The science process for selecting the landing site for the 2020 Mars rover

The process of identifying the landing site for NASA's Mars 2020 rover began in 2013 by defining threshold mission science criteria related to seeking signs of ancient habitable conditions, searching for biosignatures of past microbial life, assembling a returnable cache of samples for possible future return to Earth, and collecting data for planning eventual human missions to the surface of Mars. Mission engineering constraints on elevation and latitude were used to identify candidate landing sites that addressed the scientific objectives of the mission. However, for the first time these constraints did not have a major influence on the viability of candidate sites and, with the new entry, descent, and landing capabilities included in the baseline mission, the vast majority of sites were evaluated and down-selected on the basis of science merit. More than 30 candidate sites with likely acceptable surface and atmospheric conditions were considered at a series of open workshops in the years leading up to the launch. During that period, iteration between engineering constraints and the evolving relative science potential of candidate sites led to the identification of three final candidate sites: Jezero crater (18.4386°N, 77.5031°E), northeast (NE) Syrtis (17.8899°N,77.1599°E) and Columbia Hills (14.5478°S, 175.6255°E). The final landing site will be selected by NASA's Associate Administrator for the Science Mission Directorate. This paper serves as a record of landing site selection activities related primarily to science, an inventory of the number and variety of sites proposed, and a summary of the science potential of the highest-ranking sites

Asymptomatic Phytoplasma Reveal a Novel and Troublesome Infection

Asymptomatic infections are by their nature challenging to study and even more difficult to monitor across broad geographical ranges, particularly as methods are reliant on expensive molecular techniques. The plant pathogen that causes Witches’ Broom disease of lime (Candidatus Phytoplasma aurantifolia) is a major limiting factor in lime production across the Middle East and was recently detected in Brazil, but without the typical symptoms from the Middle East. Here, we discuss the difficulty of monitoring asymptomatic infections and highlight the threat posed by highlight future outbreaks. Asymptomatic infections have important implications for understanding the evolution of pathogens within perennial hosts. We use three model systems of asymptomatic infections: (i) a Phytoplasma and (ii) a bacterial infection of lime (Citrus aurantifolia) and (iii) an “out-group” Phytoplasma of Cassava (Manihot esculenta) to demonstrate consistency across divergent hosts. We found that although all plants in the study were intentionally infected, assays typically did not confirm this diagnosis. Emergent technologies monitoring gene expression could be used to both study novel biology associated with asymptomatic infections and develop monitoring technologies. We highlight the difficulty of monitoring asymptomatic infections in possible future outbreaks and have important implications for understanding the evolution of pathogens within perennial hosts

Is a combination of varenicline and nicotine patch more effective in helping smokers quit than varenicline alone? A randomised controlled trial

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

Theodicy and End-of-Life Care

Acknowledgments The section on Islamic perspective is contributed by information provided by Imranali Panjwani, Tutor in Theology & Religious Studies, King's College London.Peer reviewedPublisher PD

Experimental study exploring the interaction of structural and leakage dynamics

Strategies for managing leakage from water distribution systems require the ability to effectively evaluate such real losses through the understanding of the behavior of individual leaks, including their response to changes in pressure regime due to demand or management strategies. This paper presents the results from an innovative experimental investigation aimed at understanding the response of longitudinal slits in pressurized viscoelastic pipes, specifically considering the interaction between the structural and leakage dynamics. For the first time, leakage flow rate, pressure, leak area, and material strain were recorded simultaneously, providing new knowledge of the complex interaction of these factors. The paper shows that strain and area are directly related, hence it is possible to employ strain as a predictor of leak area, calculated using a calibrated viscoelastic model. Using such an approach, the leakage flow rates under a range of quasi-static pressures were accurately predicted and validated. Overall the paper demonstrates that the orifice equation, with a constant coefficient of discharge, is suitable for accurately estimating dynamic leakage flow rates from longitudinal slits, provided that the leak area is suitably incorporated

Effectiveness and cost effectiveness of pharmacist input at the ward level: a systematic review and meta-analysis

Background Pharmacists play important role in ensuring timely care delivery at the ward level. The optimal level of pharmacist input, however, is not clearly defined. Objective To systematically review the evidence that assessed the outcomes of ward pharmacist input for people admitted with acute or emergent illness. Methods The protocol and search strategies were developed with input from clinicians. Medline, EMBASE, Centre for Reviews and Dissemination, The Cochrane Library, NHS Economic Evaluations, Health Technology Assessment and Health Economic Evaluations databases were searched. Inclusion criteria specified the population as adults and young people (age >16 years) who are admitted to hospital with suspected or confirmed acute or emergent illness. Only randomised controlled trials (RCTs) published in English were eligible for inclusion in the effectiveness review. Economic studies were limited to full economic evaluations and comparative cost analysis. Included studies were quality-assessed. Data were extracted, summarised. and meta-analysed, where appropriate. Results Eighteen RCTs and 7 economic studies were included. The RCTs were from USA (n=3), Sweden (n=2), Belgium (n=2), China (n=2), Australia (n=2), Denmark (n=2), Northern Ireland, Norway, Canada, UK and Netherlands. The economic studies were from UK (n=2), Sweden (n=2), Belgium and Netherlands. The results showed that regular pharmacist input was most cost effective. It reduced length-of-stay (mean= -1.74 days [95% CI: -2.76, -0.72], and increased patient and/or carer satisfaction (Relative Risk (RR) =1.49 [1.09, 2.03] at discharge). At £20,000 per quality-adjusted life-year (QALY)-gained cost-effectiveness threshold, it was either cost-saving or cost-effective (Incremental Cost Effectiveness Ratio (ICER) =£632/ QALY-gained). No evidence was found for 7-day pharmacist presence. Conclusions Pharmacist inclusion in the ward multidisciplinary team improves patient safety and satisfaction and is cost-effective when regularly provided throughout the ward stay. Research is needed to determine whether the provision of 7-day service is cost-effective.Peer reviewe

The science process for selecting the landing site for the 2020 Mars rover

The process of identifying the landing site for NASA's Mars 2020 rover began in 2013 by defining threshold mission science criteria related to seeking signs of ancient habitable conditions, searching for biosignatures of past microbial life, assembling a returnable cache of samples for possible future return to Earth, and collecting data for planning eventual human missions to the surface of Mars. Mission engineering constraints on elevation and latitude were used to identify candidate landing sites that addressed the scientific objectives of the mission. However, for the first time these constraints did not have a major influence on the viability of candidate sites and, with the new entry, descent, and landing capabilities included in the baseline mission, the vast majority of sites were evaluated and down-selected on the basis of science merit. More than 30 candidate sites with likely acceptable surface and atmospheric conditions were considered at a series of open workshops in the years leading up to the launch. During that period, iteration between engineering constraints and the evolving relative science potential of candidate sites led to the identification of three final candidate sites: Jezero crater (18.4386°N, 77.5031°E), northeast (NE) Syrtis (17.8899°N,77.1599°E) and Columbia Hills (14.5478°S, 175.6255°E). The final landing site will be selected by NASA's Associate Administrator for the Science Mission Directorate. This paper serves as a record of landing site selection activities related primarily to science, an inventory of the number and variety of sites proposed, and a summary of the science potential of the highest-ranking sites

Early Cenozoic denudation of central west Britain in response to transient and permanent uplift above a mantle plume

Upwelling mantle plumes beneath continental crust are predicted to produce difficult to quantify, modest uplift and denudation. The contribution of permanent and transient components to the uplift is also difficult to distinguish. A pulse of denudation in Britain in the Early Paleogene has been linked, although with some controversy, with the arrival of the proto-Iceland mantle plume. In this contribution we show that combining apatite and zircon (U-Th-Sm)/He and apatite fission track analyses from central west Britain with numerical modeling clearly identifies a pulse of early Cenozoic denudation. The data indicate that rock uplift and denudation were centered on the northern East Irish Sea Basin and 1.0–2.4 km of rocks were removed during the latest Cretaceous-early Paleogene. Uplift and erosion appears to have started a few million years before the earliest magmatism in the region. The regional denudation pattern mirrors the distribution of low-density magmatic rocks that has been imaged in the deep crust. However, the injection of the underplating melt is not enough to account for the total denudation. An additional regional uplift of at least 300 m is required, which is consistent with a transient thermal effect from the hot mantle plume. The rapid exhumation event ceased by ~40 Ma and the data do not require significant Neogene exhumation

Witch’s Broom Disease of Lime (Candidatus Phytoplasma aurantifolia):Identifying High-Risk Areas by Climatic Mapping

Biological invasions of vectorborne diseases can be devastating. Bioclimatic modeling provides an opportunity to assess and predict areas at risk from complex multitrophic interactions of pathogens, highlighting areas in need of increased monitoring effort. Here, we model the distribution of an economically critical vectorborne plant pathogen ‘Candidatus Phytoplasma aurantifolia’, the etiological agent of Witches’ Broom Disease of Lime. This disease is a significant limiting factor on acid lime production (Citrus aurantifolia, Swingle) in the Middle East and threatens its production globally. We found that temperature, humidity, and the vector populations significantly determine disease distribution. Following this, we used bioclimatic modeling to predict potential novel sites of infections. The model outputs identified potential novel sites of infection in the citrus producing regions of Brazil and China. We also used our model to explore sites in Oman where the pathogen may not be infectious, and suggest nurseries be established there. Recent major turbulence in the citrus agricultural economy has highlighted the importance of this work and the need for appropriate and targeted monitoring programs to safeguard lime production