Efficacy of a crosslinked hyaluronic acid-based hydrogel as a tear film supplement: a masked controlled study.

This is the final publish manuscript distributed under a Creative Commons Attribution License 2.0 UK, which can also be found on the publisher's website at: http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0099766Keratoconjunctivitis sicca (KCS), or dry eye, is a significant medical problem in both humans and dogs. Treating KCS often requires the daily application of more than one type of eye drop in order to both stimulate tear prodcution and provide a tear supplement to increase hydration and lubrication. A previous study demonstrated the potential for a crosslinked hyaluronic acid-based hydrogel (xCMHA-S) to reduce the clinical signs associated with KCS in dogs while using a reduced dosing regimen of only twice-daily administration. The present study extended those results by comparing the use of the xCMHA-S to a standard HA-containing tear supplement in a masked, randomized clinical study in dogs with a clinical diagnosis of KCS. The xCMHA-S was found to significantly improve ocular surface health (conjunctival hyperaemia, ocular irritation, and ocular discharge) to a greater degree than the alternative tear supplement (P = 0.0003). Further, owners reported the xCMHA-S treatment as being more highly effective than the alternative tear supplement (P = 0.0024). These results further demonstrate the efficacy of the xCMHA-S in reducing the clinical signs associated with KCS, thereby improving patient health and owner happiness

Addressing Challenges to the Reliable, Large-Scale Implementation of Effective School Health Education

The long-held priority of teaching young people the knowledge and skills needed for healthy living has recently been diminished in many preK-12 schools. Driven by federal and state priorities, laws, and policies associated with high-stakes testing, instruction in untested subjects has been reduced or eliminated in most schools in order to devote more attention to tested subjects, like reading, math, writing, and science. This article proposes a pathway to ensure that all children are able to learn what society knows about health. To that end, four challenges to the reliable, large-scale implementation of effective school health education are identified: (1) establishing school health education as an undeniable social and cultural priority through improved advocacy; (2) strengthening educational institutions’ capacities to reliably deliver large-scale, high-quality, school-based health education; (3) collaboratively coordinating efforts of health-promoting governmental and nongovernmental organizations that generate thought leadership for school health education; and (4) creating multidisciplinary research capacities for solving problems associated with the implementation of reliable, large-scale, effective school health education. By implementing specific strategies associated with each challenge, health educators can promote the social and system-level conditions required to support, elevate, and ensure delivery of effective health education to every student in every school every year

Hydrodynamics of Monolayer Domains at the Air-Water Interface

Molecules at the air-water interface often form inhomogeneous layers in which domains of different densities are separated by sharp interfaces. Complex interfacial pattern formation may occur through the competition of short- and long-range forces acting within the monolayer. The overdamped hydrodynamics of such interfacial motion is treated here in a general manner that accounts for dissipation both within the monolayer and in the subfluid. Previous results on the linear stability of interfaces are recovered and extended, and a formulation applicable to the nonlinear regime is developed. A simplified dynamical law valid when dissipation in the monolayer itself is negligible is also proposed. Throughout the analysis, special attention is paid to the dependence of the dynamical behavior on a characteristic length scale set by the ratio of the viscosities in the monolayer and in the subphase.Comment: 12 pages, RevTeX, 4 ps figures, accepted in Physics of Fluids

Plant Community Changes Over 54 Years Within the Great Basin Experimental Range, Manti-La Sal National Forest

Plant community changes and natural succession over time impact forage values, watershed quality, wildlife habitat, and ecosystem dynamics. Comparisons were made between a vegetation map of community types completed in 1937 by the U.S. Forest Service, and vegetation maps compiled in 1990 of the same areas by satellite imagery, and through 1991 areal photo interpretation combined with ground truthing. The study area includes nearly all of the drainage in Ephraim Canyon located in central Utah which consists of 6,027 acres (2,439 ha). Elevation ranges from 6,600 to 10,400 feet (2,040 to 3,210 m). Vegetation types ranged from pinyon-juniper woodland through oakbrush, mountain shrub, aspen, conifer and subalpine herbland. The comparison showed significant plant community changes and successional trends over the 54 year period

Environment as a Witness: Selective Proliferation of Information and Emergence of Objectivity in a Quantum Universe

We study the role of the information deposited in the environment of an open quantum system in course of the decoherence process. Redundant spreading of information -- the fact that some observables of the system can be independently ``read-off'' from many distinct fragments of the environment -- is investigated as the key to effective objectivity, the essential ingredient of ``classical reality''. This focus on the environment as a communication channel through which observers learn about physical systems underscores importance of quantum Darwinism -- selective proliferation of information about ``the fittest states'' chosen by the dynamics of decoherence at the expense of their superpositions -- as redundancy imposes the existence of preferred observables. We demonstrate that the only observables that can leave multiple imprints in the environment are the familiar pointer observables singled out by environment-induced superselection (einselection) for their predictability. Many independent observers monitoring the environment will therefore agree on properties of the system as they can only learn about preferred observables. In this operational sense, the selective spreading of information leads to appearance of an objective ``classical reality'' from within quantum substrate.Comment: New figures, to appear in PR

Augmenting biologging with supervised machine learning to study in situ behavior of the medusa Chrysaora fuscescens

© The Author(s), 2019. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Fannjiang, C., Mooney, T. A., Cones, S., Mann, D., Shorter, K. A., & Katija, K. Augmenting biologging with supervised machine learning to study in situ behavior of the medusa Chrysaora fuscescens. Journal of Experimental Biology, 222, (2019): jeb.207654, doi:10.1242/jeb.207654.Zooplankton play critical roles in marine ecosystems, yet their fine-scale behavior remains poorly understood because of the difficulty in studying individuals in situ. Here, we combine biologging with supervised machine learning (ML) to propose a pipeline for studying in situ behavior of larger zooplankton such as jellyfish. We deployed the ITAG, a biologging package with high-resolution motion sensors designed for soft-bodied invertebrates, on eight Chrysaora fuscescens in Monterey Bay, using the tether method for retrieval. By analyzing simultaneous video footage of the tagged jellyfish, we developed ML methods to: (1) identify periods of tag data corrupted by the tether method, which may have compromised prior research findings, and (2) classify jellyfish behaviors. Our tools yield characterizations of fine-scale jellyfish activity and orientation over long durations, and we conclude that it is essential to develop behavioral classifiers on in situ rather than laboratory data.This work was supported by the David and Lucile Packard Foundation (to K.K.), the Woods Hole Oceanographic Institution (WHOI) Green Innovation Award (to T.A.M., K.K. and K.A.S.) and National Science Foundation (NSF) DBI collaborative awards (1455593 to T.A.M. and K.A.S.; 1455501 to K.K.). Deposited in PMC for immediate release

Psychometric Evaluation and Design of Patient-Centered Communication Measures for Cancer Care Settings

Objective To evaluate the psychometric properties of questions that assess patient perceptions of patient-provider communication and design measures of patient-centered communication (PCC). Methods Participants (adults with colon or rectal cancer living in North Carolina) completed a survey at 2 to 3 months post-diagnosis. The survey included 87 questions in six PCC Functions: Exchanging Information, Fostering Health Relationships, Making Decisions, Responding to Emotions, Enabling Patient Self-Management, and Managing Uncertainty. For each Function we conducted factor analyses, item response theory modeling, and tests for differential item functioning, and assessed reliability and construct validity. Results Participants included 501 respondents; 46% had a high school education or less. Reliability within each Function ranged from 0.90 to 0.96. The PCC-Ca-36 (36-question survey; reliability=0.94) and PCC-Ca-6 (6-question survey; reliability=0.92) measures differentiated between individuals with poor and good health (i.e., known-groups validity) and were highly correlated with the HINTS communication scale (i.e., convergent validity). Conclusion This study provides theory-grounded PCC measures found to be reliable and valid in colorectal cancer patients in North Carolina. Future work should evaluate measure validity over time and in other cancer populations. Practice implications The PCC-Ca-36 and PCC-Ca-6 measures may be used for surveillance, intervention research, and quality improvement initiatives