Hospital service use in the last year of life by Indigenous Australians who died of heart failure or cardiomyopathy : a linked data study

Background: Aboriginal and Torres Strait Islander peoples experience disproportionate rates of heart failure. However, information regarding their use of hospital services in the last year of life is poorly delineated to inform culturally appropriate end-of-life health services. Objectives: To quantify hospital service use in the last year of life of Aboriginal and Torres Strait Islander peoples who died of heart failure or cardiomyopathy in Queensland, Australia. Methods: A subgroup analysis of a larger retrospective linkage study using administrative health data in Queensland, Australia. Individuals that identified as an Aboriginal and Torres Strait Islander person from their first hospital admission in the last year of life, who died of heart failure or cardiomyopathy from 2008 to 2018, were included. Results: There were 99 individuals, with emergency department presentation/s recorded for 85 individuals. Over 50% of individuals presenting to the Emergency Department were from regional areas (n = 43, 51%). The 99 individuals had a total of 472 hospital admissions, excluding same day admissions for haemodialysis, and 70% (n = 70) died in hospital. Most admissions were coded as acute care (n = 442, 94%), and fewer were coded as palliative care (n = 19, 4%). Median comorbidities or factors that led to hospital contact = 5 (interquartile range 3–9). Conclusion: Acute care hospital admissions in the last year of life by this population are common for those who died of heart failure or cardiomyopathy. Multimorbidity is prevalent in the last year of life, underscoring the importance of primary health care, provided by nurses and Indigenous health workers

An Infrared through Radio Study of the Properties and Evolution of IRDC Clumps

We examine the physical properties and evolutionary stages of a sample of 17 clumps within 8 Infrared Dark Clouds (IRDCs) by combining existing infrared, millimeter, and radio data with new Bolocam Galactic Plane Survey (BGPS) 1.1 mm data, VLA radio continuum data, and HHT dense gas (HCO+ and N2H+) spectroscopic data. We combine literature studies of star formation tracers and dust temperatures within IRDCs with our search for ultra-compact (UC) HII regions to discuss a possible evolutionary sequence for IRDC clumps. In addition, we perform an analysis of mass tracers in IRDCs and find that 8 micron extinction masses and 1.1 mm Bolocam Galactic Plane Survey (BGPS) masses are complementary mass tracers in IRDCs except for the most active clumps (notably those containing UCHII regions), for which both mass tracers suffer biases. We find that the measured virial masses in IRDC clumps are uniformly higher than the measured dust continuum masses on the scale of ~1 pc. We use 13CO, HCO+, and N2H+ to study the molecular gas properties of IRDCs and do not see any evidence of chemical differentiation between hot and cold clumps on the scale of ~1 pc. However, both HCO+ and N2H+ are brighter in active clumps, due to an increase in temperature and/or density. We report the identification of four UCHII regions embedded within IRDC clumps and find that UCHII regions are associated with bright (>1 Jy) 24 micron point sources, and that the brightest UCHII regions are associated with "diffuse red clumps" (an extended enhancement at 8 micron). The broad stages of the discussed evolutionary sequence (from a quiescent clump to an embedded HII region) are supported by literature dust temperature estimates; however, no sequential nature can be inferred between the individual star formation tracers.Comment: 33 pages, 26 figures, 6 tables, accepted for publication in ApJ. Full resolution version available here: http://casa.colorado.edu/~battersb/Publications.htm

Two Massive, Low-Luminosity Cores Toward Infrared Dark Clouds

This article presents high-resolution interferometric mosaics in the 850 micron waveband of two massive, quiescent infrared dark clouds. The two clouds were chosen based on their likelihood to represent environments preceding the formation of massive stars. The brightest compact sources detected in each cloud have masses of approximately 110 and 60 solar masses with radii < 0.1 pc, implying mean volume densities of approximately 1 million particles per cubic centimeter and mean column densities of about 1 gram per square centimeter. Supplementary data show these cores to be cold and inactive. Low upper limits to their bolometric luminosities and temperatures place them at a very early stage of evolution while current models of massive star formation suggest they have the potential to form massive stars.Comment: 6 pages, 5 figures. Accepted for publication by the Astrophysical Journa

The Small-Scale Physical Structure and Fragmentation Difference of Two Embedded Intermediate Mass Protostars in Orion

Intermediate-mass (IM) protostars, the bridge between the very common solar-like protostars and the more massive, but rarer, O and B stars, can only be studied at high physical spatial resolutions in a handful of clouds. In this paper, we present and analyze the continuum results from an observing campaign at the Submillimeter Array (SMA) targeting two well-studied IM protostars in Orion, NGC 2071 and L1641 S3 MMS 1. The extended SMA (eSMA) probes structure at angular resolutions up to 0".2, revealing protostellar disks on scales of ∼200 AU. Continuum flux measurements on these scales indicate that a significant amount of mass, a few tens of M_⊙, is present. Envelope, stellar, and disk masses are derived using compact, extended, and eSMA configurations and compared against spectral energy distribution fitting models. We hypothesize that fragmentation into three components occurred within NGC 2071 at an early time, when the envelopes were less than 10% of their current masses, e.g., <0.5 M. No fragmentation occurred for L1641 S3 MMS 1. For NGC 2071, evidence is given that the bulk of the envelope material currently around each source was accreted after the initial fragmentation. In addition, about 30% of the total core mass is not yet associated to one of the three sources. A global accretion model is favored and a potential accretion history of NGC 2071 is presented. It is shown that the relatively low level of fragmentation in NGC 2071 was stifled compared to the expected fragmentation from a Jeans argument. Similarly, the lack of fragmentation in L1641 S3 MMS 1 is likely due to similar arguments

A Mid-Infrared Census of Star Formation Activity in Bolocam Galactic Plane Survey Sources

We present the results of a search for mid-infrared signs of star formation activity in the 1.1 mm sources in the Bolocam Galactic Plane Survey (BGPS). We have correlated the BGPS catalog with available mid-IR Galactic plane catalogs based on the Spitzer Space Telescope GLIMPSE legacy survey and the Midcourse Space Experiment (MSX) Galactic plane survey. We find that 44% (3,712 of 8,358) of the BGPS sources contain at least one mid-IR source, including 2,457 of 5,067 (49%) within the area where all surveys overlap (10 deg < l < 65 deg). Accounting for chance alignments between the BGPS and mid-IR sources, we conservatively estimate that 20% of the BPGS sources within the area where all surveys overlap show signs of active star formation. We separate the BGPS sources into four groups based on their probability of star formation activity. Extended Green Objects (EGOs) and Red MSX Sources (RMS) make up the highest probability group, while the lowest probability group is comprised of "starless" BGPS sources which were not matched to any mid-IR sources. The mean 1.1 mm flux of each group increases with increasing probability of active star formation. We also find that the "starless" BGPS sources are the most compact, while the sources with the highest probability of star formation activity are on average more extended with large skirts of emission. A subsample of 280 BGPS sources with known distances demonstrates that mass and mean H_2 column density also increase with probability of star formation activity.Comment: 20 pages, 12 figures, 3 tables. Accepted for publication in ApJ. Full Table 2 will be available online through Ap

Effect of Re-impacting Debris on the Solidification of the Lunar Magma Ocean

Anorthosites that comprise the bulk of the lunar crust are believed to have formed during solidification of a Lunar Magma Ocean (LMO) in which these rocks would have floated to the surface. This early flotation crust would have formed a thermal blanket over the remaining LMO, prolonging solidification. Geochronology of lunar anorthosites indicates a long timescale of LMO cooling, or re-melting and re-crystallization in one or more late events. To better interpret this geochronology, we model LMO solidification in a scenario where the Moon is being continuously bombarded by returning projectiles released from the Moon-forming giant impact. More than one lunar mass of material escaped the Earth-Moon system onto heliocentric orbits following the giant impact, much of it to come back on returning orbits for a period of 100 Myr. If large enough, these projectiles would have punctured holes in the nascent floatation crust of the Moon, exposing the LMO to space and causing more rapid cooling. We model these scenarios using a thermal evolution model of the Moon that allows for production (by cratering) and evolution (solidification and infill) of holes in the flotation crust that insulates the LMO. For effective hole production, solidification of the magma ocean can be significantly expedited, decreasing the cooling time by more than a factor of 5. If hole production is inefficient, but shock conversion of projectile kinetic energy to thermal energy is efficient, then LMO solidification can be somewhat prolonged, lengthening the cooling time by 50% or more

The microstructure of coaching practice:Behaviours and activities of an elite rugby union head coach during preparation and competition

The activities and behaviours of a female head coach of a national rugby union team were recorded in both training and competition, across a whole rugby season, using the newly developed Rugby Coach Activities and Behaviours Instrument (RCABI). The instrument incorporates 24 categories of behaviour, embedded within three forms of activity (training form, playing form and competitive match) and seven sub-activity types. In contrast to traditional drill-based coaching, 58.5% of training time was found to have been spent in playing form activities. Moreover, the proportion of playing form activities increased to a peak average of 83.8% in proximity to the team’s annual international championship. Uniquely, one of the coach’s most prolific behaviours was conferring with associates (23.3%), highlighting the importance of interactions with assistant coaches, medical staff and others in shaping the coaching process. Additionally, the frequencies of key behaviours such as questioning and praise were found to vary between the different activity forms and types, raising questions about previous conceptions of effective coaching practice. The findings are discussed in the light of the Game Sense philosophy and the role of the head coach

Live Cell Monitoring of hiPSC Generation and Differentiation Using Differential Expression of Endogenous microRNAs

Human induced pluripotent stem cells (hiPSCs) provide new possibilities for regenerative therapies. In order for this potential to be achieved, it is critical to efficiently monitor the differentiation of these hiPSCs into specific lineages. Here, we describe a lentiviral reporter vector sensitive to specific microRNAs (miRNA) to show that a single vector bearing multiple miRNA target sequences conjugated to different reporters can be used to monitor hiPSC formation and subsequent differentiation from human fetal fibroblasts (HFFs). The reporter vector encodes EGFP conjugated to the targets of human embryonic stem cell (hESC) specific miRNAs (miR-302a and miR-302d) and mCherry conjugated to the targets of differentiated cells specific miRNAs (miR-142-3p, miR-155, and miR-223). The vector was used to track reprogramming of HFF to iPSC. HFFs co-transduced with this reporter vector and vectors encoding 4 reprogramming factors (OCT4, SOX2, KLF4 and cMYC) were mostly positive for EGFP (67%) at an early stage of hiPSC formation. EGFP expression gradually disappeared and mCherry expression increased indicating less miRNAs specific to differentiated cells and expression of miRNAs specific to hESCs. Upon differentiation of the hiPSC into embryoid bodies, a large fraction of these hiPSCs regained EGFP expression and some of those cells became single positive for EGFP. Further differentiation into neural lineages showed distinct structures demarcated by either EGFP or mCherry expression. These findings demonstrate that a miRNA dependent reporter vector can be a useful tool to monitor living cells during reprogramming of hiPSC and subsequent differentiation to lineage specific cells

Comparative Transcriptional and Genomic Analysis of Plasmodium falciparum Field Isolates

Mechanisms for differential regulation of gene expression may underlie much of the phenotypic variation and adaptability of malaria parasites. Here we describe transcriptional variation among culture-adapted field isolates of Plasmodium falciparum, the species responsible for most malarial disease. It was found that genes coding for parasite protein export into the red cell cytosol and onto its surface, and genes coding for sexual stage proteins involved in parasite transmission are up-regulated in field isolates compared with long-term laboratory isolates. Much of this variability was associated with the loss of small or large chromosomal segments, or other forms of gene copy number variation that are prevalent in the P. falciparum genome (copy number variants, CNVs). Expression levels of genes inside these segments were correlated to that of genes outside and adjacent to the segment boundaries, and this association declined with distance from the CNV boundary. This observation could not be explained by copy number variation in these adjacent genes. This suggests a local-acting regulatory role for CNVs in transcription of neighboring genes and helps explain the chromosomal clustering that we observed here. Transcriptional co-regulation of physical clusters of adaptive genes may provide a way for the parasite to readily adapt to its highly heterogeneous and strongly selective environment