A "Firework" of H2 Knots in the Planetary Nebula NGC 7293 (the Helix Nebula)

We present a deep and wide field-of-view (4' × 7') image of the planetary nebula (PN) NGC 7293 (the Helix Nebula) in the 2.12 μm H2 v = 1 → 0 S(1) line. The excellent seeing (0farcs4) at the Subaru Telescope, allows the details of cometary knots to be examined. The knots are found at distances of 2farcm2-6farcm4 from the central star (CS). At the inner edge and in the inner ring (up to 4farcm5 from the CS), the knot often show a "tadpole" shape, an elliptical head with a bright crescent inside and a long tail opposite to the CS. In detail, there are variations in the tadpole shapes, such as narrowing tails, widening tails, meandering tails, or multipeaks within a tail. In the outer ring (4farcm5-6farcm4 from the CS), the shapes are more fractured, and the tails do not collimate into a single direction. The transition in knot morphology from the inner edge to the outer ring is clearly seen. The number density of knots governs the H2 surface brightness in the inner ring: H2 exists only within the knots. Possible mechanisms which contribute to the shaping of the knots are discussed, including photoionization and streaming motions. A plausible interpretation of our images is that inner knots are being overrun by a faster wind, but that this has not (yet) reached the outer knots. Based on H2 formation and destruction rates, H2 gas can survive in knots from formation during the late asymptotic giant branch phase throughout the PN phase. These observations provide new constraints on the formation and evolution of knots, and on the physics of molecular gas embedded within ionized gas. Based on data taken with the Subaru Telescope, National Astronomical Observatory of Japan (proposal ID S07B-054).Peer reviewe

Variation in fatty acid content among benthic invertebrates in a seasonally driven system

At temperate latitudes where seasonal changing environmental conditions strongly affect the magnitude, duration and species composition of pelagic primary production, macrobenthic organisms living below the photic zone rely on the sedimentation of organic matter as their primary energy source. The succession from nutritious spring blooms to summer cyanobacteria is assumed to reduce food quality for benthic primary consumers and their fatty acid (FA) profiles. In contrast, we find low seasonal variability in FA content of five benthic macroinvertebrates spanning two trophic levels in the Baltic Sea, a system with high seasonal variation in phytoplankton species composition. However, levels of the major FA groups vary greatly between benthic species. The results suggest that benthic macroinvertebrates have evolved FA metabolism adapted to degraded sedimenting material. Moreover, our study shows that species composition of benthic macrofauna rather than seasonal changing conditions affect availability of essential nutrients to higher trophic levels

Towards Vision-Based Smart Hospitals: A System for Tracking and Monitoring Hand Hygiene Compliance

One in twenty-five patients admitted to a hospital will suffer from a hospital acquired infection. If we can intelligently track healthcare staff, patients, and visitors, we can better understand the sources of such infections. We envision a smart hospital capable of increasing operational efficiency and improving patient care with less spending. In this paper, we propose a non-intrusive vision-based system for tracking people's activity in hospitals. We evaluate our method for the problem of measuring hand hygiene compliance. Empirically, our method outperforms existing solutions such as proximity-based techniques and covert in-person observational studies. We present intuitive, qualitative results that analyze human movement patterns and conduct spatial analytics which convey our method's interpretability. This work is a step towards a computer-vision based smart hospital and demonstrates promising results for reducing hospital acquired infections.Comment: Machine Learning for Healthcare Conference (MLHC

Subsidence activity maps derived from DInSAR data: Orihuela case study

A new methodology is proposed to produce subsidence activity maps based on the geostatistical analysis of persistent scatterer interferometry (PSI) data. PSI displacement measurements are interpolated based on conditional Sequential Gaussian Simulation (SGS) to calculate multiple equiprobable realizations of subsidence. The result from this process is a series of interpolated subsidence values, with an estimation of the spatial variability and a confidence level on the interpolation. These maps complement the PSI displacement map, improving the identification of wide subsiding areas at a regional scale. At a local scale, they can be used to identify buildings susceptible to suffer subsidence related damages. In order to do so, it is necessary to calculate the maximum differential settlement and the maximum angular distortion for each building of the study area. Based on PSI-derived parameters those buildings in which the serviceability limit state has been exceeded, and where in situ forensic analysis should be made, can be automatically identified. This methodology has been tested in the city of Orihuela (SE Spain) for the study of historical buildings damaged during the last two decades by subsidence due to aquifer overexploitation. The qualitative evaluation of the results from the methodology carried out in buildings where damages have been reported shows a success rate of 100%.The European Space Agency (ESA) Terrafirma project has funded all the SAR data processing with the SPN technique. Additionally, this work has been partially financed by DORIS project (Ground deformation risk scenarios: an advanced assessment service) funded by the EC-GMES-FP7 initiative (grant agreement no. 242212), and the Spanish Geological and Mining Institute (IGME). This work has been also supported by the Spanish Ministry of Science and Research (MICINN) under project TEC2011-28201-C02-02 and EU FEDER

"zäme schwanger" : group prenatal care from theory to practice : a programme for midwifery students

CenteringPregnancy®, a group prenatal care programme which has been successfully established in several countries, has demonstrated positive outcomes such as fewer cases of induced labour and less need for pain medication during childbirth (Rijnders et al., 2019). This care model combines medical examinations and health promotion, while also connecting pregnant women and their families (Schindler Rising & Houde Quimby, 2017). So-called “centering groups” support women’s self-management in coping with everyday issues and help them prepare for motherhood. In the German region of Switzerland, the ZHAW Institute of Midwifery has initiated “zäme schwanger” (Pregnant Together), a programme providing practical midwifery training for student midwives at ZHAW, who offer prenatal care followed by group meetings, in which they are supervised by experienced midwifery lecturers

A randomized, double-blind study comparing the efficacy and safety of trazodone once-a-day and venlafaxine extended-release for the treatment of patients with major depressive disorder

This double-blind, randomized study evaluated the efficacy and safety of trazodone OAD (once-a-day) in comparison with venlafaxine XR (extended-release) in 324 patients (166 trazodone and 158 venlafaxine) with major depressive disorder (MDD). The primary efficacy endpoint was the mean change from baseline in the 17-item Hamilton Depression Rating Scale (HAM-D) at week 8. Both treatments were effective in reducing the HAM-D-17 total score at week 8 vs. baseline (intent-to-treat: trazodone -12.9, venlafaxine -14.7; per protocol: trazodone -15.4, venlafaxine -16.4). Patients in the venlafaxine group achieved better results after 8 weeks, whereas the trazodone group achieved a statistically significant reduction in HAM-D-17 following only 7 days of treatment. The most frequent adverse events (AEs) were dizziness and somnolence in the trazodone group, and nausea and headache in the venlafaxine group. Most AEs were mild-to-moderate in severity. This study confirmed that both venlafaxine XR and trazodone OAD may represent a valid treatment option for patients with MDD

Urban environment during pregnancy and lung function, wheezing, and asthma in school-age children.:The generation R study

The urban environment during pregnancy may influence child's respiratory health, but scarce evidence exists on systematic evaluation of multiple urban exposures (e.g., air pollution, natural spaces, noise, built environment) on children's lung function, wheezing, and asthma development. We aimed to examine the association of the urban environment during pregnancy with lung function, preschool wheezing, and school-age asthma. We included 5624 mother-child pairs participating in a population-based prospective birth cohort. We estimated 30 urban environmental exposures including air pollution, road traffic noise, traffic, green spaces, blue spaces, and built environment during pregnancy. At 10 years of age, lung function was measured by spirometry. Information on preschool wheezing and physician-diagnosed school-age asthma was obtained from multiple questionnaires. We described single-exposure associations with respiratory outcomes using an exposome-wide association study. We also identified patterns of urban exposures with hierarchical clustering on principal components analysis and examined their associations with respiratory outcomes using multivariate regression models. Single-exposure analyses showed associations of higher particulate matter (PM) with lower mid-expiratory flow (FEF25–75%) (e.g., for PM &lt; 2.5 μm of diameter [PM2.5] z-score = −0.06 [-0.09, −0.03]) and higher forced expiratory volume in 1s (FEV1) and forced vital capacity (FVC) (e.g., for PM2.5 FEV1 0.05 [0.02, 0.08]) after correction for multiple-hypothesis testing. Cluster analysis described three patterns of urban exposures during pregnancy and showed that the cluster characterised by higher levels of air pollution, noise, walkability, street connectivity, and lower levels of natural spaces were associated with lower FEF25–75% (−0.08 [-0.17, 0.00]), and higher odds of preschool wheezing (1.21 [1.03, 1.43]). This study shows that the characteristics of the urban environment during pregnancy are of relevance to the offspring's respiratory health during childhood.</p

Anti-TNF Therapies Suppress Adipose Tissue Inflammation in Crohn's Disease

Anti-TNF biologics have been shown to markedly improve the quality of life for patients with Crohn's disease (CD), yet one-third of patients fail to benefit from this treatment. Patients with CD develop a characteristic wrapping of visceral adipose tissue (VAT) in the inflamed intestinal area, termed creeping fat, and it is known that adipose tissue expansion influences the efficacy of anti-TNF drugs. We questioned whether anti-TNF therapies impact the creeping fat in CD, which might affect the outcome of the disease. Adipose tissue biopsies were obtained from a cohort of 14 patients with CD that received anti-TNF drugs and from 29 non-anti-TNF-treated patients (control group) matched by sex, age, and body mass index undergoing surgical interventions for symptomatic complications. We found that anti-TNF therapies restored adipose tissue morphology and suppressed immune cell infiltration in the creeping fat. Additionally, anti-TNF treatments appeared to markedly improve the pro-inflammatory phenotype of adipose-tissue macrophages and adipose-tissue-derived stem cells. Our study provides evidence that anti-TNF medications influence immune cells and progenitor cells in the creeping of patients with CD, suppressing inflammation. We propose that perilesional VAT should be considered when administering anti-TNF therapy in patients with C