Introduction to the Geographic Information Systems Minitrack

This paper discusses the status of geographic information systems (GIS) research in the fields of MIS. To do this, we define the technology as it relates to the IS field. We then discuss the research that has been done in other disciplines to study this technology. Finally, we present an outline of the research topics pertaining to GIS that appear to be of relevance to the IS field

Team working in intensive care:current evidence and future endeavors

Purpose of review: It has recently been argued that the future of intensive care medicine will rely on high quality management and teamwork. Therefore, this review takes an organizational psychology perspective to examine the most recent research on the relationship between teamwork, care processes, and patient outcomes in intensive care. Recent findings: Interdisciplinary communication within a team is crucial for the development of negotiated shared treatment goals and short-team patient outcomes. Interventions for maximizing team communication have received substantial interest in recent literature. Intensive care coordination is not a linear process, and intensive care teams often fail to discuss how to implement goals, trigger and align activities, or reflect on their performance. Despite a move toward interdisciplinary team working, clinical decision-making is still problematic and continues to be perceived as a top-down and authoritative process. The topic of team leadership in intensive care is underexplored and requires further research. Summary: Based on findings from the most recent research evidence in medicine and management, four principles are identified for improving the effectiveness of team working in intensive care: engender professional efficacy, create stable teams and leaders, develop trust and participative safety, and enable frequent team reflexivity

Ion-Exchanged Waveguides in Glass Doped with PbS Quantum Dots

The lowest-loss (≤1 dB/cm) ion-exchanged waveguides in glass doped with PbS quantum dots are presented. Near-field mode profile and refractive index profile using the refracted near-field technique were measured for these waveguides. We demonstrate that the optical properties of this glass unchanged during the ion-exchange process

Phase Ib study of the combination of pexidartinib (PLX3397), a CSF-1R inhibitor, and paclitaxel in patients with advanced solid tumors.

Purpose:To evaluate the safety, recommended phase II dose (RP2D) and efficacy of pexidartinib, a colony stimulating factor receptor 1 (CSF-1R) inhibitor, in combination with weekly paclitaxel in patients with advanced solid tumors. Patients and Methods:In part 1 of this phase Ib study, 24 patients with advanced solid tumors received escalating doses of pexidartinib with weekly paclitaxel (80 mg/m2). Pexidartinib was administered at 600 mg/day in cohort 1. For subsequent cohorts, the dose was increased by ⩽50% using a standard 3+3 design. In part 2, 30 patients with metastatic solid tumors were enrolled to examine safety, tolerability and efficacy of the RP2D. Pharmacokinetics and biomarkers were also assessed. Results:A total of 51 patients reported ≥1 adverse event(s) (AEs) that were at least possibly related to either study drug. Grade 3-4 AEs, including anemia (26%), neutropenia (22%), lymphopenia (19%), fatigue (15%), and hypertension (11%), were recorded in 38 patients (70%). In part 1, no maximum tolerated dose was achieved and 1600 mg/day was determined to be the RP2D. Of 38 patients evaluable for efficacy, 1 (3%) had complete response, 5 (13%) partial response, 13 (34%) stable disease, and 17 (45%) progressive disease. No drug-drug interactions were found. Plasma CSF-1 levels increased 1.6- to 53-fold, and CD14dim/CD16+ monocyte levels decreased by 57-100%. Conclusions:The combination of pexidartinib and paclitaxel was generally well tolerated. RP2D for pexidartinib was 1600 mg/day. Pexidartinib blocked CSF-1R signaling, indicating potential for mitigating macrophage tumor infiltration

Sustained microglial depletion with CSF1R inhibitor impairs parenchymal plaque development in an Alzheimer's disease model.

Many risk genes for the development of Alzheimer's disease (AD) are exclusively or highly expressed in myeloid cells. Microglia are dependent on colony-stimulating factor 1 receptor (CSF1R) signaling for their survival. We designed and synthesized a highly selective brain-penetrant CSF1R inhibitor (PLX5622) allowing for extended and specific microglial elimination, preceding and during pathology development. We find that in the 5xFAD mouse model of AD, plaques fail to form in the parenchymal space following microglial depletion, except in areas containing surviving microglia. Instead, Aβ deposits in cortical blood vessels reminiscent of cerebral amyloid angiopathy. Altered gene expression in the 5xFAD hippocampus is also reversed by the absence of microglia. Transcriptional analyses of the residual plaque-forming microglia show they exhibit a disease-associated microglia profile. Collectively, we describe the structure, formulation, and efficacy of PLX5622, which allows for sustained microglial depletion and identify roles of microglia in initiating plaque pathogenesis

Aspect-dependent variations in regolith creep revealed by meteoric ¹⁰Be

Although variations in insolation and emergent feedbacks among soil moisture, vegetation, and soil cohesion are commonly invoked to explain topographic asymmetry that depends on aspect, few studies have directly quantified the efficiency of regolith transport along hillslopes of opposing aspect. We utilize meteoric ¹⁰Be concentrations in regolith (n = 74) to determine mass flux along equatorial- and polar-facing hillslopes in three forested, upland watersheds in and adjacent to the Susquehanna Shale Hills Critical Zone Observatory (SSHO) in central Pennsylvania. In combination with regolith depth measurements and high resolution topography, these fluxes allow us to evaluate transport rate laws and the efficiency of regolith creep. Concentrations of meteoric ¹⁰Be in regolith along six separate transects imply that regolith flux is similar along all hillslopes, despite differences in topographic gradient and regolith thickness. Comparison of flux with regolith depth and topographic gradient reveals that transport depends on regolith depth, and that regolith creep is twice as efficient along low-gradient, south-facing slopes with thin regolith as compared to steep, north-facing slopes mantled with thicker regolith. We suggest that the observed topographic a symmetry in these watersheds has evolved over geologic time as a result of differences in the frequency of freeze-thaw events between hillslopes of opposing aspect

Nonlinear optical signatures of ultraviolet light-induced ring opening in α -terpinene

Photoinduced electrocyclic ring opening reactions in conjugated cylcoalkenes are among the most elementary processes in organic chemistry. One prototypical ring opening reaction transforms cyclohexadiene into hexatriene. It is known that a sequence of sub-100 fs internal conversion transitions precedes bond breaking in cyclohexadiene and some of its derivatives. However, these excited state dynamics have never been directly monitored in solution because of insufficient time resolution. Here we aim to uncover the extraordinary photophysics behind related ultrafast internal conversion processes in a derivative of cyclohexadiene, α-terpinene (α-TP), solvated in cyclohexane. Transient absorption anisotropy experiments conducted with 20 fs laser pulses at 267 nm expose non-exponential depopulation kinetics for the ππ* electronic state of α-TP. Our data show that population transfer rapidly accelerates within the first 100 fs after photoexcitation. In addition, recurrences in two-dimensional photon echo (2DPE) line shapes reveal strong vibronic coupling in a normal mode near 523 cm−1, which involves torsions of the C=C bonds and hydrogen out-of-plane (HOOP) wagging on a vinyl group. With the support of several experiments, we hypothesize that the excited state wavepacket in α-TP undergoes several recurrences in the C=C stretching coordinate before displacement along the C=C torsion/vinyl HOOP coordinate finally sets it free from the Franck–Condon region of the potential energy surface. The unconfined wavepacket departs the ππ* electronic state by way of a conical intersection with a lower energy excited state. The present observations are made possible by recent improvements to both the time resolution and detection sensitivity of our experimental setup. This work demonstrates that it is now possible to acquire 2DPE signals in the deep ultraviolet, which are comparable with high-quality measurements in the visible spectral region. These technical developments open the door to studies of many beautiful models for elementary chemical dynamics

Hyaluronic Acid Binding Sperm Selection for assisted reproduction treatment (HABSelect): Study protocol for a multicentre randomised controlled trial

© Published by the BMJ Publishing Group Limited.Introduction The selection of a sperm with good genomic integrity is an important consideration for improving intracytoplasmic sperm injection (ICSI) outcome. Current convention selects sperm by vigour and morphology, but preliminary evidence suggests selection based on hyaluronic acid binding may be beneficial. The aim of the Hyaluronic Acid Binding Sperm Selection (HABSelect) trial is to determine the efficacy of hyaluronic acid (HA)-selection of sperm versus conventionally selected sperm prior to ICSI on live birth rate (LBR). The mechanistic aim is to assess whether and how the chromatin state of HA-selected sperm corresponds with clinical outcomes - clinical pregnancy rate (CPR), LBR and pregnancy loss (PL). Methods and analysis Couples attending UK Centres will be approached, eligibility screening performed and informed consent sought. Randomisation will occur within 24 hours prior to ICSI treatment. Participants will be randomly allocated 1:1 to the intervention arm (physiological intracytoplasmic sperm injection, PICSI) versus the control arm using conventional methods (ICSI). The primary clinical outcome is LBR ≥37 weeks' gestation with the mechanistic study determining LBR's relationship with sperm DNA integrity. Secondary outcomes will determine this for CPR and PL. Only embryologists performing the procedure will be aware of the treatment allocation. Steps will be taken to militate against biases arising from embryologists being non-blinded. Randomisation will use a minimisation algorithm to balance for key prognostic variables. The trial is powered to detect a 5% difference (24-29%: p=0.05) in LBR ≥37 weeks' gestation. Selected residual sperm samples will be tested by one or more assays of DNA integrity. Ethics and dissemination HABSelect is a UK NIHR-EME funded study (reg no 11/14/34; IRAS REF. 13/YH/0162). The trial was designed in partnership with patient and public involvement to help maximise patient benefits. Trial findings will be reported as per CONSORT guidelines and will be made available in lay language via the trial web site (http://www.habselect.org.uk/). Trial registration number ISRCTN99214271; Pre-results