Functional Mobility Outcomes in Telehealth and In-Person Assessments for Wheeled Mobility Devices

The purpose of this study was to compare telehealth and in-person service delivery models for wheeled mobility devices in terms of functional outcomes. We hypothesized that clinically significant improvements in functional mobility measured by the Functional Mobility Assessment (FMA) will occur in individuals receiving both telehealth and in-person clinic evaluations. A total of 27 Veterans receiving telehealth visits were compared to 27 individuals seen in clinic, selected from a database, matching for age, gender, and primary diagnosis. All mean individual item and total FMA scores in both groups increased from Time 1 to Time 2. Within the telehealth group, all changes in individual item and total FMA scores were statistically significant, with changes in 8 of 10 items meeting threshold for clinical significance (change >1.85 points). Within the clinic group, changes in 7 of 10 individual items and total FMA scores were statistically significant, and these same 7 items met threshold for clinical significance. Change scores for individual item and total FMA scores did not differ significantly between the two groups. A larger and clinically significant change in transfer score was seen in the telehealth group, suggesting telehealth visits may confer an advantage in being able to assess and address transfer issues in the home

Pseudobulges in the Disk Galaxies NGC 7690 and NGC 4593

We present Ks-band surface photometry of NGC 7690 (Hubble type Sab) and NGC 4593 (SBb). We find that, in both galaxies, a major part of the "bulge" is as flat as the disk and has approximately the same color as the inner disk. In other words, the "bulges" of these galaxies have disk-like properties. We conclude that these are examples of "pseudobulges" -- that is, products of secular dynamical evolution. Nonaxisymmetries such as bars and oval disks transport disk gas toward the center. There, star formation builds dense stellar components that look like -- and often are mistaken for -- merger-built bulges but that were constructed slowly out of disk material. These pseudobulges can most easily be recognized when, as in the present galaxies, they retain disk-like properties. NGC 7690 and NGC 4593 therefore contribute to the growing evidence that secular processes help to shape galaxies. NGC 4593 contains a nuclear ring of dust that is morphologically similar to nuclear rings of star formation that are seen in many barred and oval galaxies. The nuclear dust ring is connected to nearly radial dust lanes in the galaxy's bar. Such dust lanes are a signature of gas inflow. We suggest that gas is currently accumulating in the dust ring and hypothesize that the gas ring will starburst in the future. The observations of NGC 4593 therefore suggest that major starburst events that contribute to pseudobulge growth can be episodic.Comment: 10 pages, 3 Postscript figures; requires emulateapj.cls, apjfonts.sty, and psfig.sty; accepted for publication in ApJ; for a version with full resolution figures, see http://chandra.as.utexas.edu/~kormendy/n7690.pd

The Second Conference on Lunar Bases and Space Activities of the 21st Century, volume 1

These papers comprise a peer-review selection of presentations by authors from NASA, LPI industry, and academia at the Second Conference (April 1988) on Lunar Bases and Space Activities of the 21st Century, sponsored by the NASA Office of Exploration and the Lunar Planetary Institute. These papers go into more technical depth than did those published from the first NASA-sponsored symposium on the topic, held in 1984. Session topics covered by this volume include (1) design and operation of transportation systems to, in orbit around, and on the Moon, (2) lunar base site selection, (3) design, architecture, construction, and operation of lunar bases and human habitats, and (4) lunar-based scientific research and experimentation in astronomy, exobiology, and lunar geology

The Second Conference on Lunar Bases and Space Activities of the 21st Century, volume 2

These 92 papers comprise a peer-reviewed selection of presentations by authors from NASA, the Lunar and Planetary Institute (LPI), industry, and academia at the Second Conference on Lunar Bases and Space Activities of the 21st Century. These papers go into more technical depth than did those published from the first NASA-sponsored symposium on the topic, held in 1984. Session topics included the following: (1) design and operation of transportation systems to, in orbit around, and on the Moon; (2) lunar base site selection; (3) design, architecture, construction, and operation of lunar bases and human habitats; (4) lunar-based scientific research and experimentation in astronomy, exobiology, and lunar geology; (5) recovery and use of lunar resources; (6) environmental and human factors of and life support technology for human presence on the Moon; and (7) program management of human exploration of the Moon and space

Addressing the clumsiness loophole in a Leggett-Garg test of macrorealism

The rise of quantum information theory has lent new relevance to experimental tests for non-classicality, particularly in controversial cases such as adiabatic quantum computing superconducting circuits. The Leggett-Garg inequality is a "Bell inequality in time" designed to indicate whether a single quantum system behaves in a macrorealistic fashion. Unfortunately, a violation of the inequality can only show that the system is either (i) non-macrorealistic or (ii) macrorealistic but subjected to a measurement technique that happens to disturb the system. The "clumsiness" loophole (ii) provides reliable refuge for the stubborn macrorealist, who can invoke it to brand recent experimental and theoretical work on the Leggett-Garg test inconclusive. Here, we present a revised Leggett-Garg protocol that permits one to conclude that a system is either (i) non-macrorealistic or (ii) macrorealistic but with the property that two seemingly non-invasive measurements can somehow collude and strongly disturb the system. By providing an explicit check of the invasiveness of the measurements, the protocol replaces the clumsiness loophole with a significantly smaller "collusion" loophole.Comment: 7 pages, 3 figure

Long-lifetime, reliable liquid metal ion sources for boron, arsenic, and phosphorus

Operation of liquid–metalion sources based on palladium alloys that contain boron, arsenic, and phosphorus (singly or in combination) was studied. These sources, when run on refractory metal needles and heater ribbons, have exhibited high angular intensity (1.5–5 μA/sr), long lifetime (\u3e150 h), low energy spread (eV), and stable operation with extracted currents down to 2 μA

The Bursty Star Formation Histories of Low-mass Galaxies at 0.4<z<10.4<z<1 Revealed by Star Formation Rates Measured from Hβ\beta and FUV

We investigate the burstiness of star formation histories (SFHs) of galaxies at $0.4<z<1$ by using the ratio of star formation rates (SFRs) measured from H$\beta$ and FUV (1500 \AA) (H$\beta$--to--FUV ratio). Our sample contains 164 galaxies down to stellar mass (M*) of $10^{8.5} M_\odot$ in the CANDELS GOODS-N region, where Team Keck Redshift Survey DEIMOS spectroscopy and HST/WFC3 F275W images from CANDELS and Hubble Deep UV Legacy Survey are available. When the {\it ratio} of H$\beta$- and FUV-derived SFRs is measured, dust extinction correction is negligible (except for very dusty galaxies) with the Calzetti attenuation curve. The H$\beta$--to--FUV ratio of our sample increases with M* and SFR. The median ratio is $\sim$0.7 at M*$\sim10^{8.5} M_\odot$ (or SFR$\sim 0.5 M_\odot/yr$) and increases to $\sim$1 at M*$\sim10^{10} M_\odot$ (or SFR $\sim 10 M_\odot/yr$). At M*$<10^{9.5} M_\odot$, our median H$\beta$--to--FUV ratio is lower than that of local galaxies at the same M*, implying a redshift evolution. Bursty SFH on a timescale of a few tens of megayears on galactic scales provides a plausible explanation of our results, and the importance of the burstiness increases as M* decreases. Due to sample selection effects, our H$\beta$--to--FUV ratio may be an upper limit of the true value of a complete sample, which strengthens our conclusions. Other models, e.g., non-universal initial mass function or stochastic star formation on star cluster scales, are unable to plausibly explain our results.Comment: 13 pages, 8 figures. ApJ accepted. The main conclusions are not changed. Major modifications include: (1) to be consistent with the literature, now reporting H\beta--to--FUV ratio (rather than FUV--to--H\beta\ in the first version); (2) detailed discussions on dust extinction correction; (3) new SF bustiness calculation; and (4) enriched discussions in Introductio

Emergence of Hemagglutinin Mutations during the Course of Influenza Infection

Influenza remains a significant cause of disease mortality. The ongoing threat of influenza infection is partly attributable to the emergence of new mutations in the influenza genome. Among the influenza viral gene products, the hemagglutinin (HA) glycoprotein plays a critical role in influenza pathogenesis, is the target for vaccines and accumulates new mutations that may alter the efficacy of immunization. To study the emergence of HA mutations during the course of infection, we employed a deep-targeted sequencing method. We used samples from 17 patients with active H1N1 or H3N2 influenza infections. These patients were not treated with antivirals. In addition, we had samples from five patients who were analyzed longitudinally. Thus, we determined the quantitative changes in the fractional representation of HA mutations during the course of infection. Across individuals in the study, a series of novel HA mutations directly altered the HA coding sequence were identified. Serial viral sampling revealed HA mutations that either were stable, expanded or were reduced in representation during the course of the infection. Overall, we demonstrated the emergence of unique mutations specific to an infected individual and temporal genetic variation during infection