Extraction of Water from Martian Regolith Simulant via Open Reactor Concept

To demonstrate proof of concept water extraction from simulated Martian regolith, an open reactor design is presented along with experimental results. The open reactor concept avoids sealing surfaces and complex moving parts. In an abrasive environment like the Martian surface, those reactor elements would be difficult to maintain and present a high probability of failure. A general lunar geotechnical simulant was modified by adding borax decahydrate (Na2B4O710H2O) (BDH) to mimic the ~ 3 percent water content of hydrated salts in near surface soils on Mars. A rotating bucket wheel excavated the regolith from a source bin and deposited the material onto an inclined copper tray, which was fitted with heaters and a simple vibration system. The combination of vibration, tilt angle and heat was used to separate and expose as much regolith surface area as possible to liberate the water contained in the hydrated minerals, thereby increasing the efficiency of the system. The experiment was conducted in a vacuum system capable of maintaining a Martian like atmosphere. Evolved water vapor was directed to a condensing system using the ambient atmosphere as a sweep gas. The water vapor was condensed and measured. Processed simulant was captured in a collection bin and weighed in real time. The efficiency of the system was determined by comparing pre- and post-processing soil mass along with the volume of water captured

Extraction and Capture of Water from Martian Regolith Experimental Proof-of-Concept

Mars Design Reference Architecture 5.0:Lists in-situ resource utilization (ISRU) as enabling for robust human Mars missionsLO2LCH4 ascent propulsion 25,000 kg oxygen from atmosphere for ascent and life support Atmospheric based ISRU processes less operationally complex than surface based limited concept evaluation to date and Mars surface water property and distribution uncertainty would not allow [Mars soil water processing] to be base lined at this time Limited Concept Evaluation to Date Lunar regolith O2 extraction processing experience Lunar regolith is fluidized and heated to high temperatures with H2 to produce H2O from iron-bearing minerals Mars similarity concept: Soil placed in fluidized bed reactor Heated to moderate temperatures Inert gas flow used to fluidize the bed and help with water desorption Challenges: High-temperature dusty seals Working gas requires downstream separation and recycling to reduce consumables loss Batch process heating thermally inefficient

Integration of Crop-Livestock Systems: An Opportunity toProtect Grasslands from Conversion to Cropland in the US Great Plains

The Great Plains is a mixture of cropland and grassland mainly used for agricultural purposes, with grasslands under continual threat of conversion to cropland. Agriculturists are advocating for the integration of crop-livestock systems (ICLS) to recouple nutrient cycles, improve biodiversity, and increase resilience of agricultural operations. We address the benefits of ICLS in the Great Plains, contending that focus on improving soil health and financial stability of agricultural operations should reduce the conversion of grasslands to cropland. Using US Department of Agriculture National Agricultural Statistics Service Census of Agriculture survey data from the 1925 to 2017 category “cropland used only for pasture or grazing,” which represents land that had been cropped but converted to annual/perennial pasture and grazed, we showcase that the number of farms and the land area in this category is a reasonable proxy of ICLS. As expected, ICLS dramatically decreased in the entire United States from 1925 to 1945, but from 1945 to 2002 in the Great Plains ICLS remained relatively constant, providing evidence of sustained crop-livestock integration. Consistent high numbers of beef cows during this period and the wide availability of forages and crop residues for ruminants facilitated opportunities for producers to use ICLS on their individual operations (within farm) or among operations where row crop farmers and forage-based producers integrated beef cattle use across the landscape (among farms). This integration, however, was decoupled from 2006 to 2013, a period of high grain prices. As a result, economic value of grasslands was decreased and conversion to cropland was increased. Thus, conservation efforts in the Great Plains for grasslands should focus on keeping grasslands intact for provision of multiple ecosystem goods and services by emphasizing incorporation of ICLS within and among farms to reduce the risk of converting grassland to cropland

Integration of Crop-Livestock Systems: An Opportunity to Protect Grasslands from Conversion to Cropland in the US Great Plains

The Great Plains is a mixture of cropland and grassland mainly used for agricultural purposes, with grasslands under continual threat of conversion to cropland. Agriculturists are advocating for the integration of crop-livestock systems (ICLS) to recouple nutrient cycles, improve biodiversity, and increase resilience of agricultural operations. We address the benefits of ICLS in the Great Plains, contending that focus on improving soil health and financial stability of agricultural operations should reduce the conversion of grasslands to cropland. Using US Department of Agriculture National Agricultural Statistics Service Census of Agriculture survey data from the 1925−2017 category “cropland used only for pasture or grazing,” which represents land that had been cropped but converted to annual/perennial pasture and grazed, we showcase that the number of farms and the land area in this category is a reasonable proxy of ICLS. As expected, ICLS dramatically decreased in the entire United States from 1925 to 1945, but from 1945 to 2002 in the Great Plains ICLS remained relatively constant, providing evidence of sustained crop-livestock integration. Consistent high numbers of beef cows during this period and the wide availability of forages and crop residues for ruminants facilitated opportunities for producers to use ICLS on their individual operations (within farm) or among operations where row crop farmers and forage-based producers integrated beef cattle use across the landscape (among farms). This integration, however, was decoupled from 2006 to 2013, a period of high grain prices. As a result, economic value of grasslands was decreased and conversion to cropland was increased. Thus, conservation efforts in the Great Plains for grasslands should focus on keeping grasslands intact for provision of multiple ecosystem goods and services by emphasizing incorporation of ICLS within and among farms to reduce the risk of converting grassland to cropland

Baseline Needs Assessment for a Hospital-Based Violence Intervention Program 1-Year Pilot

The objectives of the present study were to measure and describe the baseline participant needs of a hospital-based violence intervention 1-year pilot program, assess differences in expected hospital revenue based on changes in health insurance coverage resulting from program implementation and discuss the program’s limitations. Methods: Between September 2020 and September 2021 Encompass Omaha enrolled 36 participants. A content analysis of 1199 progress notes detailing points of contact with participants was performed to determine goal status. Goals were categorized and goal status was defined as met, in process, dropped, or participant refusal. Results: The most frequently identified needs were help obtaining short-term disability assistance or completing FMLA paperwork (86.11%), immediate financial aid (86.11%), legal aid (83.33%), access to food (83.3%), and navigating medical issues other than the primary reason for hospitalization (83.33%). Conclusions: Meeting the participants’ short-term needs is critical for maintaining their engagement in the long-term. Further, differences in expected hospital revenue for pilot participants compared with a control group were examined, and this analysis found a reduction in medical and facility costs for program participants. The pilot stage highlighted how complex the needs and treatment of victims of violence are. As the program grows and its staff become more knowledgeable about social work, treatment, and resource access processes, the program will continue to improve

The CHOICE (Choice of Health Options In prevention of Cardiovascular Events) replication trial: study protocol

Background: although morbidity and mortality from coronary heart disease (CHD) are high, only a minority of acute coronary syndrome (ACS) survivors accesses an effective secondary prevention program. We aim to determine whether the previously proven CHOICE program can be replicated at multiple sites and whether ongoing reinforcement further improves risk factor modification.Methods/design: participants eligible for but not accessing standard cardiac rehabilitation will be randomly allocated to either a previously tested 3-month CHOICE program or a 30-month CHOICE program (CHOICE-plus). Both groups will participate in individualised risk factor modules of differing duration that involve choice, goal setting and telephone follow-up for three months. CHOICE-plus will also receive additional face-to-face and telephone reinforcement between three and 30 months. At one site we will recruit a randomised control group, receiving conventional care. Primary outcomes are lipid levels, blood pressure, physical activity levels and smoking rates. Secondary outcomes include readmission rates, death, the number of risk factors, other modifiable risk factors, quality of life and process evaluation measures over three years.Discussion: we present the rationale and design of a multi-centre, replication study testing a modular approach for the secondary prevention of CHD following an ACS

Habitual physical activity and cardiometabolic risk factors in adults with cerebral palsy

2014 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license(http://creativecommons.org/licenses/by/3.0/).This article has been made available through the Brunel Open Access Publishing Fund.Adults with cerebral palsy (CP) are known to participate in reduced levels of total physical activity. There is no information available however, regarding levels of moderate-to-vigorous physical activity (MVPA) in this population. Reduced participation in MVPA is associated with several cardiometabolic risk factors. The purpose of this study was firstly to compare levels of sedentary, light, MVPA and total activity in adults with CP to adults without CP. Secondly, the objective was to investigate the association between physical activity components, sedentary behavior and cardiometabolic risk factors in adults with CP. Adults with CP (n = 41) age 18–62 yr (mean ± SD = 36.5 ± 12.5 yr), classified in Gross Motor Function Classification System level I (n = 13), II (n = 18) and III (n = 10) participated in this study. Physical activity was measured by accelerometry in adults with CP and in age- and sex-matched adults without CP over 7 days. Anthropometric indicators of obesity, blood pressure and several biomarkers of cardiometabolic disease were also measured in adults with CP. Adults with CP spent less time in light, moderate, vigorous and total activity, and more time in sedentary activity than adults without CP (p < 0.01 for all). Moderate physical activity was associated with waist-height ratio when adjusted for age and sex (β = −0.314, p < 0.05). When further adjustment was made for total activity, moderate activity was associated with waist-height ratio (β = −0.538, p < 0.05), waist circumference (β = −0.518, p < 0.05), systolic blood pressure (β = −0.592, p < 0.05) and diastolic blood pressure (β = −0.636, p < 0.05). Sedentary activity was not associated with any risk factor. The findings provide evidence that relatively young adults with CP participate in reduced levels of MVPA and spend increased time in sedentary behavior, potentially increasing their risk of developing cardiometabolic disease

A Phase II study of pulse dose imatinib mesylate and weekly paclitaxel in patients aged 70 and over with advanced non-small cell lung cancer

BACKGROUND: In non-small cell lung cancer (NSCLC), interstitial hypertension is a barrier to chemotherapy delivery, and is mediated by platelet derived growth factor receptor (PDGFR). Antagonizing PDGFR with imatinib may improve intra-tumoral delivery of paclitaxel, increasing response rate (RR). METHODS: This single-stage, open-label phase II study evaluated pulse dose imatinib and weekly paclitaxel in elderly patients with advanced NSCLC. Eligible patients were aged ≥ 70 with untreated, stage IIIB-IV NSCLC and ECOG performance status 0-2. Primary endpoint was RR. Secondary endpoints included median progression free and overall survival (PFS, OS) and correlatives of PDGFR pathway activation. Baseline Charlson Comorbidity Index (CCI) and Vulnerable Elder Survey-13 (VES-13) were correlated with outcomes. RESULTS: Thirty-four patients with median age 75 enrolled. Eleven of 29 (38%) were frail by VES-13 score. Overall RR was 11/34 (32%; 95% CI 17%-51%), meeting the primary endpoint. Median PFS and OS were 3.6 and 7.3 months, respectively. High tumoral PDGF-B expression predicted inferior PFS. Frail patients by VES-13 had significantly worse median PFS (3.2 vs. 4.5 months; p=0.02) and OS (4.8 vs. 12 months; p=0.02) than non-frail. CONCLUSIONS: The combination of imatinib and paclitaxel had encouraging activity as measured by the primary endpoint of RR. However, PFS and OS were typical for elderly patients treated with single agent chemotherapy and the regimen is not recommended for further study. Adjunct imatinib did not overcome the established association of tumoral PDGF-B expression with inferior PFS. VES-13 was a powerful predictor of poor survival outcomes. Frailty should be further studied as a predictor of non-benefit from chemotherapy. TRIAL REGISTRATION: ClinicalTrials.gov NCT01011075

Surgical stabilization versus nonoperative treatment for flail and non-flail rib fracture patterns in patients with traumatic brain injury

Purpose Literature on outcomes after SSRF, stratified for rib fracture pattern is scarce in patients with moderate to severe traumatic brain injury (TBI; Glasgow Coma Scale ≤ 12). We hypothesized that SSRF is associated with improved outcomes as compared to nonoperative management without hampering neurological recovery in these patients. Methods A post hoc subgroup analysis of the multicenter, retrospective CWIS-TBI study was performed in patients with TBI and stratified by having sustained a non-flail fracture pattern or flail chest between January 1, 2012 and July 31, 2019. The primary outcome was mechanical ventilation-free days and secondary outcomes were in-hospital outcomes. In multivariable analysis, outcomes were assessed, stratified for rib fracture pattern. Results In total, 449 patients were analyzed. In patients with a non-flail fracture pattern, 25 of 228 (11.0%) underwent SSRF and in patients with a flail chest, 86 of 221 (38.9%). In multivariable analysis, ventilator-free days were similar in both treatment groups. For patients with a non-flail fracture pattern, the odds of pneumonia were significantly lower after SSRF (odds ratio 0.29; 95% CI 0.11–0.77; p = 0.013). In patients with a flail chest, the ICU LOS was significantly shorter in the SSRF group (beta, − 2.96 days; 95% CI − 5.70 to − 0.23; p = 0.034). Conclusion In patients with TBI and a non-flail fracture pattern, SSRF was associated with a reduced pneumonia risk. In patients with TBI and a flail chest, a shorter ICU LOS was observed in the SSRF group. In both groups, SSRF was safe and did not hamper neurological recovery