High resolution Doppler lidar

A high resolution lidar system was implemented to measure winds in the lower atmosphere. The wind speed along the line of sight was determined by measuring the Doppler shift of the aerosol backscattered laser signal. The system in its present configuration is stable, and behaves as indicated by theoretical simulations. This system was built to demonstrate the capabilities of the detector system as a prototype for a spaceborne lidar. The detector system investigated consisted of a plane Fabry-Perot etalon, and a 12-ring anode detector. This system is generically similar to the Fabry-Perot interferometer developed for passive wind measurements on board the Dynamics Explorer satellite. That this detector system performs well in a lidar configuration was demonstrated

Physiological responses to prolonged bed rest in humans: A compendium of research, 1981-1988

Clinical observations and results form more basic studies that help to elucidate the physiological mechanisms of the adaptation of humans to prolonged bed rest. If the authors' abstract or summary was appropriate, it was included. In some cases a more detailed synopsis was provided under the subheadings of purpose, methods, results, and conclusions

Novel Biomarkers Associated with Deep Venous Thrombosis: A Comprehensive Review

Primary and recurrent venous thromboembolic disease (VTE, deep venous thrombosis and pulmonary embolism) remain a significant source of morbidity and mortality in the hospitalized patient. Non-specific subjective complaints and lack of specific objective findings related to acute deep venous thrombosis (DVT) and pulmonary embolism (PE) complicate the diagnosis. There remains no single serum marker available to exclusively confirm the diagnosis of VTE. While D-dimer is highly sensitive and useful for diagnostic exclusion, it lacks the specificity necessary for diagnostic confirmation resulting in the need for a variety of additional studies (i.e.: duplex ultrasound, venography, V/Q scanning, helical thoracic and pelvic CT scans and pulmoary angiography). There is evolving research supporting the utility of various plasma markers as novel “biomarkers” for VTE including selectins, microparticles, interleukin-10 and other cytokines. This review attempts to examine recent literature assessing the utility of P-selectin, microparticles, D-dimer, E-selectin, thrombin, interleukins and fibrin monomers in the diagnosis and guidance of therapy for VTE

Differences in Academic Performance by School District Size for Students in Special Education: A Multiyear, Statewide Investigation

In this empirical statewide multiyear analysis the extent to which the academic performance of students enrolled in special education was influenced by school district student enrollment was determined Five years of Texas statewide data on the Texas Assessment Knowledge Skills Reading Mathematics Science Social Studies and Writing exams were analyzed as a function of three school district sizes a small-size up to 1 599 students b moderate-size 1 600 to 9 999 students and c large-size 10 000 or more students Inferential statistical procedures revealed that students in special education who were enrolled in large-size school districts had statistically significantly higher passing rates on all five exams than did students in special education who were enrolled in either moderate-size or small-size school districts for all 5 years Effect sizes were smal

Development and Validation of eRADAR: A Tool Using EHR Data to Detect Unrecognized Dementia.

ObjectivesEarly recognition of dementia would allow patients and their families to receive care earlier in the disease process, potentially improving care management and patient outcomes, yet nearly half of patients with dementia are undiagnosed. Our aim was to develop and validate an electronic health record (EHR)-based tool to help detect patients with unrecognized dementia (EHR Risk of Alzheimer's and Dementia Assessment Rule [eRADAR]).DesignRetrospective cohort study.SettingKaiser Permanente Washington (KPWA), an integrated healthcare delivery system.ParticipantsA total of 16 665 visits among 4330 participants in the Adult Changes in Thought (ACT) study, who undergo a comprehensive process to detect and diagnose dementia every 2 years and have linked KPWA EHR data, divided into development (70%) and validation (30%) samples.MeasurementsEHR predictors included demographics, medical diagnoses, vital signs, healthcare utilization, and medications within the previous 2 years. Unrecognized dementia was defined as detection in ACT before documentation in the KPWA EHR (ie, lack of dementia or memory loss diagnosis codes or dementia medication fills).ResultsOverall, 1015 ACT visits resulted in a diagnosis of incident dementia, of which 498 (49%) were unrecognized in the KPWA EHR. The final 31-predictor model included markers of dementia-related symptoms (eg, psychosis diagnoses, antidepressant fills), healthcare utilization pattern (eg, emergency department visits), and dementia risk factors (eg, cerebrovascular disease, diabetes). Discrimination was good in the development (C statistic = .78; 95% confidence interval [CI] = .76-.81) and validation (C statistic = .81; 95% CI = .78-.84) samples, and calibration was good based on plots of predicted vs observed risk. If patients with scores in the top 5% were flagged for additional evaluation, we estimate that 1 in 6 would have dementia.ConclusionThe eRADAR tool uses existing EHR data to detect patients with good accuracy who may have unrecognized dementia. J Am Geriatr Soc 68:103-111, 2019

Rotation of a Moonless Earth

We numerically explore the obliquity (axial tilt) variations of a hypothetical moonless Earth. Previous work has shown that the Earth's Moon stabilizes Earth's obliquity such that it remains within a narrow range, between 22.1 deg and 24.5 deg. Without lunar influence, a frequency-map analysis by Laskar et al. showed that the obliquity could vary between 0 deg. and 85 deg. This has left an impression in the astrobiology community that a large moon is necessary to maintain a habitable climate on an Earth-like planet. Using a modified version of the orbital integrator mercury, we calculate the obliquity evolution for moonless Earths with various initial conditions for up to 4 Gyr. We find that while obliquity varies significantly more than that of the actual Earth over 100,000 year timescales, the obliquity remains within a constrained range, typically 20-25 deg. in extent, for timescales of hundreds of millions of years. None of our Solar System integrations in which planetary orbits behave in a typical manner show obliquity accessing more than 65% of the full range allowed by frequency-map analysis. The obliquities of moonless Earths that rotate in the retrograde direction are more stable than those of pro-grade rotators. The total obliquity range explored for moonless Earths with rotation periods shorter than 12 h is much less than that for slower-rotating moonless Earths. A large moon thus does not seem to be needed to stabilize the obliquity of an Earth-like planet on timescales relevant to the development of advanced life

Simulation and observations of stratospheric aerosols from the 2009 Sarychev volcanic eruption

We used a general circulation model of Earth’s climate to conduct simulations of the 12-16 June 2009 eruption of Sarychev volcano (48.1°N, 153.2°E). The model simulates the formation and transport of the stratospheric sulfate aerosol cloud from the eruption and the resulting climate response. We compared optical depth results from these simulations with limb scatter measurements from the Optical Spectrograph and InfraRed Imaging System (OSIRIS), in situ measurements from balloon-borne instruments lofted from Laramie, Wyoming (41.3°N, 105.7°W), and five lidar stations located throughout the Northern Hemisphere. The aerosol cloud covered most of the Northern Hemisphere, extending slightly into the tropics, with peak backscatter measured between 12 and 16 km in altitude. Aerosol concentrations returned to near background levels by Spring, 2010. After accounting for expected sources of discrepancy between each of the data sources, the magnitudes and spatial distributions of aerosol optical depth due to the eruption largely agree. In conducting the simulations, we likely overestimated both particle size and the amount of SO2 injected into the stratosphere, resulting in modeled optical depth values that were a factor of 2-4 too high. Model results of optical depth due to the eruption show a peak too late in high latitudes and too early in low latitudes, suggesting a problem with stratospheric circulation in the model. The model also shows a higher annual decay rate in optical depth than is observed, showing an inaccuracy in seasonal deposition rates. The modeled deposition rate of sulfate aerosols from the Sarychev eruption is higher than the rate calculated for aerosols from the 1991 eruption of Mt. Pinatubo

Professional Baseball Athletic Trainers\u27 Perceptions of Preparation for Job-Specific Duties

Context The extent to which individuals are prepared completely for work in a particular athletic training setting (eg, professional sports, college, high school) is unknown. This issue is critical today, and findings in this area have implications for athletic training education policy and employers. Objective To determine the perceptions of preparation for work-specific tasks by professional baseball athletic trainers (PBATs). We also wanted to determine whether various preparation experiences interact with perceived skills. Design Cross-sectional study. Setting Online survey administered via SurveyMonkey. Patients or Other Participants Two hundred seventy-five PBATs. Intervention(s) The PBATs reported their levels of preparation before employment in their positions and their current skills in each of the 8 work task domains: evaluation of elbow injuries; evaluation of shoulder injuries; evaluation of general injuries; acute care; injury prevention; treatment, rehabilitation, and reconditioning; organization and administration; and non–athletic-training tasks. Main Outcome Measure(s) Nine repeated-measures analyses of covariance were performed with each perception of preparation (retrospective, current) as a within-subject factor. Preparation experiences were included as between-subjects factors, and number of years working in baseball was the covariate. Results Subscale reliabilities were calculated and found to be between 0.79 and 0.97. A total of 180 PBATs (65%) completed the survey. The backgrounds and routes by which PBATs gained employment in the professional baseball setting varied. Individuals who completed professional baseball internships, had previous work experience, and immediately entered the professional baseball setting after graduation had noted differences in their perceptions of preparation for work tasks. The PBATs indicated they were substantially underprepared for tasks in the organization and administration and non–athletic-training task domains. Conclusions The organizational socialization process is complex, and no 1 experience appears to completely prepare an individual for work in the professional baseball setting. </jats:sec