The Health and Health Care of People with Intellectual Disabilities

New research studies conducted by Special Olympics found disturbing evidence that individuals with intellectual disabilities face widespread health problems, while physicians, dentists and other health professionals are not receiving adequate training in order to treat them. The research reinforces previous studies that found that despite the widespread belief that individuals with intellectual disabilities receive better health care than the rest of the population, people with intellectual disabilities actually have poorer health, more specialized ealth care needs and greater difficulty accessing health care services and doctors compared to the general public.Research Methodology: Special Olympics recently commissioned two research studies related to the health and health care of individuals with intellectual disabilities

The Hubble Ultra Deep Field

This paper presents the Hubble Ultra Deep Field (HUDF), a one million second exposure of an 11 square minute-of-arc region in the southern sky with the Hubble Space Telescope. The exposure time was divided among four filters, F435W (B435), F606W (V606), F775W (i775), and F850LP (z850), to give approximately uniform limiting magnitudes mAB~29 for point sources. The image contains at least 10,000 objects presented here as a catalog. Few if any galaxies at redshifts greater than ~4 resemble present day spiral or elliptical galaxies. Using the Lyman break dropout method, we find 504 B-dropouts, 204 V-dropouts, and 54 i-dropouts. Using these samples that are at different redshifts but derived from the same data, we find no evidence for a change in the characteristic luminosity of galaxies but some evidence for a decrease in their number densities between redshifts of 4 and 7. The ultraviolet luminosity density of these samples is dominated by galaxies fainter than the characteristic luminosity, and the HUDF reveals considerably more luminosity than shallower surveys. The apparent ultraviolet luminosity density of galaxies appears to decrease from redshifts of a few to redshifts greater than 6. The highest redshift samples show that star formation was already vigorous at the earliest epochs that galaxies have been observed, less than one billion years after the Big Bang.Comment: 44 pages, 18 figures, to appear in the Astronomical Journal October 200

Afferent projections of the trigeminal nerve in the goldfish, Carassius auratus

The horseradish peroxidase (HRP) histochemical technique was used to examine the peripheral distribution and afferent projections of the trigeminal nerve in the goldfish, Carassius auratus . Sensory fibers of the trigeminal nerve distribute over the head via four branches. The ophthalmic branch distributes fibers to the region above the eye and naris. The maxillary and mandibular branches innervate the regions of the upper and lower lip, respectively. A fourth branch of the trigeminal nerve was demonstrated to be present in the hyomandibular trunk. Upon entering the medulla the trigeminal afferent fibers divide into a rostromedially directed bundle and a caudally directed bundle. The rostromedially directed bundle terminates in the sensory trigeminal nucleus (STN) located within the rostral medulla. The majority of fibers turn caudally, forming the descending trigeminal tract. Fibers of the descending trigeminal tract terminate within three medullary nuclei: the nucleus of the descending trigeminal tract (NDTV), the spinal trigeminal nucleus (Spv), and the medial funicular nucleus (MFn). All projections, except for those to the MFn, are ipsilateral. Contralateral projections were observed at the level of the MFn following the labeling of the ophthalmic and maxillomandibular branches. All branches of the trigeminal nerve project to all four of the trigeminal medullary nuclei. Projections to the STN and MFn were found to be topographically organized such that the afferents of the ophthalmic branch project onto the ventral portion of these nuclei, while the afferents of the maxillo- and hyomandibular branches project to the dorsal portion of these nuclei. Cells of the mesencephalic trigeminal nucleus were retrogradely labeled following HRP application to the ophthalmic, maxillary, and mandibular branches of the trigeminal nerve. In addition to demonstrating the ascending mesencephalic trigeminal root fibers, HRP application to the above-mentioned branches also revealed descending mesencephalic trigeminal fibers. The descending mesencephalic trigeminal fibers course caudally medial to the branchiomeric motor column and terminate in the ventromedial portion of the MFn.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/50283/1/1051980202_ftp.pd

The star formation history and metal content of the "Green Peas". New detailed GTC-OSIRIS spectrophotometry of three galaxies

We present deep broad-band imaging and long-slit spectroscopy of three compact, low-mass starburst galaxies at redshift z\sim0.2-0.3, also referred to as Green Peas (GP). We measure physical properties of the ionized gas and derive abundances for several species with high precision. We find that the three GPs display relatively low extinction, low oxygen abundances, and remarkably high N/O ratios We also report on the detection of clear signatures of Wolf-Rayet (WR) stars in these galaxies. We carry out a pilot spectral synthesis study using a combination of both population and evolutionary synthesis models. Their outputs are in qualitative agreement, strongly suggesting a formation history dominated by starbursts. In agreement with the presence of WR stars, these models show that these GPs currently undergo a major starburst producing between ~4% and ~20% of their stellar mass. However, as models imply, they are old galaxies having had formed most of their stellar mass several Gyr ago. The presence of old stars has been spectroscopically verified in one of the galaxies by the detection of Mg I 5167, 5173 absorption line. Additionally, we perform a surface photometry study based on HST data, that indicates that the three galaxies posses an exponential low-surface brightness envelope. If due to stellar emission, the latter is structurally compatible to the evolved hosts of luminous BCD/HII galaxies, suggesting that GPs are identifiable with major episodes in the assembly history of local BCDs. These conclusions highlight the importance of these objects as laboratories for studying galaxy evolution at late cosmic epochs.Comment: 30 pages, 9 figures and 7 tables. Accepted for publication in Ap

Case typologies, chronic illness and primary health care

Rationale and aims and objectives: When assessing patients, clinicians use typologies developed through their idiosyncratic clinical experience. Our aim was to develop a typology, based on the patient’s perspective and not specific to one illness, with the potential to enhance person-centred clinical follow up of those living with chronic illness. Methods: We applied the qualitative comparative method to interview data from 37 people living with type 2 diabetes or with chronic back pain, recruited from UK General Practices. Informed by theory on time and complexity, analysis focused on the on-going adjustments made by individuals living with chronic illness (their dynamic) in current time. Health professionals (n=20) and people living with diabetes or living with back pain (n=14) refined and validated the typology in five focus groups. Results: We identified the following types of dynamic: Past Reminders, Stuck and Struggling, Becalmed, and Submerged. Among interviewees who provided data at different time points, we found some transformed from one dynamic type to another. Conclusion: This typology may aid personalization of treatment decisions and could be extended to other chronic illness

Measurement of the cosmic ray spectrum above 4×10184{\times}10^{18} eV using inclined events detected with the Pierre Auger Observatory

A measurement of the cosmic-ray spectrum for energies exceeding $4{\times}10^{18}$ eV is presented, which is based on the analysis of showers with zenith angles greater than $60^{\circ}$ detected with the Pierre Auger Observatory between 1 January 2004 and 31 December 2013. The measured spectrum confirms a flux suppression at the highest energies. Above $5.3{\times}10^{18}$ eV, the "ankle", the flux can be described by a power law $E^{-\gamma}$ with index $\gamma=2.70 \pm 0.02 \,\text{(stat)} \pm 0.1\,\text{(sys)}$ followed by a smooth suppression region. For the energy ($E_\text{s}$) at which the spectral flux has fallen to one-half of its extrapolated value in the absence of suppression, we find $E_\text{s}=(5.12\pm0.25\,\text{(stat)}^{+1.0}_{-1.2}\,\text{(sys)}){\times}10^{19}$ eV.Comment: Replaced with published version. Added journal reference and DO

Rockall and Hatton: Resolving a Super Wicked Marine Governance Problem in the High Seas of the Northeast Atlantic Ocean

<p>The Hatton-Rockall plateau in the northeast Atlantic Ocean has long been the subject of interest for fishers, prospectors, conservationists, managers, planners, and politicians. As a feature that straddles national and international waters, it is subject to a multitude of competing and confounding regulations, making the development of a holistic management plan for sustainable use fraught with difficulty. Here, the various stakeholders in the area are collated, together with the rules they have created or must abide by with respect to biodiversity assets, maritime resources, and governance frameworks. Blue Growth envisages optimal use of sea areas, including potential for additional commercial activities. Current research and stakeholder engagement efforts to achieve this integration are described, and the contribution of the EU-funded ATLAS project is analyzed. In particular, more precise, ground-truthed information has the potential to inform systematic conservation planning, providing the basis for sustainable development and improving adaptive management. By scrutinizing and exposing all the elements in this example of a spatially managed area we show how the expectations of each stakeholder can be better managed.</p