Next Steps & Closing

Discuss next steps for NTAS & PS&DS, action items, participant feedback, etc

Marbles: The Application of Input-Output Concepts to Safety Management Systems

The goal of this research was to apply the economic concept titled Input-Output Analysis to an aviation safety concept titled Safety Management Systems (SMS). Input-Output (IO) is based upon the interrelationships of various components of an economic system and what happens to the system when one or more of those components changes. Since SMS is, by definition, a system with definable components, the research sought to determine if the interrelationships between those components could be determined and quantified. The term ‘‘marbles’’ was used to describe the activities that led to the IO-SMS matrix. Marbles was used as a metaphor for quantifying interrelationships. A team of SMS experts was assembled to collectively determine the interrelationships among the four components of SMS. Next the team determined the relative values of the elements and processes inside each component. (There are 24 discrete items—elements and processes—in SMS.) Once these values were determined and placed into a 24 6 24 matrix, IO matrix mathematics was applied to produce the IO-SMS Matrix. The SMS matrix that resulted from this experiment may be a powerful management tool that can determine the impact of any numerical input, such as an SMS survey, on the total system. It can also be used to perform ‘‘what if’’ analysis by changing the value of one element or process within the SMS. The weakness of the IO-SMS matrix is that it is highly sensitive to the original input data that define the interrelationships among the components

Pelizaeus-Merzbacher-Like disease presentation of MCT8 mutated male subjects.

Pelizaeus-Merzbacher Disease is an X-linked hypomyelinatiing leukodystrophy. We report mutations in the thyroid hormone transporter gene MCT8 in 11% of 53 families affected by hypomyelinating leukodystrophies of unknown aetiology. The 12 MCT8 mutated patients express initially a Pelizaeus-Merzbacher-Like disease phenotype with a latter unusual improvement of magnetic resonance imaging white matter signal despite absence of clinical progression. This observation underlines the interest of determining both free T3 and free T4 serum concentrations to screen for MCT8 mutations in young patients (<3 y) with a severe Pelizaeus-Merzbacher-Like disease presentation or older severe mentally retarded male patients with "hypomyelinated" regions

Strengthening Nepal’s Female Community Health Volunteer network: a qualitative study of experiences at two years

Background: Nepal’s Female Community Health Volunteer (FCHV) program has been described as an exemplary public-sector community health worker program. However, despite its merits, the program still struggles to provide high-quality, accessible services nation-wide. Both in Nepal and globally, best practices for community health worker program implementation are not yet known: there is a dearth of empiric research, and the research that has been done has shown inconsistent results. Methods: Here we evaluate a pilot program designed to strengthen the Nepali government’s FCHV network. The program was structured with five core components: 1) improve local FCHV leadership; 2) facilitate structured weekly FCHV meetings and 3) weekly FCHV trainings at the village level; 4) implement a monitoring and evaluation system for FCHV patient encounters; and 5) provide financial compensation for FCHV work. Following twenty-four months of program implementation, a retrospective programmatic evaluation was conducted, including qualitative analysis of focus group discussions and semi-structured interviews. Results: Qualitative data analysis demonstrated that the program was well-received by program participants and community members, and suggests that the five core components of this program were valuable additions to the pre-existing FCHV network. Analysis also revealed key challenges to program implementation including geographic limitations, literacy limitations, and limitations of professional respect from healthcare workers to FCHVs. Descriptive statistics are presented for programmatic process metrics and costs throughout the first twenty four months of implementation. Conclusions: The five components of this pilot program were well-received as a mechanism for strengthening Nepal’s FCHV program. To our knowledge, this is the first study to present such data, specifically informing programmatic design and management of the FCHV program. Despite limitations in its scope, this study offers tangible steps forward for further research and community health worker program improvement, both within Nepal and globally

Oscillating photonic Bell state from a semiconductor quantum dot for quantum key distribution

An on-demand source of bright entangled photon pairs is desirable for quantum key distribution (QKD) and quantum repeaters. The leading candidate to generate entangled photon pairs is based on spontaneous parametric down-conversion (SPDC) in a non-linear crystal. However, there exists a fundamental trade-off between entanglement fidelity and efficiency in SPDC sources due to multiphoton emission at high brightness, which limits the pair extraction efficiency to 0.1% when operating at near-unity fidelity. Quantum dots in photonic nanostructures can in principle overcome this trade-off; however, the quantum dots that have achieved entanglement fidelities on par with SPDC sources (99%) have poor pair extraction efficiencies of 0.01%. Here, we demonstrate a 65-fold increase in the pair extraction efficiency compared to quantum dots with equivalent peak fidelity from an InAsP quantum dot in a photonic nanowire waveguide. We measure a raw peak concurrence and fidelity of 95.3% $\pm$ 0.5% and 97.5% $\pm$ 0.8%, respectively. Finally, we show that an oscillating two-photon Bell state generated by a semiconductor quantum dot can be utilized to establish a secure key for QKD, alleviating the need to remove the quantum dot energy splitting of the intermediate exciton states in the biexciton-exciton cascade.Comment: 24 pages (7 main body, excluding references plus 14 supplemental information) and 4 main body figure

In Memory of Dr. Lars Lyberg. Remembering a Giant in Survey Research (1944-2021)

On August 8, 2021, survey statisticians, survey methodologists, and survey researchersgathered virtually at the Joint Statistical Meetings of the American Statistical Association(JSM) to remember the amazing life of Lars Lyberg. This articles presents the commentsand memories shared by some of Lars’ closest colleagues at this memorial session. The co-authors dedicate this article to Lars in the hope that his work, his contributions, and hiscollaborative spirit will live on indefinitely

Prevalence of Disorders Recorded in Dogs Attending Primary-Care Veterinary Practices in England

Purebred dog health is thought to be compromised by an increasing occurence of inherited diseases but inadequate prevalence data on common disorders have hampered efforts to prioritise health reforms. Analysis of primary veterinary practice clinical data has been proposed for reliable estimation of disorder prevalence in dogs. Electronic patient record (EPR) data were collected on 148,741 dogs attending 93 clinics across central and south-eastern England. Analysis in detail of a random sample of EPRs relating to 3,884 dogs from 89 clinics identified the most frequently recorded disorders as otitis externa (prevalence 10.2%, 95% CI: 9.1-11.3), periodontal disease (9.3%, 95% CI: 8.3-10.3) and anal sac impaction (7.1%, 95% CI: 6.1-8.1). Using syndromic classification, the most prevalent body location affected was the head-and-neck (32.8%, 95% CI: 30.7-34.9), the most prevalent organ system affected was the integument (36.3%, 95% CI: 33.9-38.6) and the most prevalent pathophysiologic process diagnosed was inflammation (32.1%, 95% CI: 29.8-34.3). Among the twenty most-frequently recorded disorders, purebred dogs had a significantly higher prevalence compared with crossbreds for three: otitis externa (P = 0.001), obesity (P = 0.006) and skin mass lesion (P = 0.033), and popular breeds differed significantly from each other in their prevalence for five: periodontal disease (P = 0.002), overgrown nails (P = 0.004), degenerative joint disease (P = 0.005), obesity (P = 0.001) and lipoma (P = 0.003). These results fill a crucial data gap in disorder prevalence information and assist with disorder prioritisation. The results suggest that, for maximal impact, breeding reforms should target commonly-diagnosed complex disorders that are amenable to genetic improvement and should place special focus on at-risk breeds. Future studies evaluating disorder severity and duration will augment the usefulness of the disorder prevalence information reported herein