Status of ERA Vehicle System Integration Technology Demonstrators
NASA Technical Reports Server (NTRS)
Flamm, Jeffrey D.; Fernandez, Hamilton; Khorrami, Mehdi; James, Kevin D.; Thomas, Russell
2015-01-01
The Environmentally Responsible Aviation (ERA) Project within the Integrated Systems Research Program (ISRP) of the NASA Aeronautics Research Mission Directorate (ARMD) has the responsibility to explore and document the feasibility, benefits, and technical risk of air vehicle concepts and enabling technologies that will reduce the impact of aviation on the environment. The primary goal of the ERA Project is to select air vehicle concepts and technologies that can simultaneously reduce fuel burn, noise, and emissions. In addition, the ERA Project will identify and mitigate technical risk and transfer knowledge to the aeronautics community at large so that new technologies and vehicle concepts can be incorporated into the future design of aircraft.
NASA Technical Reports Server (NTRS)
Palguta, T.; Bradley, W.; Stockton, T.
1988-01-01
The purpose is to describe the logistics study background and approach to providing estimates of of logistics support requirements for Office of Space Science and Applications' payloads in the Space Station era. A concise summary is given of the study results. Future logistics support analysis tasks are identified.
Enhanced Recovery After Surgery (ERAS®) in Individuals with Diabetes: A Systematic Review.
Albalawi, Zaina; Laffin, Michael; Gramlich, Leah; Senior, Peter; McAlister, Finlay A
2017-08-01
Prevalence of diabetes in surgical patients is 10-40%. It is well recognized that they have higher rates of complications, and longer stays in hospital compared to patients without diabetes. Enhanced recovery after surgery (ERAS) is an evidence-based multimodal surgical care pathway that improves postoperative complications and length of stay in patients without diabetes. This review evaluates the evidence on whether individuals with diabetes would benefit from ERAS implementation. MEDLINE, Cochrane Central Register of Controlled Trials (CENTRAL) and EMBASE searched with no language restrictions applied. Conference proceedings and bibliographies were reviewed. Experts in the field were contacted, and www.clinicaltrials.gov searched for ongoing trials. Randomized controlled trials (RCT) looking at individuals with diabetes undergoing surgery randomized to ERAS ® or conventional care. Non-randomized controlled trials, controlled before-after studies, interrupted time series, and cohort studies with concurrent controls were also considered. Two authors independently screened studies. The electronic search yielded 437 references. After removing duplicates, 376 were screened for eligibility. Conference proceedings and bibliographies identified additional references. Searching www.clinicaltrials.gov yielded 59 references. Contacting experts in the field identified no further studies. Fourteen full articles were assessed and subsequently excluded for the following reasons: used an intervention other than ERAS ® , did not include patients with diabetes, or used an uncontrolled observational design. To date, the effects of ERAS ® on patients with diabetes have not been rigorously evaluated. This review highlights the lack of evidence in this area and provides guidance on design for future studies.
Azhar, Raed A; Bochner, Bernard; Catto, James; Goh, Alvin C; Kelly, John; Patel, Hiten D; Pruthi, Raj S; Thalmann, George N; Desai, Mihir
2016-07-01
Enhanced Recovery after Surgery (ERAS) programs are multimodal care pathways that aim to decrease intra-operative blood loss, decrease postoperative complications, and reduce recovery times. To overview the use and key elements of ERAS pathways, and define needs for future clinical trials. A comprehensive systematic MEDLINE search was performed for English language reports published before May 2015 using the terms "postoperative period," "postoperative care," "enhanced recovery after surgery," "enhanced recovery," "accelerated recovery," "fast track recovery," "recovery program," "recovery pathway", "ERAS," and "urology" or "cystectomy" or "urologic surgery." We identified 18 eligible articles. Patient counseling, physical conditioning, avoiding excessive alcohol and smoking, and good nutrition appeared to protect against postoperative complications. Fasting from solid food for only 6h and perioperative liquid-carbohydrate loading up to 2h prior to surgery appeared to be safe and reduced recovery times. Restricted, balanced, and goal-directed fluid replacement is effective when individualized, depending on patient morbidity and surgical procedure. Decreased intraoperative blood loss may be achieved by several measures. Deep vein thrombosis prophylaxis, antibiotic prophylaxis, and thermoregulation were found to help reduce postsurgical complications, as was a multimodal approach to postoperative nausea, vomiting, and analgesia. Chewing gum, prokinetic agents, oral laxatives, and an early resumption to normal diet appear to aid faster return to normal bowel function. Further studies should compare anesthetic protocols, refine analgesia, and evaluate the importance of robot-assisted surgery and the need/timing for drains and catheters. ERAS regimens are multidisciplinary, multimodal pathways that optimize postoperative recovery. This review provides an overview of the use and key elements of Enhanced Recovery after Surgery programs, which are multimodal, multidisciplinary care pathways that aim to optimize postoperative recovery. Additional conclusions include identifying effective procedures within Enhanced Recovery after Surgery programs and defining needs for future clinical trials. Copyright © 2016 European Association of Urology. Published by Elsevier B.V. All rights reserved.
Emerging interdisciplinary fields in the coming intelligence/convergence era
NASA Astrophysics Data System (ADS)
Noor, Ahmed K.
2012-09-01
Dramatic advances are in the horizon resulting from rapid pace of development of several technologies, including, computing, communication, mobile, robotic, and interactive technologies. These advances, along with the trend towards convergence of traditional engineering disciplines with physical, life and other science disciplines will result in the development of new interdisciplinary fields, as well as in new paradigms for engineering practice in the coming intelligence/convergence era (post-information age). The interdisciplinary fields include Cyber Engineering, Living Systems Engineering, Biomechatronics/Robotics Engineering, Knowledge Engineering, Emergent/Complexity Engineering, and Multiscale Systems engineering. The paper identifies some of the characteristics of the intelligence/convergence era, gives broad definition of convergence, describes some of the emerging interdisciplinary fields, and lists some of the academic and other organizations working in these disciplines. The need is described for establishing a Hierarchical Cyber-Physical Ecosystem for facilitating interdisciplinary collaborations, and accelerating development of skilled workforce in the new fields. The major components of the ecosystem are listed. The new interdisciplinary fields will yield critical advances in engineering practice, and help in addressing future challenges in broad array of sectors, from manufacturing to energy, transportation, climate, and healthcare. They will also enable building large future complex adaptive systems-of-systems, such as intelligent multimodal transportation systems, optimized multi-energy systems, intelligent disaster prevention systems, and smart cities.
Empowerment of Teachers in Implementing Thematic Learning Method
ERIC Educational Resources Information Center
Istiningsih
2017-01-01
The way of looking at something in the present era is different from the past era. In the past era, something is looked at partially. The effect of this situation is harm for the life. At present era and the future, look at something should comprehensively and integral. The profile of human beings who are able to think comprehensively and integral…
Miralpeix, Ester; Nick, Alpa M; Meyer, Larissa A; Cata, Juan; Lasala, Javier; Mena, Gabriel E; Gottumukkala, Vijaya; Iniesta-Donate, Maria; Salvo, Gloria; Ramirez, Pedro T
2016-05-01
Enhanced recovery after surgery (ERAS) programs aim to hasten functional recovery and improve postoperative outcomes. However, there is a paucity of data on ERAS programs in gynecologic surgery. We reviewed the published literature on ERAS programs in colorectal surgery, general gynecologic surgery, and gynecologic oncology surgery to evaluate the impact of such programs on outcomes, and to identify key elements in establishing a successful ERAS program. ERAS programs are associated with shorter length of hospital stay, a reduction in overall health care costs, and improvements in patient satisfaction. We suggest an ERAS program for gynecologic oncology practice involving preoperative, intraoperative, and postoperative strategies including; preadmission counseling, avoidance of preoperative bowel preparation, use of opioid-sparing multimodal perioperative analgesia (including loco-regional analgesia), intraoperative goal-directed fluid therapy (GDT), and use of minimally invasive surgical techniques with avoidance of routine use of nasogastric tube, drains and/or catheters. Postoperatively, it is important to encourage early feeding, early mobilization, timely removal of tubes and drains, if present, and function oriented multimodal analgesia regimens. Successful implementation of an ERAS program requires a multidisciplinary team effort and active participation of the patient in their goal-oriented functional recovery program. However, future outcome studies should evaluate the efficacy of an intervention within the pathway, include objective measures of symptom burden and control, study measures of functional recovery, and quantify outcomes of the program in relation to the rates of adherence to the key elements of care in gynecologic oncology such as oncologic outcomes and return to intended oncologic therapy (RIOT). Copyright © 2016 Elsevier Inc. All rights reserved.
Objectively classifying Southern Hemisphere extratropical cyclones
NASA Astrophysics Data System (ADS)
Catto, Jennifer
2016-04-01
There has been a long tradition in attempting to separate extratropical cyclones into different classes depending on their cloud signatures, airflows, synoptic precursors, or upper-level flow features. Depending on these features, the cyclones may have different impacts, for example in their precipitation intensity. It is important, therefore, to understand how the distribution of different cyclone classes may change in the future. Many of the previous classifications have been performed manually. In order to be able to evaluate climate models and understand how extratropical cyclones might change in the future, we need to be able to use an automated method to classify cyclones. Extratropical cyclones have been identified in the Southern Hemisphere from the ERA-Interim reanalysis dataset with a commonly used identification and tracking algorithm that employs 850 hPa relative vorticity. A clustering method applied to large-scale fields from ERA-Interim at the time of cyclone genesis (when the cyclone is first detected), has been used to objectively classify identified cyclones. The results are compared to the manual classification of Sinclair and Revell (2000) and the four objectively identified classes shown in this presentation are found to match well. The relative importance of diabatic heating in the clusters is investigated, as well as the differing precipitation characteristics. The success of the objective classification shows its utility in climate model evaluation and climate change studies.
The Promissory Future(s) of Education: Rethinking Scientific Literacy in the Era of Biocapitalism
ERIC Educational Resources Information Center
Pierce, Clayton
2012-01-01
This article investigates the biopolitical dimensions that have grown out of the union between biocapitalism and current science education reform in the US. Drawing on science and technology study theorists, I utilize the analytics of promissory valuation and salvationary discourses to understand how scientific literacy in the neo-Sputnik era has…
A Robust Framework for Microbial Archaeology
Warinner, Christina; Herbig, Alexander; Mann, Allison; Yates, James A. Fellows; Weiβ, Clemens L.; Burbano, Hernán A.; Orlando, Ludovic; Krause, Johannes
2017-01-01
Microbial archaeology is flourishing in the era of high-throughput sequencing, revealing the agents behind devastating historical plagues, identifying the cryptic movements of pathogens in prehistory, and reconstructing the ancestral microbiota of humans. Here, we introduce the fundamental concepts and theoretical framework of the discipline, then discuss applied methodologies for pathogen identification and microbiome characterization from archaeological samples. We give special attention to the process of identifying, validating, and authenticating ancient microbes using high-throughput DNA sequencing data. Finally, we outline standards and precautions to guide future research in the field. PMID:28460196
Research in Adult Education and Lifelong Learning in the Era of CONFINTEA VI
ERIC Educational Resources Information Center
Preece, Julia
2011-01-01
The aim of this paper is to reflect on past discussions in order to see how far we have travelled in terms of research over the past 12 years, identify some of the continuities and look at the significance of some of the changes that have taken place in order to inform our agenda for the future. This paper starts with some conceptual definitions…
Comorbidities associated with HIV and antiretroviral therapy (clinical sciences): a workshop report.
Vernon, L T; Jayashantha, Plp; Chidzonga, M M; Komesu, M C; Nair, R G; Johnson, N W
2016-04-01
In the era of combination antiretroviral therapy (ART), parsing out the effects of HIV vs ART on health outcomes is challenging. Nadir CD4 count, a marker of the extent of immunosuppression, has significant long-term impact on an array of disease states in HIV+ persons; however, in the dental literature, reporting of pre-ART exposure to immunosuppression has largely been ignored and this limits the validity of previous studies. In Workshop A1, we explain fully the importance of nadir CD4, pre-ART immunosuppression, and identify a need to include specific variables in future research. The questions posed herein are challenging, typically not neatly addressed by any one study and require integration of the latest evidence from the wider medical literature. We consider topics beyond the confines of the oral cavity and examine oral health in the complex context of ART era HIV immunopathophysiology. We depict how variability in geographic setting and time period (pre- and post-ART era) can impact oral conditions - influencing when HIV infection was detected (at what CD4 count), the type and timing of ART as well as social determinants such as strong stigma and limited access to care. We hope our Workshop will stir debate and energize a rigorous focus on relevant areas of future research in HIV/AIDS. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Astronaut medical selection during the shuttle era: 1981-2011.
Johnston, Smith L; Blue, Rebecca S; Jennings, Richard T; Tarver, William J; Gray, Gary W
2014-08-01
U.S. astronauts undergo extensive job-related screening and medical examinations prior to selection in order to identify candidates optimally suited for careers in spaceflight. Screening medical standards evolved over many years and after extensive spaceflight experience. These standards assess health-related risks for each astronaut candidate, minimizing the potential for medical impact on future mission success. This document discusses the evolution of the Shuttle-era medical selection standards and the most common reasons for medical dis-qualification of applicants. Data for astronaut candidate finalists were compiled from medical records and NASA archives from the period of 1978 to 2004 and were retrospectively reviewed for medically disqualifying conditions. During Shuttle selection cycles, a total of 372 applicants were disqualified due to 425 medical concerns. The most common disqualifying conditions included visual, cardiovascular, psychiatric, and behavioral disorders. During this time period, three major expert panel reviews resulted in refinements and alterations to selection standards for future cycles. Shuttle-era screening, testing, and specialist evaluations evolved through periodic expert reviews, evidence-based medicine, and astronaut medical care experience. The Shuttle medical program contributed to the development and implementation of NASA and international standards, longitudinal data collection, improved medical care, and occupational surveillance models. The lessons learned from the Shuttle program serve as the basis for medical selection for the ISS, exploration-class missions, and for those expected to participate in commercial spaceflight.
Castel, Alan D.; McGillivray, Shannon; Worden, Kendell M.
2014-01-01
Older adults typically display various associative memory deficits, but these deficits can be reduced when conditions allow for the use of prior knowledge or schematic support. To determine how era-specific schematic support and future simulation might influence associative memory, we examined how younger and older adults remember prices from the past as well as the future. Younger and older adults were asked to imagine the past or future, and then studied items and prices from approximately 40 years ago (market value prices from the 1970s) or 40 years in the future. In Experiment 1, all items were common items (e.g., movie ticket, coffee) and the associated prices reflected the era in question, whereas in Experiment 2, some item-price pairs were specific to the time period (e.g., typewriter, robot maid), to test different degrees of schematic support. After studying the pairs, participants were shown each item and asked to recall the associated price. In both experiments, older adults showed similar performance as younger adults in the past condition for the common items, whereas age-related differences were greater in the future condition and for the era-specific items. The findings suggest that in order for schematic support to be effective, recent (and not simply remote) experience is needed in order to enhance memory. Thus, whereas older adults can benefit from “turning back the clock,” younger adults better remember future-oriented information compared with older adults, outlining age-related similarities and differences in associative memory and the efficient use of past and future-based schematic support. PMID:24128073
Castel, Alan D; McGillivray, Shannon; Worden, Kendell M
2013-12-01
Older adults typically display various associative memory deficits, but these deficits can be reduced when conditions allow for the use of prior knowledge or schematic support. To determine how era-specific schematic support and future simulation might influence associative memory, we examined how younger and older adults remember prices from the past as well as the future. Younger and older adults were asked to imagine the past or future, and then studied items and prices from approximately 40 years ago (market value prices from the 1970s) or 40 years in the future. In Experiment 1, all items were common items (e.g., movie ticket, coffee) and the associated prices reflected the era in question, whereas in Experiment 2, some item-price pairs were specific to the time period (e.g., typewriter, robot maid), to test different degrees of schematic support. After studying the pairs, participants were shown each item and asked to recall the associated price. In both experiments, older adults showed similar performance as younger adults in the past condition for the common items, whereas age-related differences were greater in the future condition and for the era-specific items. The findings suggest that in order for schematic support to be effective, recent (and not simply remote) experience is needed in order to enhance memory. Thus, whereas older adults can benefit from "turning back the clock," younger adults better remember future-oriented information compared with older adults, outlining age-related similarities and differences in associative memory and the efficient use of past and future-based schematic support. PsycINFO Database Record (c) 2013 APA, all rights reserved.
The potential for a new era of supersonic and hypersonic aviation
NASA Technical Reports Server (NTRS)
Harris, Roy V.
1990-01-01
A new era of supersonic and hypersonic aviation is envisioned. The potential for supersonic and hypersonic flight vehicles in this new era is analyzed. Technology challenges that must be met in order to bring in this new era of flight are discussed. The current technical status and future potential are cited in the areas of aerodynamics, propulsion, and structural materials. A next major step in the development of high-speed air transportation is suggested.
Carstens, Keri; Anderson, Jennifer; Bachman, Pamela; De Schrijver, Adinda; Dively, Galen; Federici, Brian; Hamer, Mick; Gielkens, Marco; Jensen, Peter; Lamp, William; Rauschen, Stefan; Ridley, Geoff; Romeis, Jörg; Waggoner, Annabel
2012-08-01
Environmental risk assessments (ERA) support regulatory decisions for the commercial cultivation of genetically modified (GM) crops. The ERA for terrestrial agroecosystems is well-developed, whereas guidance for ERA of GM crops in aquatic ecosystems is not as well-defined. The purpose of this document is to demonstrate how comprehensive problem formulation can be used to develop a conceptual model and to identify potential exposure pathways, using Bacillus thuringiensis (Bt) maize as a case study. Within problem formulation, the insecticidal trait, the crop, the receiving environment, and protection goals were characterized, and a conceptual model was developed to identify routes through which aquatic organisms may be exposed to insecticidal proteins in maize tissue. Following a tiered approach for exposure assessment, worst-case exposures were estimated using standardized models, and factors mitigating exposure were described. Based on exposure estimates, shredders were identified as the functional group most likely to be exposed to insecticidal proteins. However, even using worst-case assumptions, the exposure of shredders to Bt maize was low and studies supporting the current risk assessments were deemed adequate. Determining if early tier toxicity studies are necessary to inform the risk assessment for a specific GM crop should be done on a case by case basis, and should be guided by thorough problem formulation and exposure assessment. The processes used to develop the Bt maize case study are intended to serve as a model for performing risk assessments on future traits and crops.
[Public health conceptual models and paradigms].
Hernández-Girón, Carlos; Orozco-Núñez, Emanuel; Arredondo-López, Armando
2012-01-01
The epidemiological transition model proposed by Omhran at the beginning of the 1970s (decreased fecundity rate and increased life expectancy), together with modifications in lifestyles and diet, showed increased mortality due to chronically degenerative causes. This essay thus discusses and makes a comparative analysis of some currents of thought, taking as its common thread an analysis of epidemiological change identified in different eras or stages and relationships with some public health models or conceptual frameworks. Discussing public health paradigms leads to a historical recapitulation of conceptual models ranging from magical-religious conceptions to ecological and socio-medical models. M. Susser proposed 3 eras in this discipline's evolution in his speech on the future of the epidemiology. The epidemiological changes analysed through different approaches constitute elements of analysis that all models discussed in this essay include to delimit the contributions and variables so determining them.
Commentary: Epidemiology in the era of big data.
Mooney, Stephen J; Westreich, Daniel J; El-Sayed, Abdulrahman M
2015-05-01
Big Data has increasingly been promoted as a revolutionary development in the future of science, including epidemiology. However, the definition and implications of Big Data for epidemiology remain unclear. We here provide a working definition of Big Data predicated on the so-called "three V's": variety, volume, and velocity. From this definition, we argue that Big Data has evolutionary and revolutionary implications for identifying and intervening on the determinants of population health. We suggest that as more sources of diverse data become publicly available, the ability to combine and refine these data to yield valid answers to epidemiologic questions will be invaluable. We conclude that while epidemiology as practiced today will continue to be practiced in the Big Data future, a component of our field's future value lies in integrating subject matter knowledge with increased technical savvy. Our training programs and our visions for future public health interventions should reflect this future.
Epidemiology in the Era of Big Data
Mooney, Stephen J; Westreich, Daniel J; El-Sayed, Abdulrahman M
2015-01-01
Big Data has increasingly been promoted as a revolutionary development in the future of science, including epidemiology. However, the definition and implications of Big Data for epidemiology remain unclear. We here provide a working definition of Big Data predicated on the so-called ‘3 Vs’: variety, volume, and velocity. From this definition, we argue that Big Data has evolutionary and revolutionary implications for identifying and intervening on the determinants of population health. We suggest that as more sources of diverse data become publicly available, the ability to combine and refine these data to yield valid answers to epidemiologic questions will be invaluable. We conclude that, while epidemiology as practiced today will continue to be practiced in the Big Data future, a component of our field’s future value lies in integrating subject matter knowledge with increased technical savvy. Our training programs and our visions for future public health interventions should reflect this future. PMID:25756221
NASA Astrophysics Data System (ADS)
Noor, Ahmed K.
2013-12-01
Some of the recent attempts for improving and transforming engineering education are reviewed. The attempts aim at providing the entry level engineers with the skills needed to address the challenges of future large-scale complex systems and projects. Some of the frontier sectors and future challenges for engineers are outlined. The major characteristics of the coming intelligence convergence era (the post-information age) are identified. These include the prevalence of smart devices and environments, the widespread applications of anticipatory computing and predictive / prescriptive analytics, as well as a symbiotic relationship between humans and machines. Devices and machines will be able to learn from, and with, humans in a natural collaborative way. The recent game changers in learnscapes (learning paradigms, technologies, platforms, spaces, and environments) that can significantly impact engineering education in the coming era are identified. Among these are open educational resources, knowledge-rich classrooms, immersive interactive 3D learning, augmented reality, reverse instruction / flipped classroom, gamification, robots in the classroom, and adaptive personalized learning. Significant transformative changes in, and mass customization of, learning are envisioned to emerge from the synergistic combination of the game changers and other technologies. The realization of the aforementioned vision requires the development of a new multidisciplinary framework of emergent engineering for relating innovation, complexity and cybernetics, within the future learning environments. The framework can be used to treat engineering education as a complex adaptive system, with dynamically interacting and communicating components (instructors, individual, small, and large groups of learners). The emergent behavior resulting from the interactions can produce progressively better, and continuously improving, learning environment. As a first step towards the realization of the vision, intelligent adaptive cyber-physical ecosystems need to be developed to facilitate collaboration between the various stakeholders of engineering education, and to accelerate the development of a skilled engineering workforce. The major components of the ecosystems include integrated knowledge discovery and exploitation facilities, blended learning and research spaces, novel ultra-intelligent software agents, multimodal and autonomous interfaces, and networked cognitive and tele-presence robots.
AFC-Enabled Simplified High-Lift System Integration Study
NASA Technical Reports Server (NTRS)
Hartwich, Peter M.; Dickey, Eric D.; Sclafani, Anthony J.; Camacho, Peter; Gonzales, Antonio B.; Lawson, Edward L.; Mairs, Ron Y.; Shmilovich, Arvin
2014-01-01
The primary objective of this trade study report is to explore the potential of using Active Flow Control (AFC) for achieving lighter and mechanically simpler high-lift systems for transonic commercial transport aircraft. This assessment was conducted in four steps. First, based on the Common Research Model (CRM) outer mold line (OML) definition, two high-lift concepts were developed. One concept, representative of current production-type commercial transonic transports, features leading edge slats and slotted trailing edge flaps with Fowler motion. The other CRM-based design relies on drooped leading edges and simply hinged trailing edge flaps for high-lift generation. The relative high-lift performance of these two high-lift CRM variants is established using Computational Fluid Dynamics (CFD) solutions to the Reynolds-Averaged Navier-Stokes (RANS) equations for steady flow. These CFD assessments identify the high-lift performance that needs to be recovered through AFC to have the CRM variant with the lighter and mechanically simpler high-lift system match the performance of the conventional high-lift system. Conceptual design integration studies for the AFC-enhanced high-lift systems were conducted with a NASA Environmentally Responsible Aircraft (ERA) reference configuration, the so-called ERA-0003 concept. These design trades identify AFC performance targets that need to be met to produce economically feasible ERA-0003-like concepts with lighter and mechanically simpler high-lift designs that match the performance of conventional high-lift systems. Finally, technical challenges are identified associated with the application of AFC-enabled highlift systems to modern transonic commercial transports for future technology maturation efforts.
Pearsall, Emily A; Meghji, Zahida; Pitzul, Kristen B; Aarts, Mary-Anne; McKenzie, Marg; McLeod, Robin S; Okrainec, Allan
2015-01-01
Explore the barriers and enablers to adoption of an Enhanced Recovery after Surgery (ERAS) program by the multidisciplinary perioperative team responsible for the care of elective colorectal surgical patients. ERAS programs include perioperative interventions that when used together have led to decreased length of stay while increasing patient recovery and satisfaction. Despite the known benefits of ERAS programs, uptake remains slow. Semistructured interviews were conducted with general surgeons, anesthesiologists, and ward nurses at 7 University of Toronto-affiliated hospitals to identify potential barriers and enablers to adoption of 18 ERAS interventions. Grounded theory was used to thematically analyze the transcribed interviews. Nineteen general surgeons, 18 anesthesiologists, and 18 nurses participated. The mean time of each interview was 18 minutes. Lack of manpower, poor communication and collaboration, resistance to change, and patient factors were cited by most as barriers. Discipline-specific issues were identified although most related to resistance to change. Overall, interviewees were supportive of implementation of a standardized ERAS program and agreed that a standardized guideline based on best evidence; standardized order sets; and education of the staff, patients, and families are essential. Multidisciplinary perioperative staff supported the implementation of an ERAS program at the University of Toronto-affiliated hospitals. However, major barriers were identified, including the need for patient education, increased communication and collaboration, and better evidence for ERAS interventions. Identifying these barriers and enablers is the first step toward successfully implementing an ERAS program.
Rigid body mode identification of the PAH-2 helicopter using the eigensystem realization algorithm
NASA Technical Reports Server (NTRS)
Schenk, Axel; Pappa, Richard S.
1992-01-01
The rigid body modes of the PAH-2 'Tiger' helicopter were identified using the Eigensystem Realization Algorithm (ERA). This work complements ground vibration tests performed using DLR's traditional phase resonance technique and the ISSPA (Identification of Structural System Parameters) method. Rigid body modal parameters are important for ground resonance prediction. Time-domain data for ERA were obtained by inverse Fourier transformation of frequency response functions measured with stepped-sine excitation. Mode purity (based on the Phase Resonance Criterion) was generally equal to or greater than corresponding results obtained in the ground vibration tests. All identified natural frequencies and mode shapes correlate well with corresponding ground vibration test results. The modal identification approach discussed in this report has become increasingly attractive in recent years due to the steadily declining cost and increased performance of scientific computers. As illustrated in this application, modern time-domain methods can be successfully applied to data acquired using DLR's existing test equipment. Some suggestions are made for future applications of time domain modal identification in this manner.
Why decision support systems are important for medical education.
Konstantinidis, Stathis Th; Bamidis, Panagiotis D
2016-03-01
During the last decades, the inclusion of digital tools in health education has rapidly lead to a continuously enlarging digital era. All the online interactions between learners and tutors, the description, creation, reuse and sharing of educational digital resources and the interlinkage between them in conjunction with cheap storage technology has led to an enormous amount of educational data. Medical education is a unique type of education due to accuracy of information needed, continuous changing competences required and alternative methods of education used. Nowadays medical education standards provide the ground for organising the educational data and the paradata. Analysis of such education data through education data mining techniques is in its infancy, but decision support systems (DSSs) for medical education need further research. To the best of our knowledge, there is a gap and a clear need for identifying the challenges for DSSs in medical education in the era of medical education standards. Thus, in this Letter the role and the attributes of such a DSS for medical education are delineated and the challenges and vision for future actions are identified.
Enhanced recovery after surgery in children: Promising, evidence-based multidisciplinary care.
Rove, Kyle O; Edney, John C; Brockel, Megan A
2018-06-01
Enhanced recovery after surgery (ERAS) is a multimodal approach to the care of the surgical patient focused on reducing the stress response and associated physiologic changes that accompany surgery. Over the past 20 years, ERAS programs have been found to result in reduced LOS and complications in adult patients. Despite abundant adult literature describing implementation and outcomes of enhanced recovery programs, pediatric data in this area is sparse. This educational review describes the history and elements of ERAS protocols, reviews the available evidence in adult and pediatric populations, compares and contrasts ERAS with the PSH, and offers strategies for implementation and ideas for future directions of ERAS in children. © 2018 John Wiley & Sons Ltd.
Vocational Education in Corrections. Information Series No. 237.
ERIC Educational Resources Information Center
Day, Sherman R.; McCane, Mel R.
Vocational education programs in America's correctional institutions have been financially handicapped, since security demands the greatest portion of resource allocations. Four eras in the development of the correctional system are generally identified: era of punishment and retribution, era of restraint or reform, era of rehabilitation and…
Expectations Regarding Aging, Physical Activity, and Physical Function in Older Adults
Breda, Aili I.; Watts, Amber S.
2017-01-01
Objective: The present study examined how expectations regarding aging (ERA) influence physical activity participation and physical function. Method: We surveyed 148 older adults about their ERA (ERA-38), health-promoting lifestyles (HPLP-II), and self-rated health (RAND-36). We tested the mediating effect of physical activity on the relationships between ERA and physical function. Results: Positive expectations were associated with more engagement in physical activity (B = 0.016, p < .05) and better physical function (B = 0.521, p < .01). Physical activity mediated the relationship between ERA and physical function (B = 5.890, p < .01, indirect effect 0.092, CI = [0.015, 0.239]). Discussion: ERA play an important role in adoption of physically active lifestyles in older adults and may influence health outcomes, such as physical function. Future research should evaluate whether attempts to increase physical activity are more successful when modifications to ERA are also targeted. PMID:28491915
Minimal residual disease in chronic lymphocytic leukaemia.
García Vela, José Antonio; García Marco, José Antonio
2018-02-23
Minimal residual disease (MRD) assessment is an important endpoint in the treatment of chronic lymphocytic leukaemia (CLL). It is highly predictive of prolonged progression-free survival (PFS) and overall survival and could be considered a surrogate for PFS in the context of chemoimmunotherapy based treatment. Evaluation of MRD level by flow cytometry or molecular techniques in the era of the new BCR and Bcl-2 targeted inhibitors could identify the most cost-effective and durable treatment sequencing. A therapeutic approach guided by the level of MRD might also determine which patients would benefit from an early stop or consolidation therapy. In this review, we discuss the different MRD methods of analysis, which source of tumour samples must be analysed, the future role of the detection of circulating tumour DNA, and the potential role of MRD negativity in clinical practice in the modern era of CLL therapy. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.
Caldwell, Daniel J; Mastrocco, Frank; Margiotta-Casaluci, Luigi; Brooks, Bryan W
2014-11-01
Numerous active pharmaceutical ingredients (APIs), approved prior to enactment of detailed environmental risk assessment (ERA) guidance in the EU in 2006, have been detected in surface waters as a result of advancements in analytical technologies. Without adequate knowledge of the potential hazards these APIs may pose, assessing their environmental risk is challenging. As it would be impractical to commence hazard characterization and ERA en masse, several approaches to prioritizing substances for further attention have been published. Here, through the combination of three presentations given at a recent conference, "Pharmaceuticals in the Environment, Is there a problem?" (Nîmes, France, June 2013) we review several of these approaches, identify salient components, and present available techniques and tools that could facilitate a pragmatic, scientifically sound approach to prioritizing APIs for advanced study or ERA and, where warranted, fill critical data gaps through targeted, intelligent testing. We further present a modest proposal to facilitate future prioritization efforts and advanced research studies that incorporates mammalian pharmacology data (e.g., adverse outcomes pathways and the fish plasma model) and modeled exposure data based on pharmaceutical use. Copyright © 2014 Elsevier Ltd. All rights reserved.
Autonomy of nurse practitioners in primary care: An integrative review.
Choi, Min; De Gagne, Jennie C
2016-03-01
This integrative review of the existing literature was conducted to identify dimensions related to nurse practitioner (NP) autonomy and to recommend future areas of research related to the important topic of NP autonomy in this era of cost-conscious healthcare reform. Articles were identified from the following databases: CINAHL, MEDLINE, PubMed, Ovid, Scopus, Google Scholar, and EBSCO. Over 24 articles were found; 12 peer-reviewed articles met the inclusion criteria of research conducted with NPs, physicians, and patients. The results revealed three categories of association with regard to NP autonomy: job satisfaction, patient satisfaction, and physician-NP collaboration. This review was undertaken to advance understanding of autonomy among NPs and the dynamics involved in their delivery of care. Further research into the associations between NP autonomy and its dimensions are necessary to indicate a future direction to the NP role. ©2015 American Association of Nurse Practitioners.
Kerr, Zachary Y; Miller, Katye R; Galos, Dylan; Love, Randi; Poole, Charles
2013-02-01
Qualitative research methods have been utilized to study the nature of work in the HIV services field. Yet current literature lacks a Highly Active Anti-Retroviral Treatment (HAART) era compendium of qualitative research studying challenges and coping strategies in the field. This study systematically reviewed challenges and coping strategies that qualitative researchers observed in the HIV services field during the HAART era, and their recommendations to organizations. Four online databases were searched for peer-reviewed research that utilized qualitative methods, were published from January 1998 to February 2012, utilized samples of individuals in the HIV services field; occurred in the U.S. or Canada, and contained information related to challenges and/or coping strategies. Abstracts were identified (n=846) and independently read and coded for inclusion by at least two of the four first authors. Identified articles (n=26) were independently read by at least two of the four first authors who recorded the study methodology, participant demographics, challenges and coping strategies, and recommendations. A number of challenges affecting those in the HIV services field were noted, particularly interpersonal and organizational issues. Coping strategies were problem- and emotion-focused. Summarized research recommendations called for increased support, capacity-building, and structural changes. Future research on challenges and coping strategies must provide up-to-date information to the HIV services field while creating, implementing, and evaluating interventions to manage current challenges and reduce the risk of burnout.
NASA Astrophysics Data System (ADS)
Liuzzo, L.; Simon, S.; Feyerabend, M.; Motschmann, U. M.
2017-12-01
We apply data analysis techniques and hybrid modeling to study Callisto's interaction with Jupiter's magnetosphere. Magnetometer data from the C3 and C9 Galileo flybys had been explained with a pure induction model, as the plasma interaction was weak. We expand this analysis to include the remaining five flybys (C10, C21, C22, C23, C30) where the plasma interaction was non-negligible. We therefore consider contributions to Callisto's magnetic environment generated by induction as well as the plasma interaction. We have identified a quasi-dipolar "core region" near Callisto's wakeside surface, dominated by induction and partially shielded from the plasma interaction. Outside of this region, Callisto's magnetic environment is characterized by field line draping. Future flybys during the upcoming JUICE mission may sample the wakeside "core region" to better constrain the conductivity, thickness, and depth of Callisto's subsurface ocean. Our analysis also shows that even during a single flyby, various non-stationarities in the upstream environment may be present near Callisto, which may partially obscure the magnetic signature of the moon's subsurface ocean. Overall, our study provides a complete three-dimensional picture of Callisto's magnetic environment during the Galileo era, based on all available magnetometer data from the Galileo flybys. We apply our understanding to the future JUICE flybys of Callisto to determine which encounters will be best to identify Callisto's inductive response in magnetometer data.
[Smart, Social, and Mobile: the future of Nephrology in the Era of Digital Health].
Iannuzzella, Francesco; Murtas, Corrado; Bertolini, Riccardo; Corradini, Mattia; Pasquali, Sonia
2016-01-01
Healthcare is in the middle of a digital revolution. Physicians are adopting mobile apps that make them more effective and patients are taking to ones that give them more control over their healthcare. Mobile technology is changing Medicine. A new movement for free open access medical education (FOAMed) is growing through Social Media. E-learning is increasing access to new and exciting learning opportunities, deeply changing the traditional concept of continuous medical education. What will be the future of Nephrology in the era of Digital Health?
Long Term Perspective On Interstellar Flight
NASA Astrophysics Data System (ADS)
Millis, M. G.
2017-12-01
The process and interim findings of a broad interstellar flight assessment is presented. In contrast to precursor mission studies, this assessment takes a longer view and also considers factors that have been underrepresented in prior studies. The goal is to chart a conceptual roadmap for interstellar flight development that takes all the factors into account and ultimately identifies which research options, today, might have the greatest overall impact on future progress. Three envisioned flight eras are examined, the "era of precursors," the "era of infrastructure," and the "unforeseeable future." Several influential factors have typically been missing from prior studies that will now be assessed; a) the impact of different, often implicit, motivations, b) the interdependency of infrastructure with vehicle design, c) the pace of different developments, and d) the enormous energy required for any interstellar mission. Regarding motivations for example, if the driving motivation is to launch soon, then the emphasis is on existing technologies. In contrast, if the motivation is the survival of humanity, then the emphasis would be on 'world ships.' Infrastructure considerations are included in a broader system-level context. Future infrastructure will support multiple in-space activities, not just one mission-vehicle development. Though it may be too difficult to successfully assess, the study will attempt to compare the rates of different developments, such as the pace of Earth-based astronomy, miniaturization, artificial intelligence, infrastructure development, transhumanism, and others. For example, what new information could be acquired after 30 years of further advances in astronomy compared to a space probe with current technology and a 30 year flight time? The final factor of the study is to assess the pace and risks of the enormous energy levels required for interstellar flight. To compare disparate methods, a set of 'meta measures' will be defined and calculated for all the different approaches. For example, rather than comparing performance in terms of rocket specific impulse or sail reflectivity, more general measures like mass, energy, power, time, and efficiency will be used.
Progress towards autonomous, intelligent systems
NASA Technical Reports Server (NTRS)
Lum, Henry; Heer, Ewald
1987-01-01
An aggressive program has been initiated to develop, integrate, and implement autonomous systems technologies starting with today's expert systems and evolving to autonomous, intelligent systems by the end of the 1990s. This program includes core technology developments and demonstration projects for technology evaluation and validation. This paper discusses key operational frameworks in the content of systems autonomy applications and then identifies major technological challenges, primarily in artificial intelligence areas. Program content and progress made towards critical technologies and demonstrations that have been initiated to achieve the required future capabilities in the year 2000 era are discussed.
The Development of Enhanced Recovery After Surgery Across Surgical Specialties.
Senturk, James C; Kristo, Gentian; Gold, Jason; Bleday, Ronald; Whang, Edward
2017-09-01
Enhanced recovery after surgery (ERAS ® ) principles have gained traction in variety of surgical disciplines. The promise of a reduced length of stay without compromising patient safety or increasing readmission rates has produced a body of literature examining the implementation of ERAS in the care of general, thoracic, urologic, and gynecologic surgery patients. We performed a review of the literature pertaining to studies of ERAS implementation across colorectal surgery, general surgery, thoracic surgery, urology, and gynecology. The extent of ERAS implementation and reported outcomes across key studies as well as systematic reviews and meta-analyses in each field were summarized. The implementation of ERAS protocols has not been uniform across surgical specialties. Despite this, ERAS has produced improvements in patient outcomes. The most commonly described benefit of ERAS application has been reduced length of stay; complication and readmission rates are most consistently decreased in the colorectal literature. Studies have started to measure more nuanced measures of postoperative patient well-being. Efforts are growing to standardize ERAS protocols across diverse fields and call attention to the need for quality control. Challenges remain in the study and execution of ERAS. Controlling for adherence to ERAS components and implementing uniform ERAS protocols across studies are burgeoning topics that have significant implications for study design. The practice of ERAS and its benefits to patients are expected to evolve. Assessing improvements in postdischarge quality of life, timing of return to work and independent living, and adherence to scheduled delivery of adjuvant treatments will strengthen future ERAS investigations.
Facing Our Energy Challenges in a New Era of Science (2011 EFRC Forum)
Dehmer, Patricia M.
2018-04-26
Patricia Dehmer, Deputy Director for Science Programs at DOE, opened the May 26, 2011 EFRC Forum session, 'Global Perspectives on Frontiers in Energy Research,' with the talk, 'Facing Our Energy Challenges in a New Era of Science.' In her presentation, Dr. Dehmer gave a tutorial on the energy challenges facing our Nation and showed how the DOE research portfolio addresses those issues. The 2011 EFRC Summit and Forum brought together the EFRC community and science and policy leaders from universities, national laboratories, industry and government to discuss 'Science for our Nation's Energy Future.' In August 2009, the Office of Science established 46 Energy Frontier Research Centers. The EFRCs are collaborative research efforts intended to accelerate high-risk, high-reward fundamental research, the scientific basis for transformative energy technologies of the future. These Centers involve universities, national laboratories, nonprofit organizations, and for-profit firms, singly or in partnerships, selected by scientific peer review. They are funded at $2 to $5 million per year for a total planned DOE commitment of $777 million over the initial five-year award period, pending Congressional appropriations. These integrated, multi-investigator Centers are conducting fundamental research focusing on one or more of several 'grand challenges' and use-inspired 'basic research needs' recently identified in major strategic planning efforts by the scientific community. The purpose of the EFRCs is to integrate the talents and expertise of leading scientists in a setting designed to accelerate research that transforms the future of energy and the environment.
2013-01-01
Over the past two decades, 12 large epidemiologic studies and 2 registries have focused on U.S. veterans of the 1990–1991 Gulf War Era. We conducted a review of these studies’ research tools to identify existing gaps and overlaps of efforts to date, and to advance development of the next generation of Gulf War Era survey tools. Overall, we found that many of the studies used similar instruments. Questions regarding exposures were more similar across studies than other domains, while neurocognitive and psychological tools were the most variable. Many studies focused on self-reported survey results, with a range of validation practices. However, physical exams, biomedical assessments, and specimen storage were not common. This review suggests that while research may be able to pool data from past surveys, future surveys need to consider how their design can yield data comparable with previous surveys. Additionally, data that incorporate recent technologies in specimen and genetic analyses would greatly enhance such survey data. When combined with existing data on deployment-related exposures and post-deployment health conditions, longitudinal follow-up of existing studies within this collaborative framework could represent an important step toward improving the health of veterans. PMID:23302181
Energy: Education and Industry Changes for a New Era Utilization System Modifications.
ERIC Educational Resources Information Center
Dille, Earl K.; Dreifke, Gerald E.
This paper provides data and opinions on long- and short-term challenges and changes required to meet the human resource and educational needs in a nuclear electric era as seen from a utility company's point of view. In particular, statements on engineering education curriculum, statistics on certain future manpower requirements, electric utility…
The changing characteristics of hepatocellular cancer in Hawaii over time.
Wong, Linda L; Ogihara, Makoto; Ji, Junfang; Tsai, Naoky
2015-07-01
The incidence of hepatocellular cancer (HCC) is increasing, and we sought to characterize the differences and trends in HCC over 2 decades in Hawaii. This retrospective study of 821 HCC cases analyzed risk factors, diabetes, alpha-fetoprotein (AFP), tumor characteristics, and treatment, comparing 5-year eras (1993 to 2012). With succeeding eras, there were fewer Asians, immigrants, and hepatitis B-related HCC. Hepatitis C, diabetes, hyperlipidemia, and body mass index have increased. Over time, more patients had normal AFP, and normal AFP was seen more often in nonviral HCC (49.6% vs 33.2%, P = .007). Over time, the proportion of patients who underwent resection or transplant was stable, but fewer patients underwent no therapy. Characteristics of HCC are changing, and diagnosis may be more difficult as metabolic factors are becoming more important than viral factors. AFP seems to be a less important biomarker, and clearly, better diagnostic tools will be necessary to identify HCC in the future. Copyright © 2015 Elsevier Inc. All rights reserved.
ERIC Educational Resources Information Center
Hesselbein, Frances, Ed.; And Others
The 31 papers in this volume address the requirements and qualities of leadership and leaders in the organization of the future. Papers are grouped into the following categories: Leading the Organization of the Future, Future Leaders in Action, Learning to Lead for Tomorrow, and Executives on the Future of Leadership. Some of the papers included…
Telescience Testbed Pilot Program
NASA Technical Reports Server (NTRS)
Gallagher, Maria L. (Editor); Leiner, Barry M. (Editor)
1988-01-01
The Telescience Testbed Pilot Program (TTPP) is intended to develop initial recommendations for requirements and design approaches for the information system of the Space Station era. Multiple scientific experiments are being performed, each exploring advanced technologies and technical approaches and each emulating some aspect of Space Station era science. The aggregate results of the program will serve to guide the development of future NASA information systems.
The Cogs Are Coming: The Cognitive Augmentation Revolution
ERIC Educational Resources Information Center
Fulbright, Ron
2016-01-01
We are at the beginning of a new era in human history--the cognitive augmentation era. Until now, humans have had to do all of the thinking. The future will make it possible for humans to partner with cognitive systems doing some of the thinking themselves and in many ways thinking that is superior to humans. Together, humans and "cogs"…
Science, technology and the future of small autonomous drones.
Floreano, Dario; Wood, Robert J
2015-05-28
We are witnessing the advent of a new era of robots - drones - that can autonomously fly in natural and man-made environments. These robots, often associated with defence applications, could have a major impact on civilian tasks, including transportation, communication, agriculture, disaster mitigation and environment preservation. Autonomous flight in confined spaces presents great scientific and technical challenges owing to the energetic cost of staying airborne and to the perceptual intelligence required to negotiate complex environments. We identify scientific and technological advances that are expected to translate, within appropriate regulatory frameworks, into pervasive use of autonomous drones for civilian applications.
Virtopsy: An integration of forensic science and imageology
Joseph, T. Isaac; Girish, K. L.; Sathyan, Pradeesh; Kiran, M. Shashi; Vidya, S.
2017-01-01
In an era where noninvasive and minimally invasive techniques are heralding medical innovations and health science technology, necrological analysis is not bereft of this wave. Virtopsy is virtual autopsy. It is a new-age complimentary documentation approach to identify and analyze the details of demise. Utilizing virtual autopsy for orofacial forensic examination is an emerging specialty which holds a plethora of potential for future trends in forensic science. Being a noninvasive technique, it is a rapid method which facilitates the medicolegal process and aids in the delivery of justice. The present article is an overview of this emerging methodology. PMID:29657485
Virtopsy: An integration of forensic science and imageology.
Joseph, T Isaac; Girish, K L; Sathyan, Pradeesh; Kiran, M Shashi; Vidya, S
2017-01-01
In an era where noninvasive and minimally invasive techniques are heralding medical innovations and health science technology, necrological analysis is not bereft of this wave. Virtopsy is virtual autopsy. It is a new-age complimentary documentation approach to identify and analyze the details of demise. Utilizing virtual autopsy for orofacial forensic examination is an emerging specialty which holds a plethora of potential for future trends in forensic science. Being a noninvasive technique, it is a rapid method which facilitates the medicolegal process and aids in the delivery of justice. The present article is an overview of this emerging methodology.
Recent Reanalysis Activities at ECMWF: Results from ERA-20C and Plans for ERA5
NASA Astrophysics Data System (ADS)
Dragani, R.; Hersbach, H.; Poli, P.; Pebeuy, C.; Hirahara, S.; Simmons, A.; Dee, D.
2015-12-01
This presentation will provide an overview of the most recent reanalysis activities performed at the European Centre for Medium-Range Weather Forecasts (ECMWF). A pilot reanalysis of the 20th-century (ERA-20C) has recently been completed. Funded through the European FP7 collaborative project ERA-CLIM, ERA-20C is part of a suite of experiments that also includes a model-only integration (ERA-20CM) and a land-surface reanalysis (ERA-20CL). Its data assimilation system is constrained by only surface observations obtained from ISPD (3.2.6) and ICOADS (2.5.1). Surface boundary conditions are provided by the Hadley Centre (HadISST2.1.0.0) and radiative forcing follows CMIP5 recommended data sets. First-guess uncertainty estimates are based on a 10-member ensemble of Data Assimilations, ERA-20C ensemble, run prior to ERA-20C using ten SST and sea-ice realizations from the Hadley Centre. In November 2014, the European Commission entrusted ECMWF to run on its behalf the Copernicus Climate Change Service (C3S) aiming at producing quality-assured information about the past, current and future states of the climate at both European and global scales. Reanalysis will be one of the main components of the C3S portfolio and the first one to be produced is a global modern era reanalysis (ERA5) covering the period from 1979 onwards. Based on a recent version of the ECMWF data assimilation system, ERA5 will replace the widely used ERA-Interim dataset. This new production will benefit from a much improved model, and better characterized and exploited observations compared to its predecessor. The first part of the presentation will focus on the ERA-20C production, provide an overview of its main characteristics and discuss some of the key results from its assessment. The second part of the talk will give an overview of ERA5, and briefly discuss some of its challenges.
From "classic" child abuse and neglect to the new era of maltreatment.
Ferrara, Pietro; Bernasconi, Sergio
2017-01-28
The evolution of the concept of child abuse leads to consider new types of maltreatment that in the future will certainly be taken into account with a new era of social pediatrics.Pediatric care has been based on the increased awareness of the importance of meeting the psychosocial and developmental needs of children and of the role of families in promoting the health.
Educating Students for Their Futures: Three Trends for Schools in the Conceptual Age
ERIC Educational Resources Information Center
Duffy, Elizabeth A.
2014-01-01
In this article, the author points out that schools have been designed, among other purposes, to prepare students for work, and that the dominant work paradigm of each era has influenced the design of schools. In today's era of technology, virtual schools, and massive open online courses (MOOCs), education in this country has at least in part…
Envisioning the Future of Special Education Personnel Preparation in a Standards-Based Era
ERIC Educational Resources Information Center
Leko, Melinda M.; Brownell, Mary T.; Sindelar, Paul T.; Kiely, Mary Theresa
2015-01-01
The authors consider the future of special education personnel preparation by responding to an overarching question: "What frameworks might teacher educators use as a basis to promote special education teacher effective performance now and in the future?" In answering this question, they summarize current trends in the context of…
Washington, Donna L; Bean-Mayberry, Bevanne; Hamilton, Alison B; Cordasco, Kristina M; Yano, Elizabeth M
2013-07-01
The number of women Veterans (WVs) utilizing the Veterans Health Administration (VA) has doubled over the past decade, heightening the importance of understanding their healthcare delivery preferences and utilization patterns. Other studies have identified healthcare issues and behaviors of WVs in specific military service eras (e.g., Vietnam), but delivery preferences and utilization have not been examined within and across eras on a population basis. To identify healthcare delivery preferences and healthcare use of WVs by military service era to inform program design and patient-centeredness. Cross-sectional 2008-2009 survey of a nationally representative sample of 3,611 WVs, weighted to the population. Healthcare delivery preferences measured as importance of selected healthcare features; types of healthcare services and number of visits used; use of VA or non-VA; all by military service era. Military service era differences were present in types of healthcare used, with World War II and Korea era WVs using more specialty care, and Vietnam era-to-present WVs using more women's health and mental health care. Operations Enduring Freedom, Iraqi Freedom, New Dawn (OEF/OIF/OND) WVs made more healthcare visits than WVs of earlier military eras. The greatest healthcare delivery concerns were location convenience for Vietnam and earlier WVs, and cost for Gulf War 1 and OEF/OIF/OND WVs. Co-located gynecology with general healthcare was also rated important by a sizable proportion of WVs from all military service eras. Our findings point to the importance of ensuring access to specialty services closer to home for WVs, which may require technology-supported care. Younger WVs' higher mental health care use reinforces the need for integration and coordination of primary care, reproductive health and mental health care.
ERIC Educational Resources Information Center
Hill, Stephen E.; Schvaneveldt, Shane J.
2011-01-01
This article presents an educational exercise in which statistical process control charts are constructed and used to identify the Steroids Era in American professional baseball. During this period (roughly 1993 until the present), numerous baseball players were alleged or proven to have used banned, performance-enhancing drugs. Also observed…
Rastall, Andrew C; Getting, Dominic; Goddard, Jon; Roberts, David R; Erdinger, Lothar
2006-07-01
Some anthropogenic pollutants posses the capacity to disrupt endogenous control of developmental and reproductive processes in aquatic biota by activating estrogen receptors. Many anthropogenic estrogen receptor agonists (ERAs) are hydrophobic and will therefore readily partition into the abiotic organic carbon phases present in natural waters. This partitioning process effectively reduces the proportion of ERAs readily available for bioconcentration by aquatic biota. Results from some studies have suggested that for many aquatic species, bioconcentration of the freely-dissolved fraction may be the principal route of uptake for hydrophobic pollutants with logarithm n-octanol/water partition coefficient (log Kow) values less than approximately 6.0, which includes the majority of known anthropogenic ERAs. The detection and identification of freely-dissolved readily bioconcentratable ERAs is therefore an important aspect of exposure and risk assessment. However, most studies use conventional techniques to sample total ERA concentrations and in doing so frequently fail to account for bioconcentration of the freely-dissolved fraction. The aim of the current study was to couple the biomimetic sampling properties of semipermeable membrane devices (SPMDs) to a bioassay-directed chemical analysis (BDCA) scheme for the detection and identification of readily bioconcentratable ERAs in surface waters. SPMDs were constructed and deployed at a number of sites in Germany and the UK. Following the dialytic recovery of target compounds and size exclusion chromatographic cleanup, SPMD samples were fractionated using a reverse-phase HPLC method calibrated to provide an estimation of target analyte log Kow. A portion of each HPLC fraction was then subjected to the yeast estrogen screen (YES) to determine estrogenic potential. Results were plotted in the form of 'estrograms' which displayed profiles of estrogenic potential as a function of HPLC retention time (i.e. hydrophobicity) for each of the samples. Where significant activity was elicited in the YES, the remaining portion of the respective active fraction was subjected to GC-MS analysis in an attempt to identify the ERAs present. Estrograms from each of the field samples showed that readily bioconcentratable ERAs were present at each of the sampling sites. Estimated log Kow values for the various active fractions ranged from 1.92 to 8.63. For some samples, estrogenic potential was associated with a relatively narrow range of log Kow values whilst in others estrogenic potential was more widely distributed across the respective estrograms. ERAs identified in active fractions included some benzophenones, various nonylphenol isomers, benzyl butyl phthalate, dehydroabietic acid, sitosterol, 3-(4-methylbenzylidine)camphor (4-MBC) and 6-acetyl-1,1,2,4,4,7-hexamethyltetralin (AHTN). Other tentatively identified compounds which may have contributed to the observed YES activity included various polycyclic aromatic hydrocarbons (PAHs) and their alkylated derivatives, methylated benzylphenols, various alkyl-phenols and dialkylphenols. However, potential ERAs present in some active fractions remain unidentified. Our results show that SPMD-YES-based BDCA can be used to detect and identify readily bioconcentratable ERAs in surface waters. As such, this biomimetic approach can be employed as an alternative to conventional methodologies to provide investigators with a more environmentally relevant insight into the distribution and identity of ERAs in surface waters. The use of alternative bioassays also has the potential to expand SPMD-based BDCA to include a wide range of toxicological endpoints. Improvements to the analytical methodology used to identify ERAs or other target compounds in active fractions in the current study could greatly enhance the applicability of the methodology to risk assessment and monitoring programmes.
The Modern-Era Retrospective Analysis for Research and Applications, Version 2 (MERRA-2)
NASA Technical Reports Server (NTRS)
Gelaro, Ronald; McCarty, Will; Randles, Cynthia; Darmenov, Anton; Bosilovich, Michael G.; Cullather, Richard; Buchard, Virginie; Gu, Wei; Putman, William; Schubert, Siegfried D.;
2017-01-01
The Modern-Era Retrospective Analysis for Research and Applications, Version 2 (MERRA-2) is the latest atmospheric reanalysis of the modern satellite era produced by NASAs Global Modeling and Assimilation Office (GMAO). MERRA-2 assimilates observation types not available to its predecessor, MERRA, and includes updates to the Goddard Earth Observing System (GEOS) model and analysis scheme so as to provide a viable ongoing climate analysis beyond MERRAs terminus. While addressing known limitations of MERRA, MERRA-2 is also intended to be a development milestone for a future integrated Earth system analysis (IESA) currently under development at GMAO. This paper provides an overview of the MERRA-2 system and various performance metrics. Among the advances in MERRA-2 relevant to IESA are the assimilation of aerosol observations, several improvements to the representation of the stratosphere including ozone, and improved representations of cryospheric processes. Other improvements in the quality of MERRA-2 compared with MERRA include the reduction of some spurious trends and jumps related to changes in the observing system, and reduced biases and imbalances in aspects of the water cycle. Remaining deficiencies are also identified. Production of MERRA-2 began in June 2014 in four processing streams, and converged to a single near-real time stream in mid 2015. MERRA-2 products are accessible online through the NASA Goddard Earth Sciences Data Information Services Center (GESDISC).
Definition of the 2005 flight deck environment
NASA Technical Reports Server (NTRS)
Alter, K. W.; Regal, D. M.
1992-01-01
A detailed description of the functional requirements necessary to complete any normal commercial flight or to handle any plausible abnormal situation is provided. This analysis is enhanced with an examination of possible future developments and constraints in the areas of air traffic organization and flight deck technologies (including new devices and procedures) which may influence the design of 2005 flight decks. This study includes a discussion on the importance of a systematic approach to identifying and solving flight deck information management issues, and a description of how the present work can be utilized as part of this approach. While the intent of this study was to investigate issues surrounding information management in 2005-era supersonic commercial transports, this document may be applicable to any research endeavor related to future flight deck system design in either supersonic or subsonic airplane development.
Bliese, Paul D; Edwards, Jeffrey R; Sonnentag, Sabine
2017-03-01
In various forms, research on stress and well-being has been a part of the Journal of Applied Psychology ( JAP ) since its inception. In this review, we examine the history of stress research in JAP by tracking word frequencies from 606 abstracts of published articles in the journal. From these abstracts, we define 3 eras: a 50 year-era from 1917 to 1966, a 30-year era from 1967 to 1996, and a 20-year era from 1997 to the present. Each era is distinct in terms of the number of articles published and the general themes of the topic areas examined. We show that advances in theory are a major impetus underlying research topics and the number of publications. Our review also suggests that articles have increasingly tended to reflect broader events occurring in society such as recessions and workforce changes. We conclude by offering ideas about the future of stress and well-being research. (PsycINFO Database Record (c) 2017 APA, all rights reserved).
The misalignment of institutional "pillars": consequences for the U.S. health care field.
Caronna, Carol A
2004-01-01
This paper uses an institutional perspective (Scott, 1994; 2001; DiMaggio and Powell, 1991) to analyze the history and current state of the American health care field in terms of the alignment of its normative, cognitive, and regulatory elements. I depict the relation between institutional elements in each of three historical eras of the health care field (Scott et al. 2000): the era of professional dominance (1945--1965), the era of federal involvement (1966--1982), and the era of managerial control and market mechanisms (after 1983 to the present). I argue that a weakening of alignment between these elements, beginning in the 1970s and increasing in the 1980s, led to consumer and provider dissatisfaction with managed care, and that the state of the field in the beginning of the 21st century suggests that a new era is emerging with renewed alignment between normative beliefs and values, cognitive models, and regulation. Implications for the future of health care and institutional theory are discussed.
Early onset of industrial-era warming across the oceans and continents.
Abram, Nerilie J; McGregor, Helen V; Tierney, Jessica E; Evans, Michael N; McKay, Nicholas P; Kaufman, Darrell S
2016-08-25
The evolution of industrial-era warming across the continents and oceans provides a context for future climate change and is important for determining climate sensitivity and the processes that control regional warming. Here we use post-ad 1500 palaeoclimate records to show that sustained industrial-era warming of the tropical oceans first developed during the mid-nineteenth century and was nearly synchronous with Northern Hemisphere continental warming. The early onset of sustained, significant warming in palaeoclimate records and model simulations suggests that greenhouse forcing of industrial-era warming commenced as early as the mid-nineteenth century and included an enhanced equatorial ocean response mechanism. The development of Southern Hemisphere warming is delayed in reconstructions, but this apparent delay is not reproduced in climate simulations. Our findings imply that instrumental records are too short to comprehensively assess anthropogenic climate change and that, in some regions, about 180 years of industrial-era warming has already caused surface temperatures to emerge above pre-industrial values, even when taking natural variability into account.
Mern, Demissew S; Ha, Seung-Wook; Khodaverdi, Viola; Gliese, Nicole; Görisch, Helmut
2010-05-01
In addition to the known response regulator ErbR (former AgmR) and the two-component regulatory system EraSR (former ExaDE), three additional regulatory proteins have been identified as being involved in controlling transcription of the aerobic ethanol oxidation system in Pseudomonas aeruginosa. Two putative sensor kinases, ErcS and ErcS', and a response regulator, ErdR, were found, all of which show significant similarity to the two-component flhSR system that controls methanol and formaldehyde metabolism in Paracoccus denitrificans. All three identified response regulators, EraR (formerly ExaE), ErbR (formerly AgmR) and ErdR, are members of the luxR family. The three sensor kinases EraS (formerly ExaD), ErcS and ErcS' do not contain a membrane domain. Apparently, they are localized in the cytoplasm and recognize cytoplasmic signals. Inactivation of gene ercS caused an extended lag phase on ethanol. Inactivation of both genes, ercS and ercS', resulted in no growth at all on ethanol, as did inactivation of erdR. Of the three sensor kinases and three response regulators identified thus far, only the EraSR (formerly ExaDE) system forms a corresponding kinase/regulator pair. Using reporter gene constructs of all identified regulatory genes in different mutants allowed the hierarchy of a hypothetical complex regulatory network to be established. Probably, two additional sensor kinases and two additional response regulators, which are hidden among the numerous regulatory genes annotated in the genome of P. aeruginosa, remain to be identified.
NASA Technical Reports Server (NTRS)
Hueter, Uwe
1991-01-01
The United States civil space effort when viewed from a launch vehicle perspective tends to categorize into pre-Shuttle and Shuttle eras. The pre-Shuttle era consisted of expendable launch vehicles where a broad set of capabilities were matured in a range of vehicles, followed by a clear reluctance to build on and utilize those systems. The Shuttle era marked the beginning of the U.S. venture into reusable space launch vehicles and the consolidation of launch systems used to this one vehicle. This led to a tremendous capability, but utilized men on a few missions where it was not essential and compromised launch capability resiliency in the long term. Launch vehicle failures, between the period of Aug. 1985 and May 1986, of the Titan 34D, Shuttle Challenger, and the Delta vehicles resulted in a reassessment of U.S. launch vehicle capability. The reassessment resulted in President Reagan issuing a new National Space Policy in 1988 calling for more coordination between Federal agencies, broadening the launch capabilities and preparing for manned flight beyond the Earth into the solar system. As a result, the Department of Defense (DoD) and NASA are jointly assessing the requirements and needs for this nations's future transportation system. Reliability/safety, balanced fleet, and resiliency are the cornerstone to the future. An insight is provided into the current thinking in establishing future unmanned earth-to-orbit (ETO) space transportation needs and capabilities. A background of previous launch capabilities, future needs, current and proposed near term systems, and system considerations to assure future mission need will be met, are presented. The focus is on propulsion options associated with unmanned cargo vehicles and liquid booster required to assure future mission needs will be met.
Sex hormone therapy and progression of cardiovascular disease in menopausal women.
Alhurani, Rabe E; Chahal, C Anwar A; Ahmed, Ahmed T; Mohamed, Essa A; Miller, Virginia M
2016-07-01
One of the most controversial health decisions facing women is deciding upon the use of hormonal treatments for symptoms of menopause. This brief review focuses on the historical context of use of menopausal hormone treatments (MHT), summarizes results of major observational, primary and secondary prevention studies of MHT and cardiovascular (CV) outcomes, provides evidence for how sex steroids modulate CV function and identifies challenges for future research. As medicine enters an era of personalization of treatment options, additional research into sex differences in the aetiology of CV diseases will lead to better risk identification for CV disease in women and identify whether a woman might receive CV benefit from specific formulations and doses of MHT. © 2016 The Author(s). published by Portland Press Limited on behalf of the Biochemical Society.
Environmental futures research: experiences, approaches, and opportunities
David N., comp Bengston
2012-01-01
These papers, presented in a special session at the International Symposium on Society and Resource Management in June 2011, explore the transdisciplinary field of futures research and its application to long-range environmental analysis, planning, and policy. Futures research began in the post-World War II era and has emerged as a mature research field. Although the...
NASA Technical Reports Server (NTRS)
Mavris, Dimitri N.; Schutte, Jeff S.
2016-01-01
This report documents work done by the Aerospace Systems Design Lab (ASDL) at the Georgia Institute of Technology, Daniel Guggenheim School of Aerospace Engineering for the National Aeronautics and Space Administration, Aeronautics Research Mission Directorate, Integrated System Research Program, Environmentally Responsible Aviation (ERA) Project. This report was prepared under contract NNL12AA12C, "Application of Deterministic and Probabilistic System Design Methods and Enhancement of Conceptual Design Tools for ERA Project". The research within this report addressed the Environmentally Responsible Aviation (ERA) project goal stated in the NRA solicitation "to advance vehicle concepts and technologies that can simultaneously reduce fuel burn, noise, and emissions." To identify technology and vehicle solutions that simultaneously meet these three metrics requires the use of system-level analysis with the appropriate level of fidelity to quantify feasibility, benefits and degradations, and associated risk. In order to perform the system level analysis, the Environmental Design Space (EDS) [Kirby 2008, Schutte 2012a] environment developed by ASDL was used to model both conventional and unconventional configurations as well as to assess technologies from the ERA and N+2 timeframe portfolios. A well-established system design approach was used to perform aircraft conceptual design studies, including technology trade studies to identify technology portfolios capable of accomplishing the ERA project goal and to obtain accurate tradeoffs between performance, noise, and emissions. The ERA goal, shown in Figure 1, is to simultaneously achieve the N+2 benefits of a cumulative noise margin of 42 EPNdB relative to stage 4, a 75 percent reduction in LTO NOx emissions relative to CAEP 6 and a 50 percent reduction in fuel burn relative to the 2005 best in class aircraft. There were 5 research task associated with this research: 1) identify technology collectors, 2) model technology collectors in EDS, 3) model and assess ERA technologies, 4) LTO and cruise emission prediction, and 5) probabilistic analysis of technology collectors and portfolios.
What is the role of enhanced recovery after surgery in children? A scoping review.
Pearson, Katherine L; Hall, Nigel J
2017-01-01
Enhanced recovery after surgery (ERAS) pathways are standard practice in adult specialties resulting in improved outcomes. It is unclear whether ERAS principles are applicable to Paediatric Surgery. We performed a scoping review to identify the extent to which ERAS has been used in Paediatric Surgery, the nature of interventions, and outcomes. Pubmed, Cochrane library, Google Scholar, and Embase were searched using the terms enhanced recovery, post-operative protocol/pathway, fast track surgery, and paediatric surgery. Studies were excluded if they did not include abdominal/thoracic/urological procedures in children. Nine studies were identified (2003-2014; total 1269 patients): three case control studies, one retrospective review and five prospective implementations, no RCTs. Interventional elements identified were post-operative feeding, mobilisation protocols, morphine-sparing analgesia, reduced use of nasogastric tubes and urinary catheters. Outcomes reported included post-operative length of stay (LOS), time to oral feeding and stooling, complications, and parent satisfaction. Fast-track programmes significantly reduced LOS in 6/7 studies, time to oral feeding in 3/3 studies, and time to stooling in 2/3 studies. The use of ERAS pathways in Paediatric surgery appears very limited but such pathways may have benefits in children. Prospective studies should evaluate interventions used in adult ERAS on appropriate outcomes in the paediatric setting.
Duplicating Research Success at Xerox
NASA Astrophysics Data System (ADS)
Hays, Dan A.
2003-03-01
The genesis of Xerox is rooted in the invention of xerography by physicist Chester Carlson in 1938. The initial research by Carlson can be viewed as the first of four successful xerographic research eras that have contributed to the growth of Xerox. The second era began in 1944 when Carlson established a working relationship with Battelle Memorial Institute in Columbus, OH. Due to many research advances at Battelle, the Haloid Corporation in Rochester, NY acquired a license to the xerographic process in 1947. The name of the company was changed to Xerox Corporation in 1961 following the wide market acceptance of the legendary Xerox 914 copier. Rapid revenue growth of Xerox in the mid-'60s provided the foundation for a third successful research era in the '70s and '80s. A research center was established in Webster, NY for the purpose of improving the design of xerographic subsystems and materials. These research efforts contributed to the commercial success of the DocuTech family of digital production printers. The fourth successful research era was initiated in the '90s with the objective of identifying a high-speed color xerographic printing process. A number of research advances contributed to the design of a 100 page per minute printer recently introduced as the Xerox DocuColor iGen3 Digital Production Press. To illustrate the role of research in enabling these waves of successful xerographic products, the physics of photoreceptors, light exposure and development subsystems will be discussed. Since the annual worldwide revenue of the xerographic industry exceeds 100 billion dollars, the economic return on Carlson's initial research investment in the mid-'30s is astronomical. The future for xerography remains promising since the technology enables high-speed digital printing of high-quality color documents with variable information.
Bigler, Franz
2006-01-01
The scientific organizers of the symposium put much emphasis on the identification and definition of hazard and the potential consequences thereof and three full sessions with a total of 13 presentations encompassing a wide range of related themes were planned for this topic. Unfortunately, one talk had to be cancelled because of illness of the speaker (BM Khadi, India). Some presentations covered conceptual approaches for environmental risk assessment (ERA) of GM plants (problem formulation in the risk assessment framework, familiarity approach, tiered and methodological frameworks, non-target risk assessment) and the use of models in assessing invasiveness and weediness of GM plants. Other presentations highlighted the lessons learned for future ERA from case studies and commercialized GM crops, and from monitoring of unintended releases to the environment. When the moderators of the three sessions came together after the presentations to align their summaries, there was an obvious need to restructure the 12 presentations in a way that allowed for a consistent summarizing discussion. The following new organization of the 12 talks was chosen: (1) Concepts for problem formulation and non-target risk assessment, (2) Modeling as a tool for predicting invasiveness of GM plants, (3) Case-studies of ERA of large-scale release, (4) Lessons learned for ERA from a commercialized GM plant, (5) Monitoring of unintended release of Bt maize in Mexico. The new thematic structure facilitates a more in-depth discussion of the presentations related to a specific topic, and the conclusions to be drawn are thus more consistent. Each moderator agreed to take responsibility for summarizing one or more themes and to prepare the respective report.
Alawadi, Zeinab M; Leal, Isabel; Phatak, Uma R; Flores-Gonzalez, Juan R; Holihan, Julie L; Karanjawala, Burzeen E; Millas, Stefanos G; Kao, Lillian S
2016-03-01
Enhanced Recovery After Surgery (ERAS) pathways are known to decrease complications and duration of stay in colorectal surgery patients. However, it is unclear whether an ERAS pathway would be feasible and effective at a safety-net hospital. The aim of this study was to identify local barriers and facilitators before the adoption of an ERAS pathway for patients undergoing colorectal operations at a safety-net hospital. Semistructured interviews were conducted to assess the perceived barriers and facilitators before ERAS adoption. Stratified purposive sampling was used. Interviews were audiotaped, transcribed verbatim, and analyzed using content analysis. Analytic and investigator triangulation were used to establish credibility. Interviewees included 8 anesthesiologists, 5 surgeons, 6 nurses, and 18 patients. Facilitators identified across the different medical professions were (1) feasibility and alignment with current practice, (2) standardization of care, (3) smallness of community, (4) good teamwork and communication, and (5) caring for patients. The barriers were (1) difficulty in adapting to change, (2) lack of coordination between different departments, (3) special needs of a highly comorbid and socioeconomically disadvantaged patient population, (4) limited resources, and (5) rotating residents. Facilitators identified by the patients were (1) welcoming a speedy recovery, (2) being well-cared for and satisfied with treatment, (3) adequate social support, (4) welcoming early mobilization, and (5) effective pain management. The barriers were (1) lack of quiet and private space, (2) need for more patient education and counseling, and (3) unforeseen complications. Although limited hospital resources are perceived as a barrier to ERAS implementation at a safety-net hospital, there is strong support for such pathways and multiple factors were identified that may facilitate change. Inclusion of patient perspectives is critical to identifying challenges and facilitators to implementing ERAS changes focused on optimizing patient perioperative health and outcomes. Copyright © 2016 Elsevier Inc. All rights reserved.
The roles of ERAS during cell lineage specification of mouse early embryonic development.
Zhao, Zhen-Ao; Yu, Yang; Ma, Huai-Xiao; Wang, Xiao-Xiao; Lu, Xukun; Zhai, Yanhua; Zhang, Xiaoxin; Wang, Haibin; Li, Lei
2015-08-01
Eras encodes a Ras-like GTPase protein that was originally identified as an embryonic stem cell-specific Ras. ERAS has been known to be required for the growth of embryonic stem cells and stimulates somatic cell reprogramming, suggesting its roles on mouse early embryonic development. We now report a dynamic expression pattern of Eras during mouse peri-implantation development: its expression increases at the blastocyst stage, and specifically decreases in E7.5 mesoderm. In accordance with its expression pattern, the increased expression of Eras promotes cell proliferation through controlling AKT activation and the commitment from ground to primed state through ERK activation in mouse embryonic stem cells; and the reduced expression of Eras facilitates primitive streak and mesoderm formation through AKT inhibition during gastrulation. The expression of Eras is finely regulated to match its roles in mouse early embryonic development during which Eras expression is negatively regulated by the β-catenin pathway. Thus, beyond its well-known role on cell proliferation, ERAS may also play important roles in cell lineage specification during mouse early embryonic development. © 2015 The Authors.
Nelson, Kristen C; Andow, David A; Banker, Michael J
2009-01-01
Societal evaluation of new technologies, specifically nanotechnology and genetically engineered organisms (GEOs), challenges current practices of governance and science. Employing environmental risk assessment (ERA) for governance and oversight assumes we have a reasonable ability to understand consequences and predict adverse effects. However, traditional ERA has come under considerable criticism for its many shortcomings and current governance institutions have demonstrated limitations in transparency, public input, and capacity. Problem Formulation and Options Assessment (PFOA) is a methodology founded on three key concepts in risk assessment (science-based consideration, deliberation, and multi-criteria analysis) and three in governance (participation, transparency, and accountability). Developed through a series of international workshops, the PFOA process emphasizes engagement with stakeholders in iterative stages, from identification of the problem(s) through comparison of multiple technology solutions that could be used in the future with their relative benefits, harms, and risk. It provides "upstream public engagement" in a deliberation informed by science that identifies values for improved decision making.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Pelland, B.
Four years ago, Saddam Hussein invaded Kuwait with the intention of annexing it as Iraq's 19th state. The disclosure of the Iraqi nuclear weapons program in the aftermath of the Gulf War--through the IAEA inspections--signaled the end of one proliferation era and the start of the next. In the author's remarks here, he has found it useful to identify four distinct proliferation eras, each with different features, each calling for different emphasis in international nonproliferation efforts. They provide a convenient way to look at the history of nonproliferation, and to look into the future and to the new dimensions inmore » nonproliferation that are slowly emerging. Since the Gulf War, the nuclear world experienced a series of events of fundamental significance that changed the nature of nonproliferation, forcing changes in the mission of the IAEA and its methods. Certainly some of these events came in the form of unpleasant surprises, such as in Iraq, but very positive progress was also made on other fronts. He would like to share some perceptions of the events creating the present situation, and some views anticipating the requirements most likely to emerge in the coming years.« less
DOE Office of Scientific and Technical Information (OSTI.GOV)
Marceau, Thomas E.; Watson, Thomas L.
One man's trash is another man's treasure. Not everything called "waste" is meant for the refuse pile. The mission of the Curation Program is at direct odds with the remediation objectives of the Hanford Site. While others are busily tearing down and burying the Site's physical structures and their associated contents, the Curation Program seeks to preserve the tangible elements of the Site's history from these structures for future generations before they flow into the waste stream. Under the provisions of a Programmatic Agreement, Cultural Resources staff initiated a project to identify and collect artifacts and archives that have historicmore » or interpretive value in documenting the role of the Hanford Site throughout the Manhattan Project and Cold War Era. The genesis of Hanford's modern day Curation Program, its evolution over nearly two decades, issues encountered, and lessons learned along the way -- particularly the importance of upper management advocacy, when and how identification efforts should be accomplished, the challenges of working within a radiological setting, and the importance of first hand information -- are presented.« less
Assessment of atmospheric moisture transport patterns through the northeastern US, 1900-2016
NASA Astrophysics Data System (ADS)
Teale, N. G.; Robinson, D. A.
2017-12-01
Atmospheric moisture dictates precipitation on the ground; therefore, changes in precipitation such as those observed in the northeastern US must be linked to changes in atmospheric moisture. However, little attention has been paid to the changes in the atmospheric moisture in this region. This research fills this gap by identifying pathways of atmospheric moisture transport in and through the northeastern US and assessing how those patterns have changed throughout the twentieth century. Moisture transport patterns are identified using integrated vapor transport (IVT) calculated from daily eastward and northward vertically integrated vapor fluxes for 1986—2016 at a spatial resolution of 0.75° × 0.75° from ERA-Interim Reanalysis. The study region is bounded by 36°N—51°N and 85°W—60°W. A self-organizing map (SOM) methodology is employed with the daily IVT data to produce a set of IVT maps identifying recurrent moisture transport patterns intersecting the northeastern US. IVT then is calculated identically from ERA-20C for 1900-2010. These daily data are sorted into the IVT pattern maps identified in the previous step, thus extending the dataset of northeastern moisture transport pathways through the 20th century. The overlap period of 6 years provides training and validation for the classification procedure; duplicates are removed. Trends in the frequency and characteristics of these patterns are analyzed through 116 year study period. Results from this study have indicated that atmospheric rivers play a non-negligible role in the supply of water vapor in the northeastern US. Additionally, the identification of distinct moisture transport pathways provides a baseline for identifying changes moisture transport in climate model projections, which may provide additional insight into the future precipitation regime of the northeastern US.
Galileo spacecraft integration - International cooperation on a planetary mission in the Shuttle era
NASA Technical Reports Server (NTRS)
Spehalski, R. J.
1983-01-01
The Galileo mission is designed to greatly expand scientific knowledge of Jupiter and its system. The retropropulsion module (RPM) as a major functional element of the Galileo spacecraft is described. The major mission and spacecraft requirements on the RPM are presented. Complexities of the integration process due to the international interface are identified. Challenges associated with integration with new launch vehicles, the Shuttle and upper stage, and their relationships to the RPM are discussed. The results of the integration process involving mission and propulsion performance, reliability, mechanical and thermal interfaces, and safety are described. Finally, considerations and recommendations for future missions involving international cooperation are given.
The Coin Conundrum: The Future of Counterinsurgency and U.S. Land Power
2016-12-01
and counterterrorism (CT) for various programs with other experts through the Center for Civil-Military Relations at the Naval Post - Graduate School...Intrastate Conflict: the Sword or the Olive Branch? (Westport, CT: Praeger, 1999); British Counterinsurgency in the Post -Im- perial Era (Manchester, UK...analytical framework, this mono- graph considers four options vis-à-vis COIN. The Army could revert to the post -Vietnam Era approach, focusing on
Identification of high-level functional/system requirements for future civil transports
NASA Technical Reports Server (NTRS)
Swink, Jay R.; Goins, Richard T.
1992-01-01
In order to accommodate the rapid growth in commercial aviation throughout the remainder of this century, the Federal Aviation Administration (FAA) is faced with a formidable challenge to upgrade and/or modernize the National Airspace System (NAS) without compromising safety or efficiency. A recurring theme in both the Aviation System Capital Investment Plan (CIP), which has replaced the NAS Plan, and the new FAA Plan for Research, Engineering, and Development (RE&D) rely on the application of new technologies and a greater use of automation. Identifying the high-level functional and system impacts of such modernization efforts on future civil transport operational requirements, particularly in terms of cockpit functionality and information transfer, was the primary objective of this project. The FAA planning documents for the NAS of the 2005 era and beyond were surveyed; major aircraft functional capabilities and system components required for such an operating environment were identified. A hierarchical structured analysis of the information processing and flows emanating from such functional/system components were conducted and the results documented in graphical form depicting the relationships between functions and systems.
Getting Personal: Head and Neck Cancer Management in the Era of Genomic Medicine
Birkeland, Andrew C.; Uhlmann, Wendy R.; Brenner, J. Chad; Shuman, Andrew G.
2015-01-01
Background Genetic testing is rapidly becoming an important tool in the management of patients with head and neck cancer. As we enter the era of genomics and personalized medicine, providers should be aware of testing options, counseling resources, and the benefits, limitations and future of personalized therapy. Methods This manuscript offers a primer to assist clinicians treating patients in anticipating and managing the inherent practical and ethical challenges of cancer care in the genomic era. Results Clinical applications of genomics for head and neck cancer are emerging. We discuss the indications for genetic testing, types of testing available, implications for care, privacy/disclosure concerns and ethical considerations. Hereditary genetic syndromes associated with head and neck neoplasms are reviewed, and online genetics resources are provided. Conclusions This article summarizes and contextualizes the evolving diagnostic and therapeutic options that impact the care of patients with head and neck cancer in the genomic era. PMID:25995036
Sir William Turner (1832-1916) - Lancastrian, anatomist and champion of the Victorian era.
Wessels, Quenton; Correia, Janine Carla; Taylor, Adam M
2016-11-01
Sir William Turner, a Lancastrian, was renowned as a scientist, anatomist and a great reformer of medical education. His students became anatomists at various international institutions, which consequently shaped the future of anatomy as a subject matter both in the United Kingdom and in South Africa. Although Turner's accomplishments have been documented, little is known about the details that determined his career path and the individuals that shaped his future. Here the authors aim to highlight some aspects of Turner's academic achievements and his personal life as well as how he crossed paths with other great minds of the Victorian era including Richard Owen, Charles Darwin, James Paget and Joseph Lister. © The Author(s) 2015.
NASA Technical Reports Server (NTRS)
Ganapathi, Gani B.; Ferrall, Joseph; Seshan, P. K.
1993-01-01
A survey of distinct conceptual lunar habitat designs covering the pre- and post-Apollo era is presented. The impact of the significant lunar environmental challenges such as temperature, atmosphere, radiation, soil properties, meteorites, and seismic activity on the habitat design parameters are outlined. Over twenty habitat designs were identified and classified according to mission type, crew size; total duration of stay, modularity, environmental protection measures, and emplacement. Simple selection criteria of (1) post-Apollo design, (2) uniqueness of the habitat design, (3) level of thoroughness in design layout, (4) habitat dimensions are provided, and (5) materials of construction for the habitat shell are specified, are used to select five habitats for future trade studies. Habitat emplacement scenarios are created to examine the possible impact of emplacement of the habitat in different locations, such as lunar poles vs. equatorial, above ground vs. below ground, etc.
Study on the elemental features of ancient Chinese white porcelain at Jingdezhen by INAA
NASA Astrophysics Data System (ADS)
Xie, Guoxi; Feng, Songlin; Feng, Xiangqian; Li, Yongqiang; Han, Hongye; Wang, Yanqing; Zhu, Jihao; Yan, Lingtong; Li, Li
2009-03-01
Shards of ancient Chinese white porcelain, which were excavated at Maojiawan in the city of Beijing, were analyzed by instrumental neutron activation analysis (INAA). These shards were fired in the period between the Yuan (AD 1271-1368) and Ming (AD 1368-1644) dynasties at Jingdezhen in southern China. According to the analytical results, different raw materials were used for making porcelain body in this period. Fe and Na are the characteristic elements which can be used for identifying the specific date of these porcelains. Furthermore, shards of Hongwu era (AD 1368-1398), Yongle-Xuande era (AD 1403-1435) and Chenghua-Zhengde era (AD 1465-1561) of the Ming dynasty can be clearly distinguished by their elemental body composition. The temporal chemical variation in the porcelain body of these eras is observed. The elemental body composition of Zhengde-Tianshun era (AD 1436-1464) is mainly similar to that of the Hongwu and Yongle-Xuande eras. The temporal chemical feature of Zhengtong-Tianshun era was not found.
Perryman, Sarah A M; Castells-Brooke, Nathalie I D; Glendining, Margaret J; Goulding, Keith W T; Hawkesford, Malcolm J; Macdonald, Andy J; Ostler, Richard J; Poulton, Paul R; Rawlings, Christopher J; Scott, Tony; Verrier, Paul J
2018-05-15
The electronic Rothamsted Archive, e-RA (www.era.rothamsted.ac.uk) provides a permanent managed database to both securely store and disseminate data from Rothamsted Research's long-term field experiments (since 1843) and meteorological stations (since 1853). Both historical and contemporary data are made available via this online database which provides the scientific community with access to a unique continuous record of agricultural experiments and weather measured since the mid-19 th century. Qualitative information, such as treatment and management practices, plans and soil information, accompanies the data and are made available on the e-RA website. e-RA was released externally to the wider scientific community in 2013 and this paper describes its development, content, curation and the access process for data users. Case studies illustrate the diverse applications of the data, including its original intended purposes and recent unforeseen applications. Usage monitoring demonstrates the data are of increasing interest. Future developments, including adopting FAIR data principles, are proposed as the resource is increasingly recognised as a unique archive of data relevant to sustainable agriculture, agroecology and the environment.
Ecotoxicological assessment of antibiotics: A call for improved consideration of microorganisms.
Brandt, Kristian K; Amézquita, Alejandro; Backhaus, Thomas; Boxall, Alistair; Coors, Anja; Heberer, Thomas; Lawrence, John R; Lazorchak, James; Schönfeld, Jens; Snape, Jason R; Zhu, Yong-Guan; Topp, Edward
2015-12-01
Antibiotics play a pivotal role in the management of infectious disease in humans, companion animals, livestock, and aquaculture operations at a global scale. Antibiotics are produced, consumed, and released into the environment at an unprecedented scale causing concern that the presence of antibiotic residues may adversely impact aquatic and terrestrial ecosystems. Here we critically review the ecotoxicological assessment of antibiotics as related to environmental risk assessment (ERA). We initially discuss the need for more specific protection goals based on the ecosystem service concept, and suggest that the ERA of antibiotics, through the application of a mode of toxic action approach, should make more use of ecotoxicological endpoints targeting microorganisms (especially bacteria) and microbial communities. Key ecosystem services provided by microorganisms and associated ecosystem service-providing units (e.g. taxa or functional groups) are identified. Approaches currently available for elucidating ecotoxicological effects on microorganisms are reviewed in detail and we conclude that microbial community-based tests should be used to complement single-species tests to offer more targeted protection of key ecosystem services. Specifically, we propose that ecotoxicological tests should not only assess microbial community function, but also microbial diversity (‘species’ richness) and antibiotic susceptibility. Promising areas for future basic and applied research of relevance to ERA are highlighted throughout the text. In this regard, the most fundamental knowledge gaps probably relate to our rudimentary understanding of the ecological roles of antibiotics in nature and possible adverse effects of environmental pollution with subinhibitory levels of antibiotics.
Impact of physician-less pediatric critical care transport: Making a decision on team composition.
Kawaguchi, Atsushi; Nielsen, Charlene C; Saunders, L Duncan; Yasui, Yutaka; de Caen, Allan
2018-06-01
To explore the impact of a physician non-accompanying pediatric critical care transport program, and to identify factors associated with the selection of specific transport team compositions. Children transported to a Canadian academic children's hospital were included. Two eras (Physician-accompanying Transport (PT)-era: 2000-07 when physicians commonly accompanied the transport team; and Physician-Less Transport (PLT)-era: 2010-15 when a physician non-accompanying team was increasingly used) were compared with respect to transport and PICU outcomes. Transport and patient characteristics for the PLT-era cohort were examined to identify factors associated with the selection of a physician accompanying team, with multivariable logistic regression with triage physicians as random effects. In the PLT-era (N=1177), compared to the PT-era (N=1490) the probability of PICU admission was significantly lower, and patient outcomes including mortality were not significantly different. Associations were noted between the selection of a physician non-accompanying team and specific transport characteristics. There was appreciable variability among the triage physicians for the selection of a physician non-accompanying team. No significant differences were observed with increasing use of a physician non-accompanying team. Selection of transport team compositions was influenced by clinical and system factors, but appreciable variation still remained among triage physicians. Crown Copyright © 2018. Published by Elsevier Inc. All rights reserved.
Enhanced recovery after surgery: Current research insights and future direction
Abeles, Aliza; Kwasnicki, Richard Mark; Darzi, Ara
2017-01-01
Since the concept of enhanced recovery after surgery (ERAS) was introduced in the late 1990s the idea of implementing specific interventions throughout the peri-operative period to improve patient recovery has been proven to be beneficial. Minimally invasive surgery is an integral component to ERAS and has dramatically improved post-operative outcomes. ERAS can be applicable to all surgical specialties with the core generic principles used together with added specialty specific interventions to allow for a comprehensive protocol, leading to improved clinical outcomes. Diffusion of ERAS into mainstream practice has been hindered due to minimal evidence to support individual facets and lack of method for monitoring and encouraging compliance. No single outcome measure fully captures recovery after surgery, rather multiple measures are necessary at each stage. More recently the pre-operative period has been the target of a number of strategies to improve clinical outcomes, described as prehabilitation. Innovation of technology in the surgical setting is also providing opportunities to overcome the challenges within ERAS, e.g., the use of wearable activity monitors to record information and provide feedback and motivation to patients peri-operatively. Both modernising ERAS and providing evidence for key strategies across specialties will ultimately lead to better, more reliable patient outcomes. PMID:28289508
American Society for Gastrointestinal Endoscopy
... Era of Gastroenterology Management Considerations More Events Corporate Relations Support the future of the GI profession through education, research and public outreach. Opportunities include renting ASGE’s state-of-the- ...
Khochikar, Makarand V
2017-03-01
Renal cell carcinoma accounts for 3% of adult solid malignant tumours. Approximately 25% of the patients present with metastatic disease at presentation. In the era of immunotherapy (interferon alpha-2b and interleukin-2), studies showed significant survival benefit with cytoreductive nephrectomy (CRN) followed by interferon alpha-2b than interferon alpha 2-b alone. Introduction of targeted therapies (vascular endothelial growth factor receptor-tyrosine kinase inhibitors, mammalian target of rapamycin inhibitors) in 2005 generated a great interest in the management of metastatic renal cell carcinoma (mRCC) as these drugs exhibited tumour shrinkage in the primary tumour as well as in the metastatic site/s. Though there is no level 1 evidence, many studies have shown the usefulness of cytoreductive nephrectomy along with targeted therapy as against to targeted therapy alone. This review is aimed at the rationale behind the cytoreductive nephrectomy in mRCC, the current evidence and what is in store for the future. A detailed search on the management of mRCC was carried out on MEDLINE, Embase, CANCERLIT and Cochrane Library databases using the key words "cytoreductive nephrectomy", "immunotherapy" and "targeted therapy" since 1980 till 2015. Original articles, review articles, monograms, book chapters on metastatic renal cancer and textbooks on urologic oncology, oncology and urology were reviewed. Various international guidelines on this issue were also studied. An identical search was performed using the American Society of Clinical Oncology Abstract database. Trials in the progress or recently completed that were relevant to this paper were identified through clinicaltrials.gov. The latest information for new articles ahead of publication was last accessed in November 2015. CRN has remained an integral part to the management of metastatic renal cell carcinoma mainly for the patients with good performance status, life expectancy of more than 12 months and in the absence of adverse prognostic factors. It had shown measurable survival benefit in the era of immunotherapy (CRN + immunotherapy vs. immunotherapy alone). In the era of targeted therapy, many studies have shown significant survival benefit with CRN + targeted therapy. However, there is no clear level 1 evidence to support this. The ongoing trials (CARMENA and European Organisation for Research and Treatment of Cancer SURTIME) would perhaps guide us in the way in which we should manage mRCC disease in the future. Maybe we may find some answers on the issues of the effectiveness of targeted therapy, the timing of CRN and sequencing these treatment arms once the results of these ongoing and future trials are through.
Sensor Web Technology Challenges and Advancements for the Earth Science Decadal Survey Era
NASA Technical Reports Server (NTRS)
Norton, Charles D.; Moe, Karen
2011-01-01
This paper examines the Earth science decadal survey era and the role ESTO developed sensor web technologies can contribute to the scientific observations. This includes hardware and software technology advances for in-situ and in-space measurements. Also discussed are emerging areas of importance such as the potential of small satellites for sensor web based observations as well as advances in data fusion critical to the science and societal benefits of future missions, and the challenges ahead.
From Retrospective to Proactive: Creating the Future that Students Need
ERIC Educational Resources Information Center
Shuler, Scott C.
2014-01-01
Changes in education policy--particularly at the federal and state levels--during the current era of ideologically and profit-driven "education reform" threaten balanced education in general and music/arts education in particular. Emerging answers to a number of pivotal questions will determine the future of the arts, arts education, and…
Experimental identification of closely spaced modes using NExT-ERA
NASA Astrophysics Data System (ADS)
Hosseini Kordkheili, S. A.; Momeni Massouleh, S. H.; Hajirezayi, S.; Bahai, H.
2018-01-01
This article presents a study on the capability of the time domain OMA method, NExT-ERA, to identify closely spaced structural dynamic modes. A survey in the literature reveals that few experimental studies have been conducted on the effectiveness of the NExT-ERA methodology in case of closely spaced modes specifically. In this paper we present the formulation for NExT-ERA. This formulation is then implemented in an algorithm and a code, developed in house to identify the modal parameters of different systems using their generated time history data. Some numerical models are firstly investigated to validate the code. Two different case studies involving a plate with closely spaced modes and a pulley ring with greater extent of closeness in repeated modes are presented. Both structures are excited by random impulses under the laboratory condition. The resulting time response acceleration data are then used as input in the developed code to extract modal parameters of the structures. The accuracy of the results is checked against those obtained from experimental tests.
Psychotherapy-based supervision models in an emerging competency-based era: a commentary.
Falender, Carol A; Shafranske, Edward P
2010-03-01
As psychology engages in a cultural shift to competency-based education and training supervision practice is being transformed to the use of competency frames and the application of benchmark competencies. In this issue, psychotherapy-based models of supervision are conceptualized in a competency framework. This paper reflects on the translation of key components of each psychotherapy-based supervision approach in terms of foundational and functional competencies articulated in the Competencies Benchmarks (Fouad et al., 2009). The commentary concludes with a discussion of implications for supervision practice and identifies directions for future articulation and development, including evidence-based psychotherapy supervision. PsycINFO Database Record (c) 2010 APA, all rights reserved
Note-taking and Handouts in The Digital Age.
Stacy, Elizabeth Moore; Cain, Jeff
2015-09-25
Most educators consider note-taking a critical component of formal classroom learning. Advancements in technology such as tablet computers, mobile applications, and recorded lectures are altering classroom dynamics and affecting the way students compose and review class notes. These tools may improve a student's ability to take notes, but they also may hinder learning. In an era of dynamic technology developments, it is important for educators to routinely examine and evaluate influences on formal and informal learning environments. This paper discusses key background literature on student note-taking, identifies recent trends and potential implications of mobile technologies on classroom note-taking and student learning, and discusses future directions for note-taking in the context of digitally enabled lifelong learning.
Evolving molecular era of childhood medulloblastoma: time to revisit therapy.
Khatua, Soumen
2016-01-01
Currently medulloblastoma is treated with a uniform therapeutic approach based on histopathology and clinico-radiological risk stratification, resulting in unpredictable treatment failure and relapses. Improved understanding of the biological, molecular and genetic make-up of these tumors now clearly identifies it as a compendium of four distinct subtypes (WNT, SHH, group 3 and 4). Advances in utilization of the genomic and epigenomic machinery have now delineated genetic aberrations and epigenetic perturbations in each subgroup as potential druggable targets. This has resulted in endeavors to profile targeted therapy. The challenge and future of medulloblastoma therapeutics will be to keep pace with the evolving novel biological insights and translating them into optimal targeted treatment regimens.
Climatology and Impact of Polar Lows in the North Atlantic: Present and Future
NASA Astrophysics Data System (ADS)
Michel, Clio; Haukeland, Magnus; Spengler, Thomas
2016-04-01
Polar lows are maritime cyclones occurring during cold air outbreaks in high latitudes. We use the Melbourne University algorithm to detect and track polar lows in the North Atlantic. The algorithm is applied to ERA-Interim reanalyses as well as high resolution (25 and 50 km) global climate model data from GFDL for present and future climates. Cyclone track densities for the GFDL present climate and the ERA-Interim reanalyses compare well for the occurrence of present day polar lows. We also present cyclone track densities for future climates under RCP4.5 and RCP8.5 for the early and late 21st century. Polar lows mainly form close to Svalbard but also along the coast of Greenland, in the Norwegian Sea and Barents Sea. We present the shifts in location and intensity of polar lows for future climates and discuss potential reasons for these changes. During their lifetime, they travel several 100 kilometres and can reach the Norwegian coast as well as off-shore infrastructures. Therefore we also assess the difference between current and future occurrence of polar lows reaching the coast of Norway as well as areas with oil platforms and active fisheries. This analysis pinpoints the exposure to current and future impacts of polar lows on these socio-economic assets.
Strategic Utility of the Russian Spetsnaz
2016-12-01
11 B. POST -WORLD WAR II SOVIET ERA ................................................14 1. Khrushchev...17 3. Gorbachev .....................................................................................18 C. POST ...region in Ukraine. The selection of these campaigns aims to identify patterns of Soviet and post - Soviet era employment of Spetsnaz. Although the
Future of Land Remote Sensing: What is Needed
NASA Technical Reports Server (NTRS)
Goward, Samuel N.
2007-01-01
A viewgraph presentation describing the future of land remote sensing and the new technologies needed for clear views of the Earth is shown. The contents include: 1) Viewing the Earth; 2) Multi-Imagery; 3) May Missions and Sensors; 4) What is Needed; 5) Things to Think About; 6) Global Land Remote Sensing in Landsat 7 Era; 7) Seasonality; 8) Cloud Contamination; 9) NRC Decadal Study; 10) Atmospheric Attenuation; 11) Geo-Registration; 12) Orthorectification Required; 13) Band Registration with OLI; and 14) Things to Do. A viewgraph presentation describing the future of land remote sensing and the new technologies needed for clear views of the Earth is shown. The contents include: 1) Viewing the Earth; 2) Multi-Imagery; 3) May Missions and Sensors; 4) What is Needed; 5) Things to Think About; 6) Global Land Remote Sensing in Landsat 7 Era; 7) Seasonality; 8) Cloud Contamination; 9) NRC Decadal Study; 10) Atmospheric Attenuation; 11) Geo-Registration; 12) Orthorectification Required; 13) Band Registration with OLI; and 14) Things to Do.
[The future of the European nephrology belongs to the young: the Young Nephrologists' Platform].
Bolignano, Davide
2014-01-01
Young people are the future of research, especially in nephrology. The prevalence of young nephrologists within the main scientific European societies varies from the 12% to 34% and the 20% of the ERA-EDTA members are less than 40 years old in 2013. Recently, the ERA-EDTA has launched a new platform, the Young Nephrologists Platform (YNP), which the aim is to become the first modern network of young nephrologists from Europe and beyond. YNP aims at promoting the aggregation of young people through modern communication channels such as social networks, blogs and through the construction of a database collecting information on attitudes and personal experiences of each young nephrologist. A mentorship program, focused and young-oriented clinical courses on hot topics and the direct involvement of young nephrologists in working groups and scientific studies are some of the other interesting initiatives driven by YNP. The future of nephrology belongs to the young and YNP could represent a good springboard for the professional growth of young nephrologists.
Bosslet, Gabriel T; Carlos, W Graham; Tybor, David J; McCallister, Jennifer; Huebert, Candace; Henderson, Ashley; Miles, Matthew C; Twigg, Homer; Sears, Catherine R; Brown, Cynthia; Farber, Mark O; Lahm, Tim; Buckley, John D
2017-04-01
Few data have been published regarding scoring tools for selection of postgraduate medical trainee candidates that have wide applicability. The authors present a novel scoring tool developed to assist postgraduate programs in generating an institution-specific rank list derived from selected elements of the U.S. Electronic Residency Application System (ERAS) application. The authors developed and validated an ERAS and interview day scoring tool at five pulmonary and critical care fellowship programs: the ERAS Application Scoring Tool-Interview Scoring Tool. This scoring tool was then tested for intrarater correlation versus subjective rankings of ERAS applications. The process for development of the tool was performed at four other institutions, and it was performed alongside and compared with the "traditional" ranking methods at the five programs and compared with the submitted National Residency Match Program rank list. The ERAS Application Scoring Tool correlated highly with subjective faculty rankings at the primary institution (average Spearman's r = 0.77). The ERAS Application Scoring Tool-Interview Scoring Tool method correlated well with traditional ranking methodology at all five institutions (Spearman's r = 0.54, 0.65, 0.72, 0.77, and 0.84). This study validates a process for selecting and weighting components of the ERAS application and interview day to create a customizable, institution-specific tool for ranking candidates to postgraduate medical education programs. This scoring system can be used in future studies to compare the outcomes of fellowship training.
Pawlowski, Jan; Kelly-Quinn, Mary; Altermatt, Florian; Apothéloz-Perret-Gentil, Laure; Beja, Pedro; Boggero, Angela; Borja, Angel; Bouchez, Agnès; Cordier, Tristan; Domaizon, Isabelle; Feio, Maria Joao; Filipe, Ana Filipa; Fornaroli, Riccardo; Graf, Wolfram; Herder, Jelger; van der Hoorn, Berry; Iwan Jones, J; Sagova-Mareckova, Marketa; Moritz, Christian; Barquín, Jose; Piggott, Jeremy J; Pinna, Maurizio; Rimet, Frederic; Rinkevich, Buki; Sousa-Santos, Carla; Specchia, Valeria; Trobajo, Rosa; Vasselon, Valentin; Vitecek, Simon; Zimmerman, Jonas; Weigand, Alexander; Leese, Florian; Kahlert, Maria
2018-05-15
The bioassessment of aquatic ecosystems is currently based on various biotic indices that use the occurrence and/or abundance of selected taxonomic groups to define ecological status. These conventional indices have some limitations, often related to difficulties in morphological identification of bioindicator taxa. Recent development of DNA barcoding and metabarcoding could potentially alleviate some of these limitations, by using DNA sequences instead of morphology to identify organisms and to characterize a given ecosystem. In this paper, we review the structure of conventional biotic indices, and we present the results of pilot metabarcoding studies using environmental DNA to infer biotic indices. We discuss the main advantages and pitfalls of metabarcoding approaches to assess parameters such as richness, abundance, taxonomic composition and species ecological values, to be used for calculation of biotic indices. We present some future developments to fully exploit the potential of metabarcoding data and improve the accuracy and precision of their analysis. We also propose some recommendations for the future integration of DNA metabarcoding to routine biomonitoring programs. Copyright © 2018 Elsevier B.V. All rights reserved.
From LIMS to OMPS-LP: Limb Ozone Observations for Future Reanalyses
NASA Technical Reports Server (NTRS)
Wargan, K.; Kramarova, N.; Remsberg, E.; Coy, L.; Harvey, L.; Livesey, N.; Pawson, S.
2017-01-01
High vertical resolution and accuracy of ozone data from satellite-borne limb sounders has made them an invaluable tool in scientific studies of the middle and upper atmosphere. However, it was not until recently that these measurements were successfully incorporated in atmospheric reanalyses: of the major multidecadal reanalyses only ECMWF's (European Centre for Medium-Range Weather Forecasts') ERA (ECMWF Re-Analysis)-Interim/ERA5 and NASA's MERRA-2 (Modern-Era Retrospective Analysis for Research and Applications-2) use limb ozone data. Validation and comparison studies have demonstrated that the addition of observations from the Microwave Limb Sounder (MLS) on EOS (Earth Observing System) Aura greatly improved the quality of ozone fields in MERRA-2 making these assimilated data sets useful for scientific research. In this presentation, we will show the results of test experiments assimilating retrieved ozone from the Limb Infrared Monitor of the Stratosphere (LIMS, 1978/1979) and Ozone Mapping Profiler Suite Limb Profiler (OMPS-LP, 2012 to present). Our approach builds on the established assimilation methodology used for MLS in MERRA-2 and, in the case of OMPS-LP, extends the excellent record of MLS ozone assimilation into the post-EOS era in Earth observations. We will show case studies, discuss comparisons of the new experiments with MERRA-2, strategies for bias correction and the potential for combined assimilation of multiple limb ozone data types in future reanalyses for studies of multidecadal stratospheric ozone changes including trends.
GIS application on modern Mexico
NASA Astrophysics Data System (ADS)
Prakash, Bharath
This is a GIS based tool for showcasing the history of modern Mexico starting from the post-colonial era to the elections of 2012. The tool is developed using simple language and is flexible so as to allow for future enhancements. The application consists of numerous images and textual information, and also some links which can be used by primary and high school students to understand the history of modern Mexico, and also by tourists to look for all the international airports and United States of America consulates. This software depicts the aftermaths of the Colonial Era or the Spanish rule of Mexico. It covers various topics like the wars, politics, important personalities, drug cartels and violence. All these events are shown on GIS (Geographic information Science) maps. The software can be customized according to the user requirements and is developed using JAVA and GIS technology. The user interface is created using JAVA and MOJO which contributes to effective learning and understanding of the concepts with ease. Some of the user interface features provided in this tool includes zoom-in, zoom-out, legend editing, location identifier, print command, adding a layer and numerous menu items.
Cancer chemoprevention research with selenium in the post-SELECT era: Promises and challenges
Lü, Junxuan; Zhang, Jinhui; Jiang, Cheng; Deng, Yibin; Özten, Nur; Bosland, Maarten C.
2016-01-01
The negative efficacy outcomes of double-blinded, randomized, placebo-controlled Phase III human clinical trials with selenomethionine (SeMet) and SeMet-rich selenized-yeast (Se-yeast) for prostate cancer prevention and Se-yeast for prevention of non-small cell lung cancer (NSCLC) in North America lead to rejection of SeMet/Se-yeast for cancer prevention in Se-adequate populations. We identify two major lessons from the outcomes of these trials: 1) The antioxidant hypothesis was tested in wrong subjects or patient populations. 2) The selection of Se agents was not supported by cell culture and preclinical animal efficacy data as is common in drug development. We propose that next-generation forms of Se (next-gen Se), such as methylselenol precursors, offer biologically appropriate approaches for cancer chemoprevention but these are faced with formidable challenges. Solid mechanism-based preclinical efficacy assessments and comprehensive safety studies with next-gen Se will be essential to re-vitalize the idea of cancer chemoprevention with Se in the post-SELECT era. We advocate smaller mechanism-driven Phase I/II trials with these next-gen Se to guide and justify future decisions for definitive Phase III chemoprevention efficacy trials. PMID:26595411
Cancer chemoprevention research with selenium in the post-SELECT era: Promises and challenges.
Lü, Junxuan; Zhang, Jinhui; Jiang, Cheng; Deng, Yibin; Özten, Nur; Bosland, Maarten C
2016-01-01
The negative efficacy outcomes of double-blinded, randomized, placebo-controlled Phase III human clinical trials with selenomethionine (SeMet) and SeMet-rich selenized-yeast (Se-yeast) for prostate cancer prevention and Se-yeast for prevention of nonsmall cell lung cancer (NSCLC) in North America lead to rejection of SeMet/Se-yeast for cancer prevention in Se-adequate populations. We identify 2 major lessons from the outcomes of these trials: 1) the antioxidant hypothesis was tested in wrong subjects or patient populations, and 2) the selection of Se agents was not supported by cell culture and preclinical animal efficacy data as is common in drug development. We propose that next-generation forms of Se (next-gen Se), such as methylselenol precursors, offer biologically appropriate approaches for cancer chemoprevention but these are faced with formidable challenges. Solid mechanism-based preclinical efficacy assessments and comprehensive safety studies with next-gen Se will be essential to revitalize the idea of cancer chemoprevention with Se in the post-SELECT era. We advocate smaller mechanism-driven Phase I/II trials with these next-gen Se to guide and justify future decisions for definitive Phase III chemoprevention efficacy trials.
Looking Ahead: Future Directions in, and Future Research into, Second Language Acquisition
ERIC Educational Resources Information Center
Larsen-Freeman, Diane
2018-01-01
This article begins by situating modern-day second language acquisition (SLA) research in a historical context, tracing its evolution from cognitive to social to sociocognitive accounts. Next, the influence of the zeitgeist is considered. In this era of rapid change and turmoil, there are both perils and opportunities afforded by globalization. In…
ERIC Educational Resources Information Center
Mitchell, Lynda K.; Hardy, Philippe L.
The purpose of this chapter is to envision how the era of technological revolution will affect the guidance, counseling, and student support programs of the future. Advances in computer science, telecommunications, and biotechnology are discussed. These advances have the potential to affect dramatically the services of guidance programs of the…
Perryman, Sarah A. M.; Castells-Brooke, Nathalie I. D.; Glendining, Margaret J.; Goulding, Keith W. T.; Hawkesford, Malcolm J.; Macdonald, Andy J.; Ostler, Richard J.; Poulton, Paul R.; Rawlings, Christopher J.; Scott, Tony; Verrier, Paul J.
2018-01-01
The electronic Rothamsted Archive, e-RA (www.era.rothamsted.ac.uk) provides a permanent managed database to both securely store and disseminate data from Rothamsted Research’s long-term field experiments (since 1843) and meteorological stations (since 1853). Both historical and contemporary data are made available via this online database which provides the scientific community with access to a unique continuous record of agricultural experiments and weather measured since the mid-19th century. Qualitative information, such as treatment and management practices, plans and soil information, accompanies the data and are made available on the e-RA website. e-RA was released externally to the wider scientific community in 2013 and this paper describes its development, content, curation and the access process for data users. Case studies illustrate the diverse applications of the data, including its original intended purposes and recent unforeseen applications. Usage monitoring demonstrates the data are of increasing interest. Future developments, including adopting FAIR data principles, are proposed as the resource is increasingly recognised as a unique archive of data relevant to sustainable agriculture, agroecology and the environment. PMID:29762552
Electricity market design for the prosumer era
NASA Astrophysics Data System (ADS)
Parag, Yael; Sovacool, Benjamin K.
2016-04-01
Prosumers are agents that both consume and produce energy. With the growth in small and medium-sized agents using solar photovoltaic panels, smart meters, vehicle-to-grid electric automobiles, home batteries and other ‘smart’ devices, prosuming offers the potential for consumers and vehicle owners to re-evaluate their energy practices. As the number of prosumers increases, the electric utility sector of today is likely to undergo significant changes over the coming decades, offering possibilities for greening of the system, but also bringing many unknowns and risks that need to be identified and managed. To develop strategies for the future, policymakers and planners need knowledge of how prosumers could be integrated effectively and efficiently into competitive electricity markets. Here we identify and discuss three promising potential prosumer markets related to prosumer grid integration, peer-to-peer models and prosumer community groups. We also caution against optimism by laying out a series of caveats and complexities.
Future Battles and the Development of Military Concepts
2013-08-22
Land Battle concept dating from the Cold War era. The author maintains tliat such an approach is tied to old ways of thinking; the world has changed...the current world economic and social state, along with anticipated future flash points around the globe; a new military operational concept titled...project power, let alone rival U.S. dominance on the high seas. An alternate and more plausible future is a world that will require frequent
Zabotti, Alen; Errichetti, Enzo; Zuliani, Francesca; Quartuccio, Luca; Sacco, Stefania; Stinco, Giuseppe; De Vita, Salvatore
2018-05-01
Exclusion of psoriatic skin/nail lesions is important in differentiating early seronegative rheumatoid arthritis (ERA) from early polyarticular psoriatic arthritis (EPsA) and such manifestations may go unnoticed in atypical or minimally expressed cases. The aim of this study is to assess the usefulness of integrated rheumatological-dermatological evaluation in highlighting dermatological lesions missed on rheumatological examination and to investigate the role of ultrasonography (US) and dermoscopy in improving the recognition of subclinical psoriatic findings. Patients with a new diagnosis of seropositive or seronegative ERA and EPsA with prevalent hands involvement were recruited. All were reassessed for the presence of psoriatic lesions during an integrated rheumatological-dermatological clinical evaluation and underwent hands US and proximal nailfold dermoscopy. Seventy-three consecutive subjects were included in the study: 25 with seropositive ERA, 23 with seronegative ERA, and 25 with EPsA. One-fourth of the subjects initially diagnosed as seronegative ERA presented cutaneous or nail psoriasis on integrated rheumatological-dermatological evaluation, thereby being reclassified as EPsA. The presence of at least 1 extrasynovial feature on hand US and dotted vessels on proximal nailfold dermoscopy was significantly associated with EPsA, with a sensitivity of 68.0% and 96.0% and a specificity of 88.1% and 83.3% for US and dermoscopy, respectively. When used together, specificity for PsA diagnosis raised to 90.5%. Integrated rheumatological-dermatological clinical evaluation may be helpful in identifying patients with EPsA misclassified as seronegative ERA. Additionally, US and dermoscopy may be used as supportive tools in identifying subclinical psoriatic features, which may come in handy in distinguishing EPsA from ERA.
Medium Earth Orbit Scatterometer (MEOScat) Concept Phase Study
NASA Technical Reports Server (NTRS)
Spencer, Michael W.
2004-01-01
In this report, advanced scatterometer concept options to operate in the post-SeaWinds era are examined. In order to meet the future requirements of scientific and operational users, a variety of scatterometer systems capable of producing improved wind vector products are evaluated. Special emphasis is placed on addressing concept options that operate at higher altitudes in order to improve the temporal revisit time. A preliminary set of generalized wind measurement goals designed to meet the future needs of both scientific and operational communities is put forth. Geophysically based measurement constraints (such as allowable carrier frequencies and measurement incidence angles) are identified. It was found that a potential key constraint at higher satellite altitudes is the longer time required to make all of the azimuth measurements. The revisit and coverage characteristics of a variety of platform orbits throughout the MEO range is studied in detail, and a discussion of the associated increase in radiation is presented. The "trade space" of scatterometer architectures and design options, along with associated advantages and disadvantages, is described for mission options in the MEO range. Finally, key technology studies that will enable further development of a MEO scatterometer mission are identified.
Emotion-regulation ability, role stress and teachers' mental health.
Mérida-López, S; Extremera, N; Rey, L
2017-10-01
Work-related stressors, including role ambiguity and role conflict, are related to psychological maladjustment and mental ill-health. However, to date, the role of personal resources such as emotion-regulation ability (ERA) in the prediction of mental health indicators has not been addressed. To examine whether ERA would contribute to explaining teachers' depression, anxiety and stress symptoms beyond role ambiguity and role conflict. We carried out a cross-sectional questionnaire survey. We used a correlation matrix and hierarchical regression models to analyse the data. Three hundred and thirty-six Spanish teachers (185 female) from several grade levels completed the surveys (40% response rate). Role ambiguity and role conflict were positively related to depression, anxiety and stress symptoms. ERA was negatively related to teachers' scores on depressive, anxious and stress symptoms, with predictive power above the main effects of role ambiguity and role conflict. An interaction between role ambiguity and ERA was also significant in predicting depression. Our study provides preliminary evidence suggesting the development of integrative models considering work-related stressors along with personal resources such as ERA aiming to prevent teachers' mental ill-health. Future studies should examine the influence of ERA on psychological symptoms using longitudinal designs. © The Author 2017. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com
Biliary atresia: the Canadian experience.
Schreiber, Richard A; Barker, Collin C; Roberts, Eve A; Martin, Steven R; Alvarez, Fernando; Smith, Lesley; Butzner, J Decker; Wrobel, Iwona; Mack, David; Moroz, Stanley; Rashid, Mohsin; Persad, Rabin; Levesque, Dominique; Brill, Herbert; Bruce, Garth; Critch, Jeff
2007-12-01
To determine the outcomes of Canadian children with biliary atresia. Health records of infants born in Canada between January 1, 1985 and December 31, 1995 (ERA I) and between January 1, 1996 and December 31, 2002 (ERA II) who were diagnosed with biliary atresia at a university center were reviewed. 349 patients were identified. Median patient age at time of the Kasai operation was 55 days. Median age at last follow-up was 70 months. The 4-year patient survival rate was 81% (ERA I = 74%; ERA II = 82%; P = not significant [NS]). Kaplan-Meier survival curves for patients undergoing the Kasai operation at age < or = 30, 31 to 90, and > 90 days showed 49%, 36%, and 23%, respectively, were alive with their native liver at 4 years (P < .0001). This difference continued through 10 years. The 2- and 4-year post-Kasai operation native liver survival rates were 47% and 35% for ERA I and 46% and 39% for ERA II (P = NS). A total of 210 patients (60%) underwent liver transplantation; the 4-year transplantation survival rate was 82% (ERA I = 83%, ERA II = 82%; P = NS). This is the largest outcome series of North American children with biliary atresia at a time when liver transplantation was available. Results in each era were similar. Late referral remains problematic; policies to ensure timely diagnosis are required. Nevertheless, outcomes in Canada are comparable to those reported elsewhere.
How Elsevier's Article of the Future supports researchers in the digital era
NASA Astrophysics Data System (ADS)
Keall, B.
2012-04-01
The first phase of Elsevier's Article of the Future article format was released on SciVerse ScienceDirect in January 2012. While this new format for online scholarly articles brings a significantly improved online presentation, it also enables further enhancements in terms of domain-specific content and contextualization of research results. Of particular interest to the Earth Sciences research community are the seamless integration of an interactive map viewer that displays author-submitted KML files inside the article, and real-time links to leading research data portals like Pangaea and Earthchem. These enhancements allow for a richer form of communication between authors and readers, and present researchers with valuable additional information in the context of the article. In this presentaion I will review these ongoing efforts to enhance online articles in the digital era.
Two-Phase Flow Research on the ISS for Thermal Control Applications
NASA Technical Reports Server (NTRS)
Motil, Brian J.
2013-01-01
With the era of full utilization of the ISS now upon us, this presentation will discuss some of the highest-priority areas for two-phase flow systems with thermal control applications. These priorities are guided by recommendations of a 2011 NRC Decadal Survey report, Recapturing a Future for Space Exploration, Life and Physical Sciences for a New Era as well as an internal NASA exercise in response to the NRC report conducted in early 2012. Many of these proposals are already in various stages of development, while others are still conceptual.
Wu, Hang; Chen, Meng; Mao, Yongrong; Li, Weiwei; Liu, Jingtao; Huang, Xunduan; Zhou, Ying; Ye, Bang-Ce; Zhang, Lixin; Weaver, David T; Zhang, Buchang
2014-11-13
Saccharopolyspora erythraea was extensively utilized for the industrial-scale production of erythromycin A (Er-A), a macrolide antibiotic commonly used in human medicine. Yet, S. erythraea lacks regulatory genes in the erythromycin biosynthetic gene (ery) cluster, hampering efforts to enhance Er-A production via the engineering of regulatory genes. By the chromosome gene inactivation technique based on homologous recombination with linearized DNA fragments, we have inactivated a number of candidate TetR family transcriptional regulators (TFRs) and identified one TFR (SACE_7301) positively controlling erythromycin biosynthesis in S. erythraea A226. qRT-PCR and EMSA analyses demonstrated that SACE_7301 activated the transcription of erythromycin biosynthetic gene eryAI and the resistance gene ermE by interacting with their promoter regions with low affinities, similar to BldD (SACE_2077) previously identified to regulate erythromycin biosynthesis and morphological differentiation. Therefore, we designed a strategy for overexpressing SACE_7301 with 1 to 3 extra copies under the control of PermE* in A226. Following up-regulated transcriptional expression of SACE_7301, eryAI and ermE, the SACE_7301-overexpressed strains all increased Er-A production over A226 proportional to the number of copies. Likewise, when SACE_7301 was overexpressed in an industrial S. erythraea WB strain, Er-A yields of the mutants WB/7301, WB/2×7301 and WB/3×7301 were respectively increased by 17%, 29% and 42% relative to that of WB. In a 5 L fermentor, Er-A accumulation increased to 4,230 mg/L with the highest-yield strain WB/3×7301, an approximately 27% production improvement over WB (3,322 mg/L). We have identified and characterized a TFR, SACE_7301, in S. erythraea that positively regulated erythromycin biosynthesis, and overexpression of SACE_7301 in wild-type and industrial S. erythraea strains enhanced Er-A yields. This study markedly improves our understanding of the unusual regulatory mechanism of erythromycin biosynthesis, and provides a novel strategy towards Er-A overproduction by engineering transcriptional regulators of S. erythraea.
Power; Adams
1997-11-01
/ Views from a wide variety of practicing environmental professionals on the current status of ecological risk assessment (ERA) indicate consensus and divergence of opinion on the utility and practice of risk assessment. Central to the debate were the issues of whether ERA appropriately incorporates ecological and scientific principle into its conceptual paradigm. Advocates argue that ERA effectively does both, noting that much of the fault detractors find with the process has more to do with its practice than its purpose. Critics argue that failure to validate ERA predictions and the tendency to over-simplify ecological principles compromise the integrity of ERA and may lead to misleading advice on the appropriate responses to environmental problems. All authors felt that many improvements could be made, including validation, better definition of the ecological questions and boundaries of ERA, improved harmonization of selected methods, and improvements in the knowledge base. Despite identified deficiencies, most authors felt that ERA was a useful process undergoing evolutionary changes that will inevitably determine the range of environmental problems to which it can be appropriately applied. The views expressed give ERA a cautious vote of approval and highlight many of the critical strengths and weaknesses in one of our most important environmental assessment tools.KEY WORDS: Ecological risk assessment; Ecology; Probability
Radiation biology and oncology in the genomic era.
Kerns, Sarah L; Chuang, Kuang-Hsiang; Hall, William; Werner, Zachary; Chen, Yuhchyau; Ostrer, Harry; West, Catharine; Rosenstein, Barry
2018-06-14
Radiobiology research is building the foundation for applying genomics in precision radiation oncology. Advances in high-throughput approaches will underpin increased understanding of radiosensitivity and the development of future predictive assays for clinical application. There is an established contribution of genetics as a risk factor for radiotherapy side effects. An individual's radiosensitivity is an inherited polygenic trait with an architecture that includes rare mutations in a few genes that confer large effects and common variants in many genes with small effects. Current thinking is that some will be tissue specific, and future tests will be tailored to the normal tissues at risk. The relationship between normal and tumor cell radiosensitivity is poorly understood. Data are emerging suggesting interplay between germline genetic variation and epigenetic modification with growing evidence that changes in DNA methylation regulate the radiosensitivity of cancer cells and histone acetyltransferase inhibitors have radiosensitizing effects. Changes in histone methylation can also impair DNA damage response signaling and alter radiosensitivity. An important effort to advance radiobiology in the genomic era was establishment of the Radiogenomics Consortium to enable the creation of the large radiotherapy cohorts required to exploit advances in genomics. To address challenges in harmonizing data from multiple cohorts, the consortium established the REQUITE project to collect standardized data and genotyping for ~5,000 patients. The collection of detailed dosimetric data is important to produce validated multivariable models. Continued efforts will identify new genes that impact on radiosensitivity to generate new knowledge on toxicity pathogenesis and tests to incorporate into the clinical decision-making process.
Evans, Tyler G; Padilla-Gamiño, Jacqueline L; Kelly, Morgan W; Pespeni, Melissa H; Chan, Francis; Menge, Bruce A; Gaylord, Brian; Hill, Tessa M; Russell, Ann D; Palumbi, Stephen R; Sanford, Eric; Hofmann, Gretchen E
2015-07-01
Advances in nucleic acid sequencing technology are removing obstacles that historically prevented use of genomics within ocean change biology. As one of the first marine calcifiers to have its genome sequenced, purple sea urchins (Strongylocentrotus purpuratus) have been the subject of early research exploring genomic responses to ocean acidification, work that points to future experiments and illustrates the value of expanding genomic resources to other marine organisms in this new 'post-genomic' era. This review presents case studies of S. purpuratus demonstrating the ability of genomic experiments to address major knowledge gaps within ocean acidification. Ocean acidification research has focused largely on species vulnerability, and studies exploring mechanistic bases of tolerance toward low pH seawater are comparatively few. Transcriptomic responses to high pCO₂ seawater in a population of urchins already encountering low pH conditions have cast light on traits required for success in future oceans. Secondly, there is relatively little information on whether marine organisms possess the capacity to adapt to oceans progressively decreasing in pH. Genomics offers powerful methods to investigate evolutionary responses to ocean acidification and recent work in S. purpuratus has identified genes under selection in acidified seawater. Finally, relatively few ocean acidification experiments investigate how shifts in seawater pH combine with other environmental factors to influence organism performance. In S. purpuratus, transcriptomics has provided insight into physiological responses of urchins exposed simultaneously to warmer and more acidic seawater. Collectively, these data support that similar breakthroughs will occur as genomic resources are developed for other marine species. Copyright © 2015 Elsevier Inc. All rights reserved.
Water and the Earth System in the Anthropocene: Evolution of Socio-Hydrology
NASA Astrophysics Data System (ADS)
Sivapalan, M.; Bloeschl, G.
2014-12-01
Over the past century, hydrological science has evolved through distinct eras as judged by ideas, information sources, technological advances and societal influences: Empirical Era which was data based with little theory, Systems Era that focused on input-output relationships, Process Era with a focus on processes, and the Geosciences Era where hydrology was considered an Earth System science. We argue that as the human footprint on earth becomes increasingly dominant, we are moving into a Co-evolution Era. Co-evolution implies that the components of the Earth system are intimately intertwined at many time scales - fast scales of immediate feedbacks that translate into slow scale interdependencies and trends. These involve feedbacks between the atmosphere, biota, soils and landforms, mediated by water flow and transport processes. The human factor is becoming a key component of this coupled system. While there is a long tradition of considering effects of water on humans, and vice versa, the new thrust on socio-hydrology has a number of defining characteristics that sets it apart from traditional approaches: - Capturing feedbacks of human-natural water system in a dynamic way (slow and fast processes) to go beyond prescribing human factors as mere boundary conditions. These feedbacks will be essential to understand how the system may evolve in the future into new, perhaps previously unobserved, states. - Quantifying system dynamics in a generalizable way. So far, water resources assessment has been context dependent, tied to local conditions. While for immediate decision making this is undoubtedly essential, for more scientific inquiry, a more uniform knowledge base is indispensable. - Not necessarily predictive. The coupled human-nature system is inherently non-linear, which may prohibit predictability in the traditional sense. The socio-hydrologic approach may still be predictive in a statistical sense and, perhaps even more importantly, it may yet reveal possible futures not predicted by traditional forecasts, yet essential for long-term decision making. Guided by these overarching arguments, and a review of recent progress, we will present a structured overview of socio-hydrology, framing the theoretical, observational and methodological challenges that lie ahead and ways to address them.
Leveraging Which Knowledge in the Globalization Era? Indian Facet
ERIC Educational Resources Information Center
Pillania, Rajesh K.
2007-01-01
Purpose: In this era of globalization, knowledge has emerged as a critical resource. India has high expectations from her knowledge industries. Though it is difficult to classify knowledge into watertight compartments, this paper is an attempt to study whether Indian firms have identified the most crucial knowledge and what is the importance they…
Higher Education for Women in Postwar America, 1945-1965
ERIC Educational Resources Information Center
Eisenmann, Linda
2006-01-01
This history explores the nature of postwar advocacy for women's higher education, acknowledging its unique relationship to the expectations of the era and recognizing its particular type of adaptive activism. Linda Eisenmann illuminates the impact of this advocacy in the postwar era, identifying a link between women's activism during World War II…
From Administrative Theory and Practice to Sport and Lifestyle Management: Past, Present and Future.
ERIC Educational Resources Information Center
Moriarty, Dick
The field of sport and lifestyle management (SLM) includes three major eras which parallel cycles of conflict or stages of growth, development, and decline outlined in research. A review of relevant literature and examination of the situation in both Canada and the United States indicate that in the future SLM should return to a goal of service…
The Standard Model from LHC to future colliders.
Forte, S; Nisati, A; Passarino, G; Tenchini, R; Calame, C M Carloni; Chiesa, M; Cobal, M; Corcella, G; Degrassi, G; Ferrera, G; Magnea, L; Maltoni, F; Montagna, G; Nason, P; Nicrosini, O; Oleari, C; Piccinini, F; Riva, F; Vicini, A
This review summarizes the results of the activities which have taken place in 2014 within the Standard Model Working Group of the "What Next" Workshop organized by INFN, Italy. We present a framework, general questions, and some indications of possible answers on the main issue for Standard Model physics in the LHC era and in view of possible future accelerators.
Highly Efficient Proteolysis Accelerated by Electromagnetic Waves for Peptide Mapping
Chen, Qiwen; Liu, Ting; Chen, Gang
2011-01-01
Proteomics will contribute greatly to the understanding of gene functions in the post-genomic era. In proteome research, protein digestion is a key procedure prior to mass spectrometry identification. During the past decade, a variety of electromagnetic waves have been employed to accelerate proteolysis. This review focuses on the recent advances and the key strategies of these novel proteolysis approaches for digesting and identifying proteins. The subjects covered include microwave-accelerated protein digestion, infrared-assisted proteolysis, ultraviolet-enhanced protein digestion, laser-assisted proteolysis, and future prospects. It is expected that these novel proteolysis strategies accelerated by various electromagnetic waves will become powerful tools in proteome research and will find wide applications in high throughput protein digestion and identification. PMID:22379392
Note-taking and Handouts in The Digital Age
Stacy, Elizabeth Moore
2015-01-01
Most educators consider note-taking a critical component of formal classroom learning. Advancements in technology such as tablet computers, mobile applications, and recorded lectures are altering classroom dynamics and affecting the way students compose and review class notes. These tools may improve a student’s ability to take notes, but they also may hinder learning. In an era of dynamic technology developments, it is important for educators to routinely examine and evaluate influences on formal and informal learning environments. This paper discusses key background literature on student note-taking, identifies recent trends and potential implications of mobile technologies on classroom note-taking and student learning, and discusses future directions for note-taking in the context of digitally enabled lifelong learning. PMID:27168620
Has The Era Of Slow Growth For Prescription Drug Spending Ended?
Aitken, Murray; Berndt, Ernst R.; Cutler, David; Kleinrock, Michael; Maini, Luca
2016-01-01
In the period 2005–13 the US prescription drug market grew at an average annual pace of only 1.8 percent in real terms on an invoice price basis (that is, in constant dollars and before manufacturers’ rebates and discounts). But the growth rate increased dramatically in 2014, when the market expanded by 11.5 percent—which raised questions about future trends. We determined the impact of manufacturers’ rebates and discounts on prices and identified the underlying factors likely to influence prescription spending over the next decade. These include a strengthening of the innovation pipeline; consolidation among buyers such as wholesalers, pharmacy benefit managers, and health insurers; and reduced incidence of patent expirations, which means that fewer less costly generic drug substitutes will enter the market than in the recent past. While various forecasts indicate that pharmaceutical spending growth will moderate from its 2014 level, the business tension between buyers and sellers could play out in many different ways. This suggests that future spending trends remain highly uncertain. PMID:27605638
McLeod, Robin S; Aarts, Mary-Anne; Chung, Frances; Eskicioglu, Cagla; Forbes, Shawn S; Conn, Lesley Gotlib; McCluskey, Stuart; McKenzie, Marg; Morningstar, Beverly; Nadler, Ashley; Okrainec, Allan; Pearsall, Emily A; Sawyer, Jason; Siddique, Naveed; Wood, Trevor
2015-12-01
Enhanced Recovery After Surgery (ERAS) protocols have been shown to increase recovery, decrease complications, and reduce length of stay. However, they are difficult to implement. To develop and implement an ERAS clinical practice guideline (CPG) at multiple hospitals. A tailored strategy based on the Knowledge-to-action (KTA) cycle was used to develop and implement an ERAS CPG at 15 academic hospitals in Canada. This included an initial audit to identify gaps and interviews to assess barriers and enablers to implementation. Implementation included development of an ERAS guideline by a multidisciplinary group, communities of practice led by multidiscipline champions (surgeons, anesthesiologists, and nurses) both provincially and locally, educational tools, and clinical pathways as well as audit and feedback. The initial audit revealed there was greater than 75% compliance in only 2 of 18 CPG recommendations. Main themes identified by stakeholders were that the CPG must be based on best evidence, there must be increased communication and collaboration among perioperative team members, and patient education is essential. ERAS and Pain Management CPGs were developed by a multidisciplinary team and have been adopted at all hospitals. Preliminary data from more than 1000 patients show that the uptake of recommended interventions varies but despite this, mean length of stay has decreased with low readmission rates and adverse events. On the basis of short-term findings, our results suggest that a tailored implementation strategy based on the KTA cycle can be used to successfully implement an ERAS program at multiple sites.
Spotlight on the Muslim Middle East - Crossroads. A Student Reader [and] Teacher's Guide.
ERIC Educational Resources Information Center
Kelahan, Brian, Ed.; Penn, Marni, Ed.
These books offer primary source readings focusing on significant eras of world history and the pivotal role of the Middle East. Each "crossroad" examines a particular juncture in world history through the cultural and economic crosscurrents that existed at the time. The eras identified include: (1) "The Medieval Period"; (2)…
ERIC Educational Resources Information Center
Bloom, Dan; Anderson, Jacquelyn; Wavelet, Melissa; Gardiner, Karen N.; Fishman, Michael E.
The Employment Retention and Advancement (ERA) project was undertaken to identify effective strategies for helping low-income parents work more steadily and advance in the labor market. The 15 ERA demonstration projects that were operating in nine states (California, Florida, Illinois, Minnesota, New York, Oregon, South Carolina; Tennessee, and…
ERIC Educational Resources Information Center
Abelson, Philip H.
1973-01-01
Discusses problems facing the world with increasing demands for food, energy, raw materials and goods, and at the same time confronted with a population explosion. Views the future of the United States optimistically when compared to less developed countries. (JR)
Astronautics in past and future
NASA Technical Reports Server (NTRS)
Stuhlinger, E.
1974-01-01
The contributions of Oberth in the development of rocket technology as a basis for the conduction of manned and unmanned space flights are considered, giving attention also to other rocket pioneers, including Ziolkowski, Ganswindt, von Hoefft, and Goddard. Early stages in rocket development in Germany, Russia, and the U.S. are examined. The launching of Sputnik I in October 1957 was the beginning of a new era in the history of mankind. The start of this new era of space exploration and space utilization comes at a time when the limited resources of the earth begin to impose severe restrictions upon the continuing growth of human technology and civilization. It is predicted that the new space technology will provide the means for overcoming these restrictions. Future space programs, which are partly based on the development of the space shuttle, are discussed, taking into account the international aspects of the new plans for the utilization and the study of space.
Knipe, David M; Whelan, Sean P
2015-08-01
Harvard Medical School convened a meeting of biomedical and clinical experts on 5 March 2015 on the topic of "Rethinking the Response to Emerging Microbes: Vaccines and Therapeutics in the Ebola Era," with the goals of discussing the lessons from the recent Ebola outbreak and using those lessons as a case study to aid preparations for future emerging infections. The speakers and audience discussed the special challenges in combatting an infectious agent that causes sporadic outbreaks in resource-poor countries. The meeting led to a call for improved basic medical care for all and continued support of basic discovery research to provide the foundation for preparedness for future outbreaks in addition to the targeted emergency response to outbreaks and targeted research programs against Ebola virus and other specific emerging pathogens. Copyright © 2015, American Society for Microbiology. All Rights Reserved.
Modeling the Earth system in the Mission to Planet Earth era
NASA Technical Reports Server (NTRS)
Unninayar, Sushel; Bergman, Kenneth H.
1993-01-01
A broad overview is made of global earth system modeling in the Mission to Planet Earth (MTPE) era for the multidisciplinary audience encompassed by the Global Change Research Program (GCRP). Time scales of global system fluctuation and change are described in Section 2. Section 3 provides a rubric for modeling the global earth system, as presently understood. The ability of models to predict the future state of the global earth system and the extent to which their predictions are reliable are covered in Sections 4 and 5. The 'engineering' use of global system models (and predictions) is covered in Section 6. Section 7 covers aspects of an increasing need for improved transform algorithms and better methods to assimilate this information into global models. Future monitoring and data requirements are detailed in Section 8. Section 9 covers the NASA-initiated concept 'Mission to Planet Earth,' which employs space and ground based measurement systems to provide the scientific basis for understanding global change. Section 10 concludes this review with general remarks concerning the state of global system modeling and observing technology and the need for future research.
Alternative Futures and Army Force Planning. Implications for the Future Force Era
2005-01-01
narcotraffickers had to establish coca fields in other Latin American countries like Bolivia and Peru , build processing labs in remote areas of the Amazon basin...emergence of Al Qaeda as a potent worldwide force, both the scope and the duration of the war on terrorism remain un- certain, as does the level of...future. Our hypothesis was that a drastic downturn in any one of the development variables would drag the remaining four at least into the medium category
Trends in Wait-list Mortality in Children Listed for Heart Transplantation in the United States
Singh, Tajinder P.; Almond, Christopher S.; Piercey, Gary; Gauvreau, Kimberlee
2014-01-01
We sought to evaluate trends in overall and race-specific pediatric heart transplant (HT) wait-list mortality in the United States (US) during the last 20 years. We identified all children <18 years old listed for primary HT in the US during 1989–2009 (N=8096, 62% white, 19% black, 13% Hispanic, 6% other) using the Organ Procurement and Transplant Network database. Wait-list mortality was assessed in 4 successive eras (1989–1994, 1995–1999, 2000–2004, and 2005–2009). Overall wait-list mortality declined in successive eras (26%, 23%, 18% and 13%, respectively). The decline across eras remained significant in adjusted analysis (hazard ratio [HR] 0.70 in successive eras, 95% confidence interval [CI] 0.67, 0.74) and was 67% lower for children listed during 2005–2009 vs. those listed during 1989–1994 (HR 0.33, CI 0.28, 0.39). In models stratified by race, wait-list mortality decreased in all racial groups in successive eras. In models stratified by era, minority children were not at higher risk of wait-list mortality in the most recent era. We conclude that the risk of wait-list mortality among US children listed for HT has decreased by two-thirds during the last 20 years. Racial gaps in wait-list mortality present variably in the past are not present in the current era. PMID:21883920
From LIMS to OMPS-LP: limb ozone observations for future reanalyses
NASA Astrophysics Data System (ADS)
Wargan, K.; Kramarova, N. A.; Remsberg, E. E.; Coy, L.; Harvey, L.; Livesey, N. J.; Pawson, S.
2017-12-01
High vertical resolution and accuracy of ozone data from satellite-borne limb sounders have made them an invaluable tool in scientific studies of the middle and upper atmosphere. However, it was not until recently that these measurements were successfully incorporated in atmospheric reanalyses: of the major multidecadal reanalyses only ECMWF's ERA-Interim/ERA5 and NASA's MERRA-2 use limb ozone data. Validation and comparison studies have demonstrated that the addition of observations from the Microwave Limb Sounder (MLS) on EOS Aura greatly improved the quality of ozone fields in MERRA-2 making these assimilated data sets useful for scientific research. In this presentation, we will show the results of test experiments assimilating retrieved ozone from the Limb Infrared Monitor of the Stratosphere (LIMS, 1978/1979) and Ozone Mapping Profiler Suite Limb Profiler (OMPS-LP, 2012 to present). Our approach builds on the established assimilation methodology used for MLS in MERRA-2 and, in the case of OMPS-LP, extends the excellent record of MLS ozone assimilation into the post-EOS era in Earth observations. We will show case studies, discuss comparisons of the new experiments with MERRA-2, strategies for bias correction and the potential for combined assimilation of multiple limb ozone data types in future reanalyses for studies of multidecadal stratospheric ozone changes including trends.
Future Choices, Future Trends in Technology in Kinesiology and Physical Education
ERIC Educational Resources Information Center
Finkenberg, Mel E.
2008-01-01
This lecture focuses on recent innovations in technology since the era of Dudley Allen Sargent, with an analysis of contemporary use of technology in the field of human performance, as well as a vision of where it appears we are heading in terms of technology. de la Pena argued that those who maintain sport science began in the 20th century have…
SPACE: Vision and Reality: Face to Face. Proceedings Report
NASA Technical Reports Server (NTRS)
1995-01-01
The proceedings of the 11th National Space Symposium entitled 'Vision and Reality: Face to Face' is presented. Technological areas discussed include the following sections: Vision for the future; Positioning for the future; Remote sensing, the emerging era; space opportunities, Competitive vision with acquisition reality; National security requirements in space; The world is into space; and The outlook for space. An appendice is also attached.
NASA Astrophysics Data System (ADS)
Reboita, Michelle; Rodrigues, Marcelo; da Rocha, Rosmeri
2017-04-01
This study shows some of the climatological features of the extratropical cyclones in present and future climate over Southwestern Atlantic Ocean (SAO). The projections were carried out with Regional Climate Model (RegCM4) nested in HadGEM2-ES global model outputs and using representative concentration pathway 8.5 (RCP8.5) from the CMIP5. The simulations considered the South America domain suggested by CORDEX, horizontal grid spacing of 50 km, 18 sigma-pressure levels in the vertical. An objective tracking scheme based on cyclonic relative vorticity calculated using the wind at 925 hPa was used to identify the cyclones. All cyclones with relative vorticity lower than the -1.5 x 10-5 s-1 and with lifetime higher or equal 24 hours were included in the climatology. Considering the period from 1979 to 2098, RegCM4 and HadGEM2-ES project a negative trend in the frequency of the extratropical cyclones over SAO, with the biggest negative trend occuring in the latitudinal band between 40°S and 57.5°S. This result can be associated with the southward displacement of the baroclinic zone which contributes to the cyclones move to south leaving the region analyzed. The three subregions with largest cyclogenetic activity discussed in the literature (southeast coast of Brazil - RG1, coast of Uruguay and southern Brazil - RG2; east coast of Argentina - RG3) were better reproduced in RegCM4 than in HadGEM2-ES. Therefore, RegCM4 downscaling ads value in the HadGEM2-ES projections. The frequency of cyclones in present (1979-2005) and future climate (2070-2098) is higher in winter and lower in summer. Regarding the mean characteristics of the cyclones (life time, travel distance, velocity, initial relative vorticity and total average vorticity), both models successfully reproduced those obtained in the reanalysis (NCEP1, NCEP2, CFSR, ERA40 and ERA-Interim) and there are no significant differences in the future climate compared with the present.
Value-based leadership. Is your hospital management team prepared for the future?
Stempniak, Marty
2013-05-01
This foldout section looks at the seven steps to a value-structured hospital, 10 must-do strategies for thriving in the new health care era, and what new skills management, physicians and trustees should have.
Impact of Climate Change on the Climatology of Vb Cyclones
NASA Astrophysics Data System (ADS)
Messmer, Martina; José Gómez-Navarro, Juan; Blumer, Sandro; Raible, Christoph C.
2017-04-01
Extra-tropical cyclones of type Vb develop over the western Mediterranean and move northeastward, leading to heavy precipitation over Central Europe and posing a major natural hazard. Since such cyclones are high-impact events that lead to important economical and personal damage, in Central Europe, and especially in the Alpine region, understanding their sensitivity to climate change is important to provide suitable adaptation measures. This communication aims at investigating the impact of climate change in Vb cyclones through a climate simulation covering the whole 21st century performed with the Community Earth System Model (CESM1). Further, some selected Vb episodes within the simulation are downscaled with the Weather Research and Forecasting Model (WRF). The analysis focuses on two different time periods. The reference period spans the ERA-Interim period 1979 to 2013, whereas the other one covers the last 30 years of the 21st century 2070-2099. The simulation uses the emissions from the business as usual scenario (RCP8.5). For both periods, the Vb cyclones were identified using a tracking tool and their main properties were characterized. During the reference period 86 Vb cyclones can be identified overall, which corresponds to approximately 2.5 Vb cyclones per year. This number corresponds very well to the 82 Vb cyclones found in the ERA-Interim reanalysis dataset in the same period of time. This number is reduced under future climate conditions, leading to 48 Vb cyclones in total, or to 1.6 Vb cyclones per year on average. Despite the reduction in their number, results indicate that there is a tendency for intensification in precipitation for high-impact Vb events of around 10% over the Alpine region in the future compared to the ones between 1979 and 2013. Interestingly, while the summer months are most prone for the occurrence of the 10 heaviest precipitation Vb events in the current conditions, the 10 heaviest precipitation Vb events in the future become shifted towards spring and also fall months, implicating an important change in the seasonality of the phenomenon. In order to gain more insight on the changes in the processes responsible for such changes in precipitation and occurrence of Vb events, we downscaled the 10 most precipitation intense Vb events of each of the two periods. Preliminary results indicate that future Vb events tend to affect more strongly the eastern costs of the Mediterranean Sea, while the impact in the Alpine region becomes slightly ameliorated compared to current situations. This result is in agreement with results previously obtained through the analysis of a set of highly idealized sensitivity experiments, and can be related to an increasing instability at the eastern coast of the Mediterranean Sea induced by a stronger latent heating over the sea under future conditions.
ERIC Educational Resources Information Center
Mowarin, Macaulay; Tonukari, Emmanuel Ufuoma
2010-01-01
This essay discusses the linguistic and cultural factors that have acted as impediments to Nigeria's breakthrough into the knowledge era. It identifies language deficit in English by most Nigerians, under-developed state of most Nigerian languages, absence of creative education and the presence of certain cultural taboos which stifles the…
Role of Imaging in the Era of Precision Medicine.
Giardino, Angela; Gupta, Supriya; Olson, Emmi; Sepulveda, Karla; Lenchik, Leon; Ivanidze, Jana; Rakow-Penner, Rebecca; Patel, Midhir J; Subramaniam, Rathan M; Ganeshan, Dhakshinamoorthy
2017-05-01
Precision medicine is an emerging approach for treating medical disorders, which takes into account individual variability in genetic and environmental factors. Preventive or therapeutic interventions can then be directed to those who will benefit most from targeted interventions, thereby maximizing benefits and minimizing costs and complications. Precision medicine is gaining increasing recognition by clinicians, healthcare systems, pharmaceutical companies, patients, and the government. Imaging plays a critical role in precision medicine including screening, early diagnosis, guiding treatment, evaluating response to therapy, and assessing likelihood of disease recurrence. The Association of University Radiologists Radiology Research Alliance Precision Imaging Task Force convened to explore the current and future role of imaging in the era of precision medicine and summarized its finding in this article. We review the increasingly important role of imaging in various oncological and non-oncological disorders. We also highlight the challenges for radiology in the era of precision medicine. Published by Elsevier Inc.
Gotlib Conn, Lesley; McKenzie, Marg; Pearsall, Emily A; McLeod, Robin S
2015-07-17
Enhanced recovery after surgery (ERAS) is a multimodal evidence-based approach to patient care that has become the standard in elective colorectal surgery. Implemented globally, ERAS programmes represent a considerable change in practice for many surgical care providers. Our current understanding of specific implementation and sustainability challenges is limited. In January 2013, we began a 2-year ERAS implementation for elective colorectal surgery in 15 academic hospitals in Ontario. The purpose of this study was to understand the process enablers and barriers that influenced the success of ERAS implementation in these centres with a view towards supporting sustainable change. A qualitative process evaluation was conducted from June to September 2014. Semi-structured interviews with implementation champions were completed, and an iterative inductive thematic analysis was conducted. Following a data-driven analysis, the Normalization Process Theory (NPT) was used as an analytic framework to understand the impact of various implementation processes. The NPT constructs were used as sensitizing concepts, reviewed against existing data categories for alignment and fit. Fifty-eight participants were included: 15 surgeons, 14 anaesthesiologists, 15 nurses, and 14 project coordinators. A number of process-related implementation enablers were identified: champions' belief in the value of the programme, the fit and cohesion of champions and their teams locally and provincially, a bottom-up approach to stakeholder engagement targeting organizational relationship-building, receptivity and support of division leaders, and the normalization of ERAS as everyday practice. Technical enablers identified included effective integration with existing clinical systems and using audit and feedback to report to hospital stakeholders. There was an overall optimism that ERAS implementation would be sustained, accompanied by concern about long-term organizational support. Successful ERAS implementation is achieved by a complex series of cognitive and social processes which previously have not been well described. Using the Normalization Process Theory as a framework, this analysis demonstrates the importance of champion coherence, external and internal relationship building, and the strategic management of a project's organization-level visibility as important to ERAS uptake and sustainability.
Lim, Hui Y; Chua, Chong C; Tacey, Mark; Sleeman, Matthew; Donnan, Geoffrey; Nandurkar, Harshal; Ho, Prahlad
2017-09-01
Venous thromboembolism (VTE) is a major cause of morbidity and mortality with significant heterogeneity in its management, both within our local practice and in international guidelines. To provide a holistic evaluation of 'real-world' Australian experience in the warfarin era, including how we compare to international guidelines. Retrospective evaluation of VTE from July 2011 to December 2012 at two major hospitals in Melbourne, Australia. These results were compared to recommendations in the international guidelines. A total of 752 episodes involving 742 patients was identified. Contrary to international guidelines, an unwarranted heritable thrombophilia screen was performed in 22.0% of patients, amounting to a cost of AU$29 000. The duration of anticoagulation was longer compared to international recommendations, although the overall recurrence (3.2/100 person-years) and clinically significant bleeding rates (2.4/100 person-years) were comparable to 'real-world' data. Unprovoked VTE (hazard ratio 2.06; P = 0.01) was a risk factor for recurrence, and there was no difference in recurrence between major VTE (proximal deep vein thrombosis (DVT) and/or pulmonary embolism) and isolated distal DVT (3.02 vs 3.94/100 person-years; P = 0.25). Fourteen patients were subsequently diagnosed with malignancy, and patients with recurrent VTE had increased risk of prospective cancer diagnosis (relative risk 6.68; P < 0.001). While our 'real-world' VTE experience during the warfarin era largely correlates with international guidelines, there remains heterogeneity in the management strategies, including excessive thrombophilia screening and longer duration of anticoagulation. This audit highlights the need for national VTE guidelines, as well as prospective auditing of VTE management, in the direct oral anticoagulant era for future comparison. © 2017 Royal Australasian College of Physicians.
Koning, Mark V; Teunissen, Aart Jan W; van der Harst, Erwin; Ruijgrok, Elisabeth J; Stolker, Robert Jan
2018-02-01
Management of postoperative pain after laparoscopic segmental colonic resections remains controversial. We compared 2 methods of analgesia within an Enhanced Recovery After Surgery (ERAS) program. The goal of the study was to investigate whether administration of intrathecal bupivacaine/morphine would lead to an enhanced recovery. A single-center, randomized, double-blind controlled trial was performed (NL43488.101.13). Patients scheduled for laparoscopic segmental intestinal resections were considered. Exclusion criteria were patients in whom contraindications to spinal anesthesia were present, conversion to open surgery, and gastric and rectal surgery. The intervention group received single-shot intrathecal bupivacaine/morphine (12.5 mg/300 μg), with an altered dose for older patients. The control group received a sham procedure and a bolus of piritramide (0.1 mg/kg). Both groups received standardized general anesthesia and a patient-controlled intravenous analgesia pump as postoperative analgesia. All patients were treated according to an ERAS protocol. A decrease in days to "fit for discharge" was the primary outcome. Fifty-six patients were enrolled. Intervention group patients were fit for discharge earlier (median of 3 vs 4 days, P = 0.044). Furthermore, there was a significant decrease in opioid use and lower pain scores on the first postoperative day in the intervention group. There were no differences in adverse events (except for more pruritus), time to mobilization, fluid administration, or patient satisfaction. This randomized controlled trial shows that intrathecal morphine is a more effective method of postoperative analgesia in laparoscopic surgery than intravenous opioids within an ERAS program. Recovery is faster and less painful with intrathecal morphine. Other studies have confirmed these results, although data on faster recovery are new and require confirmation in future trials. This study was registered at ClinicalTrials.gov, identifier NCT02284282.
The Protein Data Bank at 40: Reflecting on the Past to Prepare for the Future
Berman, Helen M.; Kleywegt, Gerard J.; Nakamura, Haruki; Markley, John L.
2012-01-01
A symposium celebrating the 40th anniversary of the Protein Data Bank archive (PDB), organized by the Worldwide Protein Data Bank, was held at Cold Spring Harbor Laboratory (CSHL) October 28–30, 2011. PDB40’s distinguished speakers highlighted four decades of innovation in structural biology, from the early era of structural determination to future directions for the field. PMID:22404998
Deconstructing Our Dark Age Future
2009-03-16
existed for centuries . Perhaps the most compelling archetypes, however, were the various anarchist movements of the late Victorian era. In the 30 or so...failed to develop until the late 19th Century . 16 Ibid. Martin van Creveld interprets this differently, stating that because the treaty gave the...to underwrite their observations of global chaos and predictions of a dismal future.8 This paradigm endures because over the past century it has
Kim, Tae-Sung; He, Qiang; Kim, Kyu-Won; Yoon, Min-Young; Ra, Won-Hee; Li, Feng Peng; Tong, Wei; Yu, Jie; Oo, Win Htet; Choi, Buung; Heo, Eun-Beom; Yun, Byoung-Kook; Kwon, Soon-Jae; Kwon, Soon-Wook; Cho, Yoo-Hyun; Lee, Chang-Yong; Park, Beom-Seok; Park, Yong-Jin
2016-05-26
Rice germplasm collections continue to grow in number and size around the world. Since maintaining and screening such massive resources remains challenging, it is important to establish practical methods to manage them. A core collection, by definition, refers to a subset of the entire population that preserves the majority of genetic diversity, enhancing the efficiency of germplasm utilization. Here, we report whole-genome resequencing of the 137 rice mini core collection or Korean rice core set (KRICE_CORE) that represents 25,604 rice germplasms deposited in the Korean genebank of the Rural Development Administration (RDA). We implemented the Illumina HiSeq 2000 and 2500 platform to produce short reads and then assembled those with 9.8 depths using Nipponbare as a reference. Comparisons of the sequences with the reference genome yielded more than 15 million (M) single nucleotide polymorphisms (SNPs) and 1.3 M INDELs. Phylogenetic and population analyses using 2,046,529 high-quality SNPs successfully assigned rice accessions to the relevant rice subgroups, suggesting that these SNPs capture evolutionary signatures that have accumulated in rice subpopulations. Furthermore, genome-wide association studies (GWAS) for four exemplary agronomic traits in the KRIC_CORE manifest the utility of KRICE_CORE; that is, identifying previously defined genes or novel genetic factors that potentially regulate important phenotypes. This study provides strong evidence that the size of KRICE_CORE is small but contains high genetic and functional diversity across the genome. Thus, our resequencing results will be useful for future breeding, as well as functional and evolutionary studies, in the post-genomic era.
California's 2050 travel demand : anticipating an era of climate change and energy constraints.
DOT National Transportation Integrated Search
2008-05-30
The long-term context for Californias transportation systems is one of significant transformation. Neither business as usual or slow incremental change are likely to represent the future because of climate change mitigation and energy supply...
Nanotechnology - Enabling Future Space Viability
2009-03-18
nanotechnology dates back to 1987 when K. Eric Drexler published Engines of Creation: The Coming Era of Nanotechnology; however, the concept itself...The Joint Operating Environment 2008, (Suffolk, VA: USFJCOM, 25 November 2008), 23. 14 Peter Eisler , “Commercial Satellites Alter Global Security
Lagrangian large eddy simulations of boundary layer clouds on ERA-Interim and ERA5 trajectories
NASA Astrophysics Data System (ADS)
Kazil, J.; Feingold, G.; Yamaguchi, T.
2017-12-01
This exploratory study examines Lagrangian large eddy simulations of boundary layer clouds along wind trajectories from the ERA-Interim and ERA5 reanalyses. The study is motivated by the need for statistically representative sets of high resolution simulations of cloud field evolution in realistic meteorological conditions. The study will serve as a foundation for the investigation of biomass burning effects on the transition from stratocumulus to shallow cumulus clouds in the South-East Atlantic. Trajectories that pass through a location with radiosonde data (St. Helena) and which exhibit a well-defined cloud structure and evolution were identified in satellite imagery, and sea surface temperature and atmospheric vertical profiles along the trajectories were extracted from the reanalysis data sets. The System for Atmospheric Modeling (SAM) simulated boundary layer turbulence and cloud properties along the trajectories. Mean temperature and moisture (in the free troposphere) and mean wind speed (at all levels) were nudged towards the reanalysis data. Atmospheric and cloud properties in the large eddy simulations were compared with those from the reanalysis products, and evaluated with satellite imagery and radiosonde data. Simulations using ERA-Interim data and the higher resolution ERA5 data are contrasted.
Self-report and longitudinal predictors of violence in Iraq and Afghanistan war era veterans.
Elbogen, Eric B; Johnson, Sally C; Newton, Virginia M; Fuller, Sara; Wagner, H Ryan; Beckham, Jean C
2013-10-01
This study, using a longitudinal design, attempted to identify whether self-reported problems with violence were empirically associated with future violent behavior among Iraq and Afghanistan war veterans and whether and how collateral informant interviews enhanced the risk assessment process. Data were gathered from N = 300 participants (n = 150 dyads of Iraq and Afghanistan war veterans and family/friends). The veterans completed baseline and follow-up interviews 3 years later on average, and family/friends provided collateral data on dependent measures at follow-up. Analyses showed that aggression toward others at follow-up was associated with younger age, posttraumatic stress disorder, combat exposure, and a history of having witnessed parental violence growing up. Self-reported problems controlling violence at baseline had robust statistical power in predicting aggression toward others at follow-up. Collateral report enhanced detection of dependent variables: 20% of cases positive for violence toward others would have been missed relying only on self-report. The results identify a subset of Iraq and Afghanistan war veterans at higher risk for problematic postdeployment adjustment and indicate that the veterans' self-report of violence was useful in predicting future aggression. Underreporting of violence was not evidenced by most veterans but could be improved upon by obtaining collateral information.
A new era for functional labeling of neurons: activity-dependent promoters have come of age
Kawashima, Takashi; Okuno, Hiroyuki; Bito, Haruhiko
2014-01-01
Genetic labeling of neurons with a specific response feature is an emerging technology for precise dissection of brain circuits that are functionally heterogeneous at the single-cell level. While immediate early gene mapping has been widely used for decades to identify brain regions which are activated by external stimuli, recent characterization of the promoter and enhancer elements responsible for neuronal activity-dependent transcription have opened new avenues for live imaging of active neurons. Indeed, these advancements provided the basis for a growing repertoire of novel experiments to address the role of active neuronal networks in cognitive behaviors. In this review, we summarize the current literature on the usage and development of activity-dependent promoters and discuss the future directions of this expanding new field. PMID:24795570
[Strategy and prospective of enhanced recovery after surgery for esophageal cancer].
Li, Yin
2016-09-25
Enhanced recovery after surgery (ERAS) is a patient-centered, surgeon-led system combining anesthesia, nursing, nutrition and psychology. It aims to minimize surgical stress and maintain physiological function in perioperative care, thereby expediting recovery. ERAS theory has been clinically applied for nearly 20 years and it is firstly used in colorectal surgery, then widely used in other surgical fields. However, ERAS is not used commonly in esophagectomy because of its surgical complexity and high morbidity of postoperative complications, which limits the application of ERAS in the field of esophagectomy. In recent years, with the increasing maturation of minimally invasive esophagectomy, attention to tissue and organ protection concept, improvement of making gastric tube, breakthrough of anastomosis technique, and the presentation and application of new concepts, ERAS has made great progress in the field of esophagectomy. This article summarizes some ERAS measures in the treatment of esophageal cancer based on evidence-based medicine, and performs an effective ERAS mode for clinical application of esophagectomy. During preoperative preparation and evaluation, we propose preoperative education and nutrition evaluation without regular intestinal preparation, and advocate preemptive analgesia without preanesthetic medication. During intra-operative management, anesthesia scheme should be optimized, fluid transfusion should be controlled properly, suitable operation mode should be chosen, and intraoperative hypothermia should be avoided. During postoperative management, sufficient analgesia should be administered with non-opioid analgesics, drainage tube placement must be decreased and removed earlier, urinary catheter and gastrointestinal decompression tube should be removed earlier, and oral intake and ambulation should be resumed as early as possible. "Received surgery yesterday, oral intake today, discharged home 5-7 days", ERAS program based on "non tube no fasting" has been applied in some medical centers and becomes more and more maturation. In the future, we will rely on the increasing improvement and systemic training of ERAS mode in order to promote such application in more medical centers. With the multi-center clinical trials, based on constant enrichments and improvements, a general expert consensus will be made finally.
NASA Astrophysics Data System (ADS)
Wang, Guanghui; Wang, Yufei; Liu, Yijun; Chi, Yuxue
2018-05-01
As the transmission of public opinion on the Internet in the “We the Media” era tends to be supraterritorial, concealed and complex, the traditional “point-to-surface” transmission of information has been transformed into “point-to-point” reciprocal transmission. A foundation for studies of the evolution of public opinion and its transmission on the Internet in the “We the Media” era can be laid by converting the massive amounts of fragmented information on public opinion that exists on “We the Media” platforms into structurally complex networks of information. This paper describes studies of structurally complex network-based modeling of public opinion on the Internet in the “We the Media” era from the perspective of the development and evolution of complex networks. The progress that has been made in research projects relevant to the structural modeling of public opinion on the Internet is comprehensively summarized. The review considers aspects such as regular grid-based modeling of the rules that describe the propagation of public opinion on the Internet in the “We the Media” era, social network modeling, dynamic network modeling, and supernetwork modeling. Moreover, an outlook for future studies that address complex network-based modeling of public opinion on the Internet is put forward as a summary from the perspective of modeling conducted using the techniques mentioned above.
Kallianpur, Asha R.; Wang, Quan; Jia, Peilin; Hulgan, Todd; Zhao, Zhongming; Letendre, Scott L.; Ellis, Ronald J.; Heaton, Robert K.; Franklin, Donald R.; Barnholtz-Sloan, Jill; Collier, Ann C.; Marra, Christina M.; Clifford, David B.; Gelman, Benjamin B.; McArthur, Justin C.; Morgello, Susan; Simpson, David M.; McCutchan, J. A.; Grant, Igor
2016-01-01
Background. Anemia has been linked to adverse human immunodeficiency virus (HIV) outcomes, including dementia, in the era before highly active antiretroviral therapy (HAART). Milder forms of HIV-associated neurocognitive disorder (HAND) remain common in HIV-infected persons, despite HAART, but whether anemia predicts HAND in the HAART era is unknown. Methods. We evaluated time-dependent associations of anemia and cross-sectional associations of red blood cell indices with neurocognitive impairment in a multicenter, HAART-era HIV cohort study (N = 1261), adjusting for potential confounders, including age, nadir CD4+ T-cell count, zidovudine use, and comorbid conditions. Subjects underwent comprehensive neuropsychiatric and neuromedical assessments. Results. HAND, defined according to standardized criteria, occurred in 595 subjects (47%) at entry. Mean corpuscular volume and mean corpuscular hemoglobin were positively associated with the global deficit score, a continuous measure of neurocognitive impairment (both P < .01), as well as with all HAND, milder forms of HAND, and HIV-associated dementia in multivariable analyses (all P < .05). Anemia independently predicted development of HAND during a median follow-up of 72 months (adjusted hazard ratio, 1.55; P < .01). Conclusions. Anemia and red blood cell indices predict HAND in the HAART era and may contribute to risk assessment. Future studies should address whether treating anemia may help to prevent HAND or improve cognitive function in HIV-infected persons. PMID:26690344
Laursen, B B; Danstrup, C S; Hoffmann, S; Nørskov-Lauritsen, N; Christensen, A L B; Ovesen, T
2017-10-01
The objectives of this study were to investigate the incidence of complicated acute otitis media (cAOM) as well as the associated microbiology before and after introduction of the 7- and 13-valent pneumococcal conjugate vaccines (PCV-7 and -13), respectively. CAOM comprises "heavy" AOM (AOM demanding hospitalization), mastodismus (M) and acute mastoiditis (AM). A retrospective cohort study of the incidence and microbiology associated with cAOM during the non-PCV era, the PCV-7 and 13 eras, respectively. Clinical and microbiological data were prospectively registered in a local database. The incidences of cAOM as well as the distribution of various bacterial strains in the three eras were compared. A total of 246 cases of cAOM (125 in the pre-vaccine period (2001-2006), 50 in the PCV-7 period (2007-2010) and 71 in the PCV-13 period (2011-2015)) were identified. The incidence of hAOM decreased by 62% in the PCV7-era but increased to almost pre-vaccine levels in the PCV-13 era. In the M + AM group, a decrease by almost 21% in the PCV7-era was found compared to the pre vaccine era, whereas the decrease was only 12% in the PCV13-era. The three most common findings in both hAOM and M + AM were Streptococcus pneumonia (SP), group A streptococcus (GAS) and "no growth". In the hAOM group, SP decreased from 38% in the pre-vaccine era to 31% in the PCV7-era and further to 16% in the PCV13-era. GAS decreased from 17% in the pre-vaccine era to 0% in the PCV7-era and 16% in the PCV13-era. The percentage of "no growth" increased from 12% to 38% and 44%, respectively. In the M + AM group, SP decreased to 10% in the PCV13-era compared with 44% in the pre-vaccine era and 41% in the PCV7-era. An increase in GAS from 15% in the pre-vaccine era and PCV7-era to 30% in the PCV13-era was observed. The "no growth" percentage increased from 13% in the pre-vaccine era to 26% in the PCV7-era and 33% in the PCV13-era. Introduction of PCV7 and PCV13 has been associated with an overall reduction of cAOM in Central Region Denmark. Pneumococci were still one of the two most common bacteria species related to cAOM though a decrease in pneumococci positive cases was observed. We found an increase in M + AM induced by GAS and a relatively large increase in "no growth", which might be caused by a more aggressive pre-hospital approach to treatment with antibiotics. Consequently, it is not evident whether the reduction of incidences is caused by the vaccines or a more aggressive antimicrobial attitude to manage AOM. The shift to GAS from SP is worrisome, and therefore continuous surveillance of the microbiology associated with AOM is warranted. Copyright © 2017 Elsevier B.V. All rights reserved.
Secondary Education in a Changing World: Reaching a Turning Point.
ERIC Educational Resources Information Center
Hunter, Eagan
1985-01-01
William Van Til's three proposed scenarios for the future of secondary education are examined 10 years later, and American education is found to have reached a critical point as it goes through a transition from one era to another. (DCS)
Astrobiology Science and Technology: A Path to Future Discovery
NASA Technical Reports Server (NTRS)
Meyer, M. A.; Lavaery, D. B.
2001-01-01
The Astrobiology Program is described. However, science-driven robotic exploration of extreme environments is needed for a new era of planetary exploration requiring biologically relevant instrumentation and extensive, autonomous operations on planetary surfaces. Additional information is contained in the original extended abstract.
ERIC Educational Resources Information Center
Elias, Maurice J.
2014-01-01
In an era of change, preparing our youth for an uncertain future is akin to building the airplane while it is in flight. Since we do not have the luxury of putting development on hold until we figure out the destination and the kind of plane we need to get there, we must fly anyway. This article employs an airplane analogy to illustrate the fact…
Rohr, Jason R.; Salice, Christopher J.; Nisbet, Roger M.
2016-01-01
Ecological risk assessment (ERA) is the process used to evaluate the safety of manufactured chemicals to the environment. Here we review the pros and cons of ERA across levels of biological organization, including suborganismal (e.g. biomarkers), individual, population, community, ecosystem, and landscapes levels. Our review revealed that level of biological organization is often related negatively with ease at assessing cause-effect relationships, ease of high-throughput screening of large numbers of chemicals (it is especially easier for suborganismal endpoints), and uncertainty of the ERA because low levels of biological organization tend to have a large distance between their measurement (what is quantified) and assessment endpoints (what is to be protected). In contrast, level of biological organization is often related positively with sensitivity to important negative and positive feedbacks and context dependencies within biological systems, and ease at capturing recovery from adverse contaminant effects. Some endpoints did not show obvious trends across levels of biological organization, such as the use of vertebrate animals in chemical testing and ease at screening large numbers of species, and other factors lacked sufficient data across levels of biological organization, such as repeatability, variability, cost per study, and cost per species of effects assessment, the latter of which might be a more defensible way to compare costs of ERAs than cost per study. To compensate for weaknesses of ERA at any particular level of biological organization, we also review mathematical modeling approaches commonly used to extrapolate effects across levels of organization. Finally, we provide recommendations for next generation ERA, submitting that if there is an ideal level of biological organization to conduct ERA, it will only emerge if ERA is approached simultaneously from the bottom of biological organization up as well as from the top down, all while employing mathematical modeling approaches where possible to enhance ERA. Because top-down ERA is unconventional, we also offer some suggestions for how it might be implemented efficaciously. We hope this review helps researchers in the field of ERA fill key information gaps and helps risk assessors identify the best levels of biological organization to conduct ERAs with differing goals. PMID:27340745
ERIC Educational Resources Information Center
Middle States Association of Colleges and Schools, Philadelphia, PA.
Proceedings are presented of the 1979 meeting of the Middle States Association of Colleges and Schools, which includes speeches on outcomes assessment along with the business meeting of the Association. In the keynote address, "Outcomes Assessment--A New Era in Accreditation," Howard R. Bowen identifies goals an educational institution…
How to Perform an Ethical Risk Analysis (eRA).
Hansson, Sven Ove
2018-02-26
Ethical analysis is often needed in the preparation of policy decisions on risk. A three-step method is proposed for performing an ethical risk analysis (eRA). In the first step, the people concerned are identified and categorized in terms of the distinct but compatible roles of being risk-exposed, a beneficiary, or a decisionmaker. In the second step, a more detailed classification of roles and role combinations is performed, and ethically problematic role combinations are identified. In the third step, further ethical deliberation takes place, with an emphasis on individual risk-benefit weighing, distributional analysis, rights analysis, and power analysis. Ethical issues pertaining to subsidiary risk roles, such as those of experts and journalists, are also treated in this phase. An eRA should supplement, not replace, a traditional risk analysis that puts emphasis on the probabilities and severities of undesirable events but does not cover ethical issues such as agency, interpersonal relationships, and justice. © 2018 Society for Risk Analysis.
Practical implications for genetic modeling in the genomics era
USDA-ARS?s Scientific Manuscript database
Genetic models convert data into estimated breeding values and other information useful to breeders. The goal is to provide accurate and timely predictions of the future performance for each animal (or embryo). Modeling involves defining traits, editing raw data, removing environmental effects, incl...
Managing Tomorrow's University.
ERIC Educational Resources Information Center
Michalak, Craig L., Ed.
The issues addressed in this conference report concern budgeting, the resourceful manager, extramural funding, employer-employee interaction, management information systems, and management of the university in the future. Contents include: the keynote address by F. E. Balderston; "University Budgeting in an Era of Scarce Resources," by F. M. Bowen…
Ethics for Earthquakes And Other Emergencies
ERIC Educational Resources Information Center
McKenna, David L.
1976-01-01
As the demand for educational resources outruns the supply, higher education will enter a new ethical era. Anticipating the future, admissions counselors should review the ethics of their profession. Standards should be based on the new reality that higher education is now an interdependent system. (Author)
2015-08-27
and 2) preparing for the post-MODIS/MISR era using the Geostationary Operational Environmental Satellite (GOES). 3. Improve model representations of...meteorological property retrievals. In this study, using collocated data from Airborne Visible/Infrared Imaging Spectrometer (AVIRIS) and Geostationary
Space Station Freedom. A Foothold on the Future.
ERIC Educational Resources Information Center
David, Leonard
This booklet describes the planning of the space station program. Sections included are: (1) "Introduction"; (2) "A New Era Begins" (discussing scientific experiments on the space station); (3) "Living in Space"; (4) "Dreams Fulfilled" (summarizing the history of the space station development, including the…
1997-01-02
The Advanced Space Transportation Group takes the future of space travel far into the 21st Century. Pictured is an artist's concept of a third generation Reusable Launch Vehicle (RLV). Projected for the year 2025, this third generation RLV will introduce an era of space travel not unlike air travel today.
New Technologies for 21st Century Plant Science
Ehrhardt, David W.; Frommer, Wolf B.
2012-01-01
Plants are one of the most fascinating and important groups of organisms living on Earth. They serve as the conduit of energy into the biosphere, provide food, and shape our environment. If we want to make headway in understanding how these essential organisms function and build the foundation for a more sustainable future, then we need to apply the most advanced technologies available to the study of plant life. In 2009, a committee of the National Academy highlighted the “understanding of plant growth” as one of the big challenges for society and part of a new era which they termed “new biology.” The aim of this article is to identify how new technologies can and will transform plant science to address the challenges of new biology. We assess where we stand today regarding current technologies, with an emphasis on molecular and imaging technologies, and we try to address questions about where we may go in the future and whether we can get an idea of what is at and beyond the horizon. PMID:22366161
Reduction in liver transplant wait-listing in the era of direct-acting antiviral therapy.
Flemming, Jennifer A; Kim, W Ray; Brosgart, Carol L; Terrault, Norah A
2017-03-01
Direct-acting antiviral (DAA) therapy, recently approved for patients with decompensated cirrhosis (DC) secondary to hepatitis C virus (HCV), is associated with improved hepatic function. We analyzed trends in liver transplant (LT) wait-listing (WL) to explore potential impact of effective medical therapy on WL registration. This is a cohort study using the Scientific Registry of Transplant Recipients database from 2003 to 2015. A total of 47,591 adults wait-listed for LT from HCV, hepatitis B virus (HBV), and nonalcoholic steatohepatitis (NASH) were identified. LT indication was defined as DC if the Model for End-Stage Liver Disease (MELD) at WL was ≥15 or hepatocellular carcinoma (HCC). Era of listing was divided into interferon (IFN; 2003-2010), protease inhibitor (PI; 2011-2013), and direct-acting antiviral (DAA; 2014-2015). Annual standardized incidence rates of WL were analyzed using Poisson regression. Adjusted incidences of LT WL for DC in HCV patients decreased by 5% in the PI era (P = 0.004) and 32% in the DAA era (P < 0.001) compared to the IFN era. Listing for DC in HBV also decreased in the PI (-17%; P = 0.002) and DAA eras (-24%; P < 0.001). Conversely, WL for DC in NASH increased by 41% in the PI era (P < 0.001) and 81% in the DAA era (P < 0.001). WL for HCC in both the HCV and NASH populations increased in both the PI and DAA eras (P < 0.001 for all) whereas HCC WL in HBV remained stable (P > 0.05 for all). The rate of LT WL for HCV complicated by DC has decreased by over 30% in the era of DAA therapy. Further reductions in WL are anticipated with increased testing, linkage to care, and access to DAA therapy. (Hepatology 2017;65:804-812). © 2016 by the American Association for the Study of Liver Diseases.
Skinner, Daniel J C; Rocks, Sophie A; Pollard, Simon J T
2017-06-01
A means for identifying and prioritising the treatment of uncertainty (UnISERA) in environmental risk assessments (ERAs) is tested, using three risk domains where ERA is an established requirement and one in which ERA practice is emerging. UnISERA's development draws on 19 expert elicitations across genetically modified higher plants, particulate matter, and agricultural pesticide release and is stress tested here for engineered nanomaterials (ENM). We are concerned with the severity of uncertainty; its nature; and its location across four accepted stages of ERAs. Using an established uncertainty scale, the risk characterisation stage of ERA harbours the highest severity level of uncertainty, associated with estimating, aggregating and evaluating expressions of risk. Combined epistemic and aleatory uncertainty is the dominant nature of uncertainty. The dominant location of uncertainty is associated with data in problem formulation, exposure assessment and effects assessment. Testing UnISERA produced agreements of 55%, 90%, and 80% for the severity level, nature and location dimensions of uncertainty between the combined case studies and the ENM stress test. UnISERA enables environmental risk analysts to prioritise risk assessment phases, groups of tasks, or individual ERA tasks and it can direct them towards established methods for uncertainty treatment. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.
How well do Reanalysis represent polar lows?
NASA Astrophysics Data System (ADS)
Zappa, G.; Shaffrey, L.; Hodges, K.
2013-12-01
Polar lows are intense maritime mesocyclones forming at high latitudes during polar air outbreaks. The associated high surface winds can be an important cause of coastal damage.They also seem to play a relevant role in the climate system by modulating the oceanic surface heat fluxes. This creates strong interest in understanding whether modern reanalysis datasets are able to represent polar lows, as well as how their representation may be sensitive to the model resolution. In this talk we investigate how ERA-Interim reanalysis represents the polar lows identified by the Norwegian meteorological services and listed in the STARS (Combination of Sea Surface Temperature and AltimeteR Synergy) dataset for the period 2002-2011. The sensitivity to resolution is explored by comparing ERA-Interim to the ECMWF operational analyses (2008-2011), which have three times higher horizontal resolution compared to ERA-Interim. We show that ERAI-Interim has excellent ability to capture the observed polar lows events with up to 90% of the observed events being found in the reanalysis. However, ERA-Interim tends to have polar lows of weaker dynamical intensity, in terms of both winds and vorticity, and with less spatial structure than in the ECMWF operational analyses (See Fig 1). Furthermore, we apply an objective feature tracking algorithm to the 3 hourly vorticity at 850 hPa with constraints on vorticity intensity and atmospheric static stability to objectively identify polar lows in the ERA-Interim reanalysis. We show that for the stronger polar lows the objective climatology shows good agreement with the STARS dataset over the 2002-2011 period. This allows us to extend the polar lows climatology over the whole ERA Interim period. Differences with another reanalysis product (NCEP-CFSR) will be also discussed. Fig 1: Composite of the tangential wind speed at 925 hPa for 34 polar lows observed in the Norwegian sea between 2008-2010 as represented by the ERA-Interim reanalysis (left) and by the ECMWF Operational analysis (right). Positive values indicate cyclonic circulation. The composite is centered on the polar low vorticity maxima and it is presented for a radial cap of 5 degrees of radius on the sphere (~550Km).
Reed, Andra J; Mann, Michael E; Emanuel, Kerry A; Lin, Ning; Horton, Benjamin P; Kemp, Andrew C; Donnelly, Jeffrey P
2015-10-13
In a changing climate, future inundation of the United States' Atlantic coast will depend on both storm surges during tropical cyclones and the rising relative sea levels on which those surges occur. However, the observational record of tropical cyclones in the North Atlantic basin is too short (A.D. 1851 to present) to accurately assess long-term trends in storm activity. To overcome this limitation, we use proxy sea level records, and downscale three CMIP5 models to generate large synthetic tropical cyclone data sets for the North Atlantic basin; driving climate conditions span from A.D. 850 to A.D. 2005. We compare pre-anthropogenic era (A.D. 850-1800) and anthropogenic era (A.D.1970-2005) storm surge model results for New York City, exposing links between increased rates of sea level rise and storm flood heights. We find that mean flood heights increased by ∼1.24 m (due mainly to sea level rise) from ∼A.D. 850 to the anthropogenic era, a result that is significant at the 99% confidence level. Additionally, changes in tropical cyclone characteristics have led to increases in the extremes of the types of storms that create the largest storm surges for New York City. As a result, flood risk has greatly increased for the region; for example, the 500-y return period for a ∼2.25-m flood height during the pre-anthropogenic era has decreased to ∼24.4 y in the anthropogenic era. Our results indicate the impacts of climate change on coastal inundation, and call for advanced risk management strategies.
Reed, Andra J.; Mann, Michael E.; Emanuel, Kerry A.; Lin, Ning; Horton, Benjamin P.; Kemp, Andrew C.; Donnelly, Jeffrey P.
2015-01-01
In a changing climate, future inundation of the United States’ Atlantic coast will depend on both storm surges during tropical cyclones and the rising relative sea levels on which those surges occur. However, the observational record of tropical cyclones in the North Atlantic basin is too short (A.D. 1851 to present) to accurately assess long-term trends in storm activity. To overcome this limitation, we use proxy sea level records, and downscale three CMIP5 models to generate large synthetic tropical cyclone data sets for the North Atlantic basin; driving climate conditions span from A.D. 850 to A.D. 2005. We compare pre-anthropogenic era (A.D. 850–1800) and anthropogenic era (A.D.1970–2005) storm surge model results for New York City, exposing links between increased rates of sea level rise and storm flood heights. We find that mean flood heights increased by ∼1.24 m (due mainly to sea level rise) from ∼A.D. 850 to the anthropogenic era, a result that is significant at the 99% confidence level. Additionally, changes in tropical cyclone characteristics have led to increases in the extremes of the types of storms that create the largest storm surges for New York City. As a result, flood risk has greatly increased for the region; for example, the 500-y return period for a ∼2.25-m flood height during the pre-anthropogenic era has decreased to ∼24.4 y in the anthropogenic era. Our results indicate the impacts of climate change on coastal inundation, and call for advanced risk management strategies. PMID:26417111
Small Aerostationary Telecommunications Orbiter Concept for Mars in the 2020s
NASA Technical Reports Server (NTRS)
Lock, Robert E.; Edwards, Charles D., Jr.; Nicholas, Austin; Woolley, Ryan; Bell, David J.
2016-01-01
Current Mars science orbiters carry UHF proximity payloads to provide limited access and data services to landers and rovers on Mars surface. In the era of human spaceflight to Mars, very high rate and reliable relay services will be needed to serve a large number of supporting vehicles, habitats, and orbiters, as well as astronaut EVAs. These will likely be provided by a robust network of orbiting assets in very high orbits, such as areostationary orbits. In the decade leading to that era, telecommunications orbits can be operated at areostationary orbit that can support a significant population of robotic precursor missions and build the network capabilities needed for the human spaceflight era. Telecommunications orbiters of modest size and cost, delivered by Solar Electric Propulsion to areostationary orbit, can provide continuous access at very high data rates to users on the surface and in Mars orbit.In the era of human spaceflight to Mars very high rate andreliable relay services will be needed to serve a largenumber of supporting vehicles, habitats, and orbiters, aswell as astronaut EVAs. These could be provided by arobust network of orbiting assets in very high orbits. In thedecade leading to that era, telecommunications orbiterscould be operated at areostationary orbit that could support asignificant population of robotic precursor missions andbuild the network capabilities needed for the humanspaceflight era. These orbiters could demonstrate thecapabilities and services needed for the future but withoutthe high bandwidth and high reliability requirements neededfor human spaceflight.Telecommunications orbiters of modest size and cost,delivered by Solar Electric Propulsion to areostationaryorbit, could provide continuous access at very high datarates to users on the surface and in Mars orbit. Twoexamples highlighting the wide variety of orbiter deliveryand configuration options were shown that could providehigh-performance service to users.
[Holistic integrative medicine: the road to the future of the development of burn medicine].
Fan, D M
2017-01-20
Holistic integrative medicine is the road to the future of the development of burn medicine. Not only burn medicine, but also human medicine gradually enters the era of holistic integrative medicine. Holistic integrative medicine is different from translational medicine, evidence-based medicine or precision medicine, which integrates the most advanced knowledge and theories in medicine fields with the most effective practices and experiences in clinical specialties to form a new medical system.
NASA Astrophysics Data System (ADS)
Rodehacke, C. B.; Mottram, R.; Boberg, F.
2017-12-01
The Devon Ice Cap is an example of a relatively well monitored small ice cap in the Canadian Arctic. Close to Greenland, it shows a similar surface mass balance signal to glaciers in western Greenland. Here we various boundary conditions, ranging from ERA-Interim reanalysis data via global climate model high resolution (5km) output from the regional climate model HIRHAM5, to determine the surface mass balance of the Devon ice cap. These SMB estimates are used to drive the PISM glacier model in order to model the present day and future prospects of this small Arctic ice cap. Observational data from the Devon Ice Cap in Arctic Canada is used to evaluate the surface mass balance (SMB) data output from the HIRHAM5 model for simulations forced with the ERA-Interim climate reanalysis data and the historical emissions scenario run by the EC-Earth global climate model. The RCP8.5 scenario simulated by EC-Earth is also downscaled by HIRHAM5 and this output is used to force the PISM model to simulate the likely future evolution of the Devon Ice Cap under a warming climate. We find that the Devon Ice Cap is likely to continue its present day retreat, though in the future increased precipitation partly offsets the enhanced melt rates caused by climate change.
AACN White Paper: Distance Technology in Nursing Education.
ERIC Educational Resources Information Center
American Association of Colleges of Nursing, Washington, DC.
Technological advances have increased opportunities for nursing education, affording increased collaboration among nursing faculties in teaching, practice, and research. In an era when nurses are in demand, technology may help the profession educate nurses, prepare future educators, and advance the science of nursing. Several factors should be…
Creating or Capturing Reality? Historical Photographs of the Progressive Era
ERIC Educational Resources Information Center
Callahan, Cory
2015-01-01
As pictorial-based social media (e.g., Instagram, Pinterest, Snapchat, Tumblr) continue to encourage and sustain contemporary culture, the future success of America's democratic experiment may increasingly depend on its citizens' ability to critique visual information and take informed action. Promoting critical, historical analysis of…
ERIC Educational Resources Information Center
Datta, Lois-Ellin
2001-01-01
Forecasts the future of evaluation, predicting an era of stability or expansion for the profession, with increased communication among evaluators and a flowering of evaluation theories. Among the unknowns that give pause are the possibility of underprepared users and the risks of promising more than can be delivered. Some suggestions are made for…
SMART materials: Surfaces, transforms and interfaces. The commensurate engineering dimension
NASA Astrophysics Data System (ADS)
McDonach, Alaster; Gardiner, Peter T.; McEwen, Ron S.; Culshaw, Brian
1994-11-01
The future of molecularly based smart materials hinges on the development of integrated technologies addressing synthesis, assembly, shaping, etc. and some of these are now becoming clear. Even in the bolt on era new technologies will allow issues of commensurate engineering to be addressed.
Eigensystem realization algorithm modal identification experiences with mini-mast
NASA Technical Reports Server (NTRS)
Pappa, Richard S.; Schenk, Axel; Noll, Christopher
1992-01-01
This paper summarizes work performed under a collaborative research effort between the National Aeronautics and Space Administration (NASA) and the German Aerospace Research Establishment (DLR, Deutsche Forschungsanstalt fur Luft- und Raumfahrt). The objective is to develop and demonstrate system identification technology for future large space structures. Recent experiences using the Eigensystem Realization Algorithm (ERA), for modal identification of Mini-Mast, are reported. Mini-Mast is a 20 m long deployable space truss used for structural dynamics and active vibration-control research at the Langley Research Center. A comprehensive analysis of 306 frequency response functions (3 excitation forces and 102 displacement responses) was performed. Emphasis is placed on two topics of current research: (1) gaining an improved understanding of ERA performance characteristics (theory vs. practice); and (2) developing reliable techniques to improve identification results for complex experimental data. Because of nonlinearities and numerous local modes, modal identification of Mini-Mast proved to be surprisingly difficult. Methods were available, ERA, for obtaining detailed, high-confidence results.
Personalized targeted therapy for esophageal squamous cell carcinoma
Kang, Xiaozheng; Chen, Keneng; Li, Yicheng; Li, Jianying; D'Amico, Thomas A; Chen, Xiaoxin
2015-01-01
Esophageal squamous cell carcinoma continues to heavily burden clinicians worldwide. Researchers have discovered the genomic landscape of esophageal squamous cell carcinoma, which holds promise for an era of personalized oncology care. One of the most pressing problems facing this issue is to improve the understanding of the newly available genomic data, and identify the driver-gene mutations, pathways, and networks. The emergence of a legion of novel targeted agents has generated much hope and hype regarding more potent treatment regimens, but the accuracy of drug selection is still arguable. Other problems, such as cancer heterogeneity, drug resistance, exceptional responders, and side effects, have to be surmounted. Evolving topics in personalized oncology, such as interpretation of genomics data, issues in targeted therapy, research approaches for targeted therapy, and future perspectives, will be discussed in this editorial. PMID:26167067
Disparity Implications of the Medicare MTM Eligibility Criteria: A Literature Review
Munshi, Kiraat D.; Shih, Ya-Chen Tina; Brown, Lawrence M.; Dagogo-Jack, Samuel; Wan, Jim Y.; Wang, Junling
2013-01-01
Summary The emphasis on eliminating racial and ethnic disparities in health care has received national attention, with various policy initiatives addressing this problem and proposing solutions. However, in the current economic era requiring tight monetary constraints, emphasis is increasingly being placed on economic efficiency, which often conflicts with the equality doctrine upon which many policies have been framed. Our review aims to highlight the disparity implications of one such policy provision—the predominantly utilization-based eligibility criteria for medication therapy management (MTM) services under Medicare Part D—by identifying studies that have documented racial and ethnic disparities in health status and the use of and spending on prescription medications. Future design and evaluation of various regulations and legislations employing utilization-based eligibility criteria must use caution in order to strike an equity-efficiency balance. PMID:23570431
Imagining tomorrow's university in an era of open science.
Howe, Adina; Howe, Michael; Kaleita, Amy L; Raman, D Raj
2017-01-01
As part of a recent workshop entitled "Imagining Tomorrow's University", we were asked to visualize the future of universities as research becomes increasingly data- and computation-driven, and identify a set of principles characterizing pertinent opportunities and obstacles presented by this shift. In order to establish a holistic view, we take a multilevel approach and examine the impact of open science on individual scholars and how this impacts as well as on the university as a whole. At the university level, open science presents a double-edged sword: when well executed, open science can accelerate the rate of scientific inquiry across the institution and beyond; however, haphazard or half-hearted efforts are likely to squander valuable resources, diminish university productivity and prestige, and potentially do more harm than good. We present our perspective on the role of open science at the university.
UARS in-flight jitter study for EOS
NASA Technical Reports Server (NTRS)
Molnar, John; Garnek, Mike
1993-01-01
Response data collected from gyroscopes on board the Upper Atmosphere Research Satellite (UARS) provided a unique opportunity to analyze actual flight pointing jitter data. Flight modal frequencies and damping values are derived from the measured data using an Eigensystem Realization Algorithm (ERA). Flight frequencies at various solar array positions are compared to analytical predictions obtained with a Finite Element Model. The solar array modal frequencies change with position due to the modes acting about different spacecraft inertial axes. Higher order modes were difficult to identify due to the limited instrumentation. Future flight jitter studies on other spacecraft would be significantly aided by additional instrumentation. Spacecraft jitter due to continuous disturbance sources such as the 1.6 meter scanning microwave antenna, the solar array drive, and reaction wheels is presented. The solar array drive disturbance dominates the spacecraft response during normal operation.
Proteomics: a new approach to the study of disease.
Chambers, G; Lawrie, L; Cash, P; Murray, G I
2000-11-01
The global analysis of cellular proteins has recently been termed proteomics and is a key area of research that is developing in the post-genome era. Proteomics uses a combination of sophisticated techniques including two-dimensional (2D) gel electrophoresis, image analysis, mass spectrometry, amino acid sequencing, and bio-informatics to resolve comprehensively, to quantify, and to characterize proteins. The application of proteomics provides major opportunities to elucidate disease mechanisms and to identify new diagnostic markers and therapeutic targets. This review aims to explain briefly the background to proteomics and then to outline proteomic techniques. Applications to the study of human disease conditions ranging from cancer to infectious diseases are reviewed. Finally, possible future advances are briefly considered, especially those which may lead to faster sample throughput and increased sensitivity for the detection of individual proteins. Copyright 2000 John Wiley & Sons, Ltd.
Shen, Xinglei; Showalter, Timothy N; Mishra, Mark V; Barth, Sanford; Rao, Vijay; Levin, David; Parker, Laurence
2014-07-01
We evaluated long-term changes in the volume and payments for radiation oncology services in the intensity-modulated radiation therapy (IMRT) era from 2000 to 2010 using a database of Medicare claims. We used the Medicare Physician/Supplier Procedure Summary Master File (PSPSMF) for each year from 2000 to 2010 to tabulate the volume and payments for radiation oncology services. This database provides a summary of each billing code submitted to Medicare part B. We identified all codes used in radiation oncology services and categorized billing codes by treatment modality and place of service. We focused our analysis on office-based practices. Total office-based patient volume increased 8.2% from 2000 to 2010, whereas total payments increased 217%. Increase in overall payments increased dramatically from 2000 to 2007, but subsequently plateaued from 2008 to 2010. Increases in complexity of care, and image guidance in particular, have also resulted in higher payments. The cost of radiation oncology services increased from 2000 to 2010, mostly due to IMRT, but also with significant contribution from increased overall complexity of care. A cost adjustment occurred after 2007, limiting further growth of payments. Future health policy studies should explore the potential for further cost containment, including differences in use between freestanding and hospital outpatient facilities. Copyright © 2014 by American Society of Clinical Oncology.
Beauvais, W; Fournié, G; Jones, B A; Cameron, A; Njeumi, F; Lubroth, J; Pfeiffer, D U
2013-11-01
Now that we are in the rinderpest post-eradication era, attention is focused on the risk of re-introduction. A semi-quantitative risk assessment identified accidental use of rinderpest virus in laboratories as the most likely cause of re-introduction. However there is little data available on the rates of laboratory biosafety breakdowns in general. In addition, any predictions based on past events are subject to various uncertainties. The aims of this study were therefore to investigate the potential usefulness of historical data for predicting the future risk of rinderpest release via laboratory biosafety breakdowns, and to investigate the impacts of the various uncertainties on these predictions. Data were collected using a worldwide online survey of laboratories, a structured search of ProMED reports and discussion with experts. A stochastic model was constructed to predict the number of laboratory biosafety breakdowns involving rinderpest that will occur over the next 10 years, based on: (1) the historical rate of biosafety breakdowns; and (2) the change in the number of laboratories that will have rinderpest virus in the next 10 years compared to historically. The search identified five breakdowns, all of which occurred during 1970-2000 and all of which were identified via discussions with experts. Assuming that our search for historical events had a sensitivity of over 60% and there has been at least a 40% reduction in the underlying risk (attributable to decreased laboratory activity post eradication) the most likely number of biosafety events worldwide was estimated to be zero over a 10 year period. However, the risk of at least one biosafety breakdown remains greater than 1 in 10,000 unless the sensitivity was at least 99% or the number of laboratories has decreased by at least 99% (based on 2000-2010 during which there were no biosafety breakdowns). Copyright © 2013 Elsevier B.V. All rights reserved.
Lie, Désirée; Trial, Janet; Schaff, Pamela; Wallace, Robert; Elliott, Donna
2013-02-01
To examine attitudes, self-reported behaviors, and intended actions related to medical students' use of online social media after an educational intervention. In 2011, 180 first-year medical students at the Keck School of Medicine participated in a required two-hour session on the relevance of online social media use to professionalism. Students submitted postsession written reflections about their online presence and professional roles. The authors qualitatively analyzed and coded these reflections for emerging themes. They also examined postsession evaluations and conducted a four-month follow-up survey to identify changes in students' online social networking behaviors. All 180 students submitted written reflections and postsession evaluations. The authors identified 10 theme categories within three domains (immediate action, intended future action, value change) from the reflections. The most common themes were "role awareness" (144/539), "did nothing" (94/539), and "intention to edit" (84/539). On a scale of 1 to 5, students rated the overall session quality at 3.92 (standard deviation 0.28). Sixty-four percent (115/180) of the students responded to the follow-up survey. Of those, 40% (46/115) reported editing or changing their Web presence after the session, and 24% (28/115) anticipated spending less time on online social networking. Attending a required session in a professionalism course led to thoughtful reflection, increased professional role awareness, and intention to edit and monitor future online presence among first-year medical students. After four months, students reported continued monitoring and editing of their online presence. Future studies should examine whether reinforcement throughout training is needed to maintain vigilance.
A Brief Overview of the History of Education in Poland
ERIC Educational Resources Information Center
Charzynska, Katarzyna; Anczewska, Marta; Switaj, Piotr
2012-01-01
Poland's complex history strongly influenced the development of educational system. Together with the Catholic church, formal and informal education helped to preserve national identity and prepare society for future independence during the partition period. In the communist era, education was the chief mode of restructuring the society and…
Practical implications for genetic modeling in the genomics era for the dairy industry
USDA-ARS?s Scientific Manuscript database
Genetic models convert data into estimated breeding values and other information useful to breeders. The goal is to provide accurate and timely predictions of the future performance for each animal (or embryo). Modeling involves defining traits, editing raw data, removing environmental effects, incl...
Back to the future: total system management (organic, sustainable)
USDA-ARS?s Scientific Manuscript database
Many soil disinfestation programs are implemented prior to crop cultivation due to the paucity of therapeutic interventions for controlling soilborne pests. In the 1950’s a proliferation of chemical control options ushered in an era of soilborne pest control based upon a single or limited group of ...
ERIC Educational Resources Information Center
Vaughan, Jerry L.
The emergence of a technology-based global society is effecting tremendous changes in the economic and political world order. If our society is going to respond successfully to these changes, it must recognize the philosophic as well as strictly scientific implications of technological growth. We are entering a new era for amplifying the human…
Defense.gov Special Report: Travels With Hagel
Germany January 2014 News Stories Hagel: Future Requires Renewed Era of Partnership In a changing security 50th Munich Security Conference in Germany today, Defense Secretary Chuck Hagel met with leaders from Germany, the United Kingdom, Israel, Georgia and India to discuss military relationships and common
A Systems Approach to Expanding the Technology Readiness Level within Defense Acquisition
2008-01-01
Administration’s (NASA) post-Apollo era as ontology for contracting support (Sadin, Povinelli & Rosen, 1989). In the last nine years, other...1008-1023. Sadin, S. R., Povinelli , F. P., & Rosen, R. (1989). The NASA technology push towards future space mis- sion systems. Acta Astronautica
ASK Talks With Joseph Rothenberg
NASA Technical Reports Server (NTRS)
Rothenberg, Joseph
2002-01-01
Recently retired NASA administrator Joseph Rothenberg reflects on project management during the Apollo era at the start of his career, as well as the history of, and changes in, project management over his years at NASA. He concludes by describing what he sees as NASA's most important needs in the near future.
Counseling in the Czech Republic: History, Status, and Future
ERIC Educational Resources Information Center
Simons, Jack D.; Hutchison, Brian; Bastecka, Zuzana
2012-01-01
This article reviews the history and current status of counseling in the Czech Republic. Recommendations for advancement of the profession in a postcommunist era are offered, including the incorporation of social justice principals for the benefit of Gypsies and immigrants, collaboration between Czech and non-Czech counselors, and counseling…
The Profession Speaks: Educator Perspectives on School Reform
ERIC Educational Resources Information Center
Murphy, Brett Gardiner
2018-01-01
An educator, who compiled teachers' stories of accountability era reforms into a book, explains why teacher voice is central. The book, "Inside Our Schools: Teachers on the Failure and Future of Education Reform," is organized around the recurring buzzwords the mainstream education reform movement has used to define its policies:…
Anchoring Democracy: The Civic Imperative for Higher Education
ERIC Educational Resources Information Center
Guarasci, Richard
2018-01-01
American colleges and universities are facing a civic imperative. The nation is floundering, if not unwinding. Democracies are vulnerable social constructions. They flourish in eras of social consensus and economic prosperity, when citizens believe in the prospect of brighter futures. They stumble, if not decay, during times of harsh economic…
Prpich, George; Coulon, Frédéric; Anthony, Edward J
2016-09-01
Interest in the development of shale gas resources using hydraulic fracturing techniques is increasing worldwide despite concerns about the environmental risks associated with this activity. In the United Kingdom (UK), early attempts to hydraulically fracture a shale gas well resulted in a seismic event that led to the suspension of all hydraulic fracturing operations. In response to this occurrence, UK regulators have requested that future shale gas operations that use hydraulic fracturing should be accompanied by a high-level environmental risk assessment (ERA). Completion of an ERA can demonstrate competency, communicate understanding, and ultimately build trust that environmental risks are being managed properly, however, this assessment requires a scientific evidence base. In this paper we discuss how the ERA became a preferred assessment technique to understand the risks related to shale gas development in the UK, and how it can be used to communicate information between stakeholders. We also provide a review of the evidence base that describes the environmental risks related to shale gas operations, which could be used to support an ERA. Finally, we conclude with an update of the current environmental risks associated with shale gas development in the UK and present recommendations for further research. Copyright © 2015 Elsevier B.V. All rights reserved.
Schneider, Benjamin; González-Romá, Vicente; Ostroff, Cheri; West, Michael A
2017-03-01
We review the literature on organizational climate and culture paying specific attention to articles published in the Journal of Applied Psychology (JAP) since its first volume in 1917. The article traces the history of the 2 constructs though JAP has been far more important for climate than culture research. We distinguish 4 main periods: the pre-1971 era, with pioneering work on exploring conceptualization and operationalizations of the climate construct; the 1971-1985 era, with foundational work on aggregation issues, outcome-focused climates (on safety and service) and early writings on culture; the 1986-1999 era, characterized by solidification of a focused climate approach to understanding organizational processes (justice, discrimination) and outcomes (safety, service) and the beginnings of survey approaches to culture; and the 2000-2014 era, characterized by multilevel work on climate, climate strength, demonstrated validity for a climate approach to outcomes and processes, and the relationship between leadership and climate and culture. We summarize and comment on the major theory and research achievements in each period, showing trends observed in the literature and how JAP has contributed greatly to moving research on these constructs, especially climate, forward. We also recommend directions for future research given the current state of knowledge. (PsycINFO Database Record (c) 2017 APA, all rights reserved).
Fairbairn, Nadia; Coffin, Phillip O; Walley, Alexander Y
2017-08-01
Community-based overdose prevention programs first emerged in the 1990's and are now the leading public health intervention for overdose. Key elements of these programs are overdose education and naloxone distribution to people who use opioids and their social networks. We review the evolution of naloxone programming through the heroin overdose era of the 1990's, the prescription opioid era of the 2000's, and the current overdose crisis stemming from the synthetic opioid era of illicitly manufactured fentanyl and its analogues in the 2010's. We present current challenges arising in this new era of synthetic opioids, including variable potency of illicit drugs due to erratic adulteration of the drug supply with synthetic opioids, potentially changing efficacy of standard naloxone formulations for overdose rescue, potentially shorter overdose response time, and reports of fentanyl exposure among people who use drugs but are opioid naïve. Future directions for adapting naloxone programming to the dynamic opioid epidemic are proposed, including scale-up to new venues and social networks, new standards for post-overdose care, expansion of supervised drug consumption services, and integration of novel technologies to detect overdose and deliver naloxone. Copyright © 2017 Elsevier B.V. All rights reserved.
Wang, Hao; Zhu, Dexiang; Liang, Li; Ye, Lechi; Lin, Qi; Zhong, Yunshi; Wei, Ye; Ren, Li; Xu, Jianmin; Qin, Xinyu
2015-11-01
Enhanced recovery after surgery (ERAS) integrates evidence-based interventions to reduce surgical stress and accelerate rehabilitation. Our study was to compare the short-term quality of life (QOL) in patients undergoing open colonic surgery using ERAS program or conventional management. A prospective study of 57 patients using ERAS program and 60 patients using conventional management was conducted. The clinical characteristics of all patients were recorded. QOL was evaluated longitudinally using the questionnaires (EORTC QLQ-C30 and QLQ-CR29) pre- and postoperatively. Generalized estimating equation was used to do the analysis in order to determine the effective impact of correlative factors on the postoperative QOL, including age, sex, BMI, ASA grade, tumor location, tumor size, pTNM stage, recovery program and length of time after surgery. The morbidity in ERAS and control group was 17.5 versus 26.7 % (p = 0.235). The patients in ERAS group had much faster rehabilitation and less hospital stay. In the primary statistical analysis, the scores of global QOL (on POD3, POD6, POD10, POD14, POD21), physical functioning (on POD3, POD6, POD10, POD14, POD21), role functioning (on POD6, POD10, POD14, POD21), emotional functioning (on POD3, POD6, POD10, POD14, POD21), cognitive functioning (on POD3, POD6) and social functioning (on POD3, POD6, POD10, POD14, POD21, POD28) were higher in ERAS group than in control group, which suggested that the patients in ERAS group had a better life status. However, the scores of pain (on POD10, POD14, POD21), appetite loss (on POD3, POD6), constipation (on POD3, POD6, POD10), diarrhea (on POD3, POD10), financial difficulties (on POD10, POD14, POD21), perspective of future health (on POD6, POD10, POD14), gastrointestinal tract problems (on POD3, POD6, POD10) and defecation problems (on POD6, POD10, POD14) were lower in ERAS group than in control group, which revealed that the patients in ERAS group suffered less symptoms. In the further generalized estimating equation analysis, the result showed that recovery program and length of time after surgery had independently positive impact on the patient's postoperative QOL. Short-term QOL in patients undergoing colonic cancer using ERAS program was better than that using conventional management.
Autonomous Modal Identification of the Space Shuttle Tail Rudder
NASA Technical Reports Server (NTRS)
Pappa, Richard S.; James, George H., III; Zimmerman, David C.
1997-01-01
Autonomous modal identification automates the calculation of natural vibration frequencies, damping, and mode shapes of a structure from experimental data. This technology complements damage detection techniques that use continuous or periodic monitoring of vibration characteristics. The approach shown in the paper incorporates the Eigensystem Realization Algorithm (ERA) as a data analysis engine and an autonomous supervisor to condense multiple estimates of modal parameters using ERA's Consistent-Mode Indicator and correlation of mode shapes. The procedure was applied to free-decay responses of a Space Shuttle tail rudder and successfully identified the seven modes of the structure below 250 Hz. The final modal parameters are a condensed set of results for 87 individual ERA cases requiring approximately five minutes of CPU time on a DEC Alpha computer.
2000-06-20
smoothing and regression which includes curve fitting are two principle forecasting model types utilized in the vast majority of forecasting applications ... model were compared against the VA Office of Policy and Planning forecasting study commissioned with the actuarial firm of Milliman & Robertson (M & R... Application to the Veterans Healthcare System The development of a model to forecast future VEV needs, utilization, and cost of the Acute Care and
Gastrointestinal cancers in the era of theranostics: Updates and future perspectives
Ghosn, Marwan; Kourie, Hampig Raphael; Tabchi, Samer
2015-01-01
Theranostics are one of the practical aspects of personalized medicine. This concept was designed to describe a material combining diagnosis, treatment and follow up of a disease. It evolved and included molecular targeting and nanotechnologies that incorporate both diagnosis and therapeutics. In this editorial, we are presenting briefly the concept and evolution of theranostics, highlighting many applications of theranostics in daily practice and discussing future perspectives and aspects of this model in gastro-intestincal cancers. PMID:26229391
Strategic foresight, leadership, and the future of rural healthcare staffing in the United States.
Reimers-Hild, Connie
2018-05-01
This article uses a strategic foresight tool, megatrends, to examine forces influencing long-term healthcare staffing in the rural United States. Two megatrends-exponential advances in science and technology and the continued evolution of the decentralized global marketplace-will influence and ultimately help shape the future of rural healthcare. Successful health ecosystems of the future will need to be customer-driven, more affordable, and tech-savvy. Successful evolution in an era of continuous change will require a blend of intentional engagement with stakeholders, strategic foresight, and future-focused leadership. More research is needed to fully understand not only the challenges of rural healthcare but also the emerging opportunities.
Strategic foresight, leadership, and the future of rural healthcare staffing in the United States
Reimers-Hild, Connie
2018-01-01
ABSTRACT This article uses a strategic foresight tool, megatrends, to examine forces influencing long-term healthcare staffing in the rural United States. Two megatrends—exponential advances in science and technology and the continued evolution of the decentralized global marketplace—will influence and ultimately help shape the future of rural healthcare. Successful health ecosystems of the future will need to be customer-driven, more affordable, and tech-savvy. Successful evolution in an era of continuous change will require a blend of intentional engagement with stakeholders, strategic foresight, and future-focused leadership. More research is needed to fully understand not only the challenges of rural healthcare but also the emerging opportunities. PMID:29642092
Cost analysis of enhanced recovery after surgery in microvascular breast reconstruction.
Oh, Christine; Moriarty, James; Borah, Bijan J; Mara, Kristin C; Harmsen, William S; Saint-Cyr, Michel; Lemaine, Valerie
2018-06-01
Enhanced recovery after surgery (ERAS) pathways have been shown in multiple surgical specialties to decrease hospital length of stay (LOS) after surgery. ERAS in breast reconstruction has been found to decrease hospital LOS and inpatient opioid use. ERAS protocols can facilitate a patient's recovery and can potentially increase the quality of care while decreasing costs. A standardized ERAS pathway was developed through multidisciplinary collaboration. It addressed all phases of surgical care for patients undergoing free-flap breast reconstruction utilizing an abdominal donor site. In this retrospective cohort study, clinical variables associated with hospitalization costs for patients who underwent free-flap breast reconstruction with the ERAS pathway were compared with those of historical controls, termed traditional recovery after surgery (TRAS). All patients included in the study underwent surgery between September 2010 and September 2014. Predicted costs of the study groups were compared using generalized linear modeling. A total of 200 patients were analyzed: 82 in the ERAS cohort and 118 in the TRAS cohort. Clinical variables that were identified to potentially affect costs were found to have a statistically significant difference between groups and included unilateral versus bilateral procedures (p = 0.04) and the need for postoperative blood transfusion (p = 0.03). The cost regression analysis on the two cohorts was adjusted for these significant variables. Adjusted mean costs of patients with ERAS were found to be $4,576 lesser than those of the TRAS control group ($38,688 versus $43,264). Implementation of the ERAS pathway was associated with significantly decreased costs when compared to historical controls. There has been a healthcare focus toward prudent resource allocation, which dictates the need for plastic surgeons to recognize economic evaluation of clinical practice. The ERAS pathway can increase healthcare accountability by improving quality of care while simultaneously decreasing the costs associated with autologous breast reconstruction. Copyright © 2018 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
Cecchetto, Giovanni; Bajanowski, Thomas; Cecchi, Rossana; Favretto, Donata; Grabherr, Silke; Ishikawa, Takaki; Kondo, Toshikazu; Montisci, Massimo; Pfeiffer, Heidi; Bonati, Maurizio Rippa; Shokry, Dina; Vennemann, Marielle; Ferrara, Santo Davide
2017-07-01
Part 1 of the review "Back to the Future" examines the historical evolution of the medico-legal autopsy and microscopy techniques, from Ancient Civilization to the Post-Genomic Era. In the section focusing on "The Past", the study of historical sources concerning the origins and development of the medico-legal autopsy, from the Bronze Age until the Middle Ages, shows how, as early as 2000 BC, the performance of autopsies for medico-legal purposes was a known and widespread practice in some ancient civilizations in Egypt, the Far East and later in Europe. In the section focusing on "The Present", the improvement of autopsy techniques by Friedrich Albert Zenker and Rudolf Virchow and the contemporary development of optical microscopy techniques for forensic purposes during the 19th and 20th centuries are reported, emphasizing, the regulation of medico-legal autopsies in diverse nations around the world and the publication of international guidelines or best practices elaborated by International Scientific Societies. Finally, in "The Future" section, innovative robotized and advanced microscopy systems and techniques, including their possible use in the bio-medicolegal field, are reported, which should lead to the improvement and standardization of the autopsy methodology, thereby achieving a more precise identification of natural and traumatic pathologies.
Why We Explore: The Value of Space Exploration for Future Generations
NASA Technical Reports Server (NTRS)
Cook, Stephen A.; Armstrong, Robert C., Jr.
2007-01-01
The National Aeronautics and Space Administration (NASA) and its industry partners are making measurable progress toward delivering new human space transportation capabilities to serve as the catalyst for a new era of discovery, as directed by the U.S. Vision for Space Exploration. In the interest of ensuring prolonged support, the Agency encourages space advocates of all stripes to accurately portray both the tangible and intangible benefits of space exploration, especially its value for future generations. This may be done not only by emphasizing the nation's return on its aerospace investment, but also by highlighting enabling security features and by promoting the scientific and technological benefits that accrue from the human exploration of space. As America embarks on a new era of leadership and international partnership on the next frontier, we are poised to master space by living off-planet on the Moon to prepare astronauts for longer journeys to Mars. These and other relevant facts should be clearly in the view of influential decision-makers and the American taxpayers, and we must increasingly involve those on whom the long-term sustainability of space exploration ultimately depends: America's youth. This paper will examine three areas of concrete benefits for future generations: fundamental security, economic enterprise, and high-technology advancements spurred by the innovation that scientific discovery demands.
Factors affecting the retirement of commercial transport jet aircraft
NASA Technical Reports Server (NTRS)
Spencer, F. A.
1979-01-01
The historical background of the technology and economics of aircraft replacement and retirement in the prejet era is reviewed in order to determine whether useful insights can be obtained applicable to the jet era. Significant differences between the two periods are noted. New factors are identified and examined. Topics discussed include concern over current policies regarding deregulation, regulatory reform, and retroactive noise regulations; financing and compliance legislation; aging; economic environment and inflation; technological progress; fuel efficiency and cost; and a financial perspective of replacement decisions.
Kuntegowdanahalli, Lakshmaiah Chinnagiriyappa; Kanakasetty, Govind Babu; Thanky, Aditi Harsh; Dasappa, Lokanatha; Jacob, Linu Abraham; Mallekavu, Suresh Babu; Lakkavalli, Rajeev Krishnappa; Kadabur, Lokesh N; Haleshappa, Rudresha Antapura
2016-01-01
Chronic myeloid leukaemia (CML) is a myeloproliferative disorder. Over the years many prognostic models have been developed to better risk stratify this disease at baseline. Sokal, Euro, and EUTOS scores were developed in varied populations initially receiving various therapies. Here we try to identify their predictive and prognostic implication in a larger population of Indian patients with CML-CP (chronic phase) in the imatinib era.
Wilderness stewardship in an era of global changes
David J. Parsons
2006-01-01
It seems increasingly clear that the primary challenge to the future preservation of wild landscapes will be adapting to the rapidly changing social and biophysical environments within which such areas exist. Established in large part as islands of naturalness, where human influences are minimized, wilderness ecosystems are now threatened by myriad changes, many of...
The Malleability of Possible Selves and Expectations regarding Aging
ERIC Educational Resources Information Center
Bardach, Shoshana H.; Gayer, Christopher C.; Clinkinbeard, Tiffanie; Zanjani, Faika; Watkins, John F.
2010-01-01
Many people are apprehensive about old age and their future years. This pilot study sought to improve participants' sense of possibility in, and expectations for, old age. Students and middle-aged volunteers completed a survey including the Expectations Regarding Aging 38-item questionnaire (ERA-38) and a possible-selves questionnaire before and…
Team Building and Problem-Based Learning in the Leadership Classroom: Findings from a Two-Year Study
ERIC Educational Resources Information Center
Barbour, JoAnn
2006-01-01
Leader educators know that demands on leaders of organizations are increasing, requiring different strategies of leading, for example, working in diverse and global environments, using shared decision-making, and developing effective work teams. To educate future leaders in a postmodern era, instructors must attempt nontraditional teaching methods…
Interpreting the Right to an Education as a Norm Referenced Adequacy Standard
ERIC Educational Resources Information Center
Pijanowski, John
2016-01-01
Our current conceptions of educational adequacy emerged out of an era dominated by equity-based school resource litigation. During that time of transitioning between successful litigation strategies, legal opinions provided clues as to how future courts might view a norm-referenced approach to establishing an adequacy standard--an approach that…
Strategic Personality and the Effectiveness of Nuclear Deterrence: Deterring Iraq and Iran
2001-09-01
ES-1 I. NUCLEAR DETERRENCE AND THREAT REDUCTION IN THE ERA OF THE “KOSOVO SYNDROME ...without the Kosovo Syndrome ? ................................... 106 Appendix A: The Strategic Personality Types...the United States from intervening in their future internal ethnic, religious, political, or regional disputes. The rise of this “Kosovo Syndrome
The Accuracy of Self-Efficacy Beliefs in Outdoor Education
ERIC Educational Resources Information Center
Schumann, Scott
2013-01-01
In the present era of outcome assessment and accountability, self-efficacy is a popular outcome measure in outdoor and adventure education. Self-efficacy beliefs are context specific perceptions an individual possesses about a likelihood of success in future tasks and are related to well-being confidence, and persistence. However, recent research…
A preliminary discussion of gravitational physics experiments for the Spacelab era
NASA Technical Reports Server (NTRS)
Decher, R.; Winkler, C. G.
1976-01-01
An overview of past, present, and proposed future experiments in gravitational physics is given. These experiments are concerned with the measurement of relativistic gravity effects to test theories of gravitation. Certain experiments which could be performed on shuttle and Spacelab missions and the potential of Spacelab for gravitation physics research are discussed.
Urbanization, Specialization and the Future of Magazines.
ERIC Educational Resources Information Center
Burd, Gene
Magazine journalism is not dead, despite the demise of many giant publications, but is thriving in new forms on the threshold of a new era whose trademark is urbanism. New publications recently appearing are primarily special audience magazines designed to fill the specific information needs of new groupings of readers. Since most of these new…
ERIC Educational Resources Information Center
Xiong, Yao; Suen, Hoi K.
2018-01-01
The development of massive open online courses (MOOCs) has launched an era of large-scale interactive participation in education. While massive open enrolment and the advances of learning technology are creating exciting potentials for lifelong learning in formal and informal ways, the implementation of efficient and effective assessment is still…
Future of Human Space Exploration
2014-07-01
Now that the Space Shuttle era is over, NASA is writing the next chapters in human Spaceflight with its commercial and international partners. It is advancing research and technology on the International Space Station, opening low-Earth orbit to US industry, and pushing the frontiers of deep space even farther ... all the way to Mars.
[Presidential Message on Indian Affairs.
ERIC Educational Resources Information Center
Nixon, Richard
President Nixon's message pointed out the deprivation and the injustices which the American Indians have suffered for centuries. It was noted that now is the time to break with the past and create conditions for a new era in which the Indian future is determined by Indian acts and decisions. The relationship between the Federal Government and the…
Attitudes and Motivations of Polish Students towards Entrepreneurial Activity
ERIC Educational Resources Information Center
Jones, Paul; Miller, Christopher; Jones, Amanda; Packham, Gary; Pickernell, David; Zbierowski, Przemyslaw
2011-01-01
Purpose: The Polish economy is continuing its expansion through the adoption of free market economics in the post-communist era. To encourage this growth in a future where difficult global economic conditions are likely to persist, it is essential that entrepreneurial activity is encouraged within the next generation of graduates. This study aims…
ERIC Educational Resources Information Center
Aveling, Nado
2002-01-01
Longitudinally examined how young Australian women who attended school during an era of equal opportunity made career decisions and perceived their unfolding lives. Respondents considered themselves active agents in constructing their own futures, and gender did not control their destinies. While they succeeded on male terms, many competing…
Latino Demographics, Democratic Individuality, and Educational Accountability: A Pragmatist's View
ERIC Educational Resources Information Center
Martinez Aleman, Ana M.
2006-01-01
In an era of heightened teacher and school accountability, what are the implications of standards-based reform for individual Latino children and their democratic self-realization? The educational demography of the fastest-growing and largest ethnic group in the United States suggests that the future of Latino self-realization is in jeopardy.…
Lussky, Richard C.; Cifuentes, Raul F.; Siddappa, Ashajyothi M.
2005-01-01
This is the first of two articles that will review the history of neonatal medicine. This article will describe the beginnings of the modern era of newborn medicine, review pharmacological misadventures, and describe recent advances in the fields of neonatal and perinatal medicine. PMID:23118629
Top Strategic Issues Facing HBCUs, Now and into the Future
ERIC Educational Resources Information Center
Hodge-Clark, Kristen; Daniels, Brandon D.
2014-01-01
Created in a time of segregation and discrimination to educate students of color, Historically Black Colleges and Universities (HBCUs) have played a pivotal role in transforming the landscape of higher education in the United States. Today, in an era of rapid transformation, HBCUs face historic challenges as well as new obstacles. Questions about…
The scientific exploration of saliva in the post-proteomic era: from database back to basic function
Ruhl, Stefan
2012-01-01
The proteome of human saliva can be considered as being essentially completed. Diagnostic markers for a number of diseases have been identified among salivary proteins and peptides, taking advantage of saliva as an easy-to-obtain biological fluid. Yet, the majority of disease markers identified so far are serum components and not intrinsic proteins produced by the salivary glands. Furthermore, despite the fact that saliva is essential for protecting the oral integuments and dentition, little progress has been made in finding risk predictors in the salivary proteome for dental caries or periodontal disease. Since salivary proteins, and in particular the attached glycans, play an important role in interactions with the microbial world, the salivary glycoproteome and other post-translational modifications of salivary proteins need to be studied. Risk markers for microbial diseases, including dental caries, are likely to be discovered among the highly glycosylated major protein species in saliva. This review will attempt to raise new ideas and also point to under-researched areas that may hold promise for future applicability in oral diagnostics and prediction of oral disease. PMID:22292826
NASA Technical Reports Server (NTRS)
Ticker, Ronald L.; Azzolini, John D.
2000-01-01
The study investigates NASA's Earth Science Enterprise needs for Distributed Spacecraft Technologies in the 2010-2025 timeframe. In particular, the study focused on the Earth Science Vision Initiative and extrapolation of the measurement architecture from the 2002-2010 time period. Earth Science Enterprise documents were reviewed. Interviews were conducted with a number of Earth scientists and technologists. fundamental principles of formation flying were also explored. The results led to the development of four notional distribution spacecraft architectures. These four notional architectures (global constellations, virtual platforms, precision formation flying, and sensorwebs) are presented. They broadly and generically cover the distributed spacecraft architectures needed by Earth Science in the post-2010 era. These notional architectures are used to identify technology needs and drivers. Technology needs are subsequently grouped into five categories: Systems and architecture development tools; Miniaturization, production, manufacture, test and calibration; Data networks and information management; Orbit control, planning and operations; and Launch and deployment. The current state of the art and expected developments are explored. High-value technology areas are identified for possible future funding emphasis.
Lava Tubes as Martian Analog sites on Hawaii Island
NASA Astrophysics Data System (ADS)
Andersen, Christian; Hamilton, J. C.; Adams, M.
2013-10-01
The existence of geologic features similar to skylights seen in Mars Reconnaissance Orbiter HIRISE imagery suggest Martian lava tube networks. Along with pit craters, these features are evidence of a past era of vulcanism. If these were contemporary with the wet Mars eras, then it is suggestive that any Martian life may have retreated into these subsurface oases. Hawaii island has numerous lava tubes of differing ages, humidity, lengths and sizes that make ideal analog test environments for future Mars exploration. PISCES has surveyed multiple candidate sites during the past summer with a team of University of Hawaii at Hilo student interns. It should be noted that Lunar features have also been similarly discovered via Lunar Reconnaissance Orbiter LROC imagery.
Adoptive cell therapy: past, present and future.
Cohen, Jonathan E; Merims, Sharon; Frank, Stephen; Engelstein, Roni; Peretz, Tamar; Lotem, Michal
2017-01-01
The immune system is a potent inhibitor of tumor growth with curative potential, constituting in many eyes the future of antineoplastic therapy. Adoptive cell therapy (ACT) is a form of immunotherapy in which autologous cancer-cognate lymphocytes are expanded and modified ex vivo and re-infused to combat the tumor. This review follows the evolvement of ACT and treatment protocols, focusing on unresolved dilemmas regarding this treatment while providing evidence for its effectiveness in refractory patients. Future directions of ACT are discussed, in particular with regard to genetic engineering of autologous cells, and the role of ACT in the era of checkpoint inhibitors is addressed.
The present and the future of breast cancer burden in the Kingdom of Saudi Arabia.
Ibrahim, Ezzeldin M; Zeeneldin, Ahmed A; Sadiq, Bakr Bin; Ezzat, Adnan A
2008-01-01
Despite the low cancer incidence in the Kingdom of Saudi Arabia (KSA), the country must be ready to face the challenge of foreseeable increase in cancer burden attributed to growth and aging of population. This work was designed to study female breast cancer as a model to assess future cancer burden and the impact on healthcare resources. Cancer statistics for the KSA were compared with that for the USA. The Joinpoint regression program was used to identify changes in secular trends, while the GLOBOCAN 2002 software projected future incidence and mortality. In the KSA, the age-standardized cancer rate (ASR) is 61 per 100,000 population, while the median age at diagnosis is 54 and 49 years for men and women, respectively. Fitting the ASR for breast cancer did not show any significant trend over a 10-year calendar period (16.2-18.2 per 100,000), a pattern that was similar to that for the USA in the prescreening mammography era. Considering the growth and aging of population and using conservative estimates for the annual percent change in incidence (increase) and mortality (decrease) by 2025, incidence and mortality cases are expected to increase by about 350% and 160%, respectively. In developing countries, future cancer rates could demonstrate a considerable increase and enormous demands on healthcare resources. The present work may provide an impetus to study other prevalent cancer types particularly in developing countries.
Autism spectrum disorders in the era of mobile technologies: impact on caregivers.
Allen, Anna A; Shane, Howard C
2014-04-01
This paper explores possible connections among existing literature on parental stress, augmentative and alternative communication (AAC), and use of mobile technology for persons with autism spectrum disorder (ASD). A narrative review of the literature. Parental support contributes to positive outcomes for children who use AAC. Parents identify communication as a high priority, but describe the process as challenging. AAC is often used with children with ASD, a population in which parental stress is especially high. Though there is research evidence that mobile technology is a promising tool for individuals with ASD, potentially misleading media anecdotes exist, and the effects on parental expectations and stress remain unstudied questions. Increased understanding of the connections in these research areas should help clarify the potential impact of mobile technologies on parental stress level, help to define appropriate future research directions, and contribute to development of appropriate caregiver training.
Retirement security: It's not just about the money.
James, Jacquelyn Boone; Matz-Costa, Christina; Smyer, Michael A
2016-01-01
Retirement security is not just about the money. Although there are many guidelines for financial security, there are few for crafting a rewarding life in the new era of longevity and health. With the meaning of "retirement" being actively redefined, there is a gap between what older adults want and need and what their employers and policymakers are offering. Retirement security in its broadest sense requires programs and policies that encourage and support flexible work that allow some choice and control over when, where, and how work gets done, and which work tasks are assumed by which employees or work teams, self-employment, and formal and informal volunteer work. This article has 3 purposes: (a) to summarize the current context of retirement, (b) to identify barriers to psychological security in later life, and (c) to suggest how psychologists can support the rewriting of the retirement chapter for future retirees. (PsycINFO Database Record (c) 2016 APA, all rights reserved).
DOE Office of Scientific and Technical Information (OSTI.GOV)
Guevara, K.C.; Fellinger, A.P.; Aylward, R.S.
The Department of Energy's Savannah River Site has a 60-year history of successfully operating nuclear facilities and cleaning up the nuclear legacy of the Cold War era through the processing of radioactive and otherwise hazardous wastes, remediation of contaminated soil and groundwater, management of nuclear materials, and deactivation and decommissioning of excess facilities. SRS recently unveiled its Enterprise.SRS (E.SRS) strategic vision to identify and facilitate application of the historical competencies of the site to current and future national and global challenges. E.SRS initiatives such as the initiative to Develop and Demonstrate Next generation Clean-up Technologies seek timely and mutually beneficialmore » engagements with entities around the country and the world. One such ongoing engagement is with government and industry in Japan in the recovery from the devastation of the Fukushima Daiichi Nuclear Power Station. (authors)« less
Cancer immunotherapy-targeted glypican-3 or neoantigens.
Shimizu, Yasuhiro; Suzuki, Toshihiro; Yoshikawa, Toshiaki; Tsuchiya, Nobuhiro; Sawada, Yu; Endo, Itaru; Nakatsura, Tetsuya
2018-03-01
Immune checkpoint inhibitors have ushered in a new era in cancer therapy, although other therapies or combinations thereof are still needed for many patients for whom these drugs are ineffective. In this light, we have identified glypican-3 an HLA-24, HLA-A2 restriction peptide with extreme cancer specificity. In this paper, we summarize results from a number of related clinical trials showing that glypican-3 peptide vaccines induce specific CTLs in most patients (UMIN Clinical Trials Registry: UMIN000001395, UMIN000005093, UMIN000002614, UMN000003696, and UMIN000006357). We also describe the current state of personalized cancer immunotherapy based on neoantigens, and assess, based on our own research and experience, the potential of such therapy to elicit cancer regression. Finally, we discuss the future direction of cancer immunotherapy. © 2017 The Authors. Cancer Science published by John Wiley & Sons Australia, Ltd on behalf of Japanese Cancer Association.
A brief history of physics education in the United States
NASA Astrophysics Data System (ADS)
Meltzer, David E.; Otero, Valerie K.
2015-05-01
In order to provide insight into current physics teaching practices and recommended reforms, we outline the history of physics education in the United States—and the accompanying pedagogical issues and debates—over the period 1860-2014. We identify key events, personalities, and issues for each of ten separate time periods, comparing and contrasting the outlooks and viewpoints of the different eras. This discussion should help physics educators to (1) become aware of previous research in physics education and of the major efforts to transform physics instruction that have taken place in the U.S., (2) place the national reform movements of today, as well as current physics education research, in the context of past efforts, and (3) evaluate the effectiveness of various education transformation efforts of the past, so as better to determine what reform methods might have the greatest chances of success in the future.
Machine-Learning Techniques Applied to Antibacterial Drug Discovery
Durrant, Jacob D.; Amaro, Rommie E.
2014-01-01
The emergence of drug-resistant bacteria threatens to catapult humanity back to the pre-antibiotic era. Even now, multi-drug-resistant bacterial infections annually result in millions of hospital days, billions in healthcare costs, and, most importantly, tens of thousands of lives lost. As many pharmaceutical companies have abandoned antibiotic development in search of more lucrative therapeutics, academic researchers are uniquely positioned to fill the resulting vacuum. Traditional high-throughput screens and lead-optimization efforts are expensive and labor intensive. Computer-aided drug discovery techniques, which are cheaper and faster, can accelerate the identification of novel antibiotics in an academic setting, leading to improved hit rates and faster transitions to pre-clinical and clinical testing. The current review describes two machine-learning techniques, neural networks and decision trees, that have been used to identify experimentally validated antibiotics. We conclude by describing the future directions of this exciting field. PMID:25521642
Systematic Serendipity: A Method to Discover the Anomalous
NASA Astrophysics Data System (ADS)
Giles, Daniel; Walkowicz, Lucianne
2018-01-01
One of the challenges in the era of big data astronomical surveys is identifying anomalous data, data that exhibits as-of-yet unobserved behavior. These data may result from systematic errors, extreme (or rare) forms of known phenomena, or, most interestingly, truly novel phenomena that has historically required a trained eye and often fortuitous circumstance to identify. We describe a method that uses machine clustering techniques to discover anomalous data in Kepler lightcurves, as a step towards systematizing the detection of novel phenomena in the era of LSST. As a proof of concept, we apply our anomaly detection method to Kepler data including Boyajian's Star (KIC 8462852). We examine quarters 4, 8, 11, and 16 of the Kepler data which contain Boyajian’s Star acting normally (quarters 4 and 11) and anomalously (quarters 8 and 16). We demonstrate that our method is capable of identifying Boyajian’s Star’s anomalous behavior in quarters of interest, and we further identify other anomalous light curves that exhibit a range of interesting variability.
Robot Tracking of Human Subjects in Field Environments
NASA Technical Reports Server (NTRS)
Graham, Jeffrey; Shillcutt, Kimberly
2003-01-01
Future planetary exploration will involve both humans and robots. Understanding and improving their interaction is a main focus of research in the Intelligent Systems Branch at NASA's Johnson Space Center. By teaming intelligent robots with astronauts on surface extra-vehicular activities (EVAs), safety and productivity can be improved. The EVA Robotic Assistant (ERA) project was established to study the issues of human-robot teams, to develop a testbed robot to assist space-suited humans in exploration tasks, and to experimentally determine the effectiveness of an EVA assistant robot. A companion paper discusses the ERA project in general, its history starting with ASRO (Astronaut-Rover project), and the results of recent field tests in Arizona. This paper focuses on one aspect of the research, robot tracking, in greater detail: the software architecture and algorithms. The ERA robot is capable of moving towards and/or continuously following mobile or stationary targets or sequences of targets. The contributions made by this research include how the low-level pose data is assembled, normalized and communicated, how the tracking algorithm was generalized and implemented, and qualitative performance reports from recent field tests.
From local to global--an overview of the Croatian National Theatre in the era of globalization.
Penjak, Ana
2012-09-01
The article offers an overview of the Croatian National Theatre research. It comes in two parts. The first examines the position theatre in the era of globalization, while the second focuses on the Croatian National Theatre, in the era of globalization, in the context of specific social and national interests, as well as within the limits of the national possibilities. What emerges in this overview is a feel for how complex the field of theatre research is in Croatia, given its specific position since there are four National Theatres in a country of approximately 4 million people. Also, local budgets and the lack of strategical plan and programme for culture in general represent a sort of limitation. The article ends with two conclusions: a) the Croatian National Theatres in the effort to go global experience primarily different economic status; b) the article draws attention to the present and future challenges that the Croatian National Theatres are faced with, posed by issues such as correlation between globalization and theatre.
2017-01-01
Basic science holds enormous power for revealing the biological mechanisms of disease and, in turn, paving the way toward new, effective interventions. Recognizing this power, the 2011 Research Agenda for Malaria Eradication included key priorities in fundamental research that, if attained, could help accelerate progress toward disease elimination and eradication. The Malaria Eradication Research Agenda (malERA) Consultative Panel on Basic Science and Enabling Technologies reviewed the progress, continuing challenges, and major opportunities for future research. The recommendations come from a literature of published and unpublished materials and the deliberations of the malERA Refresh Consultative Panel. These areas span multiple aspects of the Plasmodium life cycle in both the human host and the Anopheles vector and include critical, unanswered questions about parasite transmission, human infection in the liver, asexual-stage biology, and malaria persistence. We believe an integrated approach encompassing human immunology, parasitology, and entomology, and harnessing new and emerging biomedical technologies offers the best path toward addressing these questions and, ultimately, lowering the worldwide burden of malaria. PMID:29190277
Evidence or eminence in abdominal surgery: Recent improvements in perioperative care
Segelman, Josefin; Nygren, Jonas
2014-01-01
Repeated surveys from Europe, the United States, Australia, and New Zealand have shown that adherence to an evidence-based perioperative care protocol, such as Enhanced Recovery After Surgery (ERAS), has been generally low. It is of great importance to support the implementation of the ERAS protocol as it has been shown to improve outcomes after a number of surgical procedures, including major abdominal surgery. However, despite an increasing awareness of the importance of structured perioperative management, the implementation of this complex protocol has been slow. Barriers to implementation involve both patient- and staff-related factors as well as practice-related issues and resources. To support efficient and successful implementation, further educational and structural measures have to be made on a national or regional level to improve the standard of general health care. Besides postoperative morbidity, biological and physiological variables have been quite commonly reported in previous ERAS studies. Little information, however, has been obtained on cost-effectiveness, long-term outcomes, quality of life and patient-related outcomes, and these issues remain important areas of research for future studies. PMID:25469030
Li, Jin; Zheng, Le; Uchiyama, Akihiko; Bin, Lianghua; Mauro, Theodora M; Elias, Peter M; Pawelczyk, Tadeusz; Sakowicz-Burkiewicz, Monika; Trzeciak, Magdalena; Leung, Donald Y M; Morasso, Maria I; Yu, Peng
2018-06-13
A large volume of biological data is being generated for studying mechanisms of various biological processes. These precious data enable large-scale computational analyses to gain biological insights. However, it remains a challenge to mine the data efficiently for knowledge discovery. The heterogeneity of these data makes it difficult to consistently integrate them, slowing down the process of biological discovery. We introduce a data processing paradigm to identify key factors in biological processes via systematic collection of gene expression datasets, primary analysis of data, and evaluation of consistent signals. To demonstrate its effectiveness, our paradigm was applied to epidermal development and identified many genes that play a potential role in this process. Besides the known epidermal development genes, a substantial proportion of the identified genes are still not supported by gain- or loss-of-function studies, yielding many novel genes for future studies. Among them, we selected a top gene for loss-of-function experimental validation and confirmed its function in epidermal differentiation, proving the ability of this paradigm to identify new factors in biological processes. In addition, this paradigm revealed many key genes in cold-induced thermogenesis using data from cold-challenged tissues, demonstrating its generalizability. This paradigm can lead to fruitful results for studying molecular mechanisms in an era of explosive accumulation of publicly available biological data.
NASA Astrophysics Data System (ADS)
Zhao, Tianbao; Wang, Juanhuai; Dai, Aiguo
2015-10-01
Many multidecadal atmospheric reanalysis products are available now, but their consistencies and reliability are far from perfect. In this study, atmospheric precipitable water (PW) from the National Centers for Environmental Prediction/National Center for Atmospheric Research (NCEP/NCAR), NCEP/Department of Energy (DOE), Modern Era Retrospective-Analysis for Research and Applications (MERRA), Japanese 55 year Reanalysis (JRA-55), JRA-25, ERA-Interim, ERA-40, Climate Forecast System Reanalysis (CFSR), and 20th Century Reanalysis version 2 is evaluated against homogenized radiosonde observations over China during 1979-2012 (1979-2001 for ERA-40). Results suggest that the PW biases in the reanalyses are within ˜20% for most of northern and eastern China, but the reanalyses underestimate the observed PW by 20%-40% over western China and by ˜60% over the southwestern Tibetan Plateau. The newer-generation reanalyses (e.g., JRA25, JRA55, CFSR, and ERA-Interim) have smaller root-mean-square error than the older-generation ones (NCEP/NCAR, NCEP/DOE, and ERA-40). Most of the reanalyses reproduce well the observed PW climatology and interannual variations over China. However, few reanalyses capture the observed long-term PW changes, primarily because they show spurious wet biases before about 2002. This deficiency results mainly from the discontinuities contained in reanalysis relative humidity fields in the middle-lower troposphere due to the wet bias in older radiosonde records that are assimilated into the reanalyses. An empirical orthogonal function (EOF) analysis revealed two leading modes that represent the long-term PW changes and El Niño-Southern Oscillation-related interannual variations with robust spatial patterns. The reanalysis products, especially the MERRA and JRA-25, roughly capture these EOF modes, which account for over 50% of the total variance. The results show that even during the post-1979 satellite era, discontinuities in radiosonde data can still induce large spurious long-term changes in reanalysis PW and other related fields. Thus, more efforts are needed to remove spurious changes in input data for future long-term reanalyses.
Chang, Tara I.; Montez-Rath, Maria E.; Tsai, Thomas T.; Hlatky, Mark A.; Winkelmayer, Wolfgang C.
2016-01-01
BACKGROUND In patients undergoing percutaneous coronary intervention (PCI), drug-eluting stents (DES) reduce repeat revascularizations compared with bare metal stents (BMS), but their effects on death and myocardial infarction (MI) are mixed. Few studies have focused on patients with end-stage renal disease (ESRD). OBJECTIVES We compared mortality and cardiovascular morbidity during PCI with DES and with BMS in dialysis patients. METHODS We identified 36,117 dialysis patients from the U.S. Renal Data System who had coronary stenting in the U.S. between 4/23/03 and 12/31/10, and examined the association of DES versus BMS with 1-year outcomes: death; death or MI; and death, MI or repeat revascularization. We conducted a temporal analysis by dividing the study period into 3 DES eras: Transitional (4/23/03 – 6/30/04); Liberal (7/1/04 – 12/31/06); and Selective (1/1/07 – 12/31/10). RESULTS One-year event rates were high, with 38 deaths, 55 death or MI events and 71 death, MI or repeat revascularization events per 100 person-years. DES was associated with a significant 18% lower risk of death, 16% lower risk of death or MI, and 13% lower risk of death, MI or repeat revascularization, compared with BMS. DES use varied, from 56% in the Transitional era to 85% in the Liberal era and 62% in the Selective era. DES outcomes in the Liberal era were significantly better than in the Transitional Era, but not significantly better than in the Selective Era. CONCLUSIONS DES for PCI appears safe in U.S. dialysis patients, and is associated with lower rates of death, MI and repeat revascularization. PMID:27012407
Agarwal, Smisha; Lefevre, Amnesty E
2017-01-01
Background Despite the rapid proliferation of health interventions that employ digital tools, the evidence on the effectiveness of such approaches remains insufficient and of variable quality. To address gaps in the comprehensiveness and quality of reporting on the effectiveness of digital programs, the mHealth Technical Evidence Review Group (mTERG), convened by the World Health Organization, proposed the mHealth Evidence Reporting and Assessment (mERA) checklist to address existing gaps in the comprehensiveness and quality of reporting on the effectiveness of digital health programs. Objective We present an overview of the mERA checklist and encourage researchers working in the digital health space to use the mERA checklist for reporting their research. Methods The development of the mERA checklist consisted of convening an expert group to recommend an appropriate approach, convening a global expert review panel for checklist development, and pilot-testing the checklist. Results The mERA checklist consists of 16 core mHealth items that define what the mHealth intervention is (content), where it is being implemented (context), and how it was implemented (technical features). Additionally, a 29-item methodology checklist guides authors on reporting critical aspects of the research methodology employed in the study. We recommend that the core mERA checklist is used in conjunction with an appropriate study-design specific checklist. Conclusions The mERA checklist aims to assist authors in reporting on digital health research, guide reviewers and policymakers in synthesizing evidence, and guide journal editors in assessing the completeness in reporting on digital health studies. An increase in transparent and rigorous reporting can help identify gaps in the conduct of research and understand the effects of digital health interventions as a field of inquiry. PMID:28986340
Improvement in Outcomes of Clinical Islet Transplantation: 1999–2010
Barton, Franca B.; Rickels, Michael R.; Alejandro, Rodolfo; Hering, Bernhard J.; Wease, Stephen; Naziruddin, Bashoo; Oberholzer, Jose; Odorico, Jon S.; Garfinkel, Marc R.; Levy, Marlon; Pattou, Francois; Berney, Thierry; Secchi, Antonio; Messinger, Shari; Senior, Peter A.; Maffi, Paola; Posselt, Andrew; Stock, Peter G.; Kaufman, Dixon B.; Luo, Xunrong; Kandeel, Fouad; Cagliero, Enrico; Turgeon, Nicole A.; Witkowski, Piotr; Naji, Ali; O’Connell, Philip J.; Greenbaum, Carla; Kudva, Yogish C.; Brayman, Kenneth L.; Aull, Meredith J.; Larsen, Christian; Kay, Tom W.H.; Fernandez, Luis A.; Vantyghem, Marie-Christine; Bellin, Melena; Shapiro, A.M. James
2012-01-01
OBJECTIVE To describe trends of primary efficacy and safety outcomes of islet transplantation in type 1 diabetes recipients with severe hypoglycemia from the Collaborative Islet Transplant Registry (CITR) from 1999 to 2010. RESEARCH DESIGN AND METHODS A total of 677 islet transplant-alone or islet-after-kidney recipients with type 1 diabetes in the CITR were analyzed for five primary efficacy outcomes and overall safety to identify any differences by early (1999–2002), mid (2003–2006), or recent (2007–2010) transplant era based on annual follow-up to 5 years. RESULTS Insulin independence at 3 years after transplant improved from 27% in the early era (1999–2002, n = 214) to 37% in the mid (2003–2006, n = 255) and to 44% in the most recent era (2007–2010, n = 208; P = 0.006 for years-by-era; P = 0.01 for era alone). C-peptide ≥0.3 ng/mL, indicative of islet graft function, was retained longer in the most recent era (P < 0.001). Reduction of HbA1c and resolution of severe hypoglycemia exhibited enduring long-term effects. Fasting blood glucose stabilization also showed improvements in the most recent era. There were also modest reductions in the occurrence of adverse events. The islet reinfusion rate was lower: 48% by 1 year in 2007–2010 vs. 60–65% in 1999–2006 (P < 0.01). Recipients that ever achieved insulin-independence experienced longer duration of islet graft function (P < 0.001). CONCLUSIONS The CITR shows improvement in primary efficacy and safety outcomes of islet transplantation in recipients who received transplants in 2007–2010 compared with those in 1999–2006, with fewer islet infusions and adverse events per recipient. PMID:22723582
NASA Astrophysics Data System (ADS)
Zhao, T.; Wang, J.; Dai, A.
2015-12-01
Many multi-decadal atmospheric reanalysis products are avialable now, but their consistencies and reliability are far from perfect. In this study, atmospheric precipitable water (PW) from the NCEP/NCAR, NCEP/DOE, MERRA, JRA-55, JRA-25, ERA-Interim, ERA-40, CFSR and 20CR reanalyses is evaluated against homogenized radiosonde observations over China during 1979-2012 (1979-2001 for ERA-40). Results suggest that the PW biases in the reanalyses are within ˜20% for most of northern and eastern China, but the reanalyses underestimate the observed PW by 20%-40% over western China, and by ˜60% over the southwestern Tibetan Plateau. The newer-generation reanalyses (e.g., JRA25, JRA55, CFSR and ERA-Interim) have smaller root-mean-square error (RMSE) than the older-generation ones (NCEP/NCAR, NCEP/DOE and ERA-40). Most of the reanalyses reproduce well the observed PW climatology and interannual variations over China. However, few reanalyses capture the observed long-term PW changes, primarily because they show spurious wet biases before about 2002. This deficiency results mainly from the discontinuities contained in reanalysis RH fields in the mid-lower troposphere due to the wet bias in older radiosonde records that are assimilated into the reanalyses. An empirical orthogonal function (EOF) analysis revealed two leading modes that represent the long-term PW changes and ENSO-related interannual variations with robust spatial patterns. The reanalysis products, especially the MERRA and JRA-25, roughly capture these EOF modes, which account for over 50% of the total variance. The results show that even during the post-1979 satellite era, discontinuities in radiosonde data can still induce large spurious long-term changes in reanalysis PW and other related fields. Thus, more efforts are needed to remove spurious changes in input data for future long-term reanlayses.
Nickerson, Philip E B; Ortin-Martinez, Arturo; Wallace, Valerie A
2018-01-01
Considerable research effort has been invested into the transplantation of mammalian photoreceptors into healthy and degenerating mouse eyes. Several platforms of rod and cone fluorescent reporting have been central to refining the isolation, purification and transplantation of photoreceptors. The tracking of engrafted cells, including identifying the position, morphology and degree of donor cell integration post-transplant is highly dependent on the use of fluorescent protein reporters. Improvements in imaging and analysis of transplant recipients have revealed that donor cell fluorescent reporters can transfer into host tissue though a process termed material exchange (ME). This recent discovery has chaperoned a new era of interpretation when reviewing the field's use of dissociated donor cell preparations, and has prompted scientists to re-examine how we use and interpret the information derived from fluorescence-based tracking tools. In this review, we describe the status of our understanding of ME in photoreceptor transplantation. In addition, we discuss the impact of this discovery on several aspects of historical rod and cone transplantation data, and provide insight into future standards and approaches to advance the field of cell engraftment.
Nickerson, Philip E. B.; Ortin-Martinez, Arturo; Wallace, Valerie A.
2018-01-01
Considerable research effort has been invested into the transplantation of mammalian photoreceptors into healthy and degenerating mouse eyes. Several platforms of rod and cone fluorescent reporting have been central to refining the isolation, purification and transplantation of photoreceptors. The tracking of engrafted cells, including identifying the position, morphology and degree of donor cell integration post-transplant is highly dependent on the use of fluorescent protein reporters. Improvements in imaging and analysis of transplant recipients have revealed that donor cell fluorescent reporters can transfer into host tissue though a process termed material exchange (ME). This recent discovery has chaperoned a new era of interpretation when reviewing the field’s use of dissociated donor cell preparations, and has prompted scientists to re-examine how we use and interpret the information derived from fluorescence-based tracking tools. In this review, we describe the status of our understanding of ME in photoreceptor transplantation. In addition, we discuss the impact of this discovery on several aspects of historical rod and cone transplantation data, and provide insight into future standards and approaches to advance the field of cell engraftment. PMID:29559897
A Survey on M2M Systems for mHealth: A Wireless Communications Perspective
Kartsakli, Elli; Lalos, Aris S.; Antonopoulos, Angelos; Tennina, Stefano; Di Renzo, Marco; Alonso, Luis; Verikoukis, Christos
2014-01-01
In the new era of connectivity, marked by the explosive number of wireless electronic devices and the need for smart and pervasive applications, Machine-to-Machine (M2M) communications are an emerging technology that enables the seamless device interconnection without the need of human interaction. The use of M2M technology can bring to life a wide range of mHealth applications, with considerable benefits for both patients and healthcare providers. Many technological challenges have to be met, however, to ensure the widespread adoption of mHealth solutions in the future. In this context, we aim to provide a comprehensive survey on M2M systems for mHealth applications from a wireless communication perspective. An end-to-end holistic approach is adopted, focusing on different communication aspects of the M2M architecture. Hence, we first provide a systematic review of Wireless Body Area Networks (WBANs), which constitute the enabling technology at the patient's side, and then discuss end-to-end solutions that involve the design and implementation of practical mHealth applications. We close the survey by identifying challenges and open research issues, thus paving the way for future research opportunities. PMID:25264958
Meta-analysis of randomized clinical trials in the era of individual patient data sharing.
Kawahara, Takuya; Fukuda, Musashi; Oba, Koji; Sakamoto, Junichi; Buyse, Marc
2018-06-01
Individual patient data (IPD) meta-analysis is considered to be a gold standard when the results of several randomized trials are combined. Recent initiatives on sharing IPD from clinical trials offer unprecedented opportunities for using such data in IPD meta-analyses. First, we discuss the evidence generated and the benefits obtained by a long-established prospective IPD meta-analysis in early breast cancer. Next, we discuss a data-sharing system that has been adopted by several pharmaceutical sponsors. We review a number of retrospective IPD meta-analyses that have already been proposed using this data-sharing system. Finally, we discuss the role of data sharing in IPD meta-analysis in the future. Treatment effects can be more reliably estimated in both types of IPD meta-analyses than with summary statistics extracted from published papers. Specifically, with rich covariate information available on each patient, prognostic and predictive factors can be identified or confirmed. Also, when several endpoints are available, surrogate endpoints can be assessed statistically. Although there are difficulties in conducting, analyzing, and interpreting retrospective IPD meta-analysis utilizing the currently available data-sharing systems, data sharing will play an important role in IPD meta-analysis in the future.
Assessing the relevance of ecotoxicological studies for regulatory decision making.
Rudén, Christina; Adams, Julie; Ågerstrand, Marlene; Brock, Theo Cm; Poulsen, Veronique; Schlekat, Christian E; Wheeler, James R; Henry, Tala R
2017-07-01
Regulatory policies in many parts of the world recognize either the utility of or the mandate that all available studies be considered in environmental or ecological hazard and risk assessment (ERA) of chemicals, including studies from the peer-reviewed literature. Consequently, a vast array of different studies and data types need to be considered. The first steps in the evaluation process involve determining whether the study is relevant to the ERA and sufficiently reliable. Relevance evaluation is typically performed using existing guidance but involves application of "expert judgment" by risk assessors. In the present paper, we review published guidance for relevance evaluation and, on the basis of the practical experience within the group of authors, we identify additional aspects and further develop already proposed aspects that should be considered when conducting a relevance assessment for ecotoxicological studies. From a regulatory point of view, the overarching key aspect of relevance concerns the ability to directly or indirectly use the study in ERA with the purpose of addressing specific protection goals and ultimately regulatory decision making. Because ERA schemes are based on the appropriate linking of exposure and effect estimates, important features of ecotoxicological studies relate to exposure relevance and biological relevance. Exposure relevance addresses the representativeness of the test substance, environmental exposure media, and exposure regime. Biological relevance deals with the environmental significance of the test organism and the endpoints selected, the ecological realism of the test conditions simulated in the study, as well as a mechanistic link of treatment-related effects for endpoints to the protection goal identified in the ERA. In addition, uncertainties associated with relevance should be considered in the assessment. A systematic and transparent assessment of relevance is needed for regulatory decision making. The relevance aspects also need to be considered by scientists when designing, performing, and reporting ecotoxicological studies to facilitate their use in ERA. Integr Environ Assess Manag 2017;13:652-663. © 2016 The Authors. Integrated Environmental Assessment and Management published by Wiley Periodicals, Inc. on behalf of Society of Environmental Toxicology & Chemistry (SETAC). © 2016 The Authors. Integrated Environmental Assessment and Management Published by Wiley Periodicals, Inc. on behalf of Society of Environmental Toxicology & Chemistry (SETAC).
'Big data' in pharmaceutical science: challenges and opportunities.
Dossetter, Al G; Ecker, Gerhard; Laverty, Hugh; Overington, John
2014-05-01
Future Medicinal Chemistry invited a selection of experts to express their views on the current impact of big data in drug discovery and design, as well as speculate on future developments in the field. The topics discussed include the challenges of implementing big data technologies, maintaining the quality and privacy of data sets, and how the industry will need to adapt to welcome the big data era. Their enlightening responses provide a snapshot of the many and varied contributions being made by big data to the advancement of pharmaceutical science.
Immunotherapy for advanced melanoma: future directions.
Valpione, Sara; Campana, Luca G
2016-02-01
As calculated by the meta-analysis of Korn et al., the prognosis of metastatic melanoma in the pretarget and immunological therapy era was poor, with a median survival of 6.2 and a 1-year life expectancy of 25.5%. Nowadays, significant advances in melanoma treatment have been gained, and immunotherapy is one of the promising approaches to get to durable responses and survival improvement. The aim of the present review is to highlight the recent innovations in melanoma immunotherapy and to propose a critical perspective of the future directions of this enthralling oncology subspecialty.
Neutrino Oscillations with the MINOS, MINOS+, T2K, and NOvA Experiments
Nakaya, Tsuyoshi; Plunkett, Robert K.
2016-01-18
Our paper discusses results and near-term prospects of the long-baseline neutrino experiments MINOS, MONOS+, T2K and NOvA. The non-zero value of the third neutrino mixing angle θ 13 allows experimental analysis in a manner which explicitly exhibits appearance and disappearance dependencies on additional parameters associated with mass-hierarchy, CP violation, and any non-maximal θ 23. Our current and near-future experiments begin the era of precision accelerator long-baseline measurements and lay the framework within which future experimental results will be interpreted.
Bird specimens track 135 years of atmospheric black carbon and environmental policy
NASA Astrophysics Data System (ADS)
DuBay, Shane G.; Fuldner, Carl C.
2017-10-01
Atmospheric black carbon has long been recognized as a public health and environmental concern. More recently, black carbon has been identified as a major, ongoing contributor to anthropogenic climate change, thus making historical emission inventories of black carbon an essential tool for assessing past climate sensitivity and modeling future climate scenarios. Current estimates of black carbon emissions for the early industrial era have high uncertainty, however, because direct environmental sampling is sparse before the mid-1950s. Using photometric reflectance data of >1,300 bird specimens drawn from natural history collections, we track relative ambient concentrations of atmospheric black carbon between 1880 and 2015 within the US Manufacturing Belt, a region historically reliant on coal and dense with industry. Our data show that black carbon levels within the region peaked during the first decade of the 20th century. Following this peak, black carbon levels were positively correlated with coal consumption through midcentury, after which they decoupled, with black carbon concentrations declining as consumption continued to rise. The precipitous drop in atmospheric black carbon at midcentury reflects policies promoting burning efficiency and fuel transitions rather than regulating emissions alone. Our findings suggest that current emission inventories based on predictive modeling underestimate levels of atmospheric black carbon for the early industrial era, suggesting that the contribution of black carbon to past climate forcing may also be underestimated. These findings build toward a spatially dynamic emission inventory of black carbon based on direct environmental sampling.
Review of ecological-based risk management approaches used at five Army Superfund sites.
Poucher, Sherri L; Tracey, Gregory A; Johnson, Mark S; Haines, Laurie B
2012-04-01
Factors used in environmental remedial decision making concerning ecological risk are not well understood or necessarily consistent. Recent Records of Decision (RODs) for Army CERCLA sites were reviewed to select case studies where remedial management occurred in response to ecological risks. Thirty-four Army RODs were evaluated representing decisions promulgated between 1996 and 2004. Five were selected based on assessments that remedial actions were clearly linked to concern for ecological receptors. The Ecological Risk Assessment (ERA) approach and the subsequent risk management process were reviewed for each site. The case studies demonstrated that the ERA findings, as well as critical management decisions regarding interpretation of identified ecological risks, were determinants of remedial action objectives. Decisions regarding the selection of remedial alternatives were based on a set of criteria prescribed by Superfund requirements and guidance. Remedial alternative evaluations require protection of human health and the environment, but protective conditions were determined using different methods at each site. Examining the remedial management process for the 5 case study sites revealed that uncertainty in the risk assessment and decisions regarding appropriate spatial scales for both risk assessment and remediation were important factors influencing remedial action decisions. The case reviews also revealed that levels of documentation were variable from site to site. In the future, more detailed documentation of decision criteria and the development of criteria that consider the resilience of the site will result in more technically defensible ecological risk management. Copyright © 2011 SETAC.
Bird specimens track 135 years of atmospheric black carbon and environmental policy
DuBay, Shane G.; Fuldner, Carl C.
2017-01-01
Atmospheric black carbon has long been recognized as a public health and environmental concern. More recently, black carbon has been identified as a major, ongoing contributor to anthropogenic climate change, thus making historical emission inventories of black carbon an essential tool for assessing past climate sensitivity and modeling future climate scenarios. Current estimates of black carbon emissions for the early industrial era have high uncertainty, however, because direct environmental sampling is sparse before the mid-1950s. Using photometric reflectance data of >1,300 bird specimens drawn from natural history collections, we track relative ambient concentrations of atmospheric black carbon between 1880 and 2015 within the US Manufacturing Belt, a region historically reliant on coal and dense with industry. Our data show that black carbon levels within the region peaked during the first decade of the 20th century. Following this peak, black carbon levels were positively correlated with coal consumption through midcentury, after which they decoupled, with black carbon concentrations declining as consumption continued to rise. The precipitous drop in atmospheric black carbon at midcentury reflects policies promoting burning efficiency and fuel transitions rather than regulating emissions alone. Our findings suggest that current emission inventories based on predictive modeling underestimate levels of atmospheric black carbon for the early industrial era, suggesting that the contribution of black carbon to past climate forcing may also be underestimated. These findings build toward a spatially dynamic emission inventory of black carbon based on direct environmental sampling. PMID:29073051
A twin study of erectile dysfunction.
Fischer, Mary E; Vitek, Mary Ellen; Hedeker, Don; Henderson, William G; Jacobsen, Steven J; Goldberg, Jack
2004-01-26
The extent of genetic influence on erectile dysfunction (ED) is unknown. This study determines the contribution of heredity to ED in a sample of middle-aged men. A classical twin study was conducted in the Vietnam Era Twin Registry, a national sample of male-male pairs (mean birth year, 1949) who served on active duty during the Vietnam era (1965-1975). A 1999 male health survey was completed by 890 monozygotic (MZ) and 619 dizygotic (DZ) pairs. The prevalence and heritability of 2 self-report indicators of ED, difficulty in having an erection and in maintaining an erection, are estimated. The prevalence of difficulty in having an erection is 23.3% and in maintaining an erection is 26.7%. Twin correlations for dysfunction in having an erection are 0.35 (95% confidence interval [CI], 0.28-0.41) in MZ and 0.17 (95% CI, 0.09-0.27) in DZ pairs. For dysfunction in maintaining an erection, the twin correlations in MZ and DZ pairs are 0.39 (95% CI, 0.32-0.45) and 0.18 (95% CI, 0.09-0.27), respectively. The estimated heritability of liability for dysfunction in having an erection is 35% and in maintaining an erection is 42%. The heritable influence on ED remained significant after adjustment for ED risk factors. The present study demonstrates an ED-specific genetic component that is independent of genetic influences from numerous ED risk factors. The results suggest that future molecular genetic studies to identify ED-related polymorphisms are warranted.
Microstructure-Property-Design Relationships in the Simulation Era: An Introduction (PREPRINT)
2010-01-01
Astronautics (AIAA) paper #1026. 20. Dimiduk DM (1998) Systems engineering of gamma titanium aluminides : impact of fundamentals on development strategy...microstructure-sensitive design tools for single-crystal turbine blades provides an accessible glimpse into future computational tools and their data...requirements. 15. SUBJECT TERMS single-crystal turbine blades , computational methods, integrated computational materials 16. SECURITY
The Corporate Culture Climate at the Crossroads: Back to the Future.
ERIC Educational Resources Information Center
Meussling, Vonne
In an era of deregulation, technology, foreign competition, and merger mania, corporations are forced to respond to a changing corporate culture climate. Traditionally based on a top-down structure, corporate culture--loosely defined as the sum total of how employees and management think, feel, act, or do not act--is changing toward a structure in…
The Policy of Universal Secondary Education: Its Influence on Secondary Schooling in Grenada
ERIC Educational Resources Information Center
Knight, Verna
2014-01-01
In an era of increasing access to secondary education in the Caribbean, it becomes critical that we understand the effect that Universal Secondary Education (USE) has had on our education systems in order to inform current educational reform efforts and future educational planning. This study explores the experience of the country of Grenada with…
With Liberty and Justice for All: "Character Education for America's Future"
ERIC Educational Resources Information Center
Power, F. Clark
2014-01-01
Having come of age during the era of civil rights marches and antiwar protests, Clarke Power frames this article by saying that it was Michael Harrington's (1962) classic, "The Other America: Poverty in the United States" that influenced Kennedy and Johnson's antipoverty programs and opened his eyes to the contradictions of poverty and…
Are Future Teachers Methodically Trained to Distinguish Good from Bad Educational Software?
ERIC Educational Resources Information Center
Pjanic, Karmelita; Hamzabegovic, Jasna
2016-01-01
In the era of information technology and general digitization of society, invasion of every kind of software is evident. No matter how laudable is the existence and development of educational software, taking into account its role, its quality and whether it achieves the desired goal is very important. In addition to programming experts it is…
The Future Is Now: Preparing a New Generation of CBI Teachers
ERIC Educational Resources Information Center
Horn, Bradley
2011-01-01
Content-based instruction (CBI) is not a new term for foreign language teachers. By some accounts, CBI has been employed since the ancient Akkadians adopted Sumerian as the medium of instruction to educate their young in science and religion (Mehisto, Frigols, and Marsh 2008, 9). In the modern era, content-based approaches to language instruction…
Conclusion: The Era of Mass Early Career Academics and Aging Faculty--Africa's Paradox
ERIC Educational Resources Information Center
Teferra, Damtew
2016-01-01
African higher education has witnessed phenomenal enrollment growth in the last decade--and this trend is expected to continue well into the future owing to the continent's youth bulge. In this "massifying" system, the academic profession faces a paradox: as the academic profession at the senior level is aging it is also concurrently…
Crossing into Uncharted Territory: Developing Thoughtful, Ethical School Administrators
ERIC Educational Resources Information Center
Surface, Jeanne L.
2009-01-01
In this distrustful, unstable, and ethically polarized era, there is a need to prepare school administrators to resolve a myriad of moral dilemmas. As professors of school administration, how can we make sure that our future leaders have the capacity to make thoughtful, ethical decisions? How do we prepare these leaders to develop, foster and lead…
ERIC Educational Resources Information Center
Cole, Jim, Ed.; Williams, James W., Ed.
This book assesses progress and technical changes in the field of serials management and anticipates future directions and challenges for librarians. The book consists of 18 chapters: (1) "Introduction" (Jim Cole and James W. Williams); (2) "Peter Gellatly--Editor with a Deft Touch" (Ruth C. Carter); (3) "The "Deseret…
The Counseling Profession in Russia: Historical Roots, Current Trends, and Future Perspectives
ERIC Educational Resources Information Center
Currie, Christine L.; Kuzmina, Marina V.; Nadyuk, Ruslan I.
2012-01-01
Psychology was established in Russia before the Communist era. The social work profession was created in 1991 for a society in turmoil after the collapse of the Soviet Union. In 2011, the counseling profession officially emerged as a branch of social work called "social psychological help". Professional counseling associations are in the…
ERIC Educational Resources Information Center
Weidman, John C.
2016-01-01
The purpose of this article is to build a series of frameworks for understanding social and educational changes that have the potential to inform the preparation of future international development education scholars and practitioners. It begins with a description of the main trends driving contemporary development education. This is followed by a…
Into the Future: The Foundations of Library and Information Services in the Post-Industrial Era.
ERIC Educational Resources Information Center
Harris, Michael H.; Hannah, Stan A.
In 1962, Harvard sociologist Daniel Bell began distributing and discussing a draft paper in which he introduced the concept of the "post-industrial" or "information" society. This idea has been the subject of intense and often insightful analysis by proponents and critics from a vast range of disciplinary sites. Until now, the…
Resource Sharing in an Electronic Age: Past, Present, and Future.
ERIC Educational Resources Information Center
Jones, Adrian
Librarians' work has become more challenging and complex over the past 15 years. Fifteen years ago, the telephone was a librarian's most used and most effective instrument, and librarians mostly relied on the resources within their own walls. In that era, resource sharing placed substantial burdens on larger libraries, and the resources of smaller…
Protecting the Future: the Role of School Education in Sustainable Development--An Indian Case Study
ERIC Educational Resources Information Center
Bangay, Colin
2016-01-01
This paper explores the potential contribution of education to sustainable development. Drawing on recent evidence it argues that education could play a stronger role--a position reinforced by the new sustainable development goals (SDGs). However, securing this contribution will have to be achieved in an era where educational delivery will be…
ERIC Educational Resources Information Center
Lipton, Briony
2015-01-01
Quality assurance policies and practices are critical to the performance of Australian universities both in terms of national funding and international prestige and are redefining the future of the academic enterprise. Quality assurance is not merely the systematic measurement of quality. It is a political and heuristic process, which has…
ERIC Educational Resources Information Center
ALLEN, WILLIAM H.
WAYS OF IMPROVING INSTRUCTION THROUGH AUDIOVISUAL MEDIA ARE PRESENTED. AMERICAN EDUCATION HAS ENTERED AN ERA THAT HISTORIANS OF THE FUTURE COULD MARK AS THE BEGINNING OF A TECHNOLOGICAL REVOLUTION. NEW METHODS OF INSTRUCTION ARE ESSENTIAL, FOR TRADITIONAL METHODS DO NOT MEET PRESENT NEEDS. A WIDE VARIETY OF MEDIA SHOULD BE USED IN CLASSROOM…
An Assessment of the Role of Hong Kong Schools in Promoting Civic Learning
ERIC Educational Resources Information Center
Au, Wai Chun Cherry; Kennedy, Kerry John
2017-01-01
Hong Kong underwent tremendous changes after the transfer of its sovereignty to China in 1997. This study attempts to explore the changing role of schools in preparing students for future democratic citizenship in the post-colonial era. Different researchers have postulated that schools play a crucial role in the political socialization process in…
Work-Ready Testing: Education and Employability in Neoliberal Times
ERIC Educational Resources Information Center
Lakes, Richard
2011-01-01
Work-ready is used to measure employability levels among the working classes. This is the neoliberal era of human capital accounting, and global business pins its profits and losses on worker knowledge and job skills. Employers do not believe that school-based curriculums are capable of properly preparing future workers; and the paper diploma is…
Avital, Itzhak; Langan, Russell C.; Summers, Thomas A.; Steele, Scott R.; Waldman, Scott A.; Backman, Vadim; Yee, Judy; Nissan, Aviram; Young, Patrick; Womeldorph, Craig; Mancusco, Paul; Mueller, Renee; Noto, Khristian; Grundfest, Warren; Bilchik, Anton J.; Protic, Mladjan; Daumer, Martin; Eberhardt, John; Man, Yan Gao; Brücher, Björn LDM; Stojadinovic, Alexander
2013-01-01
Colorectal cancer (CRC) is the third most common cause of cancer-related death in the United States (U.S.), with estimates of 143,460 new cases and 51,690 deaths for the year 2012. Numerous organizations have published guidelines for CRC screening; however, these numerical estimates of incidence and disease-specific mortality have remained stable from years prior. Technological, genetic profiling, molecular and surgical advances in our modern era should allow us to improve risk stratification of patients with CRC and identify those who may benefit from preventive measures, early aggressive treatment, alternative treatment strategies, and/or frequent surveillance for the early detection of disease recurrence. To better negotiate future economic constraints and enhance patient outcomes, ultimately, we propose to apply the principals of personalized and precise cancer care to risk-stratify patients for CRC screening (Precision Risk Stratification-Based Screening, PRSBS). We believe that genetic, molecular, ethnic and socioeconomic disparities impact oncological outcomes in general, those related to CRC, in particular. This document highlights evidence-based screening recommendations and risk stratification methods in response to our CRC working group private-public consensus meeting held in March 2012. Our aim was to address how we could improve CRC risk stratification-based screening, and to provide a vision for the future to achieving superior survival rates for patients diagnosed with CRC. PMID:23459409
Triantafyllou, Konstantinos; Gkolfakis, Paraskevas; Viazis, Nikos; Tsibouris, Panagiotis; Tsigaridas, Athanasios; Apostolopoulos, Periklis; Anastasiou, John; Hounda, Eleni; Skianis, Ioannis; Katopodi, Konstantina; Ndini, Xhoela; Alexandrakis, George; Karamanolis, Demetrios G
2017-02-01
Since its introduction, small bowel video capsule endoscopy (VCE) use has evolved considerably. Evaluation of the temporal changes of small bowel VCE utilization in three tertiary centers in Greece in Era 1 (2002-2009) and Era 2 (2010-2014) and the development a forecast model for future VCE use during 2015-2017. Data from all small bowel VCE examinations were retrieved and analyzed in terms of the annual number of the performed examinations, their indications and the significance of their findings. Overall, we evaluated 3724 VCE examinations. The number of studies peaked in 2009 (n=595) and then decreased to reach 225 in 2014. Overall, more (53.8 vs. 51.4%) patients with iron-deficiency anemia and obscure gastrointestinal bleeding (IDA/OGIB) and fewer (10.7 vs. 14%) patients with chronic diarrhea were evaluated in Era 2 compared with Era 1 (P=0.046). In Era 2, there were more nondiagnostic examinations (39.5 vs. 29.3%, P<0.001), whereas the rate of cases with relevant findings decreased from 47.8 to 40.9%. According to the time trend analysis, we developed a forecast model with two scenarios: the pessimistic and the optimistic. Validation of the model with 2015 data showed that reality was close to the pessimistic scenario: the number of exams further decreased to 190, studies carried out for IDA/OGIB increased to 67%, and there were more negative than positive exams (40.7 vs. 39.2%). The number of VCE studies carried out after the emergence of the financial crisis decreased significantly and VCE indications were optimized. Our forecast model predicts lower numbers of VCE studies, with IDA/OGIB being the dominant indication. However, the predicted increase of negative exams requires further evaluation.
A review of the organic geochemistry of shales
DOE Office of Scientific and Technical Information (OSTI.GOV)
Ho, P.C.; Meyer, R.E.
1987-06-01
Shale formations have been suggested as a potential site for a high level nuclear waste repository. As a first step in the study of the possible interaction of nuclides with the organic components of the shales, literature on the identification of organic compounds from various shales of the continent of the United States has been reviewed. The Green River shale of the Cenozoic era is the most studied shale followed by the Pierre shale of the Mesozoic era and the Devonian black shale of the Paleozoic era. Organic compounds that have been identified from these shales are hydrocarbons, fatty acids,more » fatty alcohols, steranes, terpanes, carotenes, carbohydrates, amino acids, and porphyrins. However, these organic compounds constitute only a small fraction of the organics in shales and the majority of the organic compounds in shales are still unidentified.« less
Extragalactic radio surveys in the pre-Square Kilometre Array era
2017-01-01
The era of the Square Kilometre Array is almost upon us, and pathfinder telescopes are already in operation. This brief review summarizes our current knowledge of extragalactic radio sources, accumulated through six decades of continuum surveys at the low-frequency end of the electromagnetic spectrum and the extensive complementary observations at other wavelengths necessary to gain this understanding. The relationships between radio survey data and surveys at other wavelengths are discussed. Some of the outstanding questions are identified and prospects over the next few years are outlined. PMID:28791175
Current and Future Greenhouse Gas Emissions from Global Crop Intensification and Expansion
NASA Astrophysics Data System (ADS)
Carlson, K. M.; Gerber, J. S.; Mueller, N. D.; O'Connell, C.; West, P. C.
2014-12-01
Food systems currently contribute up to one-third of total anthropogenic greenhouse gas emissions, and these emissions are expected to rise as demand for agricultural products increases. Thus, improving the greenhouse gas emissions efficiency of agriculture - the tons or kilocalories of production per ton of CO2 equivalent emissions - will be critical to support a resilient future global system. Here, we model and evaluate global, 2000-era, spatially explicit relationships between a suite of greenhouse gas emissions from various agronomic practices (i.e., fertilizer application, peatland draining, and rice cultivation) and crop yields. Then, we predict potential emissions from future crop production increases achieved through intensification and extensification, including CO2 emissions from croplands replacing non-urban land cover. We find that 2000-era yield-scaled agronomic emissions are highly heterogeneous across crops types, crop management practices, and regions. Rice agriculture produces more total CO2-equivalent emissions than any other crop. Moreover, inundated rice in just a few countries contributes the vast majority of these rice emissions. Crops such as sunflower and cotton have low efficiency on a caloric basis. Our results suggest that intensification tends to be a more efficient pathway to boost greenhouse gas emissions efficiency than expansion. We conclude by discussing potential crop- and region-specific agricultural development pathways that may boost the greenhouse gas emissions efficiency of agriculture.
... in the World War II era, and have saved countless lives and blunted serious complications of many ... identify and characterize novel targets for new drugs, vaccines and diagnostics, and support the development of such ...
The Vietnam Era Twin Registry: a resource for medical research.
Henderson, W G; Eisen, S; Goldberg, J; True, W R; Barnes, J E; Vitek, M E
1990-01-01
The Vietnam Era Twin Registry consists of 4,774 male-male twin pairs born between 1939 and 1957 with both brothers having served in the United States military during the Vietnam War. The registry was originally developed to provide the best control group for Vietnam-exposed servicemen to study the long-term health consequences of service in Vietnam. Recognizing the potential value of the registry for other areas of medical research, the Department of Veterans Affairs in 1988 opened the registry for use by both VA and non-VA investigators. The existence of centralized VA data bases for deaths and VA hospitalizations will strengthen future followup of the twins. This article describes the characteristics of the registry population and the process for accessing the registry. PMID:2116638
Almannai, Mohammed; Marom, Ronit; Sutton, V Reid
2016-12-01
The purpose of this review is to summarize the development and recent advancements of newborn screening. Early initiation of medical care has modified the outcome for many disorders that were previously associated with high morbidity (such as cystic fibrosis, primary immune deficiencies, and inborn errors of metabolism) or with significant neurodevelopmental disabilities (such as phenylketonuria and congenital hypothyroidism). The new era of mass spectrometry and next generation sequencing enables the expansion of the newborn screen panel, and will help to address technical issues such as turnaround time, and decreasing false-positive and false-negative rates for the testing. The newborn screening program is a successful public health initiative that facilitates early diagnosis of treatable disorders to reduce long-term morbidity and mortality.
7 CFR 3430.904 - Project types and priorities.
Code of Federal Regulations, 2012 CFR
2012-01-01
... ADMINISTRATIVE PROVISIONS New Era Rural Technology Competitive Grants Program § 3430.904 Project types and... the critical needs identified through stakeholder input and deemed appropriate by NIFA. (a) In...
7 CFR 3430.904 - Project types and priorities.
Code of Federal Regulations, 2013 CFR
2013-01-01
... ADMINISTRATIVE PROVISIONS New Era Rural Technology Competitive Grants Program § 3430.904 Project types and... the critical needs identified through stakeholder input and deemed appropriate by NIFA. (a) In...
7 CFR 3430.904 - Project types and priorities.
Code of Federal Regulations, 2014 CFR
2014-01-01
... ADMINISTRATIVE PROVISIONS New Era Rural Technology Competitive Grants Program § 3430.904 Project types and... the critical needs identified through stakeholder input and deemed appropriate by NIFA. (a) In...
DOE Office of Scientific and Technical Information (OSTI.GOV)
Suter, G.W. II; Sample, B.E.; Jones, D.S.
1995-09-01
The purpose of this document is to provide guidance for planning and performing ecological risk assessments (ERAs) on the Oak Ridge Reservation (ORR). It is the third such document prepared for this purpose. The first ecorisk strategy document described the ERA process and presented a tiered approach to ERAs appropriate to complex sites. The first revision was necessitated by the considerable progress that has been made by the parties to the Federal Facilities Agreement (FFA) for the ORR in resolving specific issues relating to ERA as a result of a series of data quality objectives (DQOs) meetings. The tiered approachmore » to ERAs as recommended in the first document was implemented, generic conceptual models were developed, and a general approach for developing ecological assessment endpoints and measurement endpoints was agreed upon. This revision is necessitated by comments from the US Environmental Protection Agency`s Region IV and the Tennessee Department of Environment and Conservation (TDEC) which clarified and modified the positions taken during the DQO process. In particular, support for the collection of data that would support ERAs for all OUs on the ORR have been withdrawn. Therefore, the work plan developed to fill the reservation-wide data needs identified in the DQO process has also been withdrawn, and portions that are still relevant have been incorporated into this document. The reader should be aware that this guidance is complex and lengthy because it attempts to cover all the reasonable contingencies that were considered to be potentially important to the FFA parties.« less
Meeting the security requirements of electronic medical records in the ERA of high-speed computing.
Alanazi, H O; Zaidan, A A; Zaidan, B B; Kiah, M L Mat; Al-Bakri, S H
2015-01-01
This study has two objectives. First, it aims to develop a system with a highly secured approach to transmitting electronic medical records (EMRs), and second, it aims to identify entities that transmit private patient information without permission. The NTRU and the Advanced Encryption Standard (AES) cryptosystems are secured encryption methods. The AES is a tested technology that has already been utilized in several systems to secure sensitive data. The United States government has been using AES since June 2003 to protect sensitive and essential information. Meanwhile, NTRU protects sensitive data against attacks through the use of quantum computers, which can break the RSA cryptosystem and elliptic curve cryptography algorithms. A hybrid of AES and NTRU is developed in this work to improve EMR security. The proposed hybrid cryptography technique is implemented to secure the data transmission process of EMRs. The proposed security solution can provide protection for over 40 years and is resistant to quantum computers. Moreover, the technique provides the necessary evidence required by law to identify disclosure or misuse of patient records. The proposed solution can effectively secure EMR transmission and protect patient rights. It also identifies the source responsible for disclosing confidential patient records. The proposed hybrid technique for securing data managed by institutional websites must be improved in the future.
7 CFR 3430.904 - Project types and priorities.
Code of Federal Regulations, 2011 CFR
2011-01-01
... ADMINISTRATIVE PROVISIONS New Era Rural Technology Competitive Grants Program § 3430.904 Project types and... on the critical needs identified through stakeholder input and deemed appropriate by CSREES. (a) In...
Uncertainty factors in screening ecological risk assessments
DOE Office of Scientific and Technical Information (OSTI.GOV)
Duke, L.D.; Taggart, M.
2000-06-01
The hazard quotient (HQ) method is commonly used in screening ecological risk assessments (ERAs) to estimate risk to wildlife at contaminated sites. Many ERAs use uncertainty factors (UFs) in the HQ calculation to incorporate uncertainty associated with predicting wildlife responses to contaminant exposure using laboratory toxicity data. The overall objective was to evaluate the current UF methodology as applied to screening ERAs in California, USA. Specific objectives included characterizing current UF methodology, evaluating the degree of conservatism in UFs as applied, and identifying limitations to the current approach. Twenty-four of 29 evaluated ERAs used the HQ approach: 23 of thesemore » used UFs in the HQ calculation. All 24 made interspecies extrapolations, and 21 compensated for its uncertainty, most using allometric adjustments and some using RFs. Most also incorporated uncertainty for same-species extrapolations. Twenty-one ERAs used UFs extrapolating from lowest observed adverse effect level (LOAEL) to no observed adverse effect level (NOAEL), and 18 used UFs extrapolating from subchronic to chronic exposure. Values and application of all UF types were inconsistent. Maximum cumulative UFs ranged from 10 to 3,000. Results suggest UF methodology is widely used but inconsistently applied and is not uniformly conservative relative to UFs recommended in regulatory guidelines and academic literature. The method is limited by lack of consensus among scientists, regulators, and practitioners about magnitudes, types, and conceptual underpinnings of the UF methodology.« less
International Schools: Current Issues and Future Prospects. Oxford Studies in Comparative Education
ERIC Educational Resources Information Center
Hayden, Mary, Ed.; Thompson, Jeff, Ed.
2016-01-01
The foundation of the first international schools of the modern era well over a century ago, and their burgeoning growth over recent years, provides the context in this book for a series of personal perspectives written by some of those who have been involved centrally in their development. As the schools themselves have increased not only in…
ERIC Educational Resources Information Center
Hughes, Tammy L.; Fenning, Pamela A.; Crepeau-Hobson, Franci; Reddy, Linda A.
2017-01-01
Positive academic performance is a strong indicator of subsequent positive life course outcomes (e.g., employment) as well as underrepresentation in psychiatric populations, drug use, school dropout, and subsequent legal trouble (A. Farn & J. Adams, 2016). As such, helping all children to be successful in school is a top priority for parents,…
ERIC Educational Resources Information Center
Lin, Mike Tz-Yauw; Wang, Jau-Shyong; Kuo, Hui-Ming; Luo, Yuzhou
2017-01-01
Applying education ideas and concepts to education sites, through good educational policies, to complete education tasks is important for developing personal potential. Centered on students, educational objective is to cultivate multiple talents for the future society. In such a rapidly changing era, limited knowledge is not enough to cope with…
Encouraging Employers to Pay Their Fair Share
ERIC Educational Resources Information Center
Patel, Raj; Besley, Steve
2010-01-01
The further education (FE) and skills sector has known for months that far less tax-payer money will be available for skills in the future. This means that more training will have to be paid for by those who directly benefit. The government's skills strategy is intended to mark a new era for FE and skills, based upon increased contributions from…
Robert C. Venette
2013-01-01
Climate change may alter the distribution and activity of native and alien pathogens that infect trees and, in severe cases, cause tree death. In this study, potential future changes in climate suitability are investigated for three forest pathogens that occur in western North America: the native Arceuthobium tsugense subsp tsugense...
From Compulsory to Compelling: A Whole New School for a Whole New Mind
ERIC Educational Resources Information Center
DeGarmo, Jacqueline; Turckes, Steven R.
2009-01-01
In his book "A Whole New Mind: Why Right Brainers Will Rule the Future," Daniel Pink uses the traditionally held beliefs about the cognitive functioning of the left and right hemispheres of the brain (left: logical, sequential, mathematical, etc., and right: intuition, creative, artistic, etc.) as a metaphor to postulate that a new era is emerging…
How Do We Advise the Pest Control Industry in the Post-Organochlorine Era?
J.R.J. French
1991-01-01
Given the banning of organochlorines for use as termiticides in North America, and with the possibility of such bans occurring in future in Australia and elsewhere, how do we as entomologists advise the pest control industry in termite control? A brief historical review of pesticide bans and the relevance of these bans to the present situation are discussed....
Progressive Education in New Zealand: A Revered Past, a Contested Present and an Uncertain Future
ERIC Educational Resources Information Center
Mutch, Carol
2013-01-01
In this article, progressive education in New Zealand is examined across three eras. The "revered past" (1870s-1960s) focuses the influence of progressive ideas on the early childhood movement from the establishment of the first kindergarten in 1889 and on the schooling sector from the 1930s to the 1960s. The "contested…
The Ghost of Assessment Past and Hope for an E-Future
ERIC Educational Resources Information Center
Nickels, Juliet
2015-01-01
As a primary teacher and subject leader for science with an interest in valid, authentic modes of assessment, the author has looked forward to an era in which electronic formats would play a significant role and provide new benefits, as predicted by the experts for well over a decade. In this article, the author appeals for better software to…
Developments in Teacher Education in Hong Kong: 1997 and Beyond.
ERIC Educational Resources Information Center
Pang, K. C.
This paper describes the initial and inservice education of teachers in Hong Kong, and explores improving teacher education in the context of a changing era. According to the Basic Law for the future Hong Kong Government after China takes over in 1997, Hong Kong will not dispose of the existing educational system, but will build on it and continue…
The Waive of the Future? School Accountability in the Waiver Era
ERIC Educational Resources Information Center
Polikoff, Morgan S.; McEachin, Andrew J.; Wrabel, Stephani L.; Duque, Matthew
2014-01-01
Forty-two states and the District of Columbia have recently received waivers to the school accountability requirements of the No Child Left Behind Act (NCLB). As the prospects for reauthorizing the Act in the near term are dim, these new accountability systems will be law for at least several years. Drawing on a four-part framework from the…
ERIC Educational Resources Information Center
Harrison, Neil; Bennett, Sue; Bennett, Dawn; Bobis, Janette; Chan, Philip; Seddon, Terri; Shore, Sue
2013-01-01
This paper reflects on the geography of Australian educational research in the context of the ERA 2010 and 2012 assessments results. These results reflect significant changes to the nature of educational research over the past decades, where this research is conducted and by whom. We recap the historical changes to the formation of educational…
Leaders in Education Program: The Singapore Model for Developing Effective Principal-Ship Capability
ERIC Educational Resources Information Center
Jayapragas, Prashant
2016-01-01
In this era of constant change, principals need to be able to handle high levels of complexity in its governance and policy implementation. Planning ahead is not sufficient; being able to interpret and plan the future into strategic responses is a huge focus in educational development today. The Leaders in Education Program (LEP) is a 6-month…
Enacting STEM Education for Digital Age Learners: The "Maker" Movement Goes to School
ERIC Educational Resources Information Center
Niederhauser, Dale S.; Schrum, Lynne
2016-01-01
The importance of STEM Education has become central to discussions about the future of schooling over the past 20 years. Predicated on the idea that a primary purpose of schooling is to prepare skilled and knowledgeable workers, these discussions have been grounded, in part, in cold-war era concerns about rapid advancements in STEM fields driven…
ERIC Educational Resources Information Center
Kim, Ann
2006-01-01
This article discusses the possible answers to most librarians' questions and how advanced and hi-technology help them in the library world. Many of the answers to librarians' questions regarding digital media depend upon community/patron awareness and library resources. In this article, the author presents some quoted statements from electronic…
Hilleman, M R
1999-08-01
The sciences of vaccinology and of immunology were created just two centuries ago by Jenner's studies of prevention of smallpox by inoculation with cowpox virus. This rudimentary beginning was expanded greatly by the giants of late 19th and early 20th centuries biomedical sciences. The period from 1930 to 1950 was a transitional era with the introduction of chick embryos and minced tissues for propagating viruses and rickettsiae in vitro for vaccines. Modern era vaccinology began about 1950 as a continuum of notable advances made during the 1940s and World War II. Present vaccinology is based largely on breakthroughs in cell culture, bacterial polysaccharide chemistry, molecular biology, and immunology. By invitation, the author, who is a microbe hunter in fact, was asked to chronicle his six decades of pioneering achievements in basic and applied virology, bacteriology, immunology, molecular biology, epidemiology, and cancer, with special reference to the pioneering creation of most of the present day vaccines. Knowledge of the past may guide the present and future. This chronicle will have achieved its legacy if it helps others to understand the why and how of the past that may help to create the substance of the future.
NASA Astrophysics Data System (ADS)
Uchida, Seina; Takeuchi, Wataru; Hatoyama, Kiichiro; Mazurov, Yuri
2016-06-01
How Russian cities have stood up again after the collapse of Soviet Union will be discussed in this paper. In order to know how the cities has managed the difficult period after the change of social system, transition of urban area, population, and nighttime light is searched. Although Far East will not stop as one of the most important area with abundant resources, overpopulation in towns and depopulation in countryside is going on. By searching the present situation, this research also aims to predict the future of Far East and Russia. First of all, Landsat data from 1987 to 2015 is collected over Moscow, Vladivostok, Novosibirsk, Tynda, and Blagoveshchensk and urban area is calculated by land cover classification. Secondly, population and retail turnover data are collected from year books in Russia. Thirdly, gross regional product (GRP) is estimated by nighttime light images from DMSP-OLS and VIIRS DNB dataset. In addition, these data are compared and difference of development stage after the collapse of Soviet Union between the unstable era (1990s-2000) and development era (2000-) will be discussed. It is expected that these analysis will give us useful information about Russian strategy for the future.
NASA Astrophysics Data System (ADS)
Reboita, Michelle Simões; Amaro, Tatiana Rocha; de Souza, Marcelo Rodrigues
2017-09-01
Since wind is an important source of renewable energy, it has attracted attention worldwide. Several studies have been developed in order to know favorable areas where wind farms can be implemented. Therefore, the purpose of this study is to project changes in wind intensity and in wind power density (PD), at 100 m high, over South America and adjacent oceans, by downscaling and ensemble techniques. Regional climate model version 4 (RegCM4) was nested in the output of three global climate models, considering the RCP8.5 scenario. RegCM4 ensemble in the present climate (1979-2005) was validated through comparisons with ERA-Interim reanalysis. The ensemble represents well the spatial pattern of the winds, but there are some differences in relation to the wind intensity registered by ERA-Interim, mainly in center-east Brazil and Patagonia. The comparison between the future climate (2020-2050 and 2070-2098) and the present one shows that there is an increase in wind intensity and PD on the north of SA, center-east Brazil (except in summer) and latitudes higher than 50°S. Such increase is more intense in the period 2070-2098.
Biospheric feedback effects in a synchronously coupled model of human and Earth systems
DOE Office of Scientific and Technical Information (OSTI.GOV)
Thornton, Peter E.; Calvin, Katherine; Jones, Andrew D.
Fossil fuel combustion and land-use change are the first and second largest contributors to industrial-era increases in atmospheric carbon dioxide concentration, which is itself the largest driver of present-day climate change1. Projections of fossil fuel consumption and land-use change are thus fundamental inputs for coupled Earth system models (ESM) used to estimate the physical and biological consequences of future climate system forcing2,3. While empirical datasets are available to inform historical analyses4,5, assessments of future climate change have relied on projections of energy and land use based on energy economic models, constrained using historical and present-day data and forced with assumptionsmore » about future policy, land-use patterns, and socio-economic development trajectories6. Here we show that the influence of biospheric change – the integrated effect of climatic, ecological, and geochemical processes – on land ecosystems has a significant impact on energy, agriculture, and land-use projections for the 21st century. Such feedbacks have been ignored in previous ESM studies of future climate. We find that synchronous exposure of land ecosystem productivity in the economic system to biospheric change as it develops in an ESM results in a 10% reduction of land area used for crop cultivation; increased managed forest area and land carbon; a 15-20% decrease in global crop price; and a 17% reduction in fossil fuel emissions for a low-mid range forcing scenario7. These simulation results demonstrate that biospheric change can significantly alter primary human system forcings to the climate system. This synchronous two-way coupling approach removes inconsistencies in description of climate change between human and biosphere components of the coupled model, mitigating a major source of uncertainty identified in assessments of future climate projections8-10.« less
High-resolution dynamical downscaling of the future Alpine climate
NASA Astrophysics Data System (ADS)
Bozhinova, Denica; José Gómez-Navarro, Juan; Raible, Christoph
2017-04-01
The Alpine region and Switzerland is a challenging area for simulating and analysing Global Climate Model (GCM) results. This is mostly due to the combination of a very complex topography and the still rather coarse horizontal resolution of current GCMs, in which not all of the many-scale processes that drive the local weather and climate can be resolved. In our study, the Weather Research and Forecasting (WRF) model is used to dynamically downscale a GCM simulation to a resolution as high as 2 km x 2 km. WRF is driven by initial and boundary conditions produced with the Community Earth System Model (CESM) for the recent past (control run) and until 2100 using the RCP8.5 climate scenario (future run). The control run downscaled with WRF covers the period 1976-2005, while the future run investigates a 20-year-slice simulated for the 2080-2099. We compare the control WRF-CESM simulations to an observational product provided by MeteoSwiss and an additional WRF simulation driven by the ERA-Interim reanalysis, to estimate the bias that is introduced by the extra modelling step of our framework. Several bias-correction methods are evaluated, including a quantile mapping technique, to ameliorate the bias in the control WRF-CESM simulation. In the next step of our study these corrections are applied to our future WRF-CESM run. The resulting downscaled and bias-corrected data is analysed for the properties of precipitation and wind speed in the future climate. Our special interest focuses on the absolute quantities simulated for these meteorological variables as these are used to identify extreme events, such as wind storms and situations that can lead to floods.
Future Jet Technologies. Part B. F-35 Future Risks v. JS-Education of Pilots & Engineers
NASA Astrophysics Data System (ADS)
Gal-Or, Benjamin
2011-09-01
Design of “Next-Generation” airframes based on supermarket-jet-engine-components is nowadays passé. A novel integration methodology [Gal-Or, “Editorial-Review, Part A”, 2011, Gal-Or, “Vectored Propulsion, Supermaneuverability and Robot Aircraft”, Springer Verlag, Gal-Or, Int'l. J. of Thermal and Fluid Sciences 7: 1-6, 1998, “Introduction”, 2011] is nowadays in. For advanced fighter aircraft it begins with JS-based powerplant, which takes up to three times longer to mature vis-à-vis the airframe, unless “committee's design” enforces a dormant catastrophe. Jet Steering (JS) or Thrust Vectoring Flight Control, is a classified, integrated engine-airframe technology aimed at maximizing post-stall-maneuverability, flight safety, efficiency and flight envelopes of manned and unmanned air vehicles, especially in the “impossible-to-fly”, post-stall flight domains where the 100+ years old, stall-spin-limited, Conventional Flight Control fails. Worldwide success in adopting the post-stall, JS-revolution, opens a new era in aviation, with unprecedented design variables identified here for a critical review of F-35 future risks v. future fleets of jet-steered, pilotless vehicles, like the X-47B/C. From the educational point of view, it is also instructive to comprehend the causes of long, intensive opposition to adopt post-stall, JS ideas. A review of such debates may also curb a future opposition to adopt more advanced, JS-based technologies, tests, strategies, tactics and missions within the evolving air, marine and land applications of JS. Most important, re-education of pilots and engineers requires adding post-stall, JS-based studies to curriculum & R&D.
Cognitive architectures: choreographing the dance of mental operations with the task environment.
Gray, Wayne D
2008-06-01
In this article, I present the ideas and trends that have given rise to the use of cognitive architectures in human factors and provide a cognitive engineering-oriented taxonomy of these architectures and a snapshot of their use for cognitive engineering. Architectures of cognition have had a long history in human factors but a brief past. The long history entails a 50-year preamble, whereas the explosion of work in the current decade reflects the brief past. Understanding this history is key to understanding the current and future prospects for applying cognitive science theory to human factors practice. The review defines three formative eras in cognitive engineering research: the 1950s, 1980s, and now. In the first era, the fledging fields of cognitive science and human factors emphasized characteristics of the dancer the limited capacity or bounded rationality view of the mind, and the ballroom, the task environment. The second era emphasized the dance (i.e., the dynamic interaction between mental operations and task environment). The third era has seen the rise of cognitive architectures as tools for choreographing the dance of mental operations within the complex environments posed by human factors practice. Hybrid architectures present the best vector for introducing cognitive science theories into a renewed engineering-based human factors. The taxonomy provided in this article may provide guidance on when and whether to apply a cognitive science or a hybrid architecture to a human factors issue.
Wisniowski, Brendan; Barnes, Mary; Jenkins, Jason; Boyne, Nicholas; Kruger, Allan; Walker, Philip J
2011-09-01
Endovascular abdominal aortic aneurysm (AAA) repair (EVAR) has been associated with lower operative mortality and morbidity than open surgery but comparable long-term mortality and higher delayed complication and reintervention rates. Attention has therefore been directed to identifying preoperative and operative variables that influence outcomes after EVAR. Risk-prediction models, such as the EVAR Risk Assessment (ERA) model, have also been developed to help surgeons plan EVAR procedures. The aims of this study were (1) to describe outcomes of elective EVAR at the Royal Brisbane and Women's Hospital (RBWH), (2) to identify preoperative and operative variables predictive of outcomes after EVAR, and (3) to externally validate the ERA model. All elective EVAR procedures at the RBWH before July 1, 2009, were reviewed. Descriptive analyses were performed to determine the outcomes. Univariate and multivariate analyses were performed to identify preoperative and operative variables predictive of outcomes after EVAR. Binomial logistic regression analyses were used to externally validate the ERA model. Before July 1, 2009, 197 patients (172 men), who were a mean age of 72.8 years, underwent elective EVAR at the RBWH. Operative mortality was 1.0%. Survival was 81.1% at 3 years and 63.2% at 5 years. Multivariate analysis showed predictors of survival were age (P = .0126), American Society of Anesthesiologists (ASA) score (P = .0180), and chronic obstructive pulmonary disease (P = .0348) at 3 years and age (P = .0103), ASA score (P = .0006), renal failure (P = .0048), and serum creatinine (P = .0022) at 5 years. Aortic branch vessel score was predictive of initial (30-day) type II endoleak (P = .0015). AAA tortuosity was predictive of midterm type I endoleak (P = .0251). Female sex was associated with lower rates of initial clinical success (P = .0406). The ERA model fitted RBWH data well for early death (C statistic = .906), 3-year survival (C statistic = .735), 5-year survival (C statistic = .800), and initial type I endoleak (C statistic = .850). The outcomes of elective EVAR at the RBWH are broadly consistent with those of a nationwide Australian audit and recent randomized trials. Age and ASA score are independent predictors of midterm survival after elective EVAR. The ERA model predicts mortality-related outcomes and initial type I endoleak well for RBWH elective EVAR patients. Copyright © 2011 Society for Vascular Surgery. All rights reserved.
Tropical cyclone genesis potential index over the western North Pacific simulated by CMIP5 models
NASA Astrophysics Data System (ADS)
Song, Yajuan; Wang, Lei; Lei, Xiaoyan; Wang, Xidong
2015-11-01
Tropical cyclone (TC) genesis over the western North Pacific (WNP) is analyzed using 23 CMIP5 (Coupled Model Intercomparison Project Phase 5) models and reanalysis datasets. The models are evaluated according to TC genesis potential index (GPI). The spatial and temporal variations of the GPI are first calculated using three atmospheric reanalysis datasets (ERA-Interim, NCEP/NCAR Reanalysis-1, and NCEP/DOE Reanalysis-2). Spatial distributions of July-October-mean TC frequency based on the GPI from ERA-interim are more consistent with observed ones derived from IBTrACS global TC data. So, the ERA-interim reanalysis dataset is used to examine the CMIP5 models in terms of reproducing GPI during the period 1982-2005. Although most models possess deficiencies in reproducing the spatial distribution of the GPI, their multimodel ensemble (MME) mean shows a reasonable climatological GPI pattern characterized by a high GPI zone along 20°N in the WNP. There was an upward trend of TC genesis frequency during 1982 to 1998, followed by a downward trend. Both MME results and reanalysis data can represent a robust increasing trend during 1982-1998, but the models cannot simulate the downward trend after 2000. Analysis based on future projection experiments shows that the GPI exhibits no significant change in the first half of the 21st century, and then starts to decrease at the end of the 21st century under the representative concentration pathway (RCP) 2.6 scenario. Under the RCP8.5 scenario, the GPI shows an increasing trend in the vicinity of 20°N, indicating more TCs could possibly be expected over the WNP under future global warming.
Byrd, John C.; Jones, Jeffrey J.; Woyach, Jennifer A.; Johnson, Amy J.; Flynn, Joseph M.
2014-01-01
Purpose Chemoimmunotherapy has been the standard of care for chronic lymphocytic leukemia (CLL). However, the introduction of B-cell receptor (BCR) kinase inhibitors such as ibrutinib has the potential to eliminate the role of chemotherapy in the treatment of CLL. How to best incorporate old and new therapies for CLL in this landscape is increasingly complex. Methods This article reviews current data available to clinicians and integrates these data to provide a strategy that can be used to approach the treatment of CLL in the era of BCR signaling inhibitors. Results Current strategies separate patients based on age or functional status as well as genetics [presence or absence of del(17)(p13.1)]. In the era of targeted therapy, this will likely continue based on current available data. Phase III studies support chemoimmunotherapy as the initial standard therapy for patients without del(17)(p13.1). Choice of chemotherapy (fludarabine plus cyclophosphamide, bendamustine, or chlorambucil) and anti-CD20 antibody (rituximab, ofatumumab, or obinutuzumab) varies based on regimen and patient status. For patients with del(17)(p13.1), no standard initial therapy exists, although several options supported by phase II clinical trials (methylprednisolone plus alemtuzumab or ibrutinib) seem better than chemoimmunotherapy. Treatment of relapsed CLL seems to be best supported by ibrutinib-based therapy. Completion of trials with ibrutinib and other new agents in the near future will offer opportunity for chemotherapy-free treatment across all groups of CLL. Conclusion Therapy for CLL has evolved significantly over the past decade with introduction of targeted therapy for CLL. This has the potential to completely transform how CLL is treated in the future. PMID:25049322
Technology Thrust for Future Earth Science Applications
NASA Technical Reports Server (NTRS)
Habib, Shahid
2000-01-01
This paper presents NASA's recent direction to invest in the critical science instrument and platform technologies in order to realize more reliable, frequent and versatile missions for future Earth Science measurements. Traditionally, NASA's Earth Science Enterprise has developed and flown science missions that have been large in size, weight and volume. These missions have taken much longer implementation due to technology development time and have carried a large suite of instruments on a large-size spacecraft. NASA is also facing an era where the budget for the future years is more or less flat and the possibility for any major new start does not vividly appear on the horizon. Unfortunately, the scientific goals have not shrunk to commensurate with the budget constraints. In fact, the challenges and scientific appetite in search of answers to a score of outstanding questions have been gradually expanding. With these factors in mind, for the last three years NASA has been changing its focus to concentrate on how to take advantage of smaller missions by relying on industry, and minimizing the overall life cycle by infusing technologies that are being developed independently of any planned mission's implementation cycle. The major redirection of early investment in the critical technologies should have its rewards and significantly reduce the mission development period. Needless to say, in the long run this approach should save money, minimize risk, promote or encourage partnering, and allow for more frequent missions or earth science measurements to occur. This paper gives an overview of some of the identified crucial technologies and their intended applications for meeting the future Earth Science challenges.
NASA Astrophysics Data System (ADS)
Ludlow, Francis; Manning, Joseph; Stine, Alexander; Boos, William; Storelvmo, Trude; Sigl, Michael; Marlon, Jennifer
2016-04-01
Explosive volcanic eruptions are a primary driver of abrupt short-term climatic changes. State-of-the-art revisions to polar ice-core chronologies now allow us to track the impacts of a sequence of major and closely-recurring volcanic eruptions on the great Ptolemaic kingdom centred in Egypt, between 305-30 BCE. This was a formidable Mediterranean cultural and economic power in the efflorescent Hellenistic era of the first four centuries BCE, a period bracketed by Alexander the Great on one end and Cleopatra on the other, and known for its considerable advancement in science and material culture. In this paper we show a link between major volcanic eruptions that register through elevated sulphate deposition in the polar ice, and a suppression of the agriculturally-critical Nile summer flood, identifiable in annual Nilometer measurements from Rhoda, Cairo, between 641 and 1469 CE. This likely relates to a volcanic perturbation of the East African monsoon, responsible for the rainfall in the Ethiopian highlands that drives the annual summer flood, and the effect can also be identified in ancient papyri that indicate the quality of the Nile flood in the first several centuries BCE. Volcanic eruptions in this period are also shown to correspond in timing with the initiation of a series of hitherto poorly understood internal revolts against Ptolemaic rule in Egypt, while also corresponding in timing to the cessation of major interstate conflicts (the nine "Syrian Wars", running 274-96 BCE) between the Ptolemaic kingdom and their powerful Near Eastern rival, the Seleukid empire. Subsistence crises driven by volcanically-induced suppression of the Nile flood are likely to have played a key causal role in these events, an understanding that helps to advance our knowledge of the major historical events of the formative Hellenistic era, which set the scene for the rise of the Roman Empire. Our findings also suggest the potential of integrating human and natural archives to identify causal links between climate change and human history, while highlighting the vulnerability of the region to future eruptions.
The NASA Modern Era Reanalysis for Research and Applications, Version-2 (MERRA-2)
NASA Astrophysics Data System (ADS)
Gelaro, R.; McCarty, W.; Molod, A.; Suarez, M.; Takacs, L.; Todling, R.
2014-12-01
The NASA Modern Era Reanalysis for Research Applications Version-2 (MERRA-2) is a reanalysis for the satellite era using an updated version of the Goddard Earth Observing System Data Assimilation System Version-5 (GEOS-5) produced by the Global Modeling and Assimilation Office (GMAO). MERRA-2 will assimilate meteorological and aerosol observations not available to MERRA and includes improvements to the GEOS-5 model and analysis scheme so as to provide an ongoing climate analysis beyond MERRA's terminus. MERRA-2 will also serve as a development milestone for a future GMAO coupled Earth system analysis. Production of MERRA-2 began in June 2014 in four processing streams, with convergence to a single near-real time climate analysis expected by early 2015. This talk provides an overview of the MERRA-2 system developments and key science results. For example, compared with MERRA, MERRA-2 exhibits a well-balanced relationship between global precipitation and evaporation, with significantly reduced sensitivity to changes in the global observing system through time. Other notable improvements include reduced biases in the tropical middle- and upper-tropospheric wind and near-surface temperature over continents.
FOREWORD: International Conference on Heavy Ion Collisions in the LHC Era
NASA Astrophysics Data System (ADS)
Arleo, Francois; Salgado, Carlos A.; Tran Thanh Van, Jean
2013-03-01
The International Conference on Heavy Ion Collisions in the LHC Era was held in Quy Nhon, Vietnam, on 16-20 July 2012. The series Rencontres du Vietnam, created by Jean Tran Thanh Van in 1993, consists of international meetings aimed to stimulate the development of advanced research in Vietnam and more generally in South East Asia, and to establish collaborative research networks with Western scientific communities. This conference, as the whole series, also supports the International Center for Interdisciplinary Science Education being built in Quy Nhon. The articles published in this volume present the latest results from the heavy-ion collision programs of RHIC and LHC as well as the corresponding theoretical interpretation and future perspectives. Lower energy nuclear programs were also reviewed, providing a rather complete picture of the state-of-the-art in the field. We wish to thank the sponsors of the Conference on Heavy Ion Collisions in the LHC Era: the European Research Council; Xunta de Galicia (Spain); EMMI (Germany) and Agence Nationale de la Recherche (France) François Arleo (Laboratoire d'Annecy-le-Vieux de Physique Théorique, France) Francois Arleo, Carlos A Salgado and Jean Tran Thanh Van Conference photograph
Nor Hayati, Othman
2003-01-01
Cancer of the cervix has the potential to be eradicated since the initiating cause is known. There was not much known about this cancer until the time of the Renaissance. In Malaysia, it is the second most common cancer among females after breast cancer. The strategies on prevention in this country are still not optimal. This article highlights the problems and also discusses the pathogenesis of this disease. The key to prevention is screening and the future is the era of molecular pap smear.
Sustained UK marine observations. Where have we been? Where are we now? Where are we going?
Owens, Nicholas J. P.
2014-01-01
This introduction traces the earliest interaction of ancient humans with their marine environment, through marine explorations in the Middle Ages and Renaissance, to the development of early marine science in the Enlightenment. This sets the scene for how marine observations developed in the modern era and explains the status of today's marine observation networks. The paper concludes with an assessment of the future needs and constraints of sustained marine observation networks and suggests the lessons from a long history might be the key to the future. PMID:25157193
Ambler, Geoffrey R; Fairchild, Jan; Craig, Maria E; Cameron, Fergus J
2006-01-01
The reporting of the results of the Diabetes Control and Complications Trial in 1993 has led to a major reappraisal of management practices and outcomes in type 1 diabetes in children and adolescents. A considerable body of outcome data has been generated from Australia in this post-Diabetes Control and Complications Trial era relating to incidence, metabolic control, growth, hypoglycaemia, microvascular and macrovascular complications, cognition, behaviour and quality of life. These data are important in planning future management strategies and resource allocation and as a basis for future research.
Sevincer, A Timur; Wagner, Greta; Kalvelage, Johanna; Oettingen, Gabriele
2014-04-01
Previous research has shown that positive thinking, in the form of fantasies about an idealized future, predicts low effort and poor performance. In the studies reported here, we used computerized content analysis of historical documents to investigate the relation between positive thinking about the future and economic development. During the financial crisis from 2007 to 2009, the more weekly newspaper articles in the economy page of USA Today contained positive thinking about the future, the more the Dow Jones Industrial Average declined in the subsequent week and 1 month later. In addition, between the New Deal era and the present time, the more presidential inaugural addresses contained positive thinking about the future, the more the gross domestic product and the employment rate declined in the presidents' subsequent tenures. These counterintuitive findings may help reveal the psychological processes that contribute to an economic crisis.
Science Leadership in an Era of Accountability: A Call for Collaboration.
ERIC Educational Resources Information Center
Jorgenson, Olaf; MacDougall, Gregory; Llewellyn, Douglas
2003-01-01
Describes the roles of science leaders in identifying and implementing meaningful solutions to systemic weaknesses. Discusses accountability's impact on science leadership and collaboration for enacting reform. (Contains 16 references.) (YDS)
76 FR 66351 - Petition for Exemption; Summary of Petition Received
Federal Register 2010, 2011, 2012, 2013, 2014
2011-10-26
...: You may send comments identified by Docket Number FAA-2011- 1084 using any of the following methods...-2011-1084. Petitioner: Era Helicopters, LLC. Section of 14 CFR Affected: Special Federal Aviation...
Longwave emission trends over Africa and implications for Atlantic hurricanes
NASA Astrophysics Data System (ADS)
Zhang, Lei; Rechtman, Thomas; Karnauskas, Kristopher B.; Li, Laifang; Donnelly, Jeffrey P.; Kossin, James P.
2017-09-01
The latitudinal gradient of outgoing longwave radiation (OLR) over Africa is a skillful and physically based predictor of seasonal Atlantic hurricane activity. The African OLR gradient is observed to have strengthened during the satellite era, as predicted by state-of-the-art global climate models (GCMs) in response to greenhouse gas forcing. Prior to the satellite era and the U.S. and European clean air acts, the African OLR gradient weakened due to aerosol forcing of the opposite sign. GCMs predict a continuation of the increasing OLR gradient in response to greenhouse gas forcing. Assuming a steady linear relationship between African easterly waves and tropical cyclogenesis, this result suggests a future increase in Atlantic tropical cyclone frequency by 10% (20%) at the end of the 21st century under the RCP 4.5 (8.5) forcing scenario.
Let's Orbit Mars: A Proposal to Explore Mars Now
NASA Technical Reports Server (NTRS)
Landis, Geoffrey A.
2004-01-01
Mars is an exciting target for the human exploration; the next destination toward the ultimate human colonization of the solar system. But the price of proposed missions to Mars is a daunting barrier. Expensive missions make it a slow and difficult process to achieve the political consensus to make a commitment to exploration. In today's deficit-conscious era (and what era is not?), it is as difficult-- perhaps impossible-- task to justify to a skeptical and cost-conscious public the need to invest in exploration. It seems far too easy to postpone exploration into a future that never seems to arrive. It would be terrific to explore Mars in small steps, where each step makes progress toward human exploration and settlement, and each step also is not only exciting to the public, but also justifiable on its own scientific merits.
Trapp, Judith; McAfee, Alison; Foster, Leonard J
2017-02-01
Globally, there are over 20 000 bee species (Hymenoptera: Apoidea: Anthophila) with a host of biologically fascinating characteristics. Although they have long been studied as models for social evolution, recent challenges to bee health (mainly diseases and pesticides) have gathered the attention of both public and research communities. Genome sequences of twelve bee species are now complete or under progress, facilitating the application of additional 'omic technologies. Here, we review recent developments in honey bee and native bee research in the genomic era. We discuss the progress in genome sequencing and functional annotation, followed by the enabled comparative genomics, proteomics and transcriptomics applications regarding social evolution and health. Finally, we end with comments on future challenges in the postgenomic era. © 2016 John Wiley & Sons Ltd.
The role of Imaging and Radiation Oncology Core for precision medicine era of clinical trial
Rosen, Mark
2017-01-01
Imaging and Radiation Oncology Core (IROC) services have been established for the quality assurance (QA) of imaging and radiotherapy (RT) for NCI’s Clinical Trial Network (NCTN) for any trials that contain imaging or RT. The randomized clinical trial is the gold standard for evidence-based medicine. QA ensures data quality, preventing noise from inferior treatments obscuring clinical trial outcome. QA is also found to be cost-effective. IROC has made great progress in multi-institution standardization and is expected to lead QA standardization, QA science in imaging and RT and to advance quality data analysis with big data in the future. The QA in the era of precision medicine is of paramount importance, when individualized decision making may depend on the quality and accuracy of RT and imaging. PMID:29218265
What are we capable of? The motivations of perpetrators in South Africa during the Apartheid era.
Bayntun, Claire
2005-01-01
This article attempts to explain the motivations of perpetrators who committed violent acts in South Africa during the apartheid era. The relevant psychosocial literature is reviewed and the implicit and explicit explanations given during the amnesty hearings of the Truth and Reconciliation Committee by perpetrators working for the state security forces are analysed. The mental health of the South African society during this period is considered, as is the role of the former white South African government and its authorities in shaping the climate for a violent struggle involving all groups. The issues of individual versus social and state culpability, accountability, justice and reconciliation are explored and their implications for the future prevention of reoccurrences are assessed. The aim of the article is to prompt readers to ask the question: what are we capable of?
Agarwal, Smisha; Lefevre, Amnesty E; Labrique, Alain B
2017-10-06
Despite the rapid proliferation of health interventions that employ digital tools, the evidence on the effectiveness of such approaches remains insufficient and of variable quality. To address gaps in the comprehensiveness and quality of reporting on the effectiveness of digital programs, the mHealth Technical Evidence Review Group (mTERG), convened by the World Health Organization, proposed the mHealth Evidence Reporting and Assessment (mERA) checklist to address existing gaps in the comprehensiveness and quality of reporting on the effectiveness of digital health programs. We present an overview of the mERA checklist and encourage researchers working in the digital health space to use the mERA checklist for reporting their research. The development of the mERA checklist consisted of convening an expert group to recommend an appropriate approach, convening a global expert review panel for checklist development, and pilot-testing the checklist. The mERA checklist consists of 16 core mHealth items that define what the mHealth intervention is (content), where it is being implemented (context), and how it was implemented (technical features). Additionally, a 29-item methodology checklist guides authors on reporting critical aspects of the research methodology employed in the study. We recommend that the core mERA checklist is used in conjunction with an appropriate study-design specific checklist. The mERA checklist aims to assist authors in reporting on digital health research, guide reviewers and policymakers in synthesizing evidence, and guide journal editors in assessing the completeness in reporting on digital health studies. An increase in transparent and rigorous reporting can help identify gaps in the conduct of research and understand the effects of digital health interventions as a field of inquiry. ©Smisha Agarwal, Amnesty E Lefevre, Alain B Labrique. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 06.10.2017.
Survey of Constellation-Era LOX/Methane Development Activities and Future Development Needs
NASA Technical Reports Server (NTRS)
Marshall, William M.; Stiegemeier, Benjamin; Greene, Sandra Elam; Hurlbert, Eric A.
2017-01-01
NASA formed the Constellation Program in 2005 to achieve the objectives of maintaining American presence in low-Earth orbit, returning to the moon for purposes of establishing an outpost, and laying the foundation to explore Mars and beyond in the first half of the 21st century. The Exploration Technology Development Program (ETDP) was formulated to address the technology needs to address Constellation architecture decisions. The Propellants and Cryogenic Advanced Development (PCAD) project was tasked with risk mitigation of specific propulsion related technologies to support ETDP. Propulsion systems were identified as critical technologies owing to the high gear-ratio of lunar Mars landers Cryogenic propellants offer performance advantage over storables (NTOMMH) Mass savings translate to greater payload capacity In-situ production of propellant an attractive feature; methane and oxygen identified as possible Martian in-situ propellants New technologies were required to meet more difficult missions High performance LOX/LH2 deep throttle descent engines High performance LOX/LCH4 ascent main and reaction control system (RCS) engines The PCAD project sought to provide those technologies through Reliable ignition pulse RCS Fast start High efficiency engines Stable deep throttling.
Developmental origins of health and disease--global public health implications.
Hanson, M A; Gluckman, P D
2015-01-01
The rapidly rising prevalence of non-communicable diseases (NCDs) represents a major challenge to public health and clinical medicine globally. NCDs are increasing rapidly in high-income countries, but even more rapidly in some low-middle-income countries with insufficient resources to meet the challenge. Whilst not identified in the Millennium Development Goals, there is much attention paid to NCDs in the discussions at many levels on the Sustainable Development Goals, as they underpin economic, social and environmental development in the post-2015 era. In this article, we discuss how a life-course approach to health, commencing of necessity in early development, can provide new opportunities for addressing this challenge. The approach can leverage human health capital throughout life and across generations. New insights into mechanisms, especially those processes by which the developmental environment affects epigenetic processes in the developing offspring, offer the prospect of identifying biomarkers of future risks. New interventions to promote health literacy, lifestyle and physical fitness in adolescents, young adults and their children hold great promise. In this respect, health-care professionals concerned with preconceptional, pregnancy and newborn care will have a vital role to play. Copyright © 2014 Elsevier Ltd. All rights reserved.
NASA Astrophysics Data System (ADS)
Mayor, Federico
2014-06-01
Humanism: inventing the future - Humanity is still confronted by the scourges of poverty, hunger, violence and inequality. If we are to invent a better future, we must first understand the past, recalling the missed opportunities of 1918, 1945 and 1989, at the end of two world wars and a cold war. This article summarises the proposals put forward by the author on several occasions during his career. He expresses a forceful confidence in humankind's ability to take control of its destiny and shake off government that puts economic interest before universal human values. The twenty-first century should be the era of rebellion in cyberspace, one in which more women and young people are involved in decision making, heralding a future of freedom and happiness for all.
NASA Astrophysics Data System (ADS)
Roberts, Tjarda J.; Dütsch, Marina; Hole, Lars R.; Voss, Paul B.
2016-09-01
Observations from CMET (Controlled Meteorological) balloons are analysed to provide insights into tropospheric meteorological conditions (temperature, humidity, wind) around Svalbard, European High Arctic. Five Controlled Meteorological (CMET) balloons were launched from Ny-Ålesund in Svalbard (Spitsbergen) over 5-12 May 2011 and measured vertical atmospheric profiles over coastal areas to both the east and west. One notable CMET flight achieved a suite of 18 continuous soundings that probed the Arctic marine boundary layer (ABL) over a period of more than 10 h. Profiles from two CMET flights are compared to model output from ECMWF Era-Interim reanalysis (ERA-I) and to a high-resolution (15 km) Arctic System Reanalysis (ASR) product. To the east of Svalbard over sea ice, the CMET observed a stable ABL profile with a temperature inversion that was reproduced by ASR but not captured by ERA-I. In a coastal ice-free region to the west of Svalbard, the CMET observed a stable ABL with strong wind shear. The CMET profiles document increases in ABL temperature and humidity that are broadly reproduced by both ASR and ERA-I. The ASR finds a more stably stratified ABL than observed but captured the wind shear in contrast to ERA-I. Detailed analysis of the coastal CMET-automated soundings identifies small-scale temperature and humidity variations with a low-level flow and provides an estimate of local wind fields. We demonstrate that CMET balloons are a valuable approach for profiling the free atmosphere and boundary layer in remote regions such as the Arctic, where few other in situ observations are available for model validation.
The Bright Future of Gravitational Wave Astronomy
NASA Astrophysics Data System (ADS)
Gonzalez, Gabriela
2008-04-01
These are exciting times in the search for gravitational waves. Gravitational waves are expected from many different astrophysical sources: brief transients from violent events like supernova explosions and collisions of neutron stars and black holes, coalescence of compact binary systems, continuous waves from rotating systems, and stochastic signals from cosmological origin or unresolved transients. The LIGO gravitational wave detectors have achieved unprecedented sensitivity to gravitational waves, and other detectors around the world are expected to reach similar sensitivities. The LIGO Scientific Collaboration (LSC) has recently completed their most sensitive observation run to date with LIGO and GEO detectors, including several months of joint observations with the European VIRGO detector. The LIGO Laboratory and the LSC, as well as the Virgo Collaboration, are actively preparing for operating enhanced detectors in the very near future. The next decade will see the construction and commissioning of Advanced LIGO and VIRGO, and quite possibly the launch of the space-based LISA mission, starting for sure then, if not earlier, a new era for gravitational wave astronomy. Plans for a world-wide network of ground based detectors involving more detectors in Europe, Japan and Australia are becoming more concrete. The future of gravitational wave astronomy is bright indeed! In this talk, will briefly describe the present status of the ground and space based detector projects and discuss the science we may expect to do with the detectors (and detections!) we will have in the upcoming era of gravitational wave astronomy.
Engaging the public in the nascent era of gravitational-wave astronomy
NASA Astrophysics Data System (ADS)
Hendry, Martin A.
2015-08-01
Within the next few years a global network of ground-based laser interferometers will become fully operational. These ultra-sensitive instruments are confidently expected to directly detect gravitational waves from astrophysical sources before the end of the decade. In anticipation of opening this entirely new window on the Universe, the LIGO (Laser Interferometer Gravitational Wave Observatory) Scientific Collaboration has recently developed a substantive program of education and public outreach activities that includes exhibitions, documentary films, social media and interactive games - as well as more traditional modes of science communication such as schools and public lectures.As the gravitational wave 'detection era' unfolds over the next decade, it will present exciting challenges for future public engagement by the LIGO Scientific Collaboration and by other gravitational-wave astronomy collaborations around the world. Perhaps the most interesting opportunities will be in the area of citizen science, building upon the infrastructure already being developed through e.g. the LIGO Open Science Center (see arXiv:1410.4839) and the remarkable success of the Einstein@Home project (www.einsteinathome.org).In this presentation I will give an overview of the LSC education and public outreach program, highlighting its goals, major successes and future strategy - particularly in relation to the release of future LIGO and other gravitational wave datasets to the scientific community and to the public, and the opportunities this will present for directly engaging citizen scientists in this exciting new field of observational astronomy.
ERIC Educational Resources Information Center
Herman, William E.; Herman, Bryan K.; Sanatullova-Allison, Elvira
2007-01-01
This paper employed a psychological-historical framework for an analytical examination of the Russian identity during the Soviet period through the fall of the Soviet Union and the transitional period that led to an establishment of the Russian Federation. A theoretical model is provided for the analysis of Russian identity that can be generalized…
ERIC Educational Resources Information Center
Blackmore, Jill
2003-01-01
Is the idea of the liberal university dead, has the postmodern university any chance of being emancipatory, has the theory-practice divide merely collapsed in an era of "new knowledge work", or has the university just become one aspect of market states and global capitalism? Knowledge-based economies locate universities as central to the…
Einstein's Gift: Stellar Mass Black Holes in the LIGO Era
NASA Astrophysics Data System (ADS)
Cadonati, Laura; Georgia Institute of Technology, LIGO-Virgo Collaboration
2017-01-01
The discovery of gravitational waves from the coalescence of black hole binary systems in LIGO has provided the first evidence for heavy stellar mass black holes. In this talk, I will review the observational evidence for black holes in LIGO data, its astrophysical implications and the plans for the near and long term future of ground based gravitational wave detection of black hole binary coalescences.
Imagining the Postwar Small Town: Gender and the Politics of Landscape in "It's a Wonderful Life."
ERIC Educational Resources Information Center
Beuka, Robert
2000-01-01
Examines how Frank Capra's 1946 film, "It's a Wonderful Life," expresses a profound trepidation over the future of the small-town landscape (both physical and social) in the postwar era. Looks at the image of Bedford Falls and inventing the small town; at gender and landscape, and women's roles in the film; and at masculinity and the "new" small…
ERIC Educational Resources Information Center
Collins, Allan
2017-01-01
This important contribution to the future of education, by bestselling author and renowned cognitive scientist Allan Collins, proposes a school curriculum that will fit the needs of our modern era. Offering guidelines for deciding what is important to learn in order to become a knowledgeable person, a good citizen, a thoughtful worker, and a…
Climate change in the age of humans
J. Curt Stager
2014-01-01
The Anthropocene epoch presents a mix of old and new challenges for the worldâs forests. Climatic instability has typified most of the Cenozoic Era but todayâs situation is unique due to the presence of billions of humans on the planet. The potential rate and magnitude of future warming driven by continued fossil fuel combustion could be unprecedented during the last...
ERIC Educational Resources Information Center
Ribbat, Christoph
2010-01-01
In a satiric chapter of David Foster Wallace's novel "Infinite Jest," a mock media expert reports how American consumers of the near future recoil from a new communication device known as "videophony" and return to the voice-only telephone of the Bell Era. This article explores the said chapter in the framework of media theories reading the…
ERIC Educational Resources Information Center
Jones, Patrick M.
2007-01-01
Music educators must prepare students to survive and thrive in the global world of today (and in the anticipated future) through their best scholarly efforts. The magnitude of change caused by globalization requires a complete reexamination of school music offerings grounded in the realities of the global geo-sociopolitical environment--not…
Rice Molecular Breeding Laboratories in the Genomics Era: Current Status and Future Considerations
Collard, Bert C. Y.; Vera Cruz, Casiana M.; McNally, Kenneth L.; Virk, Parminder S.; Mackill, David J.
2008-01-01
Using DNA markers in plant breeding with marker-assisted selection (MAS) could greatly improve the precision and efficiency of selection, leading to the accelerated development of new crop varieties. The numerous examples of MAS in rice have prompted many breeding institutes to establish molecular breeding labs. The last decade has produced an enormous amount of genomics research in rice, including the identification of thousands of QTLs for agronomically important traits, the generation of large amounts of gene expression data, and cloning and characterization of new genes, including the detection of single nucleotide polymorphisms. The pinnacle of genomics research has been the completion and annotation of genome sequences for indica and japonica rice. This information—coupled with the development of new genotyping methodologies and platforms, and the development of bioinformatics databases and software tools—provides even more exciting opportunities for rice molecular breeding in the 21st century. However, the great challenge for molecular breeders is to apply genomics data in actual breeding programs. Here, we review the current status of MAS in rice, current genomics projects and promising new genotyping methodologies, and evaluate the probable impact of genomics research. We also identify critical research areas to “bridge the application gap” between QTL identification and applied breeding that need to be addressed to realize the full potential of MAS, and propose ideas and guidelines for establishing rice molecular breeding labs in the postgenome sequence era to integrate molecular breeding within the context of overall rice breeding and research programs. PMID:18528527
NASA Astrophysics Data System (ADS)
Verhoef, Anne; Cook, Peter; Black, Emily; Macdonald, David; Sorensen, James
2017-04-01
This research addresses the terrestrial water balance for West Africa. Emphasis is on the prediction of groundwater recharge and how this may change in the future, which has relevance to the management of surface and groundwater resources. The study was conducted as part of the BRAVE research project, "Building understanding of climate variability into planning of groundwater supplies from low storage aquifers in Africa - Second Phase", funded under the NERC/DFID/ESRC Programme, Unlocking the Potential of Groundwater for the Poor (UPGro). We used model output data of water balance components (precipitation, surface and subsurface run-off, evapotranspiration and soil moisture content) from ERA-Interim/ERA-LAND reanalysis, CMIP5, and high resolution model runs with HadGEM3 (UPSCALE; Mizielinski et al., 2014), for current and future time-periods. Water balance components varied widely between the different models; variation was particularly large for sub-surface runoff (defined as drainage from the bottom-most soil layer of each model). In-situ data for groundwater recharge obtained from the peer-reviewed literature were compared with the model outputs. Separate off-line model sensitivity studies with key land surface models were performed to gain understanding of the reasons behind the model differences. These analyses were centered on vegetation, and soil hydraulic parameters. The modelled current and future recharge time series that had the greatest degree of confidence were used to examine the spatiotemporal variability in groundwater storage. Finally, the implications for water supply planning were assessed. Mizielinski, M.S. et al., 2014. High-resolution global climate modelling: the UPSCALE project, a large-simulation campaign. Geoscientific Model Development, 7(4), pp.1629-1640.
Analyzing and Visualizing Cosmological Simulations with ParaView
NASA Astrophysics Data System (ADS)
Woodring, Jonathan; Heitmann, Katrin; Ahrens, James; Fasel, Patricia; Hsu, Chung-Hsing; Habib, Salman; Pope, Adrian
2011-07-01
The advent of large cosmological sky surveys—ushering in the era of precision cosmology—has been accompanied by ever larger cosmological simulations. The analysis of these simulations, which currently encompass tens of billions of particles and up to a trillion particles in the near future, is often as daunting as carrying out the simulations in the first place. Therefore, the development of very efficient analysis tools combining qualitative and quantitative capabilities is a matter of some urgency. In this paper, we introduce new analysis features implemented within ParaView, a fully parallel, open-source visualization toolkit, to analyze large N-body simulations. A major aspect of ParaView is that it can live and operate on the same machines and utilize the same parallel power as the simulation codes themselves. In addition, data movement is in a serious bottleneck now and will become even more of an issue in the future; an interactive visualization and analysis tool that can handle data in situ is fast becoming essential. The new features in ParaView include particle readers and a very efficient halo finder that identifies friends-of-friends halos and determines common halo properties, including spherical overdensity properties. In combination with many other functionalities already existing within ParaView, such as histogram routines or interfaces to programming languages like Python, this enhanced version enables fast, interactive, and convenient analyses of large cosmological simulations. In addition, development paths are available for future extensions.
Probing features in inflaton potential and reionization history with future CMB space observations
NASA Astrophysics Data System (ADS)
Hazra, Dhiraj Kumar; Paoletti, Daniela; Ballardini, Mario; Finelli, Fabio; Shafieloo, Arman; Smoot, George F.; Starobinsky, Alexei A.
2018-02-01
We consider the prospects of probing features in the primordial power spectrum with future Cosmic Microwave Background (CMB) polarization measurements. In the scope of the inflationary scenario, such features in the spectrum can be produced by local non-smooth pieces in an inflaton potential (smooth and quasi-flat in general) which in turn may originate from fast phase transitions during inflation in other quantum fields interacting with the inflaton. They can fit some outliers in the CMB temperature power spectrum which are unaddressed within the standard inflationary ΛCDM model. We consider Wiggly Whipped Inflation (WWI) as a theoretical framework leading to improvements in the fit to the Planck 2015 temperature and polarization data in comparison with the standard inflationary models, although not at a statistically significant level. We show that some type of features in the potential within the WWI models, leading to oscillations in the primordial power spectrum that extend to intermediate and small scales can be constrained with high confidence (at 3σ or higher confidence level) by an instrument as the Cosmic ORigins Explorer (CORE). In order to investigate the possible confusion between inflationary features and footprints from the reionization era, we consider an extended reionization history with monotonic increase of free electrons with decrease in redshift. We discuss the present constraints on this model of extended reionization and future predictions with CORE. We also project, to what extent, this extended reionization can create confusion in identifying inflationary features in the data.
NASA Astrophysics Data System (ADS)
Xiong, Yao; Suen, Hoi K.
2018-03-01
The development of massive open online courses (MOOCs) has launched an era of large-scale interactive participation in education. While massive open enrolment and the advances of learning technology are creating exciting potentials for lifelong learning in formal and informal ways, the implementation of efficient and effective assessment is still problematic. To ensure that genuine learning occurs, both assessments for learning (formative assessments), which evaluate students' current progress, and assessments of learning (summative assessments), which record students' cumulative progress, are needed. Providers' more recent shift towards the granting of certificates and digital badges for course accomplishments also indicates the need for proper, secure and accurate assessment results to ensure accountability. This article examines possible assessment approaches that fit open online education from formative and summative assessment perspectives. The authors discuss the importance of, and challenges to, implementing assessments of MOOC learners' progress for both purposes. Various formative and summative assessment approaches are then identified. The authors examine and analyse their respective advantages and disadvantages. They conclude that peer assessment is quite possibly the only universally applicable approach in massive open online education. They discuss the promises, practical and technical challenges, current developments in and recommendations for implementing peer assessment. They also suggest some possible future research directions.
The Etesian wind system and wind energy potential over the Aegean Sea
NASA Astrophysics Data System (ADS)
Dafka, Stella; Xoplaki, Elena; Garcia-Bustamante, Elena; Toreti, Andrea; Zanis, Prodromos; Luterbacher, Juerg
2013-04-01
The Mediterranean region lies in an area of great climatic interest since it is influenced by some of the most relevant mechanisms of the global climate system. In the frame of the three Europe 2020 priorities for a smart, sustainable and inclusive economy delivering high levels of employment, productivity and social cohesion, the Mediterranean energy plan is of paramount importance at the European level, being an area with a significant potential for renewable energy from natural sources that could play an important role in responding to climate change effects over the region. We present preliminary results on a study of the Etesian winds in the past, present and future time. We investigate the variability and predictability of the wind field over the Aegean. Statistical downscaling based on several methodologies will be applied (e.g. canonical correlation analysis and multiple linear regression). Instrumental time series, Era-Interim and the 20CR reanalyses will be used. Large-scale climate drivers as well as the influence of local/regional factors and their interaction with the Etesian wind field will be addressed. Finally, the Etesian wind resources on the present and future climate will be assessed in order to identify the potential areas suitable for the establishment of wind farms and the production of wind power in the Aegean Sea.
Malekmohammadi, Bahram; Tayebzadeh Moghadam, Negar
2018-04-13
Environmental risk assessment (ERA) is a commonly used, effective tool applied to reduce adverse effects of environmental risk factors. In this study, ERA was investigated using the Bayesian network (BN) model based on a hierarchical structure of variables in an influence diagram (ID). ID facilitated ranking of the different alternatives under uncertainty that were then used to evaluate comparisons of the different risk factors. BN was used to present a new model for ERA applicable to complicated development projects such as dam construction. The methodology was applied to the Gabric Dam, in southern Iran. The main environmental risk factors in the region, presented by the Gabric Dam, were identified based on the Delphi technique and specific features of the study area. These included the following: flood, water pollution, earthquake, changes in land use, erosion and sedimentation, effects on the population, and ecosensitivity. These risk factors were then categorized based on results from the output decision node of the BN, including expected utility values for risk factors in the decision node. ERA was performed for the Gabric Dam using the analytical hierarchy process (AHP) method to compare results of BN modeling with those of conventional methods. Results determined that a BN-based hierarchical structure to ERA present acceptable and reasonable risk assessment prioritization in proposing suitable solutions to reduce environmental risks and can be used as a powerful decision support system for evaluating environmental risks.
NASA Astrophysics Data System (ADS)
Helbing, D.; Bishop, S.; Conte, R.; Lukowicz, P.; McCarthy, J. B.
2012-11-01
We have built particle accelerators to understand the forces that make up our physical world. Yet, we do not understand the principles underlying our strongly connected, techno-socio-economic systems. We have enabled ubiquitous Internet connectivity and instant, global information access. Yet we do not understand how it impacts our behavior and the evolution of society. To fill the knowledge gaps and keep up with the fast pace at which our world is changing, a Knowledge Accelerator must urgently be created. The financial crisis, international wars, global terror, the spreading of diseases and cyber-crime as well as demographic, technological and environmental change demonstrate that humanity is facing serious challenges. These problems cannot be solved within the traditional paradigms. Moving our attention from a component-oriented view of the world to an interaction-oriented view will allow us to understand the complex systems we have created and the emergent collective phenomena characterising them. This paradigm shift will enable new solutions to long-standing problems, very much as the shift from a geocentric to a heliocentric worldview has facilitated modern physics and the ability to launch satellites. The FuturICT flagship project will develop new science and technology to manage our future in a complex, strongly connected world. For this, it will combine the power of information and communication technology (ICT) with knowledge from the social and complexity sciences. ICT will provide the data to boost the social sciences into a new era. Complexity science will shed new light on the emergent phenomena in socially interactive systems, and the social sciences will provide a better understanding of the opportunities and risks of strongly networked systems, in particular future ICT systems. Hence, the envisaged FuturICT flagship will create new methods and instruments to tackle the challenges of the 21st century. FuturICT could indeed become one of the most important scientific endeavours ever, by revealing the principles that make socially interactive systems work well, by inspiring the creation of new platforms to explore our possible futures, and by initiating an era of social and socio-inspired innovations.
DOE Office of Scientific and Technical Information (OSTI.GOV)
None, None
The Wind Vision analysis demonstrates the economic value that wind power can bring to the nation, a value exceeding the costs of deployment. Wind’s environmental benefits can address key societal challenges such as climate change, air quality and public health, and water scarcity. Wind deployment can provide U.S. jobs, U.S. manufacturing, and lease and tax revenues in local communities to strengthen and support a transition of the nation’s electricity sector towards a low-carbon U.S. economy. The path needed to achieve 10% wind by 2020, 20% by 2030, and 35% by 2050 requires new tools, priorities, and emphases beyond those forgedmore » by the wind industry in growing to 4.5% of current U.S. electricity demand. Consideration of new strategies and updated priorities as identified in the Wind Vision could provide substantial positive outcomes for future generations.« less
Geomagnetic Jerks in the Swarm Era
NASA Astrophysics Data System (ADS)
Brown, William; Beggan, Ciaran; Macmillan, Susan
2016-08-01
The timely provision of geomagnetic observations as part of the European Space Agency (ESA) Swarm mission means up-to-date analysis and modelling of the Earth's magnetic field can be conducted rapidly in a manner not possible before. Observations from each of the three Swarm constellation satellites are available within 4 days and a database of close-to-definitive ground observatory measurements is updated every 3 months. This makes it possible to study very recent variations of the core magnetic field. Here we investigate rapid, unpredictable internal field variations known as geomagnetic jerks. Given that jerks represent (currently) unpredictable changes in the core field and have been identified to have happened in 2014 since Swarm was launched, we ask what impact this might have on the future accuracy of the International Geomagnetic Reference Field (IGRF). We assess the performance of each of the IGRF-12 secular variation model candidates in light of recent jerks, given that four of the nine candidates are novel physics-based predictive models.
CMS Distributed Computing Integration in the LHC sustained operations era
NASA Astrophysics Data System (ADS)
Grandi, C.; Bockelman, B.; Bonacorsi, D.; Fisk, I.; González Caballero, I.; Farina, F.; Hernández, J. M.; Padhi, S.; Sarkar, S.; Sciabà, A.; Sfiligoi, I.; Spiga, F.; Úbeda García, M.; Van Der Ster, D. C.; Zvada, M.
2011-12-01
After many years of preparation the CMS computing system has reached a situation where stability in operations limits the possibility to introduce innovative features. Nevertheless it is the same need of stability and smooth operations that requires the introduction of features that were considered not strategic in the previous phases. Examples are: adequate authorization to control and prioritize the access to storage and computing resources; improved monitoring to investigate problems and identify bottlenecks on the infrastructure; increased automation to reduce the manpower needed for operations; effective process to deploy in production new releases of the software tools. We present the work of the CMS Distributed Computing Integration Activity that is responsible for providing a liaison between the CMS distributed computing infrastructure and the software providers, both internal and external to CMS. In particular we describe the introduction of new middleware features during the last 18 months as well as the requirements to Grid and Cloud software developers for the future.
The Nature and Origin of Time-Asymmetric Spacetime Structures
NASA Astrophysics Data System (ADS)
Zeh, H. Dieter
Time-asymmetric spacetime structures, in particular those representing black holes and the expansion of the universe, are intimately related to other arrows of time, such as the second law and the retardation of radiation. The nature of the quantum arrow, often attributed to a collapse of the wave function, is essential, in particular, for understanding the much discussed black hole information loss paradox. This paradox assumes a new form and can possibly be avoided in a consistent causal treatment that may be able to avoid horizons and singularities. The master arrow that would combine all arrows of time does not have to be identified with a direction of the formal time parameter that serves to formulate the dynamics as a succession of global states (a trajectory in configuration or Hilbert space). It may even change direction with respect to a fundamental physical clock such as the cosmic expansion parameter if this was formally extended either into a future contraction era or to negative pre-big-bang values.
McDonald, Scott D; Thompson, NiVonne L; Stratton, Kelcey J; Calhoun, Patrick S
2014-03-01
Self-report questionnaires are frequently used to identify PTSD among U.S. military personnel and Veterans. Two common scoring methods used to classify PTSD include: (1) a cut score threshold and (2) endorsement of PTSD symptoms meeting DSM-IV-TR symptom cluster criteria (SCM). A third method requiring a cut score in addition to SCM has been proposed, but has received little study. The current study examined the diagnostic accuracy of three scoring methods for the Davidson Trauma Scale (DTS) among 804 Afghanistan and Iraq war-era military Service Members and Veterans. Data were weighted to approximate the prevalence of PTSD and other Axis I disorders in VA primary care. As expected, adding a cut score criterion to SCM improved specificity and positive predictive power. However, a cut score of 68-72 provided optimal diagnostic accuracy. The utility of the DTS, the role of baseline prevalence, and recommendations for future research are discussed. Published by Elsevier Ltd.
New approaches to trials in glomerulonephritis.
Craig, Jonathan C; Tong, Allison; Strippoli, Giovanni F M
2017-01-01
Randomized controlled trials are required to reliably identify interventions to improve the outcomes for people with glomerulonephritis (GN). Unfortunately, although easier, observational studies are inherently unreliable even though the findings of both study designs agree most of the time. Currently there are ∼790 trials in GN, but suboptimal design and reporting, together with small sample sizes, mean that they may not be reliable for decision making. If the history is somewhat bleak, the future looks bright, with recent initiatives to improve the quality, size and relevance of clinical trials in nephrology, including greater patient engagement, trial networks, core outcome sets, registry-based trials and adaptive designs. Given the current state of the evidence informing the care of people with GN, disruptive technologies and pervasive culture change is required to ensure that the potential of trials to improve the health of people with this complex condition is to be realized. © The Author 2017. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved.
Communication networks beyond the capacity crunch
Ellis, A. D.; Suibhne, N. Mac; Saad, D.; Payne, D. N.
2016-01-01
This issue of Philosophical Transactions of the Royal Society, Part A represents a summary of the recent discussion meeting ‘Communication networks beyond the capacity crunch’. The purpose of the meeting was to establish the nature of the capacity crunch, estimate the time scales associated with it and to begin to find solutions to enable continued growth in a post-crunch era. The meeting confirmed that, in addition to a capacity shortage within a single optical fibre, many other ‘crunches’ are foreseen in the field of communications, both societal and technical. Technical crunches identified included the nonlinear Shannon limit, wireless spectrum, distribution of 5G signals (front haul and back haul), while societal influences included net neutrality, creative content generation and distribution and latency, and finally energy and cost. The meeting concluded with the observation that these many crunches are genuine and may influence our future use of technology, but encouragingly noted that research and business practice are already moving to alleviate many of the negative consequences. PMID:26809575
Penicillin skin testing: potential implications for antimicrobial stewardship.
Unger, Nathan R; Gauthier, Timothy P; Cheung, Linda W
2013-08-01
As the progression of multidrug-resistant organisms and lack of novel antibiotics move us closer toward a potential postantibiotic era, it is paramount to preserve the longevity of current therapeutic agents. Moreover, novel interventions for antimicrobial stewardship programs are integral to combating antimicrobial resistance worldwide. One unique method that may decrease the use of second-line antibiotics (e.g., fluoroquinolones, vancomycin) while facilitating access to a preferred β-lactam regimen in numerous health care settings is a penicillin skin test. Provided that up to 10% of patients have a reported penicillin allergy, of whom ~10% have true IgE-mediated hypersensitivity, significant potential exists to utilize a penicillin skin test to safely identify those who may receive penicillin or a β-lactam antibiotic. In this article, we provide information on the background, associated costs, currently available literature, pharmacists' role, antimicrobial stewardship implications, potential barriers, and misconceptions, as well as future directions associated with the penicillin skin test. © 2013 Pharmacotherapy Publications, Inc.
Communication networks beyond the capacity crunch.
Ellis, A D; Mac Suibhne, N; Saad, D; Payne, D N
2016-03-06
This issue of Philosophical Transactions of the Royal Society, Part A represents a summary of the recent discussion meeting 'Communication networks beyond the capacity crunch'. The purpose of the meeting was to establish the nature of the capacity crunch, estimate the time scales associated with it and to begin to find solutions to enable continued growth in a post-crunch era. The meeting confirmed that, in addition to a capacity shortage within a single optical fibre, many other 'crunches' are foreseen in the field of communications, both societal and technical. Technical crunches identified included the nonlinear Shannon limit, wireless spectrum, distribution of 5G signals (front haul and back haul), while societal influences included net neutrality, creative content generation and distribution and latency, and finally energy and cost. The meeting concluded with the observation that these many crunches are genuine and may influence our future use of technology, but encouragingly noted that research and business practice are already moving to alleviate many of the negative consequences. © 2016 The Authors.
Benitz, William E; Bhombal, Shazia
2017-10-01
Over the last four decades, non-steroidal anti-inflammatory drugs have been widely used to induce closure of the patent ductus arteriosus (PDA) in preterm infants. Evidence to support this practice is lacking, despite performance of >50 randomized trials. The credibility of those trials may have been compromised by high rates of open treatment in controls, era of study prior to advent of modern practices, or inclusion of insufficient numbers of very immature infants. Meta-analyses show little impact of those factors on main conclusions. Essentially all trials reporting important long-term outcomes (other than mortality) initiated treatment within five days after birth, so no evidence regarding later treatment is available. Accruing clinical experience suggests that long-term outcomes are not compromised, and may be improved, with non-interventional management strategies. Future studies to identify preterm infants at greatest risk of potential harm from a persistent PDA, particularly after the second postnatal week, are urgently needed. Copyright © 2017 Elsevier Ltd. All rights reserved.
What Is Green Growth Strategy for Government Link Company?
NASA Astrophysics Data System (ADS)
Jamilah Asha'ari, Maryam; Daud, Salina; Hassan, Hasmaizan
2016-03-01
Disasters around the world are very extreme because of the global warming and climate change. Malaysia firms have to play their role in handling the challenging of environmental problems in order to sustain. The feature of the new strategy which is green growth strategy has been identified. The study focuses on the features of the green growth strategy which discuss on the keys to sustaining the strategy, marketing emphasis, production emphasis, product line, basis of competitive advantage and strategic target. Business had contributed to the industrialisation era positively or negatively and therefore there is a must for business people to use the best strategy in reducing the environmental risks. By 2020, Malaysia will achieve the target in becoming an advanced economy by applying the right strategy. The objective of this paper is to propose a feature for new strategy known as green growth strategy. Future study is to propose to conduct an empirical analysis to confirm the green growth strategy features.
NASA Astrophysics Data System (ADS)
Rustemeier, Elke; Ziese, Markus; Raykova, Kristin; Meyer-Christoffer, Anja; Schneider, Udo; Finger, Peter; Becker, Andreas
2017-04-01
The proper representation of precipitation, in particular extreme precipitation, in global reanalyses is still challenging. This paper focuses on the potential of the ERA-20C centennial reanalysis to reproduce precipitation events. The global ERA-20C Reanalysis has been developed within the projects ERA-CLIM and its successor ERA-CLIM2 with the aim of a multi-decadal reanalysis of the global climate system. One of the objectives of ERA-CLIM2 is to provide useful information about the uncertainty of the various parameters. Since precipitation is a prognostic variable, it allows for independent validation by in-situ measurements. For this purpose, the Global Precipitation Climatology Centre (GPCC) operated by the DWD has compared the ERA-20C Reanalysis with the GPCC observational products "Full Data Monthly Version 7" (FDM-V7) and "Full Data Daily Version 1" (FDD-V1). ERA-20C is based on the ECMWF prediction model IFS version Cy38r1 with a spatial resolution of approximately 125 km and covers the 111 years from 1900 to 2010. The GPCC FDM-V7 raster data product, on the other hand, includes the global land surface in-situ measurements between 1901 and 2013 (Schneider et al., 2014) and the FDD-V1 raster data product covers daily precipitation from 1988 to 2013 with daily resolution. The most suitable resolution of 1° was used to validate ERA-20C. For the spatial and temporal validation of the ERA-20C Reanalysis, global temporal scores were calculated on monthly, seasonal and annual time scales. These include e.g. monthly contingency table scores, correlation or climate change indices (ETCCDI) for precipitation to determine extreme values and their temporal change (Peterson et al., 2001, Appendix A). Not surprisingly, the regions with the strongest differences are also those with data scarcity, mountain regions with their luv and lee effects or monsoon areas. They all show a strong systematic difference and breaks within the time series. Differences between ERA-20C and FDD-V1 based on ETCCDI diagnoses were detected particularly in regions with large precipitation totals especially in Africa in the ITCZ area and in Indonesia. The overall comparison reveals geo-spatially heterogeneous results with areas of similar precipitation characteristics, but also areas that still remain challenging for the reanalysis' fidelity to represent the FDM-V7 and FDD-F1 based diagnostics. The results serve good guidance where improvements of the future IFS model versions should be most effective. Peterson, T., Folland, C., Gruza, G., Hogg, W., Mokssit, A. and Plummer, N. (2001): Report on the activities of the working group on climate change detection and related rapporteurs. Geneva: World Meteorological Organization. Poli, P., H. Hersbach, D. Tan, D. Dee, J.-N. Thépaut, A. Simmons, C. Peubey, P. Laloy-aux, T. Komori, P. Berrisford, R. Dragani, Y. Trémolet, E. H ´lm, M. Bonavita, L. Isaksen und M. Fisher (2013): The data assimilation system and initial performance evaluation of the ECMWF pilot reanalysis of the 20th-century assimilating surface observations only (ERA-20C), ERA Report Series 14, http://www.ecmwf.int/publications/library/do/references/show?id=90833) Schneider, Udo, Andreas Becker, Peter Finger, Anja Meyer-Christoffer, Bruno Rudolf und Markus Ziese (2015): GPCC Full Data Reanalysis Version 7.0 at 1.0°: Monthly Land-Surface Precipitation from Rain-Gauges built on GTS-based and Historic Data. DOI: 10.5676/DWD_GPCC/FD_M_V7_100
Li, Jianbo; Wang, Chengdi; Chen, Nan; Song, Jiulin; Sun, Yan; Yao, Qin; Yan, Lunan; Yang, Jiayin
2017-11-01
Immediate postoperative tracheal extubation (IPTE) is one of the most important subject in recovery after surgery (ERAS) for liver transplantation. However, the criteria for IPTE is not uniform at present. We reported a successful IPTE in a liver transplant recipient with encephalopathy and a high Mayo end-stage liver disease (MELD) score of 41, which beyond the so-called criteria reported in the literature. The patient was 48-year-old man, admitted in September 2016 for end-stage liver cirrhosis secondary to hepatitis B. End-stage liver cirrhosis secondary to hepatitis B with encephalopathy and a high MELD score of 41. He was involved in our ERAS project and was extubated at the end of the liver transplantation in the operating room. As a result, the patient was not reintubated and had an excellent postoperative recovery, staying in intensive care unit (ICU) for just 2 days and discharged home on day 10. We believed IPTE in liver transplant recipients with severe liver dysfunction is a meaningful challenge in ERAS for liver transplantation. Our case and literature review suggest 3 things: IPTE in liver transplantation is generally feasible and safe; the encephalopathy or high MELD score should not be the only limiting factor; and a more systematic predicting system for IPTE in liver transplantation should be addressed in future studies. Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.
Analysis of the variability of the North Atlantic eddy-driven jet stream in CMIP5
NASA Astrophysics Data System (ADS)
Iqbal, Waheed; Leung, Wai-Nang; Hannachi, Abdel
2017-09-01
The North Atlantic eddy-driven jet is a dominant feature of extratropical climate and its variability is associated with the large-scale changes in the surface climate of midlatitudes. Variability of this jet is analysed in a set of General Circulation Models (GCMs) from the Coupled Model Inter-comparison Project phase-5 (CMIP5) over the North Atlantic region. The CMIP5 simulations for the 20th century climate (Historical) are compared with the ERA40 reanalysis data. The jet latitude index, wind speed and jet persistence are analysed in order to evaluate 11 CMIP5 GCMs and to compare them with those from CMIP3 integrations. The phase of mean seasonal cycle of jet latitude and wind speed from historical runs of CMIP5 GCMs are comparable to ERA40. The wind speed mean seasonal cycle by CMIP5 GCMs is overestimated in winter months. A positive (negative) jet latitude anomaly in historical simulations relative to ERA40 is observed in summer (winter). The ensemble mean of jet latitude biases in historical simulations of CMIP3 and CMIP5 with respect to ERA40 are -2.43° and -1.79° respectively. Thus indicating improvements in CMIP5 in comparison to the CMIP3 GCMs. The comparison of historical and future simulations of CMIP5 under RCP4.5 and RCP8.5 for the period 2076-2099, shows positive anomalies in the jet latitude implying a poleward shifted jet. The results from the analysed models offer no specific improvements in simulating the trimodality of the eddy-driven jet.
The 200-year journey of Parkinson disease: Reflecting on the past and looking towards the future.
Fahn, Stanley
2018-01-01
It took almost 100 years before a meaningful advance occurred in any basic science understanding of Parkinson disease (PD) following James Parkinson's description in 1817. The Lewy body was described in 1912, and the substantia nigra was found to be depigmented with neuronal loss and gliosis in 1919. The link between dopamine and PD began in 1957, 140 years after Parkinson's Essay. Arvid Carlsson and Oleh Hornykiewicz were the major pioneers. The revolutionary therapeutic breakthrough was the introduction of high dosage levodopa therapy by George Cotzias in 1967. Following 40 years of the dopa/dopamine era, we have entered the era of alpha-synuclein, the protein present in Lewy bodies. Heiko Braak found that alpha-synuclein accumulates initially in the olfactory system and lower brainstem and then travels in an anatomic pattern to involve other regions of the brain and thereby cause progressive symptoms. Alpha-synuclein was somehow converted to a rogue protein. Where this originates and how it is propagated are under intense investigation. At the same time that the alpha-synuclein era was developing, clinical advances took place by recognizing PD as hosting a wide variety of nonmotor features with eventual cognitive impairment in many. Therapeutics has also evolved. Although the most effective therapy for the motor features remains levodopa, surgical approaches and drugs for nonmotor problems continue to expand our ability to treat people with PD. We can expect therapeutic advances in neuroprotection as the basic science discoveries uncovered in the alpha-synuclein era are translated into effective treatments. Copyright © 2017 Elsevier Ltd. All rights reserved.
NASA Astrophysics Data System (ADS)
Hasan, M. Alfi; Islam, A. K. M. Saiful; Akanda, Ali Shafqat
2017-11-01
In the era of global warning, the insight of future climate and their changing extremes is critical for climate-vulnerable regions of the world. In this study, we have conducted a robust assessment of Regional Climate Model (RCM) results in a monsoon-dominated region within the new Coupled Model Intercomparison Project Phase 5 (CMIP5) and the latest Representative Concentration Pathways (RCP) scenarios. We have applied an advanced bias correction approach to five RCM simulations in order to project future climate and associated extremes over Bangladesh, a critically climate-vulnerable country with a complex monsoon system. We have also generated a new gridded product that performed better in capturing observed climatic extremes than existing products. The bias-correction approach provided a notable improvement in capturing the precipitation extremes as well as mean climate. The majority of projected multi-model RCMs indicate an increase of rainfall, where one model shows contrary results during the 2080s (2071-2100) era. The multi-model mean shows that nighttime temperatures will increase much faster than daytime temperatures and the average annual temperatures are projected to be as hot as present-day summer temperatures. The expected increase of precipitation and temperature over the hilly areas are higher compared to other parts of the country. Overall, the projected extremities of future rainfall are more variable than temperature. According to the majority of the models, the number of the heavy rainy days will increase in future years. The severity of summer-day temperatures will be alarming, especially over hilly regions, where winters are relatively warm. The projected rise of both precipitation and temperature extremes over the intense rainfall-prone northeastern region of the country creates a possibility of devastating flash floods with harmful impacts on agriculture. Moreover, the effect of bias-correction, as presented in probable changes of both bias-corrected and uncorrected extremes, can be considered in future policy making.
Models for small-scale structure on cosmic strings. II. Scaling and its stability
NASA Astrophysics Data System (ADS)
Vieira, J. P. P.; Martins, C. J. A. P.; Shellard, E. P. S.
2016-11-01
We make use of the formalism described in a previous paper [Martins et al., Phys. Rev. D 90, 043518 (2014)] to address general features of wiggly cosmic string evolution. In particular, we highlight the important role played by poorly understood energy loss mechanisms and propose a simple Ansatz which tackles this problem in the context of an extended velocity-dependent one-scale model. We find a general procedure to determine all the scaling solutions admitted by a specific string model and study their stability, enabling a detailed comparison with future numerical simulations. A simpler comparison with previous Goto-Nambu simulations supports earlier evidence that scaling is easier to achieve in the matter era than in the radiation era. In addition, we also find that the requirement that a scaling regime be stable seems to notably constrain the allowed range of energy loss parameters.
The second wave of digital-era governance: a quasi-paradigm for government on the Web.
Margetts, Helen; Dunleavy, Patrick
2013-03-28
Widespread use of the Internet and the Web has transformed the public management 'quasi-paradigm' in advanced industrial countries. The toolkit for public management reform has shifted away from a 'new public management' (NPM) approach stressing fragmentation, competition and incentivization and towards a 'digital-era governance' (DEG) one, focusing on reintegrating services, providing holistic services for citizens and implementing thoroughgoing digital changes in administration. We review the current status of NPM and DEG approaches, showing how the development of the social Web has already helped trigger a 'second wave' of DEG(2) changes. Web science and organizational studies are converging swiftly in public management and public services, opening up an extensive agenda for future redesign of state organization and interventions. So far, DEG changes have survived austerity pressures well, whereas key NPM elements have been rolled back.
Breast cancer and the "materiality of risk": the rise of morphological prediction.
Löwy, Ilana
2007-01-01
This paper follows the history of "morphological risk" of breast cancer. In the early twentieth century, surgeons and pathologists arrived at the conclusion that specific anatomical and cytological changes in the breast are related to a heightened risk of developing a malignancy in the future. This conclusion was directly related to a shift from macroscopic to microscopic diagnosis of malignancies, and to the integration of the frozen section into routine surgery for breast cancer. In the interwar era, conditions such as "chronic mastitis" and "cystic disease of the breast" were defined as precancerous, and women diagnosed with these conditions were advised to undergo mastectomy. In the post-World War II era, these entities were replaced by "carcinoma in situ." The recent development of tests for hereditary predisposition to breast cancer is a continuation of attempts to detect an "embodied risk" of cancer and to eliminate this risk by cutting it out.
Marital age homogamy in China: A reversal of trend in the reform era?*
Mu, Zheng; Xie, Yu
2014-01-01
This paper reports on a study of trends in marital age homogamy in China from 1960 to 2005 that uses data from the China 2005 1% Population Inter-census Survey. Instead of a consistent increase in age homogamy, as expected, results show an inverted U-shaped trend. One plausible explanation is that intensified economic pressure, rising consumerism, and a shrinking gender gap in education during the post-1990s reform era have acted to increase women's desire to marry men who are more economically established, and thus usually older, than less financially secure men. We argue that age hypergamy maintains status hypergamy, a deeply rooted norm for couples in China. An auxiliary analysis based on the human capital model for earnings supports this interpretation. A continued trend in age hypergamy implies a future “marriage squeeze” for men of low socioeconomic status. PMID:24468440
Legacies of 1917 in Contemporary Russian Public Health: Addiction, HIV, and Abortion
2017-01-01
I examine the legacies of Soviet public health policy and the socialist health care system and trace how the Soviet past figures in contemporary Russian policymaking and debates about drug use, HIV, and abortion. Drug policies and mainstream views of HIV reflect continuities with key aspects of Soviet-era policies, although political leaders do not acknowledge these continuities in justifying their policies. In abortion policy, by contrast, which is highly debated in the public realm, advocates represent themselves as differing from Soviet-era policies to justify their positions. Yet abortion activists’ views of the past differ tremendously, reminding us that the Soviet past is symbolically productive for arguments about Russia’s present and future. I describe key aspects of the Soviet approach to health and compare how current drug policy (and the related management of HIV/AIDS) and abortion policies are discursively shaped in relation to the Soviet historical and cultural legacy. PMID:28933931
Legacies of 1917 in Contemporary Russian Public Health: Addiction, HIV, and Abortion.
Rivkin-Fish, Michele
2017-11-01
I examine the legacies of Soviet public health policy and the socialist health care system and trace how the Soviet past figures in contemporary Russian policymaking and debates about drug use, HIV, and abortion. Drug policies and mainstream views of HIV reflect continuities with key aspects of Soviet-era policies, although political leaders do not acknowledge these continuities in justifying their policies. In abortion policy, by contrast, which is highly debated in the public realm, advocates represent themselves as differing from Soviet-era policies to justify their positions. Yet abortion activists' views of the past differ tremendously, reminding us that the Soviet past is symbolically productive for arguments about Russia's present and future. I describe key aspects of the Soviet approach to health and compare how current drug policy (and the related management of HIV/AIDS) and abortion policies are discursively shaped in relation to the Soviet historical and cultural legacy.
Cvijetic, Neda; Tanaka, Akihiro; Kanonakis, Konstantinos; Wang, Ting
2014-08-25
We demonstrate the first SDN-controlled optical topology-reconfigurable mobile fronthaul (MFH) architecture for bidirectional coordinated multipoint (CoMP) and low latency inter-cell device-to-device (D2D) connectivity in the 5G mobile networking era. SDN-based OpenFlow control is used to dynamically instantiate the CoMP and inter-cell D2D features as match/action combinations in control plane flow tables of software-defined optical and electrical switching elements. Dynamic re-configurability is thereby introduced into the optical MFH topology, while maintaining back-compatibility with legacy fiber deployments. 10 Gb/s peak rates with <7 μs back-to-back transmission latency and 29.6 dB total power budget are experimentally demonstrated, confirming the attractiveness of the new approach for optical MFH of future 5G mobile systems.
McConnell, Douglas J.; Fargen, Kyle M.; Mocco, J
2012-01-01
In the fall of 1999, the Institute of Medicine released “To Err is Human: Building a Safer Health System,” a sobering report on the safety of the American healthcare industry. This work and others like it have ushered in an era where the science of quality assurance has quickly become an integral facet of the practice of medicine. One critical component of this new era is the development, application, and refinement of checklists. In a few short years, the checklist has evolved from being perceived as an assault on the practitioner’ integrity to being welcomed as an important tool in reducing complications and preventing medical errors. In an effort to further expand the neurosurgical community's acceptance of surgical checklists, we review the rationale behind checklists, discuss the history of medical and surgical checklists, and remark upon the future of checklists within our field. PMID:22347672
Payne, Philip R O; Embi, Peter J; Niland, Joyce
2010-01-01
Advances in clinical and translational science, along with related national-scale policy and funding mechanisms, have provided significant opportunities for the advancement of applied clinical research informatics (CRI) and translational bioinformatics (TBI). Such efforts are primarily oriented to application and infrastructure development and are critical to the conduct of clinical and translational research. However, they often come at the expense of the foundational CRI and TBI research needed to grow these important biomedical informatics subdisciplines and ensure future innovations. In light of this challenge, it is critical that a number of steps be taken, including the conduct of targeted advocacy campaigns, the development of community-accepted research agendas, and the continued creation of forums for collaboration and knowledge exchange. Such efforts are needed to ensure that the biomedical informatics community is able to advance CRI and TBI science in the context of the modern clinical and translational science era.
The forthcoming era of precision medicine.
Gamulin, Stjepan
2016-11-01
The aim of this essay is to present the definition and principles of personalized or precision medicine, the perspective and barriers to its development and clinical application. The implementation of precision medicine in health care requires the coordinated efforts of all health care stakeholders (the biomedical community, government, regulatory bodies, patients' groups). Particularly, translational research with the integration of genomic and comprehensive data from all levels of the organism ("big data"), development of bioinformatics platforms enabling network analysis of disease etiopathogenesis, development of a legislative framework for handling personal data, and new paradigms of medical education are necessary for successful application of the concept of precision medicine in health care. In the present and future era of precision medicine, the collaboration of all participants in health care is necessary for its realization, resulting in improvement of diagnosis, prevention and therapy, based on a holistic, individually tailored approach. Copyright © 2016 by Academy of Sciences and Arts of Bosnia and Herzegovina.
Instructional Leadership and Schools Effectiveness
NASA Astrophysics Data System (ADS)
Hung, Daisy Kee Mui; Ponnusamy, Premavathy
With the influx of information technology through the Internet and the use of ICT in our daily lives, our future generation has traversed from a mere change of era to a dynamic era of change. Thus, the role of school leaders is becoming more challenging than ever. They need to make greater strides to ensure that they are able to make adjustments and readjustments in instructional practices to cater for the changing elements in their organization. In brief, the school leaders have to be creative, innovative with entrepreneurial drive in order to steer their subordinates (teachers) towards school excellence. Leadership of principal is therefore considered as a main criterion to create successful schools in country's educational advancement. Besides, the school effectiveness plays a crucial role in country's academic advancement. This paper focuses on a comprehensive review of literature on the relationship between instructional leadership and school effectiveness.
An Eigensystem Realization Algorithm (ERA) for modal parameter identification and model reduction
NASA Technical Reports Server (NTRS)
Juang, J. N.; Pappa, R. S.
1985-01-01
A method, called the Eigensystem Realization Algorithm (ERA), is developed for modal parameter identification and model reduction of dynamic systems from test data. A new approach is introduced in conjunction with the singular value decomposition technique to derive the basic formulation of minimum order realization which is an extended version of the Ho-Kalman algorithm. The basic formulation is then transformed into modal space for modal parameter identification. Two accuracy indicators are developed to quantitatively identify the system modes and noise modes. For illustration of the algorithm, examples are shown using simulation data and experimental data for a rectangular grid structure.
[Research progress in neuropsychopharmacology updated for the post-genomic era].
Nakanishi, Toru
2009-11-01
Neuropsychopharmacological research in the post genomic (genomic sequence) era has been developing rapidly through the use of novel techniques including DNA chips. We have applied these techniques to investigate the anti-tumor effect of NSAIDs, isolate novel genes specifically expressed in rheumatoid arthritis, and analyze gene expression profiles in mesenchymal stem cells. Recently, we have developed a novel system of quantitative PCR for detection of BDNF mRNA isoforms. By using this system, we identified the exon-specific mode of expression in acute and chronic pain. In addition, we have made gene expression profiles of KO mice of beta2 subunits in acetylcholine receptors.
Barta, S. K.; Samuel, M. S.; Xue, X.; Wang, D.; Lee, J. Y.; Mounier, N.; Ribera, J.-M.; Spina, M.; Tirelli, U.; Weiss, R.; Galicier, L.; Boue, F.; Little, R. F.; Dunleavy, K.; Wilson, W. H.; Wyen, C.; Remick, S. C.; Kaplan, L. D.; Ratner, L.; Noy, A.; Sparano, J. A.
2015-01-01
Background We undertook the present analysis to examine the shifting influence of prognostic factors in HIV-positive patients diagnosed with aggressive non-Hodgkin lymphoma (NHL) over the last two decades. Patients and methods We carried out a pooled analysis from an existing database of patients with AIDS-related lymphoma. Individual patient data had been obtained prior from prospective phase II or III clinical trials carried out between 1990 until 2010 in North America and Europe that studied chemo(immuno)therapy in HIV-positive patients diagnosed with AIDS-related lymphomas. Studies had been identified by a systematic review. We analyzed patient-level data for 1546 patients with AIDS-related lymphomas using logistic regression and Cox proportional hazard models to identify the association of patient-, lymphoma-, and HIV-specific variables with the outcomes complete response (CR), progression-free survival, and overall survival (OS) in different eras: pre-cART (1989–1995), early cART (1996–2000), recent cART (2001–2004), and contemporary cART era (2005–2010). Results Outcomes for patients with AIDS-related diffuse large B-cell lymphoma and Burkitt lymphoma improved significantly over time, irrespective of baseline CD4 count or age-adjusted International Prognostic Index (IPI) risk category. Two-year OS was best in the contemporary era: 67% and 75% compared with 24% and 37% in the pre-cART era (P < 0.001). While the age-adjusted IPI was a significant predictor of outcome in all time periods, the influence of other factors waxed and waned. Individual HIV-related factors such as low CD4 counts (<50/mm3) and prior history of AIDS were no longer associated with poor outcomes in the contemporary era. Conclusions Our results demonstrate a significant improvement of CR rate and survival for all patients with AIDS-related lymphomas. Effective HIV-directed therapies reduce the impact of HIV-related prognostic factors on outcomes and allow curative antilymphoma therapy for the majority of patients with aggressive NHL. PMID:25632071
NASDA's view of ground control in mission operations
NASA Technical Reports Server (NTRS)
Tateno, Satoshi
1993-01-01
This paper presents an overview of the present status and future plans of the National Space Development Agency of Japan 's (NASDA's) ground segment and related space missions. The described ground segment consists of the tracking and data acquisition (T&DA) system and the Earth Observation Center (EOC) system. In addition to these systems, the current plan of the Engineering Support Center (ESC) for the Japanese Experiment Module (JEM) attached to Space Station Freedom is introduced. Then, NASDA's fundamental point of view on the future trend of operations and technologies in the coming new space era is discussed. Within the discussion, the increasing importance of international cooperation is also mentioned.
Wind Vision: A New Era for Wind Power in the United States
DOE Office of Scientific and Technical Information (OSTI.GOV)
U.S. Department of Energy
With more than 4.5% of the nation's electricity supplied by wind energy today, the Department of Energy has collaborated with industry, environmental organizations, academic institutions, and national laboratories to develop a renewed Wind Vision, documenting the contributions of wind to date and envisioning a future where wind continues to provide key contributions to the nation’s energy portfolio. Building on and updating the 2008 20% Wind Energy by 2030 report, the new Wind Vision Report quantifies the economic, environmental, and social benefits of a robust wind energy future and the actions that wind stakeholders can take to make it a reality.
Sustained UK marine observations. Where have we been? Where are we now? Where are we going?
Owens, Nicholas J P
2014-09-28
This introduction traces the earliest interaction of ancient humans with their marine environment, through marine explorations in the Middle Ages and Renaissance, to the development of early marine science in the Enlightenment. This sets the scene for how marine observations developed in the modern era and explains the status of today's marine observation networks. The paper concludes with an assessment of the future needs and constraints of sustained marine observation networks and suggests the lessons from a long history might be the key to the future. © 2014 The Author(s) Published by the Royal Society. All rights reserved.
Regenerative Rehabilitation – a New Future?
Perez-Terzic, Carmen; Childers, Martin K.
2014-01-01
Modern rehabilitation medicine is propelled by newfound knowledge aimed at offering solutions for an increasingly aging population afflicted by chronic debilitating conditions. Considered a core component of future healthcare, the roll-out of regenerative medicine underscores a paradigm shift in patient management targeted at restoring physiologic function and restituting normative impact. Nascent regenerative technologies offer unprecedented prospects in achieving repair of degenerated, diseased or damaged tissues. In this context, principles of regenerative science are increasingly integrated in rehabilitation practices as illustrated in the present Supplement. Encompassing a growing multidisciplinary domain, the emergent era of “regenerative rehabilitation” brings radical innovations at the forefront of healthcare blueprints. PMID:25310603
Next-Generation Regimens: The Future of Hepatitis C Virus Therapy.
Vizuete, John; Hubbard, Hope; Lawitz, Eric
2015-11-01
The treatment of chronic hepatitis C virus (HCV) has undergone a period of rapid evolution. The era of combination direct antivirals has led to high rates of sustained viral response (SVR), limited toxicities, and more broad applicability across patient demographics. Even current therapies have their limitations, however, including genotype specificity and variable durations of treatment depending on the presence or absence of cirrhosis. Developing a fixed-duration pangenotypic regimen that can broadly treat all stages of fibrosis with equal rates of SVR in all patients, irrespective of treatment experience, is the goal of future therapies. This article reviews antivirals in development. Copyright © 2015 Elsevier Inc. All rights reserved.
Chile: Political and Economic Conditions and U.S. Relations
2010-02-18
electoral democracy, which endured until 1973. During much of this period, Chile was governed by presidents who pursued import-substitution...the armed forces and other bodies. 6 Peter M. Siavelis, “ Electoral System, Coalitional Disintegration, and the Future of Chile’s Concertación...Course in Democracy,” Washington Post , November 25, 2006. 16 “Chile: Pinochet-era Education Law Finally Replaced,” Latin News Weekly Report, August 20
The United Kingdom: Issues for the United States
2007-07-16
of its EU partners than to the United States. For example, like other EU member states, Britain places great emphasis on multilateral... the prospects for the future of the U.S.-UK partnership, especially in the unfolding Brown era. It also describes UK views on political, security...delivery systems for its nuclear warheads since 1963. During the Cold War, the UK served as a vital base for U.S.
Cybernetics - The new Era Arrives
NASA Astrophysics Data System (ADS)
Sharma, Anil; Sengar, Chitransh; Bisht, Lalit; Sharma, Deepak
2012-12-01
The paper basically deals with the study of Cybernetics I, the history of evolution of this theory of this cyborg technology from the base to planting its roots in the future. The paper also presents a brief description about the use of this cyber technology in various felids known to the human world. Along with this is a description about the evolution of cybernetics as a cure to various medical problems.
Learning, Lighting and Color: Lighting Design for Schools and Universities in the 21st Century
ERIC Educational Resources Information Center
Fielding, Randall
2006-01-01
Uniform illumination levels in the classroom and focused brightness on the "teaching wall" made good sense for students in Henry Ford's era. If you were training to take your place on the assembly line, you needed to focus on the work at hand and ahead to your supervisor, but the future no longer belongs to students who look only straight ahead.…
AMERICA’S BASE NETWORK: CREDIBLE DETERRENCE
2017-04-06
reduction occurring after World War I.13 Both eras saw decades of instability and warfare replace the economic stability provided by the US and its global...is still in effect today and is based on shared interests in security and stability . The alliance was formally established via an Economic and...Abstract This essay looks at historical US basing strategy in order to understand the geopolitical and economic complexity facing diplomacy of future
Enabling Design for Affordability: An Epoch-Era Analysis Approach
2013-04-01
Analysis on the DoD Pre-Milestone B Acquisition Processes Danielle Worger and Teresa Wu, Arizona State University Eugene Rex Jalao, Arizona State...Management Best Practices Brandon Keller and J. Robert Wirthlin Air Force Institute of Technology The RITE Approach to Agile Acquisition Timothy Boyce...Change Kathryn Aten and John T . Dillard Naval Postgraduate School A Comparative Assessment of the Navy’s Future Naval Capabilities (FNC) Process
Moving Beyond Earth Gallery Opening
2009-11-18
David DeVorkin, Senior Curator, Collection: Astronomy and space sciences speaks during a press briefing at the new "Moving Beyond Earth," exhibition at the National Air and Space Museum in Washingon, Wednesday, Nov. 18, 2009. Moving Beyond Earth is an immersive exhibition that places visitors “in orbit” in the shuttle and space-station era to explore recent human spaceflight and future possibilities. Photo Credit: (NASA/Paul E. Alers)
Colella, Adrienne; Hebl, Mikki; King, Eden
2017-03-01
Employment discrimination-a legal, social, moral, and practical problem-has been a persistent focus of narrow scholarship in the Journal of Applied Psychology since its inception. Indeed, this article identifies the environmental characteristics, conceptual underpinnings, dominant methodologies, research questions and findings across 508 articles published on discrimination in the journal over the last 100 years. Emergent themes document signs of stability and change in 3 eras: an era wherein discrimination research was itself discriminatory (1917-1969), the heyday of discrimination research (1970-1989), and an era of unsteady progress (1990-2014). This synthesis suggests that, although increasingly sophisticated methodological approaches have been applied to this topic, the targets of focus and theories driving research have largely been static. Additionally, research published on discrimination in the Journal of Applied Psychology has often trailed too far behind the times. Specific recommendations for advancing the psychological study of employment discrimination in applied contexts are provided. (PsycINFO Database Record (c) 2017 APA, all rights reserved).
Kusonmano, Kanthida; Vongsangnak, Wanwipa; Chumnanpuen, Pramote
2016-01-01
Metabolome profiling of biological systems has the powerful ability to provide the biological understanding of their metabolic functional states responding to the environmental factors or other perturbations. Tons of accumulative metabolomics data have thus been established since pre-metabolomics era. This is directly influenced by the high-throughput analytical techniques, especially mass spectrometry (MS)- and nuclear magnetic resonance (NMR)-based techniques. Continuously, the significant numbers of informatics techniques for data processing, statistical analysis, and data mining have been developed. The following tools and databases are advanced for the metabolomics society which provide the useful metabolomics information, e.g., the chemical structures, mass spectrum patterns for peak identification, metabolite profiles, biological functions, dynamic metabolite changes, and biochemical transformations of thousands of small molecules. In this chapter, we aim to introduce overall metabolomics studies from pre- to post-metabolomics era and their impact on society. Directing on post-metabolomics era, we provide a conceptual framework of informatics techniques for metabolomics and show useful examples of techniques, tools, and databases for metabolomics data analysis starting from preprocessing toward functional interpretation. Throughout the framework of informatics techniques for metabolomics provided, it can be further used as a scaffold for translational biomedical research which can thus lead to reveal new metabolite biomarkers, potential metabolic targets, or key metabolic pathways for future disease therapy.
The Politics of Native American Health Care and the Affordable Care Act.
Skinner, Daniel
2016-02-01
This article examines an important but largely overlooked dimension of the Patient Protection and Affordable Care Act (ACA), namely, its significance for Native American health care. The author maintains that reading the ACA against the politics of Native American health care policy shows that, depending on their regional needs and particular contexts, many Native Americans are well-placed to benefit from recent Obama-era reforms. At the same time, the kinds of options made available by the ACA constitute a departure from the service-based (as opposed to insurance-based) Indian Health Service (IHS). Accordingly, the author argues that ACA reforms--private marketplaces, Medicaid expansion, and accommodations for Native Americans--are best read as potential "supplements" to an underfunded IHS. Whether or not Native Americans opt to explore options under the ACA will depend in the long run on the quality of the IHS in the post-ACA era. Beyond understanding the ACA in relation to IHS funding, the author explores how Native American politics interacts with the key tenets of Obama-era health care reform--especially "affordability"--which is critical for understanding what is required from and appropriate to future Native American health care policy making. Copyright © 2016 by Duke University Press.
Nuclear power and probabilistic safety assessment (PSA): past through future applications
NASA Astrophysics Data System (ADS)
Stamatelatos, M. G.; Moieni, P.; Everline, C. J.
1995-03-01
Nuclear power reactor safety in the United States is about to enter a new era -- an era of risk- based management and risk-based regulation. First, there was the age of `prescribed safety assessment,' during which a series of design-basis accidents in eight categories of severity, or classes, were postulated and analyzed. Toward the end of that era, it was recognized that `Class 9,' or `beyond design basis,' accidents would need special attention because of the potentially severe health and financial consequences of these accidents. The accident at Three Mile Island showed that sequences of low-consequence, high-frequency events and human errors can be much more risk dominant than the Class 9 accidents. A different form of safety assessment, PSA, emerged and began to gain ground against the deterministic safety establishment. Eventually, this led to the current regulatory requirements for individual plant examinations (IPEs). The IPEs can serve as a basis for risk-based regulation and management, a concept that may ultimately transform the U.S. regulatory process from its traditional deterministic foundations to a process predicated upon PSA. Beyond the possibility of a regulatory environment predicated upon PSA lies the possibility of using PSA as the foundation for managing daily nuclear power plant operations.
Technology thrusts for future Earth science applications
NASA Astrophysics Data System (ADS)
Habib, Shahid
2001-02-01
This paper presents NASA's recent direction to invest in the critical science instrument and platform technologies in order to realize more reliable, frequent and versatile missions for future Earth Science measurements. Historically, NASA's Earth Science Enterprise has developed and flown science missions that have been large in size, mass and volume. These missions have taken much longer to implement due to technology development time, and have carried a large suite of instruments on a large spacecraft. NASA is now facing an era where the budget for the future years is more or less flat and the possibility for any major new start does not vividly appear on the horizon. Unfortunately, the scientific measurement needs for remote sensing have not shrunk to commensurate with the budget constraints. In fact, the challenges and scientific appetite in search of answers to a score of outstanding questions have been gradually expanding. With these factors in mind, for the last three years NASA has been changing its focus to concentrate on how to take advantage of smaller missions by relying on industry, and minimizing the overall mission life cycle by developing technologies that are independent of the mission implementation cycle. The major redirection of early investment in the critical technologies should eventually have its rewards and significantly reduce the mission development period. Needless to say, in the long run this approach should save money, minimize risk, promote or encourage partnering, allow for a rapid response to measurement needs, and enable frequent missions making a wider variety of earth science measurements. This paper gives an overview of some of the identified crucial technologies and their intended applications for meeting the future Earth Science challenges.
Technology Thrusts for Future Earth Science Applications
NASA Technical Reports Server (NTRS)
Habib, Shahid
2001-01-01
This paper presents NASA's recent direction to invest in the critical science instrument and platform technologies in order to realize more reliable, frequent and versatile missions for future Earth Science measurements. Historically, NASA's Earth Science Enterprise has developed and flown science missions that have been large in size, mass and volume. These missions have taken much longer to implement due to technology development time, and have carried a large suite of instruments on a large spacecraft. NASA is now facing an era where the budget for the future years is more or less flat and the possibility for any major new start does not vividly appear on the horizon. Unfortunately, the scientific measurement needs for remote sensing have not shrunk to commensurate with the budget constraints. In fact, the challenges and scientific appetite in search of answers to a score of outstanding questions have been gradually expanding. With these factors in mind, for the last three years NASA has been changing its focus to concentrate on how to take advantage of smaller missions by relying on industry, and minimizing the overall mission life cycle by developing technologies that are independent of the mission implementation cycle. The major redirection of early investment in the critical technologies should eventually have its rewards and significantly reduce the mission development period. Needless to say, in the long run this approach should save money, minimize risk, promote or encourage partnering, allow for a rapid response to measurement needs, and enable frequent missions making a wider variety of earth science measurements. This paper gives an overview of some of the identified crucial technologies and their intended applications for meeting the future Earth Science challenges.
NASA Astrophysics Data System (ADS)
Lu, C.; Tian, H.; Yang, J.; Zhang, B.; Xu, R.
2015-12-01
Nitrous oxide (N2O) is among the most important greenhouse gases only next to carbon dioxide (CO2) and methane (CH4) due to its long life time and high radiative forcing (with a global warming potential 265 times as much as CO2 at 100-year time horizon). The Atmospheric concentration of N2O has increased by 20% since pre-industrial era, and this increase plays a significant role in shaping anthropogenic climate change. However, compared to CO2- and CH4-related research, fewer studies have been performed in assessing and predicting the spatiotemporal patterns of N2O emission from natural and agricultural soils. Here we used a coupled biogeochemical model, DLEM, to quantify the historical and future changes in global terrestrial N2O emissions resulting from natural and anthropogenic perturbations including climate variability, atmospheric CO2 concentration, nitrogen deposition, land use and land cover changes, and agricultural land management practices (i.e., synthetic nitrogen fertilizer use, manure application, and irrigation etc.) over the period 1900-2099. We focused on inter-annual variation and long-term trend of terrestrial N2O emission driven by individual and combined environmental changes during historical and future periods. The sensitivity of N2O emission to climate, atmospheric composition, and human activities has been examined at biome-, latitudinal, continental and global scales. Future projections were conducted to identify the hot spots and hot time periods of global N2O emission under two emission scenarios (RCP2.6 and RCP8.5). It provides a modeling perspective for understanding human-induced N2O emission growth and developing potential management strategies to mitigate further atmospheric N2O increase and climate warming.
Singh, Vijay Shankar; Dubey, Ashutosh Prakash; Gupta, Ankush; Singh, Sudhir; Singh, Bhupendra Narain
2017-01-01
ABSTRACT Azospirillum brasilense Sp7 uses glycerol as a carbon source for growth and nitrogen fixation. When grown in medium containing glycerol as a source of carbon, it upregulates the expression of a protein which was identified as quinoprotein alcohol dehydrogenase (ExaA). Inactivation of exaA adversely affects the growth of A. brasilense on glycerol. A determination of the transcription start site of exaA revealed an RpoN-dependent −12/−24 promoter consensus. The expression of an exaA::lacZ fusion was induced maximally by glycerol and was dependent on σ54. Bioinformatic analysis of the sequence flanking the −12/−24 promoter revealed a 17-bp sequence motif with a dyad symmetry of 6 nucleotides upstream of the promoter, the disruption of which caused a drastic reduction in promoter activity. The electrophoretic mobility of a DNA fragment containing the 17-bp sequence motif was retarded by purified EraR, a LuxR-type transcription regulator that is transcribed divergently from exaA. EraR also showed a positive interaction with RpoN in two-hybrid and pulldown assays. IMPORTANCE Quinoprotein alcohol dehydrogenase (ExaA) plays an important role in the catabolism of alcohols in bacteria. Although exaA expression is thought to be regulated by a two-component system consisting of EraS and EraR, the mechanism of regulation was not known. This study shows the details of the regulation of expression of the exaA gene in A. brasilense. We have shown here that exaA of A. brasilense is maximally induced by glycerol and harbors a σ54-dependent promoter. The response regulator EraR binds to an inverted repeat located upstream of the exaA promoter. This study shows that a LuxR-type response regulator (EraR) binds upstream of the exaA gene and physically interacts with σ54. The unique feature of this regulation is that EraR is a LuxR-type transcription regulator that lacks the GAFTGA motif, a characteristic feature of the enhancer binding proteins that are known to interact with σ54 in other bacteria. PMID:28439037
Singh, Vijay Shankar; Dubey, Ashutosh Prakash; Gupta, Ankush; Singh, Sudhir; Singh, Bhupendra Narain; Tripathi, Anil Kumar
2017-07-01
Azospirillum brasilense Sp7 uses glycerol as a carbon source for growth and nitrogen fixation. When grown in medium containing glycerol as a source of carbon, it upregulates the expression of a protein which was identified as quinoprotein alcohol dehydrogenase (ExaA). Inactivation of exaA adversely affects the growth of A. brasilense on glycerol. A determination of the transcription start site of exaA revealed an RpoN-dependent -12/-24 promoter consensus. The expression of an exaA :: lacZ fusion was induced maximally by glycerol and was dependent on σ 54 Bioinformatic analysis of the sequence flanking the -12/-24 promoter revealed a 17-bp sequence motif with a dyad symmetry of 6 nucleotides upstream of the promoter, the disruption of which caused a drastic reduction in promoter activity. The electrophoretic mobility of a DNA fragment containing the 17-bp sequence motif was retarded by purified EraR, a LuxR-type transcription regulator that is transcribed divergently from exaA EraR also showed a positive interaction with RpoN in two-hybrid and pulldown assays. IMPORTANCE Quinoprotein alcohol dehydrogenase (ExaA) plays an important role in the catabolism of alcohols in bacteria. Although exaA expression is thought to be regulated by a two-component system consisting of EraS and EraR, the mechanism of regulation was not known. This study shows the details of the regulation of expression of the exaA gene in A. brasilense We have shown here that exaA of A. brasilense is maximally induced by glycerol and harbors a σ 54 -dependent promoter. The response regulator EraR binds to an inverted repeat located upstream of the exaA promoter. This study shows that a LuxR-type response regulator (EraR) binds upstream of the exaA gene and physically interacts with σ 54 The unique feature of this regulation is that EraR is a LuxR-type transcription regulator that lacks the GAFTGA motif, a characteristic feature of the enhancer binding proteins that are known to interact with σ 54 in other bacteria. Copyright © 2017 American Society for Microbiology.
Ecosystem Services as Assessment Endpoints in Ecological Risk Assessment
The focus of ecological risk assessment (ERA) is on assessment endpoints, explicit expressions of environmental values to be protected. Traditionally, the ecological entities identified in assessment endpoints have been components of ecosystems deemed by risk assessors to be impo...
Personalized identification of differentially expressed pathways in pediatric sepsis.
Li, Binjie; Zeng, Qiyi
2017-10-01
Sepsis is a leading killer of children worldwide with numerous differentially expressed genes reported to be associated with sepsis. Identifying core pathways in an individual is important for understanding septic mechanisms and for the future application of custom therapeutic decisions. Samples used in the study were from a control group (n=18) and pediatric sepsis group (n=52). Based on Kauffman's attractor theory, differentially expressed pathways associated with pediatric sepsis were detected as attractors. When the distribution results of attractors are consistent with the distribution of total data assessed using support vector machine, the individualized pathway aberrance score (iPAS) was calculated to distinguish differences. Through attractor and Kyoto Encyclopedia of Genes and Genomes functional analysis, 277 enriched pathways were identified as attractors. There were 81 pathways with P<0.05 and 59 pathways with P<0.01. Distribution outcomes of screened attractors were mostly consistent with the total data demonstrated by the six classifying parameters, which suggested the efficiency of attractors. Cluster analysis of pediatric sepsis using the iPAS method identified seven pathway clusters and four sample clusters. Thus, in the majority pediatric sepsis samples, core pathways can be detected as different from accumulated normal samples. In conclusion, a novel procedure that identified the dysregulated attractors in individuals with pediatric sepsis was constructed. Attractors can be markers to identify pathways involved in pediatric sepsis. iPAS may provide a correlation score for each of the signaling pathways present in an individual patient. This process may improve the personalized interpretation of disease mechanisms and may be useful in the forthcoming era of personalized medicine.
NASA Astrophysics Data System (ADS)
Rasmussen, K. L.; Prein, A. F.; Rasmussen, R. M.; Ikeda, K.; Liu, C.
2017-11-01
Novel high-resolution convection-permitting regional climate simulations over the US employing the pseudo-global warming approach are used to investigate changes in the convective population and thermodynamic environments in a future climate. Two continuous 13-year simulations were conducted using (1) ERA-Interim reanalysis and (2) ERA-Interim reanalysis plus a climate perturbation for the RCP8.5 scenario. The simulations adequately reproduce the observed precipitation diurnal cycle, indicating that they capture organized and propagating convection that most climate models cannot adequately represent. This study shows that weak to moderate convection will decrease and strong convection will increase in frequency in a future climate. Analysis of the thermodynamic environments supporting convection shows that both convective available potential energy (CAPE) and convective inhibition (CIN) increase downstream of the Rockies in a future climate. Previous studies suggest that CAPE will increase in a warming climate, however a corresponding increase in CIN acts as a balancing force to shift the convective population by suppressing weak to moderate convection and provides an environment where CAPE can build to extreme levels that may result in more frequent severe convection. An idealized investigation of fundamental changes in the thermodynamic environment was conducted by shifting a standard atmospheric profile by ± 5 °C. When temperature is increased, both CAPE and CIN increase in magnitude, while the opposite is true for decreased temperatures. Thus, even in the absence of synoptic and mesoscale variations, a warmer climate will provide more CAPE and CIN that will shift the convective population, likely impacting water and energy budgets on Earth.
The impact of pitch counts and days of rest on performance among major-league baseball pitchers.
Bradbury, John C; Forman, Sean L
2012-05-01
Although the belief that overuse can harm pitchers is widespread, there exists little evidence to show that the number of pitches thrown and the days of rest affect future performance and injury among adults. The purpose of this study is to quantify the effects of pitches thrown and the days of rest on pitcher performance. We examined performances of major-league baseball starting pitchers from 1988 to 2009 using fractional polynomial multiple regression to estimate the immediate and cumulative impact of pitches thrown and the days of rest on performance, while controlling for other factors that likely affect pitcher effectiveness. Estimates indicate each pitch thrown in the preceding game increased earned run average (ERA) by 0.007 in the following game. Each pitch averaged in the preceding 5 and 10 games increased the ERA by 0.014 and 0.022, respectively. Older pitchers were more sensitive to cumulative pitching loads than younger pitchers were, but they were less affected by pitches thrown in the preceding game. Rest days were weakly associated with performance. In summary, we found that there is a negative relationship between past pitches thrown and future performance that is virtually linear. The impact of the cumulative pitching load is larger than the impact of a single game. Rest days do not appear to have a large impact on performance. This study supports the popular notion that high pitching loads can dampen future performance; however, because the effect is small, pitch-count benchmarks have limited use for maintaining performance and possibly preventing injury.
South Asia river flow projections and their implications for water resources
NASA Astrophysics Data System (ADS)
Mathison, C.; Wiltshire, A. J.; Falloon, P.; Challinor, A. J.
2015-06-01
South Asia is a region with a large and rising population and a high dependance on industries sensitive to water resource such as agriculture. The climate is hugely variable with the region relying on both the Asian Summer Monsoon (ASM) and glaciers for its supply of fresh water. In recent years, changes in the ASM, fears over the rapid retreat of glaciers and the increasing demand for water resources for domestic and industrial use, have caused concern over the reliability of water resources both in the present day and future for this region. The climate of South Asia means it is one of the most irrigated agricultural regions in the world, therefore pressures on water resource affecting the availability of water for irrigation could adversely affect crop yields and therefore food production. In this paper we present the first 25 km resolution regional climate projections of river flow for the South Asia region. ERA-Interim, together with two global climate models (GCMs), which represent the present day processes, particularly the monsoon, reasonably well are downscaled using a regional climate model (RCM) for the periods; 1990-2006 for ERA-Interim and 1960-2100 for the two GCMs. The RCM river flow is routed using a river-routing model to allow analysis of present day and future river flows through comparison with river gauge observations, where available. In this analysis we compare the river flow rate for 12 gauges selected to represent the largest river basins for this region; Ganges, Indus and Brahmaputra basins and characterize the changing conditions from east to west across the Himalayan arc. Observations of precipitation and runoff in this region have large or unknown uncertainties, are short in length or are outside the simulation period, hindering model development and validation designed to improve understanding of the water cycle for this region. In the absence of robust observations for South Asia, a downscaled ERA-Interim RCM simulation provides a benchmark for comparison against the downscaled GCMs. On the basis that these simulations are among the highest resolution climate simulations available we examine how useful they are for understanding the changes in water resources for the South Asia region. In general the downscaled GCMs capture the seasonality of the river flows, with timing of maximum river flows broadly matching the available observations and the downscaled ERA-Interim simulation. Typically the RCM simulations over-estimate the maximum river flows compared to the observations probably due to a positive rainfall bias and a lack of abstraction in the model although comparison with the downscaled ERA-Interim simulation is more mixed with only a couple of the gauges showing a bias compared with the downscaled GCM runs. The simulations suggest an increasing trend in annual mean river flows for some of the river gauges in this analysis, in some cases almost doubling by the end of the century; this trend is generally masked by the large annual variability of river flows for this region. The future seasonality of river flows does not change with the future maximum river flow rates still occuring during the ASM period, with a magnitude in some cases, greater than the present day natural variability. Increases in river flow during peak flow periods means additional water resource for irrigation, the largest usage of water in this region, but also has implications in terms of inundation risk. Low flow rates also increase which is likely to be important at times of the year when water is historically more scarce. However these projected increases in resource from rivers could be more than countered by changes in demand due to reductions in the quantity and quality of water available from groundwater, increases in domestic use due to a rising population or expansion of other industries such as hydro-electric power generation.
ERIC Educational Resources Information Center
Fox, Sarah Cleveland
Russia struggle with questions of identity and economic stability sine ending its Cold War relationship with the United States. In this unit students are asked to see the world through Russian eyes and to contemplate Russian choices in the areas of economic development, political organization, and foreign policy. The unit focuses on three distinct…
Operational Protection of C4I.
1997-03-05
The American way of war has been dependent upon information dominance in the battlefield for a long time. But the old ways of waging wars where the overwhelming force of the US provided a clear advantage may not be successful in fighting the wars of the future. This paper explores some of the problems associated with the protection of operational C4I assets in the current era and how CINCs can approach this planning issue.
ERIC Educational Resources Information Center
Jobs for the Future, 2012
2012-01-01
Despite the wide interest in and need for student-centered approaches to learning, educators have scant access to a comprehensive accounting of the key components of it. To build the knowledge base for the emerging field of student-centered learning, Jobs for the Future, a national nonprofit based in Boston, commissioned papers from nine teams of…
Metrics for Monitoring Section 845 Other Transactions
1999-12-01
companies won’t do research for the military. [Ref. 15:p. A20] The disparity between the DOD’s and the commercial sector’s investment in R&D has...32] In this era of budgetary constraint, which threatens future investment in defense technology, dual-use and commercial off-the-shelf (COTS...firms to assure the "interests of all parties are protected." Generally Accepted Accounting Principles ( GAAP ) are followed. Minimal DCMC
ERIC Educational Resources Information Center
Hore, Terry, Ed.; And Others
Proceedings are presented of a conference that examined the purposes and setting of tertiary education in Australia in the changing social order of the 1980s, the future roles for tertiary education in Australia, and the pattern and form of accountability appropriate to Australian tertiary education in the late twentieth century. Papers and…
ERIC Educational Resources Information Center
Black, Alistair
2011-01-01
Although the quality, performance and future of public library services in the UK is a matter of debate, there is little doubt that in recent years, despite claims relating to the emergence of a cyber-society, interest in library buildings and the library as "place" has been intense, almost matching that seen during the Carnegie era of…
Research Frontiers in Public Sector Performance Measurement
NASA Astrophysics Data System (ADS)
Zhonghua, Cai; Ye, Wang
In "New Public Management" era, performance measurement has been widely used in managerial practices of public sectors. From the content and features of performance measurement, this paper aims to explore inspirations on Chinese public sector performance measurement, which based on a review of prior literatures including influencial factors, methods and indicators of public sector performance evaluation. In the end, arguments are presented in this paper pointed out the direction of future researches in this field.
Free Speech and GWOT: Back to the Future?
2008-02-29
associated cases from the WWI era) focused on speech as evidence of a substantive crime (there, leaflets were proof that the accused was fomenting the...substantive crime – insurrection within the Army). In Gitlow and Whitney, there was no substantive crime for which speech was the evidence. The...substantive crime was the substance of the speech itself. That this test evaluated the content of the speech itself would later become a major criticism
ERIC Educational Resources Information Center
Hull, Karen, Ed.
This document contains abstracts or manuscripts of 29 presentations examining the problem of how to cope with inflation and how best to deal with resource shortages, both of which might become even more acute in the future. Conference speakers viewed the problem from various perspectives, among them (1) consumer characteristics, attitudes, and…
Moving Beyond Earth Gallery Opening
2009-11-18
David H. DeVorkin, Senior Curator, Astronomy and the Space Sciences Division of Space History, at the Smithsonian's National Air and Space Museum, speaks during a press briefing at the new "Moving Beyond Earth," exhibition at the museum in Washingon, Wednesday, Nov. 18, 2009. Moving Beyond Earth is an immersive exhibition that places visitors "in orbit" in the shuttle and space-station era to explore recent human spaceflight and future possibilities. Photo Credit: (NASA/Paul E. Alers)
Indonesia: A Whole of Government Approach to Partnership Against Extremism
2010-05-03
century partnership. We are entering an era where our relations will be more and more driven by the need to address global issues , as much as by...Southeast Asia: Domestic, Regional, and Global Issues (London: Lynne Rienner Publishers, 2003), 75. 7 Peng Claire Bei, “Terrorism and the Future of...Southeast Asia: Domestic, Regional, and Global Issues . London: Lynne Rienner Publishers, 2003. Crocker, Chester A., Fen Osler Hampson, and Pamela R
Mineccia, Michela; Zimmitti, Giuseppe; Ribero, Dario; Giraldi, Francesco; Bertolino, Franco; Brambilla, Romeo; Ferrero, Alessandro
2016-01-01
fecal peritonitis due to colorectal perforation is a dramatic event characterized by high mortality. Our study aims at determining how results of sigmoid resection (eventually extended to upper rectum) for colorectal perforation with fecal peritonitis changed in recent years and which factors affected eventual changes. Seventy-four patients were operated on at our institution (2005-2014) for colorectal perforation with fecal peritonitis and were divided into two numerically equal groups (operated on before (ERA1-group) and after (ERA2-group) May 2010). Mannheim Peritonitis Index (MPI) was calculated for each patient. Characteristics of two groups were compared. Predictors of postoperative outcomes were identified. Postoperative overall complications, major complications, and mortality occurred in 59%, 28%, and 18% of cases, respectively, and were less frequent in ERA2-group (51%, 16%, and 8%, respectively), compared to ERA1-group (68%, 41%, and 27%, respectively; p = .155, .02, and .032, respectively). Such results paralleled lower MPI values in ERA2-group, compared to ERA1-group (23(16-39) vs. 28(21-43), p = .006). Using receiver operating characteristic analysis, the best cut-off value for MPI for predicting postoperative complications and mortality was 28.5. MPI>28 was the only independent predictor of postoperative overall (p = .009, OR = 4.491) and major complications (p < .001, OR = 23.182) and was independently associated with a higher risk of mortality (p = .016, OR = 13.444), as well as duration of preoperative peritonitis longer than 24 h (p = .045, OR = 17.099). results of surgery for colorectal perforation with fecal peritonitis have improved over time, matching a concurrent decrease of MPI values and a better preoperative patient management. MPI value may help in selecting patients benefitting from surgical treatment. Copyright © 2015 IJS Publishing Group Limited. Published by Elsevier Ltd. All rights reserved.
ERIC Educational Resources Information Center
Kincade, Jerry; Jamison, Mark
2005-01-01
Detecting cancer at a pre-cancerous stage, identifying chemical-warfare agents, removing contaminants from ground water: these and many more efforts are underway as the era of nanotechnology dawns. The newest of the new technologies, nanotechnology is this century's gold rush to build manmade machinery from microscopic particles. The…
Refining Lung Cancer Screening Criteria in the Era of Value-Based Medicine.
Shapiro, Steven D
2017-02-01
In a Perspective on the Research Article by ten Haaf and colleagues, Steven Shapiro discusses the challenges of identifying screening strategies that maximize the number of cancers diagnosed, while minimizing the harms of overdiagnosis and maintaining cost-effectiveness.
NASA Astrophysics Data System (ADS)
Rahmani, Elham; Friederichs, Petra; Keller, Jan; Hense, Andreas
2016-05-01
The main purpose of this study is to develop an easy-to-use weather generator (WG) for the downscaling of gridded data to point measurements at regional scale. The WG is applied to daily averaged temperatures and annual growing degree days (GDD) of wheat. This particular choice of variables is motivated by future investigations on temperature impacts as the most important climate variable for wheat cultivation under irrigation in Iran. The proposed statistical downscaling relates large-scale ERA-40 reanalysis to local daily temperature and annual GDD. Long-term local observations in Iran are used at 16 synoptic stations from 1961 to 2001, which is the common period with ERA-40 data. We perform downscaling using two approaches: the first is a linear regression model that uses the ERA-40 fingerprints (FP) defined by the squared correlation with local variability, and the second employs a linear multiple regression (MR) analysis to relate the large-scale information at the neighboring grid points to the station data. Extending the usual downscaling, we implement a WG providing uncertainty information and realizations of the local temperatures and GDD by adding a Gaussian random noise. ERA-40 reanalysis well represents the local daily temperature as well as the annual GDD variability. For 2-m temperature, the FPs are more localized during the warm compared with the cold season. While MR is slightly superior for daily temperature time series, FP seems to perform best for annual GDD. We further assess the quality of the WGs applying probabilistic verification scores like the continuous ranked probability score (CRPS) and the respective skill score. They clearly demonstrate the superiority of WGs compared with a deterministic downscaling.
Low-resolution Australasian palaeoclimate records of the last 2000 years
NASA Astrophysics Data System (ADS)
Dixon, Bronwyn C.; Tyler, Jonathan J.; Lorrey, Andrew M.; Goodwin, Ian D.; Gergis, Joëlle; Drysdale, Russell N.
2017-10-01
Non-annually resolved palaeoclimate records in the Australasian region were compiled to facilitate investigations of decadal to centennial climate variability over the past 2000 years. A total of 675 lake and wetland, geomorphic, marine, and speleothem records were identified. The majority of records are located near population centres in southeast Australia, in New Zealand, and across the maritime continent, and there are few records from the arid regions of central and western Australia. Each record was assessed against a set of a priori criteria based on temporal resolution, record length, dating methods, and confidence in the proxy-climate relationship over the Common Era. A subset of 22 records met the criteria and were endorsed for subsequent analyses. Chronological uncertainty was the primary reason why records did not meet the selection criteria. New chronologies based on Bayesian techniques were constructed for the high-quality subset to ensure a consistent approach to age modelling and quantification of age uncertainties. The primary reasons for differences between published and reconstructed age-depth models were the consideration of the non-singular distribution of ages in calibrated 14C dates and the use of estimated autocorrelation between sampled depths as a constraint for changes in accumulation rate. Existing proxies and reconstruction techniques that successfully capture climate variability in the region show potential to address spatial gaps and expand the range of climate variables covering the last 2000 years in the Australasian region. Future palaeoclimate research and records in Australasia could be greatly improved through three main actions: (i) greater data availability through the public archiving of published records; (ii) thorough characterisation of proxy-climate relationships through site monitoring and climate sensitivity tests; and (iii) improvement of chronologies through core-top dating, inclusion of tephra layers where possible, and increased date density during the Common Era.
NASA Astrophysics Data System (ADS)
Kobayashi, Shinya; Poli, Paul; John, Viju O.
2017-02-01
The near-global and all-sky coverage of satellite observations from microwave humidity sounders operating in the 183 GHz band complement radiosonde and aircraft observations and satellite infrared clear-sky observations. The Special Sensor Microwave Water Vapor Profiler (SSM/T-2) of the Defense Meteorological Satellite Program began operations late 1991. It has been followed by several other microwave humidity sounders, continuing today. However, expertise and accrued knowledge regarding the SSM/T-2 data record is limited because it has remained underused for climate applications and reanalyses. In this study, SSM/T-2 radiances are characterised using several global atmospheric reanalyses. The European Centre for Medium-Range Weather Forecasts (ECMWF) Interim Reanalysis (ERA-Interim), the first ECMWF reanalysis of the 20th-century (ERA-20C), and the Japanese 55-year Reanalysis (JRA-55) are projected into SSM/T-2 radiance space using a fast radiative transfer model. The present study confirms earlier indications that the polarisation state of SSM/T-2 antenna is horizontal (not vertical) in the limit of nadir viewing. The study also formulates several recommendations to improve use of the SSM/T-2 measurement data in future fundamental climate data records or reanalyses. Recommendations are (1) to correct geolocation errors, especially for DMSP 14; (2) to blacklist poor quality data identified in the paper; (3) to correct for inter-satellite biases, estimated here on the order of 1 K, by applying an inter-satellite recalibration or, for reanalysis, an automated (e.g., variational) bias correction; and (4) to improve precipitating cloud filtering or, for reanalysis, consider an all-sky assimilation scheme where radiative transfer simulations account for the scattering effect of hydrometeors.
Cost-Benefit Analysis of the Implementation of an Enhanced Recovery Program in Liver Surgery.
Joliat, Gaëtan-Romain; Labgaa, Ismaïl; Hübner, Martin; Blanc, Catherine; Griesser, Anne-Claude; Schäfer, Markus; Demartines, Nicolas
2016-10-01
Enhanced recovery after surgery (ERAS) programs have been shown to ease the postoperative recovery and improve clinical outcomes for various surgery types. ERAS cost-effectiveness was demonstrated for colorectal surgery but not for liver surgery. The present study aim was to analyze the implementation costs and benefits of a specific ERAS program in liver surgery. A dedicated ERAS protocol for liver surgery was implemented in our department in July 2013. The subsequent year all consecutive patients undergoing liver surgery were treated according to this protocol (ERAS group). They were compared in terms of real in-hospital costs with a patient series before ERAS implementation (pre-ERAS group). Mean costs per patient were compared with a bootstrap T test. A cost-minimization analysis was performed. Seventy-four ERAS patients were compared with 100 pre-ERAS patients. There were no significant pre- and intraoperative differences between the two groups, except for the laparoscopy number (n = 18 ERAS, n = 9 pre-ERAS, p = 0.010). Overall postoperative complications were observed in 36 (49 %) and 64 patients (64 %) in the ERAS and pre-ERAS groups, respectively (p = 0.046). The median length of stay was significantly shorter for the ERAS group (8 vs. 10 days, p = 0.006). The total mean costs per patient were €38,726 and €42,356 for ERAS and pre-ERAS (p = 0.467). The cost-minimization analysis showed a total mean cost reduction of €3080 per patient after ERAS implementation. ERAS implementation for liver surgery induced a non-significant decrease in cost compared to standard care. Significant decreased complication rate and hospital stay were observed in the ERAS group.
Babu, Ranjith; Thomas, Steven; Hazzard, Matthew A; Lokhnygina, Yuliya V; Friedman, Allan H; Gottfried, Oren N; Isaacs, Robert E; Boakye, Maxwell; Patil, Chirag G; Bagley, Carlos A; Haglund, Michael M; Lad, Shivanand P
2014-10-01
The Accreditation Council for Graduate Medical Education (ACGME) implemented resident duty-hour restrictions on July 1, 2003, in concern for patient and resident safety. Whereas studies have shown that duty-hour restrictions have increased resident quality of life, there have been mixed results with respect to patient outcomes. In this study, the authors have evaluated the effect of duty-hour restrictions on morbidity, mortality, length of stay (LOS), and charges in patients who underwent spine surgery. The Nationwide Inpatient Sample was used to evaluate the effect of duty-hour restrictions on complications, mortality, LOS, and charges by comparing the prereform (2000-2002) and postreform (2005-2008) periods. Outcomes were compared between nonteaching and teaching hospitals using a difference-in-differences (DID) method. Results A total of 693,058 patients were included in the study. The overall complication rate was 8.6%, with patients in the postreform era having a significantly higher rate than those in the pre-duty-hour restriction era (8.7% vs. 8.4%, p < 0.0001). Examination of hospital teaching status revealed complication rates to decrease in nonteaching hospitals (8.2% vs. 7.6%, p < 0.0001) while increasing in teaching institutions (8.6% vs. 9.6%, p < 0.0001) in the duty-hour reform era. The DID analysis to compare the magnitude in change between teaching and nonteaching institutions revealed that teaching institutions to had a significantly greater increase in complications during the postreform era (p = 0.0002). The overall mortality rate was 0.37%, with no significant difference between the pre- and post-duty-hour eras (0.39% vs. 0.36%, p = 0.12). However, the mortality rate significantly decreased in nonteaching hospitals in the postreform era (0.30% vs. 0.23%, p = 0.0008), while remaining the same in teaching institutions (0.46% vs. 0.46%, p = 0.75). The DID analysis to compare the changes in mortality between groups revealed that the difference between the effects approached significance (p = 0.069). The mean LOS for all patients was 4.2 days, with hospital stay decreasing in nonteaching hospitals (3.7 vs. 3.5 days, p < 0.0001) while significantly increasing in teaching institutions (4.7 vs. 4.8 days, p < 0.0001). The DID analysis did not demonstrate the magnitude of change for each group to differ significantly (p = 0.26). Total patient charges were seen to rise significantly in the post-duty-hour reform era, increasing from $40,000 in the prereform era to $69,000 in the postreform era. The DID analysis did not reveal a significant difference between the changes in charges between teaching and nonteaching hospitals (p = 0.55). The implementation of duty-hour restrictions was associated with an increased risk of postoperative complications for patients undergoing spine surgery. Therefore, contrary to its intended purpose, duty-hour reform may have resulted in worse patient outcomes. Additional studies are needed to evaluate strategies to mitigate these effects and assist in the development of future health care policy.
Hunt, James; Birch, Gavin; Warne, Michael St J
2010-05-01
Groundwater contaminated with volatile chlorinated hydrocarbons (VCHs) was identified as discharging to Penrhyn Estuary, an intertidal embayment of Botany Bay, New South Wales, Australia. A screening-level hazard assessment of surface water in Penrhyn Estuary identified an unacceptable hazard to marine organisms posed by VCHs. Given the limitations of hazard assessments, the present study conducted a higher-tier, quantitative probabilistic risk assessment using the joint probability curve (JPC) method that accounted for variability in exposure and toxicity profiles to quantify risk (delta). Risk was assessed for 24 scenarios, including four areas of the estuary based on three exposure scenarios (low tide, high tide, and both low and high tides) and two toxicity scenarios (chronic no-observed-effect concentrations [NOEC] and 50% effect concentrations [EC50]). Risk (delta) was greater at low tide than at high tide and varied throughout the tidal cycle. Spatial distributions of risk in the estuary were similar using both NOEC and EC50 data. The exposure scenario including data combined from both tides was considered the most accurate representation of the ecological risk in the estuary. When assessing risk using data across both tides, the greatest risk was identified in the Springvale tributary (delta=25%)-closest to the source area-followed by the inner estuary (delta=4%) and the Floodvale tributary (delta=2%), with the lowest risk in the outer estuary (delta=0.1%), farthest from the source area. Going from the screening level ecological risk assessment (ERA) to the probabilistic ERA changed the risk from unacceptable to acceptable in 50% of exposure scenarios in two of the four areas within the estuary. The probabilistic ERA provided a more realistic assessment of risk than the screening-level hazard assessment. Copyright (c) 2010 SETAC.
Automatic Classification of Time-variable X-Ray Sources
NASA Astrophysics Data System (ADS)
Lo, Kitty K.; Farrell, Sean; Murphy, Tara; Gaensler, B. M.
2014-05-01
To maximize the discovery potential of future synoptic surveys, especially in the field of transient science, it will be necessary to use automatic classification to identify some of the astronomical sources. The data mining technique of supervised classification is suitable for this problem. Here, we present a supervised learning method to automatically classify variable X-ray sources in the Second XMM-Newton Serendipitous Source Catalog (2XMMi-DR2). Random Forest is our classifier of choice since it is one of the most accurate learning algorithms available. Our training set consists of 873 variable sources and their features are derived from time series, spectra, and other multi-wavelength contextual information. The 10 fold cross validation accuracy of the training data is ~97% on a 7 class data set. We applied the trained classification model to 411 unknown variable 2XMM sources to produce a probabilistically classified catalog. Using the classification margin and the Random Forest derived outlier measure, we identified 12 anomalous sources, of which 2XMM J180658.7-500250 appears to be the most unusual source in the sample. Its X-ray spectra is suggestive of a ultraluminous X-ray source but its variability makes it highly unusual. Machine-learned classification and anomaly detection will facilitate scientific discoveries in the era of all-sky surveys.
McMeekin, Tom; Bowman, John; McQuestin, Olivia; Mellefont, Lyndal; Ross, Tom; Tamplin, Mark
2008-11-30
This paper considers the future of predictive microbiology by exploring the balance that exists between science, applications and expectations. Attention is drawn to the development of predictive microbiology as a sub-discipline of food microbiology and of technologies that are required for its applications, including a recently developed biological indicator. As we move into the era of systems biology, in which physiological and molecular information will be increasingly available for incorporation into models, predictive microbiologists will be faced with new experimental and data handling challenges. Overcoming these hurdles may be assisted by interacting with microbiologists and mathematicians developing models to describe the microbial role in ecosystems other than food. Coupled with a commitment to maintain strategic research, as well as to develop innovative technologies, the future of predictive microbiology looks set to fulfil "great expectations".
National Center for Nuclear Security - NCNS
None
2018-01-16
As the United States embarks on a new era of nuclear arms control, the tools for treaty verification must be accurate and reliable, and must work at stand-off distances. The National Center for Nuclear Security, or NCNS, at the Nevada National Security Site, is poised to become the proving ground for these technologies. The center is a unique test bed for non-proliferation and arms control treaty verification technologies. The NNSS is an ideal location for these kinds of activities because of its multiple environments; its cadre of experienced nuclear personnel, and the artifacts of atmospheric and underground nuclear weapons explosions. The NCNS will provide future treaty negotiators with solid data on verification and inspection regimes and a realistic environment in which future treaty verification specialists can be trained. Work on warhead monitoring at the NCNS will also support future arms reduction treaties.
NASA Technical Reports Server (NTRS)
Gasch, Matthew J.
2011-01-01
Early NASA missions (Gemini, Apollo, Mars Viking) employed new ablative TPS that were tailored for the entry environment. After 40 years, heritage ablative TPS materials using Viking or Pathfinder era materials are at or near their performance limits and will be inadequate for future exploration missions. Significant advances in TPS materials technology are needed in order to enable any subsequent human exploration missions beyond Low Earth Orbit. This poster summarizes some recent progress at NASA in developing families of advanced rigid/conformable and flexible ablators that could potentially be used for thermal protection in planetary entry missions. In particular the effort focuses technologies required to land heavy (approx.40 metric ton) masses on Mars to facilitate future exploration plans.
Functional MR Imaging Techniques in Oncology in the Era of Personalized Medicine.
Benz, Matthias R; Vargas, Hebert Alberto; Sala, Evis
2016-02-01
DW and DCE MR imaging contribute significantly to diagnosis, treatment planning, response assessment, and prognosis in personalized cancer medicine. Nevertheless, the need for further standardization of these techniques needs to be addressed. Whole-body DW MR imaging is an exciting field; however, future studies need to investigate in more depth the biologic significance of the findings depicted, their prognostic relevance, and cost-effectiveness in comparison with MDCT and PET/CT. New MR imaging probes, such as targeted or activatable contrast agents and dynamic nuclear hyperpolarization, show great promise to further improve the care of patients with cancer in the near future. Copyright © 2016 Elsevier Inc. All rights reserved.
Explosive propulsion applications. [to future unmanned missions
NASA Technical Reports Server (NTRS)
Nakamura, Y.; Varsi, G.; Back, L. H.
1974-01-01
The feasibility and application of an explosive propulsion concept capable of supporting future unmanned missions in the post-1980 era were examined and recommendations made for advanced technology development tasks. The Venus large lander mission was selected as the first in which the explosive propulsion concept can find application. A conceptual design was generated and its performance, weight, costs, and interaction effects determined. Comparisons were made with conventional propulsion alternatives. The feasibility of the explosive propulsion system was verified for planetology experiments within the dense atmosphere of Venus as well as the outer planets. Additionally, it was determined that the Venus large lander mission could be augmented ballistically with a significant delivery margin.
Bioprinting toward organ fabrication: challenges and future trends.
Ozbolat, Ibrahim T; Yu, Yin
2013-03-01
Tissue engineering has been a promising field of research, offering hope for bridging the gap between organ shortage and transplantation needs. However, building three-dimensional (3-D) vascularized organs remains the main technological barrier to be overcome. Organ printing, which is defined as computer-aided additive biofabrication of 3-D cellular tissue constructs, has shed light on advancing this field into a new era. Organ printing takes advantage of rapid prototyping (RP) technology to print cells, biomaterials, and cell-laden biomaterials individually or in tandem, layer by layer, directly creating 3-D tissue-like structures. Here, we overview RP-based bioprinting approaches and discuss the current challenges and trends toward fabricating living organs for transplant in the near future.
Populism and Feminism: Odd Bedfellows.
Kroes, Rob
2018-01-01
In this era of populist insurgency breaking the mold of democratic politics, two movements clashed.They represented opposite sides of the political spectrum, one emancipatory, the other exclusionary. One may be identified as feminism, the other as populism. This essay analyzes both concepts and explores their connection.
Teaching Strategies for Specialized Ensembles.
ERIC Educational Resources Information Center
Teaching Music, 1999
1999-01-01
Provides a strategy, from the book "Strategies for Teaching Specialized Ensembles," that addresses Standard 9A of the National Standards for Music Education. Explains that students will identify and describe the musical and historical characteristics of the classical era in music they perform and in audio examples. (CMK)
Learning Leadership Skills in Elementary School
ERIC Educational Resources Information Center
Bowman, Richard F.
2014-01-01
Leadership is everyone's responsibility-even first graders. The most important contribution that any educator can make in an era of unrelenting change is identifying and developing aspiring leaders. Elementary school teachers can embed leadership development opportunities into the classroom to foster leadership dispositions and skills…
Adapting bioinformatics curricula for big data.
Greene, Anna C; Giffin, Kristine A; Greene, Casey S; Moore, Jason H
2016-01-01
Modern technologies are capable of generating enormous amounts of data that measure complex biological systems. Computational biologists and bioinformatics scientists are increasingly being asked to use these data to reveal key systems-level properties. We review the extent to which curricula are changing in the era of big data. We identify key competencies that scientists dealing with big data are expected to possess across fields, and we use this information to propose courses to meet these growing needs. While bioinformatics programs have traditionally trained students in data-intensive science, we identify areas of particular biological, computational and statistical emphasis important for this era that can be incorporated into existing curricula. For each area, we propose a course structured around these topics, which can be adapted in whole or in parts into existing curricula. In summary, specific challenges associated with big data provide an important opportunity to update existing curricula, but we do not foresee a wholesale redesign of bioinformatics training programs. © The Author 2015. Published by Oxford University Press.
Adapting bioinformatics curricula for big data
Greene, Anna C.; Giffin, Kristine A.; Greene, Casey S.
2016-01-01
Modern technologies are capable of generating enormous amounts of data that measure complex biological systems. Computational biologists and bioinformatics scientists are increasingly being asked to use these data to reveal key systems-level properties. We review the extent to which curricula are changing in the era of big data. We identify key competencies that scientists dealing with big data are expected to possess across fields, and we use this information to propose courses to meet these growing needs. While bioinformatics programs have traditionally trained students in data-intensive science, we identify areas of particular biological, computational and statistical emphasis important for this era that can be incorporated into existing curricula. For each area, we propose a course structured around these topics, which can be adapted in whole or in parts into existing curricula. In summary, specific challenges associated with big data provide an important opportunity to update existing curricula, but we do not foresee a wholesale redesign of bioinformatics training programs. PMID:25829469
Early respiratory acidosis is a new risk factor for pneumonia after lung resection.
Planquette, Benjamin; Le Pimpec-Barthes, Françoise; Trinquart, Ludovic; Meyer, Guy; Riquet, Marc; Sanchez, Olivier
2012-03-01
Postoperative pneumonia (POP) is a life-threatening complication of lung resection (LR). Its risk factors, bacteriological profile and outcome are not well known. The aims of this study were to describe the outcome and causal bacteria and to identify risk factors for POP. We reviewed all cases admitted to intensive care after LR. Clinical parameters, operative and postoperative data were recorded. POP was suspected on the basis of fever, radiographic infiltrate, and either leucocytosis or purulent sputum. The diagnosis was confirmed by culture of a respiratory sample. Risk factors for POP were identified by univariate and multivariate analysis. We included 159 patients in this study. POP was diagnosed in 23 patients (14.4%) and was associated with a higher hospital mortality rate (30% versus 5%, P = 0.0007) and a longer hospital stay. Members of the Enterobacteriaceae and Pseudomonas species were the most frequently identified pathogens. Early respiratory acidosis (ERA; OR, 2.94; 95% CI, 1.1-8.1), blood transfusion (OR, 3.8; 95% CI, 1.1-13.1), bilobectomy (OR, 7.26; 95% CI, 1.2-43.1) and smoking history (OR, 1.84; 95% CI, 1.1-3) were identified as independent risk factors. ERA may be a risk factor for POP and could serve as a target for therapeutic interventions.
NASA Astrophysics Data System (ADS)
Wang, Yan; Mohanty, Soumya D.
2017-04-01
The advent of next generation radio telescope facilities, such as the Square Kilometer Array (SKA), will usher in an era where a pulsar timing array (PTA) based search for gravitational waves (GWs) will be able to use hundreds of well timed millisecond pulsars rather than the few dozens in existing PTAs. A realistic assessment of the performance of such an extremely large PTA must take into account the data analysis challenge posed by an exponential increase in the parameter space volume due to the large number of so-called pulsar phase parameters. We address this problem and present such an assessment for isolated supermassive black hole binary (SMBHB) searches using a SKA era PTA containing 1 03 pulsars. We find that an all-sky search will be able to confidently detect nonevolving sources with a redshifted chirp mass of 1 010 M⊙ out to a redshift of about 28 (corresponding to a rest-frame chirp mass of 3.4 ×1 08 M⊙). We discuss the important implications that the large distance reach of a SKA era PTA has on GW observations from optically identified SMBHB candidates. If no SMBHB detections occur, a highly unlikely scenario in the light of our results, the sky-averaged upper limit on strain amplitude will be improved by about 3 orders of magnitude over existing limits.
Wang, Yan; Mohanty, Soumya D
2017-04-14
The advent of next generation radio telescope facilities, such as the Square Kilometer Array (SKA), will usher in an era where a pulsar timing array (PTA) based search for gravitational waves (GWs) will be able to use hundreds of well timed millisecond pulsars rather than the few dozens in existing PTAs. A realistic assessment of the performance of such an extremely large PTA must take into account the data analysis challenge posed by an exponential increase in the parameter space volume due to the large number of so-called pulsar phase parameters. We address this problem and present such an assessment for isolated supermassive black hole binary (SMBHB) searches using a SKA era PTA containing 10^{3} pulsars. We find that an all-sky search will be able to confidently detect nonevolving sources with a redshifted chirp mass of 10^{10} M_{⊙} out to a redshift of about 28 (corresponding to a rest-frame chirp mass of 3.4×10^{8} M_{⊙}). We discuss the important implications that the large distance reach of a SKA era PTA has on GW observations from optically identified SMBHB candidates. If no SMBHB detections occur, a highly unlikely scenario in the light of our results, the sky-averaged upper limit on strain amplitude will be improved by about 3 orders of magnitude over existing limits.
Arpaia, Salvatore; Birch, A Nicholas E; Kiss, Jozsef; van Loon, Joop J A; Messéan, Antoine; Nuti, Marco; Perry, Joe N; Sweet, Jeremy B; Tebbe, Christoph C
2017-04-01
In legal frameworks worldwide, genetically modified plants (GMPs) are subjected to pre-market environmental risk assessment (ERA) with the aim of identifying potential effects on the environment. In the European Union, the EFSA Guidance Document introduces the rationale that GMPs, as well as their newly produced metabolites, represent the potential stressor to be evaluated during ERA. As a consequence, during several phases of ERA for cultivation purposes, it is considered necessary to use whole plants or plant parts in experimental protocols. The importance of in planta studies as a strategy to address impacts of GMPs on non-target organisms is demonstrated, to evaluate both effects due to the intended modification in plant phenotype (e.g. expression of Cry proteins) and effects due to unintended modifications in plant phenotype resulting from the transformation process (e.g. due to somaclonal variations or pleiotropic effects). In planta tests are also necessary for GMPs in which newly expressed metabolites cannot easily be studied in vitro. This paper reviews the scientific literature supporting the choice of in planta studies as a fundamental tool in ERA of GMPs in cultivation dossiers; the evidence indicates they can realistically mimic the ecological relationships occurring in their receiving environments and provide important insights into the biology and sustainable management of GMPs. Copyright © 2017 Elsevier B.V. All rights reserved.
Adaptive Significance of ERα Splice Variants in Killifish ...
The possibility that chronic, multigenerational exposure to environmental estrogens selects for adaptive hormone response phenotypes is a critical unanswered question. Embryos/larvae of killifish from an estrogenic polluted environment (New Bedford Harbor, NBH), as compared to those from a reference site, overexpress estrogen receptor a (ERa) mRNA but are hypo-responsive to estradiol (E2). Analysis of ERa mRNAs in the two populations revealed differences in splicing of the gene encoding ERa (esr1). Here we tested the transactivation functions of four differentially expressed ERa mRNAs and tracked their association with the hypo-responsive phenotype for three generations after transfer of NBH parents to a clean environment. Deletion variants ERaΔ6 and ERaΔ6 – 8 were specific to NBH killifish; had dominant negative functions in an in vitro reporter assay; and were heritable. Morpholino-mediated induction of ERaΔ6 mRNA in zebrafish embryos verified its role as a dominant negative ER on natural estrogen-responsive promoters. Alternate long (ERaL) and short (ERaS) 5'-variants were similar transcriptionally but differed in estrogen responsiveness (ERaS >> ERaL). ERaS accounted for high total ERa expression in F1 NBH embryos/ larvae but this trait was abolished by transfer to clean water. By contrast, the hypo-responsive phenotype of F1 NBH embryos/larvae persisted after long term lab holding but reverted to a normal or hyper-responsive phenotype after two or thre
CNS drug development: part III: future directions.
Preskorn, Sheldon H
2011-01-01
This column, the third in a series on central nervous system (CNS) drug development, discusses advances during the first decade of the 21st century and directions the field may take in the next 10 years. By identifying many possible new drug targets, the human genome project has created the potential to develop novel central nervous system (CNS) drugs with new mechanisms of action. At the same time, this proliferation of possible new targets has complicated the drug development process, since research has not yet provided guidance as to which targets may be most fruitful. This and other factors (eg, increasing regulatory requirements) have increased the cost and complexity of the drug development process. In addition, as more is learned about the biology of psychiatric illnesses, syndromes may be subdivided into more specific entities that are better understood from a pathophysiological and pathoetiological perspective. This is likely to lead to development of more targeted treatments focused on underlying causes of illness as well as prevention. The development of drugs for Alzheimer's disease is discussed as a possible model for future CNS drug development. We are at the beginning of an era when it is likely that the way in which CNS drugs are developed will need to be rethought, which will call for flexibility and creativity on the part of both drug developers and clinical researchers.
Pharmacology and Clinical Drug Candidates in Redox Medicine
Casas, Ana I.; Maghzal, Ghassan J.; Seredenina, Tamara; Kaludercic, Nina; Robledinos-Anton, Natalia; Di Lisa, Fabio; Stocker, Roland; Ghezzi, Pietro; Jaquet, Vincent; Cuadrado, Antonio
2015-01-01
Abstract Significance: Oxidative stress is suggested to be a disease mechanism common to a wide range of disorders affecting human health. However, so far, the pharmacotherapeutic exploitation of this, for example, based on chemical scavenging of pro-oxidant molecules, has been unsuccessful. Recent Advances: An alternative emerging approach is to target the enzymatic sources of disease-relevant oxidative stress. Several such enzymes and isoforms have been identified and linked to different pathologies. For some targets, the respective pharmacology is quite advanced, that is, up to late-stage clinical development or even on the market; for others, drugs are already in clinical use, although not for indications based on oxidative stress, and repurposing seems to be a viable option. Critical Issues: For all other targets, reliable preclinical validation and drug ability are key factors for any translation into the clinic. In this study, specific pharmacological agents with optimal pharmacokinetic profiles are still lacking. Moreover, these enzymes also serve largely unknown physiological functions and their inhibition may lead to unwanted side effects. Future Directions: The current promising data based on new targets, drugs, and drug repurposing are mainly a result of academic efforts. With the availability of optimized compounds and coordinated efforts from academia and industry scientists, unambiguous validation and translation into proof-of-principle studies seem achievable in the very near future, possibly leading towards a new era of redox medicine. Antioxid. Redox Signal. 23, 1113–1129. PMID:26415051
Evaluation of regional climate simulations for air quality modelling purposes
NASA Astrophysics Data System (ADS)
Menut, Laurent; Tripathi, Om P.; Colette, Augustin; Vautard, Robert; Flaounas, Emmanouil; Bessagnet, Bertrand
2013-05-01
In order to evaluate the future potential benefits of emission regulation on regional air quality, while taking into account the effects of climate change, off-line air quality projection simulations are driven using weather forcing taken from regional climate models. These regional models are themselves driven by simulations carried out using global climate models (GCM) and economical scenarios. Uncertainties and biases in climate models introduce an additional "climate modeling" source of uncertainty that is to be added to all other types of uncertainties in air quality modeling for policy evaluation. In this article we evaluate the changes in air quality-related weather variables induced by replacing reanalyses-forced by GCM-forced regional climate simulations. As an example we use GCM simulations carried out in the framework of the ERA-interim programme and of the CMIP5 project using the Institut Pierre-Simon Laplace climate model (IPSLcm), driving regional simulations performed in the framework of the EURO-CORDEX programme. In summer, we found compensating deficiencies acting on photochemistry: an overestimation by GCM-driven weather due to a positive bias in short-wave radiation, a negative bias in wind speed, too many stagnant episodes, and a negative temperature bias. In winter, air quality is mostly driven by dispersion, and we could not identify significant differences in either wind or planetary boundary layer height statistics between GCM-driven and reanalyses-driven regional simulations. However, precipitation appears largely overestimated in GCM-driven simulations, which could significantly affect the simulation of aerosol concentrations. The identification of these biases will help interpreting results of future air quality simulations using these data. Despite these, we conclude that the identified differences should not lead to major difficulties in using GCM-driven regional climate simulations for air quality projections.
Nalbantoglu, Sinem; Abu-Asab, Mones; Tan, Ming; Zhang, Xuemin; Cai, Ling; Amri, Hakima
2016-07-01
Pancreatic ductal adenocarcinoma (PDAC) is one of the rapidly growing forms of pancreatic cancer with a poor prognosis and less than 5% 5-year survival rate. In this study, we characterized the genetic signatures and signaling pathways related to survival from PDAC, using a parsimony phylogenetic algorithm. We applied the parsimony phylogenetic algorithm to analyze the publicly available whole-genome in silico array analysis of a gene expression data set in 25 early-stage human PDAC specimens. We explain here that the parsimony phylogenetics is an evolutionary analytical method that offers important promise to uncover clonal (driver) and nonclonal (passenger) aberrations in complex diseases. In our analysis, parsimony and statistical analyses did not identify significant correlations between survival times and gene expression values. Thus, the survival rankings did not appear to be significantly different between patients for any specific gene (p > 0.05). Also, we did not find correlation between gene expression data and tumor stage in the present data set. While the present analysis was unable to identify in this relatively small sample of patients a molecular signature associated with pancreatic cancer prognosis, we suggest that future research and analyses with the parsimony phylogenetic algorithm in larger patient samples are worthwhile, given the devastating nature of pancreatic cancer and its early diagnosis, and the need for novel data analytic approaches. The future research practices might want to place greater emphasis on phylogenetics as one of the analytical paradigms, as our findings presented here are on the cusp of this shift, especially in the current era of Big Data and innovation policies advocating for greater data sharing and reanalysis.
Soffin, Ellen M; Gibbons, Melinda M; Ko, Clifford Y; Kates, Stephen L; Wick, Elizabeth; Cannesson, Maxime; Scott, Michael J; Wu, Christopher L
2018-06-08
Enhanced recovery after surgery (ERAS) has rapidly gained popularity in a variety of surgical subspecialities. A large body of literature suggests that ERAS leads to superior outcomes, improved patient satisfaction, reduced length of hospital stay, and cost benefits, without affecting rates of readmission after surgery. These patterns have been described for patients undergoing elective total knee arthroplasty (TKA); however, adoption of ERAS to orthopedic surgery has lagged behind other surgical disciplines. The Agency for Healthcare Research and Quality, in partnership with the American College of Surgeons and the Johns Hopkins Medicine Armstrong Institute (AI) for Patient Safety and Quality, has developed the Safety Program for Improving Surgical Care and Recovery. The program comprises a national effort to incorporate best practice in perioperative care and improve patient safety, for over 750 hospitals and multiple procedures over the next 5 years, including orthopedic surgery. We have conducted a full evidence review of anesthetic interventions to derive anesthesiology-related components of an evidence-based ERAS pathway for TKA. A PubMed search was performed for each protocol component, focusing on the highest levels of evidence in the literature. Search findings are summarized in narrative format. Anesthesiology components of care were identified and evaluated across the pre-, intra-, and postoperative phases. A summary of the best available evidence, together with recommendations for inclusion in ERAS protocols for TKA, is provided. There is extensive evidence in the literature, and from society guidelines to support the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery goals for TKA.
Lee, Jason J.; Bykerk, Vivian P.; Dresser, George K.; Boire, Gilles; Haraoui, Boulos; Hitchon, Carol; Thorne, Carter; Tin, Diane; Jamal, Shahin; Keystone, Edward C.; Pope, Janet E.
2016-01-01
OBJECTIVES The mechanism of action of methotrexate in rheumatoid arthritis (RA) is complex. It may increase adenosine levels by blocking its conversion to uric acid (UA). This study was done to determine if methotrexate lowers UA in early RA (ERA). METHODS Data were obtained from Canadian Early Arthritis Cohort, an incident ERA cohort. All ERA patients with serial UA measurements were included, comparing those with methotrexate use vs. no methotrexate exposure (controls). Analyses were exploratory. Patients with concomitant gout or taking UA-lowering therapies were excluded. RESULTS In total, 49 of the 2,524 ERA patients were identified with data available for both pre-methotrexate UA levels and post-methotrexate UA levels (300 µmol/L and 273 µmol/L, respectively; P = 0.035). The control group not taking methotrexate had a mean baseline UA level of 280 µmol/L and a follow-up level of 282 µmol/L (P = 0.448); mean change in UA with methotrexate was −26.8 µmol/L vs. 2.3 µmol/L in the no methotrexate group (P = 0.042). Methotrexate users with a decrease in UA had a disease activity score of 2.37 for 28 joints when compared with the controls (3.26) at 18 months (P = 0.042). Methotrexate users with decreased UA had a lower swollen joint count (SJC) of 0.9 at 18 months, whereas methotrexate users without lowering of UA had an SJC of 4.5 (P = 0.035). Other analyses were not significant. CONCLUSIONS Methotrexate response is associated with lowering of serum UA in ERA compared to nonusers. This may be due to changes in adenosine levels. Methotrexate response is associated with lower UA and fewer swollen joints compared to nonresponders. PMID:27081318
Storm-Tracks in ERA-40 and ERA-Interim Reanalyses
NASA Astrophysics Data System (ADS)
Liberato, M. L. R.; Trigo, I. F.; Trigo, R. M.
2009-04-01
Extratropical cyclones, their dominant paths, frequency and intensity have long been the object of climatological studies. The analysis of cyclone characteristics for the Euro-Atlantic sector (85°W-70°E; 20°N-75°N) presented here is based on the cyclone detecting and tracking algorithm first developed for the Mediterranean region (Trigo et al., 1999, 2002) and recently extended to a larger Euro-Atlantic region (Trigo, 2006). The objective methodology, which identifies and follows individual lows (Trigo et al. 1999), is applied to 6-hourly geopotential data at 1000-hPa from two reanalyses datasets provided by the European Centre for Medium-Range Weather Forecasts (ECMWF): ERA-40 and ERA-Interim reanalyses. Two storm-track databases are built over the Northern Atlantic European area, spanning the common available extended winter seasons from October 1989 to March 2002. Although relatively short, this common period allows a comparison of systems represented in reanalyses datasets with distinct horizontal resolutions (T106 and T255, respectively). This exercise is mostly focused on the key areas of cyclone formation and dissipation and main cyclone characteristics for the Euro-Atlantic sector. Trigo, I. F., T. D. Davies, and G. R. Bigg, 1999: Objective climatology of cyclones in the Mediterranean region. J. Climate, 12, 1685-1696. Trigo I. F., G. R. Bigg and T. D. Davies, 2002: Climatology of Cyclogenesis Mechanisms in the Mediterranean. Mon. Weather Rev. 130, 549-569. Trigo, I. F. 2006: Climatology and Interannual Variability of Storm-Tracks in the Euro-Atlantic sector: a comparison between ERA-40 and NCEP/NCAR Reanalyses. Clim. Dyn. DOI 10.1007/s00382-005-0065-9.
Zimmitti, Giuseppe; Roses, Robert E; Andreou, Andreas; Shindoh, Junichi; Curley, Steven A; Aloia, Thomas A; Vauthey, Jean-Nicolas
2013-01-01
Advances in technique, technology, and perioperative care have allowed for the more frequent performance of complex and extended hepatic resections. The purpose of this study was to determine if this increasing complexity has been accompanied by a rise in liver-related complications. A large prospective single-institution database of patients who underwent hepatic resection was used to identify the incidence of liver-related complications. Liver resections were divided into an early era and a late era with equal number of patients (surgery performed before or after 18 May 2006). Patient characteristics and perioperative factors were compared between the two groups. Between 1997 and 2011, 2,628 hepatic resections were performed, with a 90-day morbidity and mortality rate of 37 and 2 %, respectively. We identified higher rates of repeat hepatectomy (12.2 vs 6.1 %; p < 0.001), two-stage resection (4.0 vs 1 %; p < 0.001), extended right hepatectomy (17.6 vs 14.6 %; p = 0.04), and preoperative portal vein embolization (9.1 vs 5.9 %; p < 0.001) in the late era. The incidence of perihepatic abscess (3.7 vs 2.1 %; p = 0.02) and hemorrhage (0.9 vs 0.3 %; p = 0.045) decreased in the late era and the incidence of hepatic insufficiency (3.1 vs 2.6 %; p = 0.41) remained stable. In contrast, the rate of bile leak increased (5.9 vs 3.7 %; p = 0.011). Independent predictors of bile leak included bile duct resection, extended hepatectomy, repeat hepatectomy, en bloc diaphragmatic resection, and intraoperative transfusion. The complexity of liver surgery has increased over time, with a concomitant increase in bile leak rate. Given the strong association between bile leak and other poor outcomes, the development of novel technical strategies to reduce bile leaks is indicated.
Geospatial characteristics of measles transmission in China during 2005−2014
Wen, Liang; Li, Shen-Long; Chen, Kai; Zhang, Wen-Yi
2017-01-01
Measles is a highly contagious and severe disease. Despite mass vaccination, it remains a leading cause of death in children in developing regions, killing 114,900 globally in 2014. In 2006, China committed to eliminating measles by 2012; to this end, the country enhanced its mandatory vaccination programs and achieved vaccination rates reported above 95% by 2008. However, in spite of these efforts, during the last 3 years (2013–2015) China documented 27,695, 52,656, and 42,874 confirmed measles cases. How measles manages to spread in China—the world’s largest population—in the mass vaccination era remains poorly understood. To address this conundrum and provide insights for future public health efforts, we analyze the geospatial pattern of measles transmission across China during 2005–2014. We map measles incidence and incidence rates for each of the 344 cities in mainland China, identify the key socioeconomic and demographic features associated with high disease burden, and identify transmission clusters based on the synchrony of outbreak cycles. Using hierarchical cluster analysis, we identify 21 epidemic clusters, of which 12 were cross-regional. The cross-regional clusters included more underdeveloped cities with large numbers of emigrants than would be expected by chance (p = 0.011; bootstrap sampling), indicating that cities in these clusters were likely linked by internal worker migration in response to uneven economic development. In contrast, cities in regional clusters were more likely to have high rates of minorities and high natural growth rates than would be expected by chance (p = 0.074; bootstrap sampling). Our findings suggest that multiple highly connected foci of measles transmission coexist in China and that migrant workers likely facilitate the transmission of measles across regions. This complex connection renders eradication of measles challenging in China despite its high overall vaccination coverage. Future immunization programs should therefore target these transmission foci simultaneously. PMID:28376097
Geospatial characteristics of measles transmission in China during 2005-2014.
Yang, Wan; Wen, Liang; Li, Shen-Long; Chen, Kai; Zhang, Wen-Yi; Shaman, Jeffrey
2017-04-01
Measles is a highly contagious and severe disease. Despite mass vaccination, it remains a leading cause of death in children in developing regions, killing 114,900 globally in 2014. In 2006, China committed to eliminating measles by 2012; to this end, the country enhanced its mandatory vaccination programs and achieved vaccination rates reported above 95% by 2008. However, in spite of these efforts, during the last 3 years (2013-2015) China documented 27,695, 52,656, and 42,874 confirmed measles cases. How measles manages to spread in China-the world's largest population-in the mass vaccination era remains poorly understood. To address this conundrum and provide insights for future public health efforts, we analyze the geospatial pattern of measles transmission across China during 2005-2014. We map measles incidence and incidence rates for each of the 344 cities in mainland China, identify the key socioeconomic and demographic features associated with high disease burden, and identify transmission clusters based on the synchrony of outbreak cycles. Using hierarchical cluster analysis, we identify 21 epidemic clusters, of which 12 were cross-regional. The cross-regional clusters included more underdeveloped cities with large numbers of emigrants than would be expected by chance (p = 0.011; bootstrap sampling), indicating that cities in these clusters were likely linked by internal worker migration in response to uneven economic development. In contrast, cities in regional clusters were more likely to have high rates of minorities and high natural growth rates than would be expected by chance (p = 0.074; bootstrap sampling). Our findings suggest that multiple highly connected foci of measles transmission coexist in China and that migrant workers likely facilitate the transmission of measles across regions. This complex connection renders eradication of measles challenging in China despite its high overall vaccination coverage. Future immunization programs should therefore target these transmission foci simultaneously.
Regulatory challenges in the review of data from global clinical trials: the PMDA perspective.
Asano, K; Tanaka, A; Sato, T; Uyama, Y
2013-08-01
Regulatory agencies face challenges in reviewing data from global clinical trials (GCTs) in the era of globalization of drug development. One major challenge is consideration of ethnic factors in evaluating GCT data so as to extrapolate foreign population data to one's own national population. Here, we present the Pharmaceuticals and Medical Devices Agency (PMDA) perspective in reviewing GCT data in new drug applications (NDAs) and discuss future challenges for new drug approval.
Galactic Surveys in the Gaia Era
NASA Astrophysics Data System (ADS)
Wyse, Rosemary F. G.
2018-04-01
The final astrometric data from the Gaia mission will transform our view of the stellar content of the Galaxy, particularly when complemented with spectroscopic surveys providing stellar parameters, line-of-sight kinematics and elemental abundances. Analyses with Gaia DR1 are already demonstrating the insight gained and the promise of what is to come with future Gaia releases. I present a brief overview of results and puzzles from recent Galactic Archaeology surveys for context, focusing on the Galactic discs.
The DoD Manufacturing Technology Program Strategic Plan: Delivering Defense Affordability
2009-03-01
58%) engineering time savings required for critical spares for the M2 Machine Gun , widely used by U.S. and NATO forces. 12 Report to Congress on...Machine Gun used by U.S. and NATO ground and sea forces. This 1930s-era legacy weapon system continues to experience critical spare parts shortages due...Missiles and the Mid-Range-Munition. Durable Gun Barrel Materials–Composite Overwrap Process. Future Combat Systems (FCS) could not meet weight and
2017-02-23
This is a close-up of an exact replica of the Apollo-era Lunar Roving Vehicle Wheel, of which twelve originals still rest on the surface of the Moon. The tire was designed to flex under load, without air, and was formed from a mesh of plated piano wire. Metal straps were hand riveted onto the mesh to reduce sinking into loose lunar soils. These replica wheels were tested in NASA Glenn's SLOPE Lab to establish a baseline for future improvements.
Active Control of Cryogenic Propellants in Space
NASA Technical Reports Server (NTRS)
Notardonato, William
2011-01-01
A new era of space exploration is being planned. Exploration architectures under consideration require the long term storage of cryogenic propellants in space. This requires development of active control systems to mitigate the effect of heat leak. This work summarizes current state of the art, proposes operational design strategies and presents options for future architectures. Scaling and integration of active systems will be estimated. Ideal long range spacecraft systems will be proposed with Exploration architecture benefits considered.
Miller, Virginia M; Kararigas, Georgios; Seeland, Ute; Regitz-Zagrosek, Vera; Kublickiene, Karolina; Einstein, Gillian; Casanova, Robert; Legato, Marianne J
2016-01-01
In the era of individualized medicine, training future scientists and health-care providers in the principles of sex- and gender-based differences in health and disease is critical in order to optimize patient care. International successes to incorporate these concepts into medical curricula can provide a template for others to follow. Methodologies and resources are provided that can be adopted and adapted to specific needs of other institutions and learning situations.
ERIC Educational Resources Information Center
Jenkins, Lynn
2017-01-01
The Boston Foundation--one of the nation's oldest community foundations--had always been committed to equity and even played an important role during Boston's fractious school desegregation era. But the board knew it could do more and needed to do more; the future well-being of individuals, families, communities and the city as a whole demanded…
Cost modeling to justify technology acquisitions.
Vanden Brink, J; Gray, S
1997-06-01
In an era of diminishing resources, healthcare providers must justify new technology acquisitions. Cost modeling is one method of evaluating the financial impact a technology acquisition will have on a healthcare facility or integrated delivery system. This methodology requires careful data collection and a thorough analysis of both current costs and future cost savings resulting from the new technology. By using a cost modeling methodology, providers will be able to achieve competitive and economic advantages by analyzing both cost and value.
A Vital Legacy: Biological and Environmental Research in the Atomic Age
DOE R&D Accomplishments Database
1997-09-01
This booklet presents a summary of the five decades of biological and environmental research in the atomic age. It commemorates the contributions to science and society during these decades and concludes with a view to the years ahead. The Contents includes Safety First: in the Shadow of a New Technology; A Healthy Citizenry: Gifts of the New Era; and Environmental Concerns: From Meteorology to Ecology. The conclusion is titled An Enduring Mandate: Looking to the Future.
Support of an Active Science Project by a Large Information System: Lessons for the EOS Era
NASA Technical Reports Server (NTRS)
Angelici, Gary L.; Skiles, J. W.; Popovici, Lidia Z.
1993-01-01
The ability of large information systems to support the changing data requirements of active science projects is being tested in a NASA collaborative study. This paper briefly profiles both the active science project and the large information system involved in this effort and offers some observations about the effectiveness of the project support. This is followed by lessons that are important for those participating in large information systems that need to support active science projects or that make available the valuable data produced by these projects. We learned in this work that it is difficult for a large information system focused on long term data management to satisfy the requirements of an on-going science project. For example, in order to provide the best service, it is important for all information system staff to keep focused on the needs and constraints of the scientists in the development of appropriate services. If the lessons learned in this and other science support experiences are not applied by those involved with large information systems of the EOS (Earth Observing System) era, then the final data products produced by future science projects may not be robust or of high quality, thereby making the conduct of the project science less efficacious and reducing the value of these unique suites of data for future research.
Theory and application for the promotion of wheat production in China: past, present and future.
Xu, Zhenzhu; Yu, Zhenwen; Zhao, Junye
2013-08-15
Food security is becoming a crucial concern worldwide. In this study, we focus on wheat - a staple crop in China - as a model to review its history, status quo and future scenarios, with regard to key production technologies and management practices for wheat production and associated food security issues since the new era in China: the post-1949 era. First, the dominant technologies and management practices over the past 60 years are reviewed. Secondly, we outline several key innovative technologies and their theoretical bases over the last decade, including (i) prohibiting excessively early senescence at a later growth stage to maintain viable leaves with higher photosynthetic capacity, (ii) postponing top dressing nitrogen application to balance carbon and nitrogen nutrition, and (iii) achieving both high yield and better grain quality mainly by increasing soil productivity and balancing the ratio of nutrient elements. Finally, concerns such as water shortages and excessive application of chemical fertilizers are presented. Nevertheless, under high negative conditions, including global warming, rapid population growth, decreasing amounts of arable land, increasing competition with cash crops and severe environmental pollution, we conclude that domestic food production will be able to meet Chinese demand in the mid to long term, because increasingly innovative technologies and improved management practices have been and may continue to be applied appropriately. © 2013 Society of Chemical Industry.
A generalized multivariate regression model for modelling ocean wave heights
NASA Astrophysics Data System (ADS)
Wang, X. L.; Feng, Y.; Swail, V. R.
2012-04-01
In this study, a generalized multivariate linear regression model is developed to represent the relationship between 6-hourly ocean significant wave heights (Hs) and the corresponding 6-hourly mean sea level pressure (MSLP) fields. The model is calibrated using the ERA-Interim reanalysis of Hs and MSLP fields for 1981-2000, and is validated using the ERA-Interim reanalysis for 2001-2010 and ERA40 reanalysis of Hs and MSLP for 1958-2001. The performance of the fitted model is evaluated in terms of Pierce skill score, frequency bias index, and correlation skill score. Being not normally distributed, wave heights are subjected to a data adaptive Box-Cox transformation before being used in the model fitting. Also, since 6-hourly data are being modelled, lag-1 autocorrelation must be and is accounted for. The models with and without Box-Cox transformation, and with and without accounting for autocorrelation, are inter-compared in terms of their prediction skills. The fitted MSLP-Hs relationship is then used to reconstruct historical wave height climate from the 6-hourly MSLP fields taken from the Twentieth Century Reanalysis (20CR, Compo et al. 2011), and to project possible future wave height climates using CMIP5 model simulations of MSLP fields. The reconstructed and projected wave heights, both seasonal means and maxima, are subject to a trend analysis that allows for non-linear (polynomial) trends.
Insights Into the Aqueous History of Mars from Acid-Sulfate Weathered Phyllosilicates
NASA Technical Reports Server (NTRS)
Craig, P. I.; Ming, D. W.; Rampe, E. B.; Morris, R. V.
2016-01-01
Phyllosilicates on Mars are thought to have formed during Mars' earliest Noachian geologic era (approx. 4.1-3.7 Ga). Sulfate formation, on the other hand, requires more acidic conditions which are thought to have occurred later during Mars' Hesperian era (approx. 3.7-3.0 Ga). Therefore, regions on Mars where phyllosilicates and sulfates are found in close proximity to each other provide evidence for the aqueous conditions during this global transition. Both phyllosilicates and sulfates form in the presence of water and thus give clues to the aqueous history of Mars and its potential for habitability. Phyllosilicates that formed during the Noachian era would have been weathered by the prevailing acidic conditions that define the Hesperian. Therefore, the purpose of this study is to characterize the alteration products of acid-sulfate weathered phyllosilicates in laboratory experiments, focusing on the Fe/Mg-smectites commonly identified on Mars. We also compare our results to observations of phyllosilicates and sulfates on Mars in regions such as Endeavour Crater and Mawrth Vallis to understand the formation process of sulfates and constrain the aqueous history of these regions.
NASA Astrophysics Data System (ADS)
De Pascale, Francesco; Dattilo, Valeria
2016-04-01
This paper presents the first formulation of a theoretical proposal which aims to reconcile, or better, to work together, two different approaches: geoethics and the semiotic tradition of Peirce, on the basis of some important affinities. We will refer to geoethics, discipline that deals with the ethical, social and cultural implications of geological and geographical practice, at the intersection of Geoscience, Geography, Philosophy, Sociology and Economy. The proposal of this work is to try to explain the new processes of the Anthropocene era through geoethics and semiotics, using as a "translator mechanism" one of the key notions of Peirce semiotics: the semiotic triangle. On the one hand, we employ the geoethical paradigm as a possible interpretative framework for such processes (in other words, we identify in the geoethical paradigm a significant exemplification of hippocratic type, according to some scientists); on the other hand, we use the triangle "geology / geography - planet illness - society", as a metaphor of the principles and the processes inherent Anthropocene era, able to return them in a particularly random way through the semiotic triangulation of Peirce.
Gierisch, Jennifer M; Straits-Tröster, Kristy; Calhoun, Patrick S; Beckham, Jean C; Acheson, Shawn; Hamlett-Berry, Kim
2012-01-01
Military service and combat exposure are risk factors for smoking. Although evidence suggests that veterans are interested in tobacco use cessation, little is known about their reasons for quitting, treatment preferences, and perceived barriers to effective tobacco use cessation treatment. Our study objective was to elicit perspectives of Iraq- and Afghanistan-era veterans who had not yet quit smoking postdeployment to inform the development of smoking cessation services for this veteran cohort. We conducted 3 focus groups among 20 participants in October 2006 at the Durham Veterans Affairs Medical Center to explore issues on tobacco use and smoking cessation for Iraq- and Afghanistan-era veterans who continued to smoke postdeployment. We used qualitative content analysis to identify major themes and organize data. Veterans expressed the belief that smoking was a normalized part of military life and described multiple perceived benefits of smoking. Although veterans expressed a high level of interest in quitting, they listed several behavioral, situational, and environmental triggers that derailed smoking cessation. They expressed interest in such cessation treatment features as flexible scheduling, free nicotine replacement therapy, peer support, and family inclusion in treatment. Our results indicate that the newest cohort of veterans perceives smoking as endemic in military service. However, they want to quit smoking and identified several personal and environmental obstacles that make smoking cessation difficult. Our findings may inform programmatic efforts to increase successful quit attempts in this unique veteran population.
Ecological Screening Values for Surface Water, Sediment, and Soil: 2005 Update
DOE Office of Scientific and Technical Information (OSTI.GOV)
Friday, G. P.
2005-07-18
One of the principal components of the environmental remediation program at the Savannah River Site (SRS) is the assessment of ecological risk. Used to support CERCLA, RCRA, and DOE orders, the ecological risk assessment (ERA) can identify environmental hazards and evaluate remedial action alternatives. Ecological risk assessment is also an essential means for achieving DOE's risk based end state vision for the disposition of nuclear material and waste hazards, the decommissioning of facilities, and the remediation of inactive waste units at SRS. The complexity of an ERA ranges from a screening level ERA (SLERA) to a full baseline ERA. Amore » screening level ecological risk assessments, although abbreviated from a baseline risk assessment, is nonetheless considered a complete risk assessment (EPA, 2001a). One of the initial tasks of any ERA is to identify constituents that potentially or adversely affect the environment. Typically, this is accomplished by comparing a constituent's maximum concentration in surface water, sediment, or soil with an ecological screening value (ESV). The screening process can eliminate many constituents from further consideration in the risk assessment, but it also identifies those that require additional evaluation. This document is an update of a previous compilation (Friday, 1998) and provides a comprehensive listing of ecological screening values for surface water, sediment, and soil. It describes how the screening values were derived and recommends benchmarks that can be used for ecological risk assessment. The sources of these updated benchmarks include the U.S. Environmental Protection Agency (EPA), U.S. Fish and Wildlife Service (USFWS), U.S. Geological Survey (USGS), National Oceanic and Atmospheric Administration (NOAA), Oak Ridge National Laboratory (ORNL), the State of Florida, the Canadian Council of Ministers of the Environment (CCME), the Dutch Ministry of the Environment (RIVM), and the scientific literature. It should be noted that ESV's are continuously revised by the various issuing agencies. The references in this report provide the citations of each source and, where applicable, the internet address where they can be accessed. Although radiological screening values are not included herein due to space limitations, these have been recently derived by a technical working committee sponsored by the U.S. Department of Energy (DOE 2002, 2004). The recommended ecological screening values represent the most conservative concentrations of the cited sources, and are to be used for screening purposes only. They do not represent remedial action cleanup levels. Their use at locations other than SRS should take into account environmental variables such as water quality, soil chemistry, flora and fauna, and other ecological attributes specific to the ecosystem potentially at risk.« less
The postgenomic era: implications for the clinical laboratory.
Kiechle, Frederick L; Zhang, Xinbo
2002-03-01
To review the advances in clinically useful molecular biological techniques and to identify their applications in clinical practice, as presented at the Tenth Annual William Beaumont Hospital DNA Symposium. The 11 manuscripts submitted were reviewed and their major findings were compared with literature on the same topic. Manuscripts address creative thinking techniques applied to DNA discovery, extraction of DNA from clotted blood, the relationship of mitochondrial dysfunction in neurodegenerative disorders, and molecular methods to identify human lymphocyte antigen class I and class II loci. Two other manuscripts review current issues in molecular microbiology, including detection of hepatitis C virus and biological warfare. The last 5 manuscripts describe current issues in molecular cardiovascular disease, including assessing thrombotic risk, genomic analysis, gene therapy, and a device for aiding in cardiac angiogenesis. Novel problem-solving techniques have been used in the past and will be required in the future in DNA discovery. The extraction of DNA from clotted blood demonstrates a potential cost-effective strategy. Cybrids created from mitochondrial DNA-depleted cells and mitochondrial DNA from a platelet donor have been useful in defining the role mitochondria play in neurodegeneration. Mitochondrial depletion has been reported as a genetically inherited disorder or after human immunodeficiency virus therapy. Hepatitis C viral detection by qualitative, quantitative, or genotyping techniques is useful clinically. Preparedness for potential biological warfare is a responsibility of all clinical laboratorians. Thrombotic risk in cardiovascular disorders may be assessed by coagulation screening assays and further defined by mutation analysis for specific genes for prothrombin and factor V Leiden. Gene therapy for reducing arteriosclerotic risk has been hindered primarily by complications introduced by the vectors used to introduce the therapeutic genes. Neovascularization in cardiac muscle with occluded vessels represents a promising method for recovery of viable tissue following ischemia. The sequence of the human genome was reported by 2 groups in February 2001. The postgenomic era will emphasize the use of microarrays and database software for genomic and proteomic screening in the search for useful clinical assays. The number of molecular pathologic techniques and assays will expand as additional disease-associated mutations are defined. Gene therapy and tissue engineering will represent successful therapeutic adjuncts.
Regional Radiation Therapy Impacts Outcome for Node-Positive Cutaneous Melanoma.
Strom, Tobin; Torres-Roca, Javier F; Parekh, Akash; Naghavi, Arash O; Caudell, Jimmy J; Oliver, Daniel E; Messina, Jane L; Khushalani, Nikhil I; Zager, Jonathan S; Sarnaik, Amod; Mulé, James J; Trotti, Andy M; Eschrich, Steven A; Sondak, Vernon K; Harrison, Louis B
2017-04-01
Background: Regional radiation therapy (RT) has been shown to reduce the risk of regional recurrence with node-positive cutaneous melanoma. However, risk factors for regional recurrence, especially in the era of sentinel lymph node biopsy (SLNB), are less clear. Our goals were to identify risk factors associated with regional recurrence and to determine whether a radiosensitivity index (RSI) gene expression signature (GES) could identify patients who experience a survival benefit with regional RT. Methods: A single-institution, Institutional Review Board-approved study was performed including 410 patients treated with either SLNB with or without completion lymph node dissection (LND; n=270) or therapeutic LND (n=91). Postoperative regional RT was delivered to the involved nodal basin in 83 cases (20.2%), to a median dose of 54 Gy (range, 30-60 Gy) in 27 fractions (range, 5-30). Primary outcomes were regional control and overall survival by RSI GES status. Results: Median follow-up was 69 months (range, 13-180). Postoperative regional RT was associated with a reduced risk of regional recurrence among all patients on univariate (5-year estimate: 95.0% vs 83.3%; P =.036) and multivariate analysis (hazard ratio[HR], 0.15; 95% CI, 0.05-0.43; P <.001). Among higher-risk subgroups, regional RT was associated with a lower risk of regional recurrence among patients with clinically detected lymph nodes (n=175; 5-year regional control: 94.1% vs 69.5%; P =.003) and extracapsular extension (ECE) present (n=138; 5-year regional control: 96.7% vs 62.2%; P <.001). Among a subset of radiated patients with gene expression data available, a low RSI GES (radiosensitive) tumor status was associated with improved survival compared with a high RSI GES (5-year: 75% vs 0%; HR, 10.68; 95% CI, 1.24-92.14). Conclusions: Regional RT was associated with a reduced risk of regional recurrence among patients with ECE and clinically detected nodal disease. Gene expression data show promise for better predicting radiocurable patients in the future. In the era of increasingly effective systemic therapies, the value of improved regional control potentially takes on greater significance. Copyright © 2017 by the National Comprehensive Cancer Network.
NASA Technical Reports Server (NTRS)
Stow, W. K.; Cheeseman, C.; Dallam, W.; Dietrich, D.; Dorfman, G.; Fleming, R.; Fries, R.; Guard, W.; Jackson, F.; Jankowski, H.
1975-01-01
Economic benefits studies regarding the application of remote sensing to resource management and the Total Earth Resources for the Shuttle Era (TERSSE) study to outline the structure and development of future systems are used, along with experience from LANDSAT and LACIE, to define the system performance and economics of an operational Earth Resources system. The system is to be based on current (LANDSAT follow-on) technology and its application to high priority resource management missions, such as global crop inventory. The TERSSE Operational System Study (TOSS) investigated system-level design alternatives using economic performance as the evaluation criterion. As such, the TOSS effort represented a significant step forward in the systems engineering and economic analysis of Earth Resources programs. By parametrically relating engineering design parameters, such as sensor performance details, to the economic benefit mechanisms a new level of confidence in the conclusions concerning the implementation of such systems can be reached.
Gurbity Pálfi, Tímea; Fésüs, Viktória; Bödör, Csaba; Borbényi, Zita
2017-10-01
Chronic lymphoid leukaemia (CLL) has a heterogeneous clinical course depending on many clinical and molecular prognostic markers, which play an important role in the selection of the best treatment option. So far, TP53 disruption is the key prognostic and predictive factor assisting treatment decisions, especially in the era of novel therapies. Asymptomatic patients in early stages of the disease will still benefit from watchful waiting. In the frontline setting, chemoimmunotherapy is still the standard care in the majority of standard risk CLL patients. New classes of drugs like kinase inhibitors and BCL-2 inhibitors (ibrutinib, idelalisib and venetoclax) are the treatment of choice in CLL patients with relapsed/refractory disease, with the exception of high risk disease, where the optimal treatment is frontline ibrutinib monotherapy. In the near future, integrating next generation sequencing into the routine diagnostics would help the development of individual CLL patient management and to choose an optimal treatment strategy. Orv Hetil. 2017; 158(41): 1620-1629.
Promoting Crew Autonomy: Current Advances and Novel Techniques
NASA Technical Reports Server (NTRS)
Harris, Samantha
2017-01-01
Since the dawn of the era of human space flight, mission control centers around the world have played an integral role in guiding space travelers toward mission success. In the International Space Station (ISS) program, astronauts and cosmonauts have the benefit of near constant access to the expertise and resources within mission control, as well as lifeboat capability to quickly return to Earth if something were to go wrong. As we move into an era of longer duration missions to more remote locations, rapid and ready access to mission control on earth will no longer be feasible. To prepare for such missions, long duration crews must be prepared to operate more autonomously, and the mission control paradigm that has been successfully employed for decades must be re-examined. The team at NASA's Payload Operations and Integration Center (POIC) in Huntsville, Alabama is playing an integral role in the development of concepts for a more autonomous long duration crew of the future via research on the ISS.
Estrogen receptor beta in prostate cancer: friend or foe?
Nelson, Adam W; Tilley, Wayne D; Neal, David E; Carroll, Jason S
2014-08-01
Prostate cancer is the commonest, non-cutaneous cancer in men. At present, there is no cure for the advanced, castration-resistant form of the disease. Estrogen has been shown to be important in prostate carcinogenesis, with evidence resulting from epidemiological, cancer cell line, human tissue and animal studies. The prostate expresses both estrogen receptor alpha (ERA) and estrogen receptor beta (ERB). Most evidence suggests that ERA mediates the harmful effects of estrogen in the prostate, whereas ERB is tumour suppressive, but trials of ERB-selective agents have not translated into improved clinical outcomes. The role of ERB in the prostate remains unclear and there is increasing evidence that isoforms of ERB may be oncogenic. Detailed study of ERB and ERB isoforms in the prostate is required to establish their cell-specific roles, in order to determine if therapies can be directed towards ERB-dependent pathways. In this review, we summarise evidence on the role of ERB in prostate cancer and highlight areas for future research. © 2014 Society for Endocrinology.
MISSE-X: An ISS External Platform for Space Environmental Studies in the Post-Shuttle Era
NASA Technical Reports Server (NTRS)
Thibeault, Sheila A.; Cooke, Stuart A.; Ashe, Melissa P.; Saucillo, Rudolph J.; Murphy, Douglas G.; deGroh, Kim K.; Jaworske, Donald A.; Nguyen, Quang-Viet
2011-01-01
Materials International Space Station Experiment-X (MISSE-X) is a proposed International Space Station (ISS) external platform for space environmental studies designed to advance the technology readiness of materials and devices critical for future space exploration. The MISSE-X platform will expand ISS utilization by providing experimenters with unprecedented low-cost space access and return on investment (ROI). As a follow-on to the highly successful MISSE series of ISS experiments, MISSE-X will provide advances over the original MISSE configurations including incorporation of plug-and-play experiments that will minimize return mass requirements in the post-Shuttle era, improved active sensing and monitoring of the ISS external environment for better characterization of environmental effects, and expansion of the MISSE-X user community through incorporation of new, customer-desired capabilities. MISSE-X will also foster interest in science, technology, engineering, and math (STEM) in primary and secondary schools through student collaboration and participation.1,2
Historical Climate Change Impacts on the Hydrological Processes of the Ponto-Caspian Basin
NASA Astrophysics Data System (ADS)
Koriche, Sifan A.; Singarayer, Joy S.; Coe, Michael T.; Nandini, Sri; Prange, Matthias; Cloke, Hannah; Lunt, Dan
2017-04-01
The Ponto-Caspian basin is one of the largest basins globally, composed of a closed basin (Caspian Sea) and open basins connecting to the global ocean (Black and Azov Sea). Over the historical time period (1850-present) Caspian Sea levels have varied between -25 and -29mbsl (Arpe et al., 2012), resulting in considerable changes to the area of the lake (currently 371,000 km2). Given projections of future climate change and the importance of the Caspian Sea for fisheries, agriculture, and industry, it is vital to understand how sea levels may vary in the future. Hydrological models can be used to assess the impacts of climate change on hydrological processes for future forecasts. However, it is critical to first evaluate such models using observational data for the present and recent past, and to understand the key hydrological processes driving past changes in sea level. In this study, the Terrestrial Hydrological Model (THMB) (Coe, 2000, 2002) is applied and evaluated to investigate the hydrological processes of the Ponto-Caspian basin for the historical period 1900 to 2000. The model has been forced using observational reanalysis datasets (ERA-Interim, ERA-20) and historical climate model data outputs (from CESM and HadCM3 models) to investigate the variability in the Caspian Sea level and the major river discharges. We examine the differences produced by driving the hydrological model with reanalysis data or climate models. We evaluate the model performance compared to observational discharge measurements and Caspian Sea level data. Secondly, we investigated the sensitivity of historical Caspian Sea level variations to different aspects of climate changes to examine the most important processes involved over this time period.
Booth, Richard G
2016-01-01
The increased adoption and use of technology within healthcare and society has influenced the nursing informatics specialty in a multitude of fashions. Namely, the nursing informatics specialty currently faces a range of important decisions related to its knowledge base, established values and future directions - all of which are in need of development and future-proofing. In light of the increased use of automation, artificial intelligence and big data in healthcare, the specialty must also reconceptualize the roles of both nurses and informaticians to ensure that the nursing profession is ready to operate within future digitalized healthcare ecosystems. To explore these goals, the author of this manuscript outlines an examination of technological advancements currently taking place within healthcare, and also proposes implications for the nursing role and the nursing informatics specialty. Finally, recommendations and insights towards how the roles of nurses and informaticians might evolve or be shaped in the growing post-nursing informatics era are presented. Copyright © 2016 Longwoods Publishing.
Changing outcomes after heart transplantation in patients with amyloid cardiomyopathy.
Davis, Margot K; Lee, Peter H U; Witteles, Ronald M
2015-05-01
Amyloid cardiomyopathy (ACM) is associated with a poor prognosis. Previous reports have suggested unfavorable post-heart transplant (HT) survival in this population compared with other HT recipients. Data from the United Network for Organ Sharing (UNOS) registry were used to study outcomes among ACM patients undergoing HT in the modern era (Era 2, 2008 to 2013) as compared with the historical era (Era 1, 1987 to 2007). One hundred eighty-eight ACM patients underwent primary single-organ HT. Ninety-seven patients (51.6%) were transplanted in Era 1 and 91 (48.4%) in Era 2. ACM patients undergoing HT in Era 2 were older (p < 0.0001), had higher body mass index (p = 0.008) and longer ischemic times (p = 0.02), and were more likely to be African-American (p < 0.0001), UNOS Status 1A (p < 0.0001), male (p = 0.01) and highly sensitized (p < 0.0001) compared with those in Era 1. Compared with patients with other etiologies of restrictive cardiomyopathy (RCM; n = 339 in Era 1, n = 164 in Era 2), adjusted hazard ratios (HRs) for post-HT mortality of ACM were 2.08 (p < 0.0001) in Era 1 and 1.22 (p = not statistically significant) in Era 2. Adjusted HRs for mortality of ACM vs all other diagnoses (n = 36,334 in Era 1, n = 9,225 in Era 2) were 1.84 (p < 0.0001) in Era 1 and 1.38 (p = NS) in Era 2. Although post-HT survival did not change with time among non-ACM RCM patients, post-HT mortality was lower in Era 2 compared with Era 1 among ACM patients (HR 0.49, p = 0.03). Although historically associated with inferior survival, post-HT outcomes in ACM patients in the modern era are now approaching those of non-ACM patients. Changes in patients' demographics suggest that this may be related to improved patient selection, including an increased proportion of patients with transthyretin ACM. HT should be considered for appropriate candidates with ACM. Copyright © 2015 International Society for Heart and Lung Transplantation. Published by Elsevier Inc. All rights reserved.
Reaping the space investment. [Shuttle era geosynchronous satellite based technological trends
NASA Technical Reports Server (NTRS)
Calio, A. J.
1979-01-01
By 1999 operational space systems will be implemented routinely on a worldwide scale in many areas vital to human survival and life quality. Geosynchronous-based monitoring and observation will be extensively used. The Shuttle era will bring in the capability to allow monitoring and identifying pollution sources which fail to stay within required limits. Remotely sensed data over land masses will provide needed facts on renewable and nonrenewable earth resources. New instruments and techniques will have been developed to provide geologists with clues to the declining number of deposits of fuels and minerals. Also, practical methods for predicting earthquakes will have been elaborated by 1999. Communications will see implementation of many of the technological goals of 1978.
Tsan, Jack Y; Stock, Eileen M; Greenawalt, David S; Zeber, John E; Copeland, Laurel A
2016-07-01
The purpose of this study was to examine mental health treatment use among Vietnam Veterans with posttraumatic stress disorder and determine whether undergoing major surgery interrupted mental health treatment or increased the risk of psychiatric hospitalization. Using retrospective data from Veterans Health Administration's electronic medical record system, a total of 3320 Vietnam-era surgery patients with preoperative posttraumatic stress disorder were identified and matched 1:4 with non-surgical patients with posttraumatic stress disorder. The receipt of surgery was associated with a decline in overall mental health treatment and posttraumatic stress disorder-specific treatment 1 month following surgery but not during any subsequent month thereafter. Additionally, surgery was not associated with psychiatric admission. © The Author(s) 2014.
ERIC Educational Resources Information Center
Acre, Andrea M.
2014-01-01
This qualitative study investigated the experiences of four elementary teachers who have elected to use science to teach math and reading/language arts in an attempt to identify what motivates them to do so. Identifying what experiences have motivated these teachers to go against the gain and teach elementary science in this current era of…
Virtual Zika transmission after the first U.S. case: who said what and how it spread on Twitter.
Vijaykumar, Santosh; Nowak, Glen; Himelboim, Itai; Jin, Yan
2018-05-01
This paper goes beyond detecting specific themes within Zika-related chatter on Twitter, to identify the key actors who influence the diffusive process through which some themes become more amplified than others. We collected all Zika-related tweets during the 3 months immediately after the first U.S. case of Zika. After the tweets were categorized into 12 themes, a cross-section were grouped into weekly datasets, to capture 12 amplifier/user groups, and analyzed by 4 amplification modes: mentions, retweets, talkers, and Twitter-wide amplifiers. We analyzed 3,057,130 tweets in the United States and categorized 4997 users. The most talked about theme was Zika transmission (~58%). News media, public health institutions, and grassroots users were the most visible and frequent sources and disseminators of Zika-related Twitter content. Grassroots users were the primary sources and disseminators of conspiracy theories. Social media analytics enable public health institutions to quickly learn what information is being disseminated, and by whom, regarding infectious diseases. Such information can help public health institutions identify and engage with news media and other active information providers. It also provides insights into media and public concerns, accuracy of information on Twitter, and information gaps. The study identifies implications for pandemic preparedness and response in the digital era and presents the agenda for future research and practice. Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
Lemieux, Christopher J.; Thompson, Jessica; Slocombe, D. Scott; Schuster, Rudy
2015-01-01
It has been argued that regional collaboration can facilitate adaptation to climate change impacts through integrated planning and management. In an attempt to understand the underlying institutional factors that either support or contest this assumption, this paper explores the institutional factors influencing adaptation to climate change at the regional scale, where multiple public land and natural resource management jurisdictions are involved. Insights from two mid-western US case studies reveal that several challenges to collaboration persist and prevent fully integrative multi-jurisdictional adaptation planning at a regional scale. We propose that some of these challenges, such as lack of adequate time, funding and communication channels, be reframed as opportunities to build interdependence, identify issue-linkages and collaboratively explore the nature and extent of organisational trade-offs with respect to regional climate change adaptation efforts. Such a reframing can better facilitate multi-jurisdictional adaptation planning and management of shared biophysical resources generally while simultaneously enhancing organisational capacity to mitigate negative effects and take advantage of potentially favourable future conditions in an era characterised by rapid climate change.
The role of orientation experiments in discovering mechanisms.
Gervais, Raoul; Weber, Erik
2015-12-01
Many types of experiments have been recognized in the literature. One important type we discuss in this article is the orientation experiment. While orientation experiments are like other types of experiments in that they are tests for causal relevance, they also have other qualities. One important (but not the only) goal of these experiments is to offer a rough, qualitative characterization of the mechanism responsible for a capacity of interest, effectively constraining future research. This makes them particularly useful during the early stages of investigation, when an explanandum-phenomenon has just been identified and several (often competing) hypotheses as to the qualitative character of the mechanism responsible for it are proposed. We illustrate our claims, and explicate a number of additional aims that orientation experiments can sometimes serve, by considering three case studies from different era's, namely the discovery of the mechanisms responsible for i) the capacity of eels to produce numbing sensations (17th and 18th century), ii) puerperal fever in Semmelweis' Vienna Maternity Hospital (19th century), and iii) the capacity of pigeons to home (20th century). Copyright © 2015 Elsevier Ltd. All rights reserved.
Obstructive Lung Diseases in HIV: A Clinical Review and Identification of Key Future Research Needs
Drummond, M. Bradley; Kunisaki, Ken M.; Huang, Laurence
2016-01-01
HIV infection has shifted from what was once a disease directly impacting short-term mortality to what is now a chronic illness controllable in the era of effective combination antiretroviral therapy (ART). In this setting, life expectancy for HIV-infected individual is nearly comparable to that of individuals without HIV. Subsequent to this increase in life expectancy, there has been recognition of increased multimorbidity among HIV-infected persons, with prevalence of comorbid chronic illnesses now approaching 65%. Obstructive lung diseases, including chronic obstructive pulmonary disease (COPD) and asthma, are prevalent conditions associated with substantial morbidity and mortality in the United States. There is overlap in risk factors for HIV acquisition and chronic lung diseases, including lower socioeconomic status and the use of tobacco and illicit drugs. Objectives of this review are to (1) summarize the current state of knowledge regarding COPD and asthma among HIV-infected persons, (2) highlight implications for clinicians caring for patients with these combined comorbidities, and (3) identify key research initiatives to reduce the burden of obstructive lung diseases among HIV-infected persons. PMID:26974304
Emerging immunotherapy for the treatment of esophageal cancer.
Jackie Oh, SeungJu; Han, Songhee; Lee, Wooin; Lockhart, A Craig
2016-06-01
Esophageal cancer is the third most common cancer of the gastrointestinal tract. Despite new therapies, the prognosis for patients with these cancers remains poor with 5-year survival rates lower than 15%. Recently, immunotherapy has increasingly gained attention as a novel treatment strategy for advanced esophageal cancer. Recent success of immunotherapy in treating other solid tumors has shed light on the utility of these approaches for esophageal cancers. Here, the authors focus on antibody-based, adoptive-cell-therapy-based, and vaccine-based immunotherapies, and briefly address their rationale, clinical data, and implications. Immunotherapy is now established to be a key treatment modality that can improve the outcomes of many cancer patients and appears to be ushering in a new era in cancer treatment. Checkpoint inhibitor drugs have shown preliminary favorable results in esophageal cancer treatment. Adoptive cell therapy and vaccine studies have also shown some promise in various clinical studies. Future endeavors will need to focus on identifying patients who are likely to benefit from immunotherapy, monitoring and managing immune responses and designing optimal combination strategies where immunotherapy agents are combined with other traditional treatment modalities.
Human performance modeling for system of systems analytics :soldier fatigue.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Lawton, Craig R.; Campbell, James E.; Miller, Dwight Peter
2005-10-01
The military has identified Human Performance Modeling (HPM) as a significant requirement and challenge of future systems modeling and analysis initiatives as can be seen in the Department of Defense's (DoD) Defense Modeling and Simulation Office's (DMSO) Master Plan (DoD 5000.59-P 1995). To this goal, the military is currently spending millions of dollars on programs devoted to HPM in various military contexts. Examples include the Human Performance Modeling Integration (HPMI) program within the Air Force Research Laboratory, which focuses on integrating HPMs with constructive models of systems (e.g. cockpit simulations) and the Navy's Human Performance Center (HPC) established in Septembermore » 2003. Nearly all of these initiatives focus on the interface between humans and a single system. This is insufficient in the era of highly complex network centric SoS. This report presents research and development in the area of HPM in a system-of-systems (SoS). Specifically, this report addresses modeling soldier fatigue and the potential impacts soldier fatigue can have on SoS performance.« less
Data Quality in Remote Sensing
NASA Astrophysics Data System (ADS)
Batini, C.; Blaschke, T.; Lang, S.; Albrecht, F.; Abdulmutalib, H. M.; Barsi, Á.; Szabó, G.; Kugler, Zs.
2017-09-01
The issue of data quality (DQ) is of growing importance in Remote Sensing (RS), due to the widespread use of digital services (incl. apps) that exploit remote sensing data. In this position paper a body of experts from the ISPRS Intercommission working group III/IVb "DQ" identifies, categorises and reasons about issues that are considered as crucial for a RS research and application agenda. This ISPRS initiative ensures to build on earlier work by other organisations such as IEEE, CEOS or GEO, in particular on the meritorious work of the Quality Assurance Framework for Earth Observation (QA4EO) which was established and endorsed by the Committee on Earth Observation Satellites (CEOS) but aims to broaden the view by including experts from computer science and particularly database science. The main activities and outcomes include: providing a taxonomy of DQ dimensions in the RS domain, achieving a global approach to DQ for heterogeneous-format RS data sets, investigate DQ dimensions in use, conceive a methodology for managing cost effective solutions on DQ in RS initiatives, and to address future challenges on RS DQ dimensions arising in the new era of the big Earth data.