Zoning - Constitutionality of Exclusionary Zoning Ordinance - Fair Share

The Supreme Court of Pennsylvania has held that a suburban zoning ordinance which limited multi-family dwellings to a forty-three acre commercial district was unconstitutionally exclusionary, since it did not provide a fair share of the township\u27s 3,800 acres for development of multi-family dwellings. Surrick v. Zoning Hearing Board, 382 A.2d 105 (Pa. 1977)

Follow-up of blood-pressure lowering and glucose control in type 2 diabetes.

BACKGROUND In the Action in Diabetes and Vascular Disease: Preterax and Diamicron Modified Release Controlled Evaluation (ADVANCE) factorial trial, the combination of perindopril and indapamide reduced mortality among patients with type 2 diabetes, but intensive glucose control, targeting a glycated hemoglobin level of less than 6.5%, did not. We now report results of the 6-year post-trial follow-up. METHODS We invited surviving participants, who had previously been assigned to perindopril–indapamide or placebo and to intensive or standard glucose control (with the glucose-control comparison extending for an additional 6 months), to participate in a post-trial follow-up evaluation. The primary end points were death from any cause and major macrovascular events. RESULTS The baseline characteristics were similar among the 11,140 patients who originally underwent randomization and the 8494 patients who participated in the post-trial follow-up for a median of 5.9 years (blood-pressure–lowering comparison) or 5.4 years (glucose-control comparison). Between-group differences in blood pressure and glycated hemoglobin levels during the trial were no longer evident by the first post-trial visit. The reductions in the risk of death from any cause and of death from cardiovascular causes that had been observed in the group receiving active blood-pressure–lowering treatment during the trial were attenuated but significant at the end of the post-trial follow-up; the hazard ratios were 0.91 (95% confidence interval [CI], 0.84 to 0.99; P=0.03) and 0.88 (95% CI, 0.77 to 0.99; P=0.04), respectively. No differences were observed during follow-up in the risk of death from any cause or major macrovascular events between the intensive-glucose-control group and the standard-glucose-control group; the hazard ratios were 1.00 (95% CI, 0.92 to 1.08) and 1.00 (95% CI, 0.92 to 1.08), respectively. CONCLUSIONS The benefits with respect to mortality that had been observed among patients originally assigned to blood-pressure–lowering therapy were attenuated but still evident at the end of follow-up. There was no evidence that intensive glucose control during the trial led to long-term benefits with respect to mortality or macrovascular events

Student, faculty, and staff approval of university smoke/tobacco-free policies: an analysis of campus newspaper articles

Objective: To provide a nontraditional source of data to university policymakers regarding student, faculty, and staff approval of university smoke/tobacco-free policies, as published through campus newspaper articles. Methods: From January to April 2016, a total of 2523 articles were retrieved concerning campus smoking/tobacco at 4-year, public universities. Of these, 54 articles met the inclusion factors, which described 30 surveys about campus approval of tobacco-free policies and 24 surveys about smoke-free policies. Results: In all, the surveys included more than 130 000 respondents. With the exception of 4 surveys, all reported that the most of the respondents approved a tobacco/smoke-free campus policy. Conclusions: Although the study had several limitations, the findings provide a synthesis from a nontraditional data source that is consistent with findings from the peer-reviewed literature, in which most of the students, faculty, and staff on university campuses approve of smoke/tobacco-free campus policies

Does implementation matter if comprehension is lacking? A qualitative investigation into perceptions of advance care planning in people with cancer

Purpose: While advance care planning holds promise, uptake is variable and it is unclear how well people engage with or comprehend advance care planning. The objective of this study was to explore how people with cancer comprehended Advance Care Plans and examine how accurately advance care planning documentation represented patient wishes. Methods: This study used a qualitative descriptive design. Data collection comprised interviews and an examination of participants’ existing advance care planning documentation. Participants included those who had any diagnosis of cancer with an advance care plan recorded: Refusal of Treatment Certificate; Statement of Choices; and/or Enduring Power of Attorney (Medical Treatment) at one cancer treatment centre. Results: Fourteen participants were involved in the study. Twelve participants were female (86%). The mean age was 77 (range: 61-91) and participants had completed their advance care planning documentation between 8 and 72 weeks prior to the interview (mean 33 weeks). Three themes were evident from the data: Incomplete advance care planning understanding and confidence; Limited congruence for attitude and documentation; Advance care planning can enable peace of mind. Complete advance care planning understanding was unusual; most participants demonstrated partial comprehension of their own advance care plan, and some indicated very limited understanding. Participants’ attitudes and their written document congruence was limited, but advance care planning was seen as helpful. Conclusions: This study highlighted advance care planning was not a completely accurate representation of patient wishes. There is opportunity to improve how patients comprehend their own advance care planning documentation

Surface patterning of carbon nanotubes can enhance their penetration through a phospholipid bilayer

Nanotube patterning may occur naturally upon the spontaneous self-assembly of biomolecules onto the surface of single-walled carbon nanotubes (SWNTs). It results in periodically alternating bands of surface properties, ranging from relatively hydrophilic to hydrophobic, along the axis of the nanotube. Single Chain Mean Field (SCMF) theory has been used to estimate the free energy of systems in which a surface patterned nanotube penetrates a phospholipid bilayer. In contrast to un-patterned nanotubes with uniform surface properties, certain patterned nanotubes have been identified that display a relatively low and approximately constant system free energy (10 kT) as the nanotube traverses through the bilayer. These observations support the hypothesis that the spontaneous self-assembly of bio-molecules on the surface of SWNTs may facilitate nanotube transduction through cell membranes.Comment: Published in ACS Nano http://pubs.acs.org/doi/abs/10.1021/nn102763

Upper and Lower Bounds on Sizes of Finite Bisimulations of Pfaffian Dynamical Systems

In this paper we study a class of dynamical systems defined by Pfaffian maps. It is a sub-class of o-minimal dynamical systems which capture rich continuous dynamics and yet can be studied using finite bisimulations. The existence of finite bisimulations for o-minimal dynamical and hybrid systems has been shown by several authors; see e.g. Brihaye et al (2004), Davoren (1999), Lafferriere et al (2000). The next natural question to investigate is how the sizes of such bisimulations can be bounded. The first step in this direction was done by Korovina et al (2004) where a double exponential upper bound was shown for Pfaffian dynamical and hybrid systems. In the present paper we improve this bound to a single exponential upper bound. Moreover we show that this bound is tight in general, by exhibiting a parameterized class of systems on which the exponential bound is attained. The bounds provide a basis for designing efficient algorithms for computing bisimulations, solving reachability and motion planning problems

Measuring And Modelling The Water Balance Of Low Rainfall Cropping Systems

In low-rainfall cropping systems, understanding the water balance, and in particular the storage of soil water in the rooting zone for use by crops, is considered critical for devising risk management strategies for grain-based farming. Crop-soil modeling remains a cost-effective option for understanding the interactions between rainfall, soil, and crop growth, from which management options can be derived. The objective of this study was to assess the error in the prediction of soil water content at key decision points in the season against continuous, multi-layer soil water measurements made with frequency domain reflectometry (FDR) probes in long-term experiments in the Mallee region of South Australia and New South Wales. Field estimates of the crop lower limit or drained upper limit were found to be more reliable than laboratory- based estimates, despite the fact that plant-available water capacity (PAWC) did not substantially differ between the methods. Using the Agricultural Production Systems sIMulator (APSIM) to simulate plant-available water over three-year rotations, predicted soil water was within 7 mm (PAWC 64 to 99 mm) of the measured data across all sowing events and rotations. Simulated (n = 46) wheat grain production resulted in a root mean square error (RMSE) of 492 kg ha-1, which is only marginally smaller than that of other field studies that derived soil water limits with less detailed methods. This study shows that using field-derived data of soil water limits and soil-specific settings for parameterization of other properties that determine soil evaporation and water redistribution enables APSIM to be widely applied for managing climate risk in low-rainfall environments

Assessing the Potential for Zone-Specific Management of Cereals in Low-Rainfall South-Eastern Australia: Combining On-Farm Results and Simulation Analysis

In the low-rainfall region of south-eastern Australia, distinctive soil types reflecting the typical landscape of higher elevated dunes and swale zones at the bottom can be found within one field. Different soil characteristics cause consequently large variability in cropping productivity between soils and across seasons. To assess the possibilities for zone-specific management, five farmer fields were zoned into a dune, mid-slope and swale zone. For each site, zone yields were mapped over 2 years and soil properties were surveyed. This information was used to parameterize and validate the APSIM model for each zone. Field-measured PAWC increased from the dune to the swale zone. On-farm results and simulation analysis showed distinctive yield performance of the three designed zones. However, yield is not related to PAWC, it is rather a complex relationship between soil type, fertility and rainfall. While in high-rainfall years, the swale zones yielded higher due to higher soil organic carbon content and less drainage losses, the dune zones performed better in the low-rainfall years due to lower evaporation losses. This study emphasizes that in this specific environment where soil variation in texture and subsoil constraints strongly influence crop performance, mechanistic crop models and long-term field observations are necessary for better understanding of zone-specific performance, and simple linear relationships across years or sites are not useful

Combined application of nitrogen and phosphorus to enhance nitrogen use efficiency and close the wheat yield gap on varying soils in semi‐arid conditions

A primary driver of the wheat yield gap in Australia and globally is the supply of nitrogen (N) and options to increase N use efficiency (NUE) are fundamental to closure of the yield gap. Co‐application of N with phosphorus (P) is suggested as an avenue to increase fertiliser NUE, and inputs of N and P fertiliser are key variable costs in low rainfall cereal crops. Within field variability in the response to nutrients due to soil and season offers a further opportunity to refine inputs for increased efficiency. The response of wheat to N fertiliser input (0, 10, 20, 40 and 80 kg N ha‐1) under four levels of P fertiliser (0, 5, 10 and 20 kg P ha−1) was measured on three key low rainfall cropping soils (dune, mid‐slope and swale) across a dune‐swale system in a low rainfall semi‐arid environment in South Australia, for three successive cropping seasons. Wheat on sandy soils produced significant and linear yield and protein responses across all three seasons, while wheat on a clay loam only produced a yield response in a high rainfall season. Responses to P fertiliser were measured on the sandy soils but more variable in nature and a consistent effect of increased P nutrition leading to increased NUE was not measured

Promoting men’s awareness, self-examination, and help-seeking for testicular disorders: a systematic review of interventions

Background: Testicular cancer (TC) is commonly diagnosed among men aged 15-40 years. The incidence of TC is on the rise. Benign testicular disorders such as testicular torsion and epididymitis can lead to testicular ischemia, sepsis, and infertility if left untreated. This systematic review aims to evaluate the effectiveness of studies promoting men’s knowledge and awareness of testicular disorders and/or self-examination, behaviours and/or intentions to examine their testes, and help-seeking behaviours and/or intentions for testicular symptoms. / Methods: Academic Search Complete, Medline, CINAHL, PsychINFO, ERIC, the Cochrane Library, the World Health Organisation International Clinical Trials Registry Platform, Clinicaltrials.gov, Grey Literature Report, and Open Grey were searched for studies published between November 2014 and April 2018. The methodological quality and level of evidence per outcome were assessed. / Results: There were five papers included: two were experimental studies, two were systematic reviews, and one was an integrative review. The majority of the reviewed interventions were successful in increasing men’s awareness of TC and self-examination. Examples include a television show featuring a celebrity with TC, a university campaign, and interactive educational sessions. The impact of the reviewed interventions on health beliefs (i.e. perceived susceptibility, severity, benefits, barriers, and self-efficacy) varied across the reviewed literature. Studies promoting help-seeking for testicular symptoms and awareness of benign testicular disorders were lacking. / Conclusions: This review highlights the importance of evaluating educational interventions aimed at younger men, whilst raising their awareness of testicular disorders and increasing their help-seeking intentions for testicular symptoms. Given the lack of consensus around scheduled testicular self-examination among younger men, clinicians are encouraged to instruct men to familiarise themselves with the look and feel of their own testes and to seek timely medical attention for abnormalities. / Registration: The review protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO) under the registration number CRD42018093671