood pressure measures on ABPM and HBPM each have a stronger association with CVD outcomes than clinic blood pressure. Controversy exists whether ABPM or HBPM is superior for estimating CVD risk, and under what circumstances these methods should be used in clinical practice for assessing out-of-clinic blood pressure. This review describes ABPM and HBPM procedures, the blood pressure phenotypic measures that can be ascertained, and the evidence that supports the use of each approach to measure out-of-clinic blood pressure. This review also describes barriers to the successful implementation of ABPM and HBPM in clinical practice, proposes core competencies for the conduct of these procedures, and highlights important areas for future research. PMID:26457954

Understanding the relationship between repetition priming and mere exposure.

PubMed

Butler, Laurie T; Berry, Dianne C

2004-11-01

Over the last two decades interest in implicit memory, most notably repetition priming, has grown considerably. During the same period, research has also focused on the mere exposure effect. Although the two areas have developed relatively independently, a number of studies has described the mere exposure effect as an example of implicit memory. Tacit in their comparisons is the assumption that the effect is more specifically a demonstration of repetition priming. Having noted that this assumption has attracted relatively little attention, this paper reviews current evidence and shows that it is by no means conclusive. Although some evidence is suggestive of a common underlying mechanism, even a modified repetition priming (perceptual fluency/attribution) framework cannot accommodate all of the differences between the two phenomena. Notwithstanding this, it seems likely that a version of this theoretical framework still offers the best hope of a comprehensive explanation for the mere exposure effect and its relationship to repetition priming. As such, the paper finishes by offering some initial guidance as to ways in which the perceptual fluency/attribution framework might be extended, as well as outlining important areas for future research.

Testicular Cancer Survivorship: Research Strategies and Recommendations

PubMed Central

Beard, Clair; Allan, James M.; Dahl, Alv A.; Feldman, Darren R.; Oldenburg, Jan; Daugaard, Gedske; Kelly, Jennifer L.; Dolan, M. Eileen; Hannigan, Robyn; Constine, Louis S.; Oeffinger, Kevin C.; Okunieff, Paul; Armstrong, Greg; Wiljer, David; Miller, Robert C.; Gietema, Jourik A.; van Leeuwen, Flora E.; Williams, Jacqueline P.; Nichols, Craig R.; Einhorn, Lawrence H.; Fossa, Sophie D.

2010-01-01

Testicular cancer represents the most curable solid tumor, with a 10-year survival rate of more than 95%. Given the young average age at diagnosis, it is estimated that effective treatment approaches, in particular, platinum-based chemotherapy, have resulted in an average gain of several decades of life. This success, however, is offset by the emergence of considerable long-term morbidity, including second malignant neoplasms, cardiovascular disease, neurotoxicity, nephrotoxicity, pulmonary toxicity, hypogonadism, decreased fertility, and psychosocial problems. Data on underlying genetic or molecular factors that might identify those patients at highest risk for late sequelae are sparse. Genome-wide association studies and other translational molecular approaches now provide opportunities to identify testicular cancer survivors at greatest risk for therapy-related complications to develop evidence-based long-term follow-up guidelines and interventional strategies. We review research priorities identified during an international workshop devoted to testicular cancer survivors. Recommendations include 1) institution of lifelong follow-up of testicular cancer survivors within a large cohort setting to ascertain risks of emerging toxicities and the evolution of known late sequelae, 2) development of comprehensive risk prediction models that include treatment factors and genetic modifiers of late sequelae, 3) elucidation of the effect(s) of decades-long exposure to low serum levels of platinum, 4) assessment of the overall burden of medical and psychosocial morbidity, and 5) the eventual formulation of evidence-based long-term follow-up guidelines and interventions. Just as testicular cancer once served as the paradigm of a curable malignancy, comprehensive follow-up studies of testicular cancer survivors can pioneer new methodologies in survivorship research for all adult-onset cancer. PMID:20585105

Infrared Imaging and Characterization of Exoplanets: Can we Detect Earth-Twins on a Budget?

NASA Technical Reports Server (NTRS)

Danchi, William

2010-01-01

During the past decade considerable progress has been made developing techniques that can be used to detect and characterize Earth twins in the mid- infrared (7-20 microns). The principal technique is called nulling interferometry, and it was invented by Bracewell in the late 1970's. The nulling technique is an interferometric equivalent of an optical coronagraph. At the present time most of the technological hurdles have been overcome for a space mission to be able to begin Phase A early in the next decade, and it is possible to detect and characterize Earth-twins on a mid- sized strategic mission budget ($600-800 million). I will review progress on this exciting method of planet detection in the context of recent work on the Exoplanet Community Forum and the US Decadal Survey (Astro2010), including biomarkers, technological progress, mission concepts, the theory of these instruments, and a.comparison of the discovery space of this technique with others also under consideration.

Evolution of Planetary Ringmoon Systems

NASA Technical Reports Server (NTRS)

Cuzzi, Jeffrey N.

1995-01-01

The last few decades have seen an avalanche of observations of planetary ring systems, both from spacecraft and from Earth. Meanwhile, we have seen steady progress in our understanding of these systems as our intuition (and our computers) catch up with the myriad ways in which gravity, fluid and statistical mechanics, and electromagnetism can combine to shape the distribution of the submicron-to-several-meter size particles which comprise ring systems. The now-complete reconnaissance of the gas giant planets by spacecraft has revealed that ring systems are invariably found in association with families of regular satellites, and there is an emerging perspective that they are not only physically but causally linked. There is also mounting evidence that many features or aspects of all planetary ring systems, if not the ring systems themselves, are considerably younger than the solar system.

The still uncertain identity of the channel-forming unit(s) of the mitochondrial permeability transition pore.

PubMed

Baines, Christopher P; Gutiérrez-Aguilar, Manuel

2018-07-01

Mitochondria from different organisms can undergo a sudden process of inner membrane unselective leakiness to molecules known as the mitochondrial permeability transition (MPT). This process has been studied for nearly four decades and several proteins have been claimed to constitute, or at least regulate the usually inactive pore responsible for this transition. However, no protein candidate proposed as the actual pore-forming unit has passed rigorous gain- or loss-of-function genetic tests. Here we review evidence for -and against- putative channel-forming components of the MPT pore. We conclude that the structure of the MPT pore still remains largely undefined and suggest that future studies should follow established technical considerations to unambiguously consolidate the channel forming constituent(s) of the MPT pore. Copyright © 2018 Elsevier Ltd. All rights reserved.

MRI-only treatment planning: benefits and challenges

NASA Astrophysics Data System (ADS)

Owrangi, Amir M.; Greer, Peter B.; Glide-Hurst, Carri K.

2018-03-01

Over the past decade, the application of magnetic resonance imaging (MRI) has increased, and there is growing evidence to suggest that improvements in the accuracy of target delineation in MRI-guided radiation therapy may improve clinical outcomes in a variety of cancer types. However, some considerations should be recognized including patient motion during image acquisition and geometric accuracy of images. Moreover, MR-compatible immobilization devices need to be used when acquiring images in the treatment position while minimizing patient motion during the scan time. Finally, synthetic CT images (i.e. electron density maps) and digitally reconstructed radiograph images should be generated from MRI images for dose calculation and image guidance prior to treatment. A short review of the concepts and techniques that have been developed for implementation of MRI-only workflows in radiation therapy is provided in this document.

Multiparametric Breast MRI of Breast Cancer

PubMed Central

Rahbar, Habib; Partridge, Savannah C.

2015-01-01

Synopsis Breast MRI has increased in popularity over the past two decades due to evidence for its high sensitivity for cancer detection. Current clinical MRI approaches rely on the use of a dynamic contrast enhanced (DCE-MRI) acquisition that facilitates morphologic and semi-quantitative kinetic assessments of breast lesions. The use of more functional and quantitative parameters, such as pharmacokinetic features from high temporal resolution DCE-MRI, apparent diffusion coefficient (ADC) and intravoxel incoherent motion (IVIM) on diffusion weighted MRI, and choline concentrations on MR spectroscopy, hold promise to broaden the utility of MRI and improve its specificity. However, due to wide variations in approach among centers for measuring these parameters and the considerable technical challenges, robust multicenter data supporting their routine use is not yet available, limiting current applications of many of these tools to research purposes. PMID:26613883

20 CFR 366.5 - Consideration of evidence.

Code of Federal Regulations, 2010 CFR

2010-04-01

... COLLECTION OF DEBTS BY FEDERAL TAX REFUND OFFSET § 366.5 Consideration of evidence. Evidence submitted by the... of such debt is past-due and legally enforceable will be made only by such officials or employees. ...

The problem of false positives and false negatives in violent video game experiments.

PubMed

Ferguson, Christopher J

The problem of false positives and negatives has received considerable attention in behavioral research in recent years. The current paper uses video game violence research as an example of how such issues may develop in a field. Despite decades of research, evidence on whether violent video games (VVGs) contribute to aggression in players has remained mixed. Concerns have been raised in recent years that experiments regarding VVGs may suffer from both "false positives" and "false negatives." The current paper examines this issue in three sets of video game experiments, two sets of video game experiments on aggression and prosocial behaviors identified in meta-analysis, and a third group of recent null studies. Results indicated that studies of VVGs and aggression appear to be particularly prone to false positive results. Studies of VVGs and prosocial behavior, by contrast are heterogeneous and did not demonstrate any indication of false positive results. However, their heterogeneous nature made it difficult to base solid conclusions on them. By contrast, evidence for false negatives in null studies was limited, and little evidence emerged that null studies lacked power in comparison those highlighted in past meta-analyses as evidence for effects. These results are considered in light of issues related to false positives and negatives in behavioral science more broadly. Copyright © 2017 Elsevier Ltd. All rights reserved.

Primate Language and Cognition: Common Ground

NASA Technical Reports Server (NTRS)

Rumbaugh, Duane

1995-01-01

Research of the past decade has served to underscore the close psychological relationship between humans, chimpanzees, and the other great apes. In his evolutionary theory, Darwin (1860, 1871) posited both psychological and biological continuities between animals and humans. Although the evidence for biological continuity has been strong for decades, the evidence necessary for affirmation of psychological continuity is recent.

A Tale of Two Decades: New Evidence on Adequacy and Equity in Pennsylvania

ERIC Educational Resources Information Center

Steinberg, Matthew P.; Quinn, Rand

2015-01-01

Over the last four decades, legal mandates and legislative reforms have compelled states to improve the equitable distribution of state resources across school districts, and, more recently, to increase state expenditures to more adequately fund education. However, there is limited evidence on the extent to which differences in the resource,…

Conflict, health care and professional perseverance: a qualitative study in the West Bank.

PubMed

Sousa, Cindy; Hagopian, Amy

2011-01-01

The past three decades have been a time of considerable global conflict, affecting over 50 countries and causing substantial impacts on civilian health. While many effects are direct results of violence, conflict also impinges on health through indirect means. The restricted mobility of health care staff and patients, targeting of health care workers, and stressful working conditions disrupt the ability of health care workers in conflict zones to function effectively. This paper explores the challenges experienced by health care workers in West Bank, Palestine, as well as their strategies of persistence. Research activities included participant observation and interviews with health care providers, which were then analysed for common themes. Results demonstrated that the Israeli military occupation of the West Bank considerably impacts civilians' access to both urgent and preventive care. While attempting to deliver care, providers encountered disruptions, harassment and violence, which interrupted care and contributed to job stress. Professional perseverance was evident, but its influence was limited by enduring constraints. This study thus underscores the importance of accountability to international law regarding the rights of civilians to health care in conflict zones. Health professionals may play a particular role in advocating for just and dignified resolutions to conflicts.

Dry powder antibiotic aerosol product development: inhaled therapy for tuberculosis.

PubMed

Hickey, Anthony J; Misra, Amit; Fourie, P Bernard

2013-11-01

Inhaled therapies offer a unique approach to the treatment of tuberculosis (TB) using a relevant target organ system as a route of administration. The number of research reports on this topic has been increasing exponentially in the last decade but studies of clinical efficacy have been rare in recent times. The challenge is to take many research findings and translate them into a strategy for product development. Dry powder inhalers are the dominant drug product under consideration by those interested in the inhaled therapy for TB. A range of factors including candidate drug, formulation, device selection, drug product testing for proof of concept, and preclinical and clinical purposes all demand different considerations. The following review is intended to raise awareness of a growing body of evidence, suggesting that inhaled therapy for TB is possible and desirable. In addition, it is intended to outline key elements of the product-development activity for this particular application that has not been discussed elsewhere in the literature. Hopefully, this will encourage those with development expertise to seriously contemplate the steps required to bring such products forward. © 2013 Wiley Periodicals, Inc. and the American Pharmacists Association.

Epidemiology of chronic obstructive pulmonary disease: health effects of air pollution.

PubMed

Viegi, Giovanni; Maio, Sara; Pistelli, Francesco; Baldacci, Sandra; Carrozzi, Laura

2006-09-01

COPD is one of the leading causes of morbidity and mortality in the industrialized and the developing countries. According to the prediction of the World Health Organization, COPD will become the third leading cause of mortality and the fifth cause of disability in 2020 worldwide. In epidemiology, distinct phenotypic entities converge on the term COPD, so that prevalence and mortality data may be inclusive of chronic bronchitis, emphysema and asthma; moreover, the assessment of prevalence rates may change considerably according to the diagnostic tools used. Thus, a considerable problem is to estimate the real prevalence of COPD in the general population. COPD is determined by the action of a number of various risk factors, among which, the most important is cigarette smoking. However, during the last few decades, evidence from epidemiological studies finding consistent associations between air pollution and various outcomes (respiratory symptoms, reduced lung function, chronic bronchitis and mortality), has suggested that outdoor air pollution is a contributing cause of morbidity and mortality. In conclusion, epidemiological studies suggest that air pollution plays a remarkable role in the exacerbation and in the pathogenesis of chronic respiratory diseases. Thus, respiratory physicians, as well as public health professionals, should advocate for a cleaner environment.

Next-Generation Therapeutics for Inflammatory Bowel Disease.

PubMed

Dulai, Parambir S; Sandborn, William J

2016-09-01

Tumor necrosis factor (TNF) antagonists are the cornerstone of therapy for moderately to severely active inflammatory bowel disease (IBD). Although our understanding of pharmacokinetics, pharmacodynamics, and treatment optimization for these agents has evolved considerably over the past decade, a substantial majority of individuals fail to respond or lose response to TNF-antagonists over time. A need therefore remains for efficacious treatment options in these patients. Alternative immunological targets have now been identified, and several novel therapeutic agents are in development for IBD. In this review article, we discuss these novel therapeutic agents, with a particular focus on those demonstrated to be efficacious in phase 2 and 3 clinical trials. We further discuss considerations to be made when integrating these agents into routine practice over the next decade.

Next generation therapeutics for inflammatory bowel disease

PubMed Central

Dulai, Parambir S.; Sandborn, William J.

2018-01-01

Tumor necrosis factor (TNF)-antagonists are the cornerstone of therapy for moderately-severely active inflammatory bowel disease (IBD). Although our understanding of pharmacokinetics, pharmacodynamics, and treatment optimization for these agents has evolved considerably over the past decade, a substantial majority of individuals fail to respond or lose response to TNF-antagonists over time. A need therefore remains for efficacious treatment options in these patients. Alternative immunological targets have now been identified, and several novel therapeutic agents are in development for IBD. In this review article we discuss these novel therapeutic agents, with a particular focus on those demonstrated to be efficacious in phase 2 and 3 clinical trials. We further discuss considerations to be made when integrating these agents into routine practice over the next decade. PMID:27461274

TRENDS IN DIOXIN AND PCB CONCENTRATIONS IN MEAT SAMPLES FROM SEVERAL DECADES OF THE 20TH CENTURY

EPA Science Inventory

Data from several studies suggest that concentrations of dioxins rose in the environment from the 1930s to about the 1960s/70s and have been declining over the last decade or two. The most direct evidence of this trend is lake core sediments, with some other evidence from older...

Leadership Challenges in International Schools in the Asia Pacific Region: Evidence from Programme Implementation of the International Baccalaureate

ERIC Educational Resources Information Center

Lee, Moosung; Hallinger, Philip; Walker, Allan

2012-01-01

Over the last four decades, International Baccalaureate (IB) schools have become increasingly important in the global market of international education. This is especially evident in Asia Pacific, which has evidenced the fastest growth in IB schools, as well as international schools more generally, across the world over the last decade. Despite…

School Policy in England and the USA: A Review Essay

ERIC Educational Resources Information Center

Wrigley, Terry

2012-01-01

This article presents a review on three books that have been published from positions of considerable authority on educational developments in the USA and England over the past two decades. All of the authors have considerable knowledge, not only of policy making at the top but also of the ways in which this interacts with and impacts upon…

Relative Binding Free Energy Calculations in Drug Discovery: Recent Advances and Practical Considerations.

PubMed

Cournia, Zoe; Allen, Bryce; Sherman, Woody

2017-12-26

Accurate in silico prediction of protein-ligand binding affinities has been a primary objective of structure-based drug design for decades due to the putative value it would bring to the drug discovery process. However, computational methods have historically failed to deliver value in real-world drug discovery applications due to a variety of scientific, technical, and practical challenges. Recently, a family of approaches commonly referred to as relative binding free energy (RBFE) calculations, which rely on physics-based molecular simulations and statistical mechanics, have shown promise in reliably generating accurate predictions in the context of drug discovery projects. This advance arises from accumulating developments in the underlying scientific methods (decades of research on force fields and sampling algorithms) coupled with vast increases in computational resources (graphics processing units and cloud infrastructures). Mounting evidence from retrospective validation studies, blind challenge predictions, and prospective applications suggests that RBFE simulations can now predict the affinity differences for congeneric ligands with sufficient accuracy and throughput to deliver considerable value in hit-to-lead and lead optimization efforts. Here, we present an overview of current RBFE implementations, highlighting recent advances and remaining challenges, along with examples that emphasize practical considerations for obtaining reliable RBFE results. We focus specifically on relative binding free energies because the calculations are less computationally intensive than absolute binding free energy (ABFE) calculations and map directly onto the hit-to-lead and lead optimization processes, where the prediction of relative binding energies between a reference molecule and new ideas (virtual molecules) can be used to prioritize molecules for synthesis. We describe the critical aspects of running RBFE calculations, from both theoretical and applied perspectives, using a combination of retrospective literature examples and prospective studies from drug discovery projects. This work is intended to provide a contemporary overview of the scientific, technical, and practical issues associated with running relative binding free energy simulations, with a focus on real-world drug discovery applications. We offer guidelines for improving the accuracy of RBFE simulations, especially for challenging cases, and emphasize unresolved issues that could be improved by further research in the field.

Role of internal variability in recent decadal to multidecadal tropical Pacific climate changes

NASA Astrophysics Data System (ADS)

Bordbar, Mohammad Hadi; Martin, Thomas; Latif, Mojib; Park, Wonsun

2017-05-01

While the Earth's surface has considerably warmed over the past two decades, the tropical Pacific has featured a cooling of sea surface temperatures in its eastern and central parts, which went along with an unprecedented strengthening of the equatorial trade winds, the surface component of the Pacific Walker Circulation (PWC). Previous studies show that this decadal trend in the trade winds is generally beyond the range of decadal trends simulated by climate models when forced by historical radiative forcing. There is still a debate on the origin of and the potential role that internal variability may have played in the recent decadal surface wind trend. Using a number of long control (unforced) integrations of global climate models and several observational data sets, we address the question as to whether the recent decadal to multidecadal trends are robustly classified as an unusual event or the persistent response to external forcing. The observed trends in the tropical Pacific surface climate are still within the range of the long-term internal variability spanned by the models but represent an extreme realization of this variability. Thus, the recent observed decadal trends in the tropical Pacific, though highly unusual, could be of natural origin. We note that the long-term trends in the selected PWC indices exhibit a large observational uncertainty, even hindering definitive statements about the sign of the trends.