Beatrice Fairfax, Tell Me What To Do!

https://digitalcommons.library.umaine.edu/mmb-vp/1079/thumbnail.jp

Lunar and Mars Ascent and Descent/Entry Crew Abort Modes for the Hercules Single-Stage Reusable Vehicle

The Hercules single-stage reusable vehicle is designed to support crewed missions to both the lunar surface and Mars surface. The design maximizes crew safety by providing full coverage crew abort capability during ascent and entry/descent, either through abort-to-surface or abort-to-orbit. This paper outlines each of the abort modes and discuss the Hercules vehicle design along with the base and orbital infrastructure required to enable the full coverage abort capability. For each abort mode, trajectory simulations are flown that illustrate the requisite design capabilities and highlight the sensitivity to key design variables

High-Resolution Multibeam Bathymetry of East and West Flower Gardens and Stetson Banks, Gulf of Mexico

The 1990s have seen rapid advances in seafloor mapping technology. Multibeam sonars are now capable of mapping a wide range of water depths with beams as narrow as 1°, and provide up to a 150° swath. When these multibeam sonars are coupled with an extremely accurate vehicle motion sensor and very precise navigation, they are capable of producing unprecedented images of the seafloor. This technology was used in December 1997 to map the East and West Flower Gardens and Stetson Banks, Gulf of Mexico. The results from this survey provide the most accurate maps of these areas yet produced and reveal features at submeter resolution never mapped in these areas before. The digital data provide a database that should become the fundamental base maps for all subsequent work in this recently established National Marine Sanctuary

Astrophysical science metrics for next-generation gravitational-wave detectors

The second generation of gravitational-wave detectors are being built and tuned all over the world. The detection of signals from binary black holes is beginning to fulfill the promise of gravitational-wave astronomy. In this work, we examine several possible configurations for third-generation laser interferometers in existing km-scale facilities. We propose a set of astrophysically motivated metrics to evaluate detector performance. We measure the impact of detector design choices against these metrics, providing a quantitative cost-benefit analyses of the resulting scientific payoffs

Book Reviews

Book Review

Effect of a Patient-Centered Phone Call by a Clinical Officer at Time of HIV Testing on Linkage to Care in Rural Kenya.

In a randomized controlled trial, we tested whether a structured, patient-centered phone call from a clinical officer after HIV testing improved linkage to/re-engagement in HIV care. Among 130 HIV-positive persons, those randomized to the phone call were significantly more likely to link to care by 7 and 30 days (P = .04)

Long-Ranged Correlations in Sheared Fluids

The presence of long-ranged correlations in a fluid undergoing uniform shear flow is investigated. An exact relation between the density autocorrelation function and the density-mometum correlation function implies that the former must decay more rapidly than $1/r$, in contrast to predictions of simple mode coupling theory. Analytic and numerical evaluation of a non-perturbative mode-coupling model confirms a crossover from $1/r$ behavior at ''small'' $r$ to a stronger asymptotic power-law decay. The characteristic length scale is $\ell \approx \sqrt{\lambda_{0}/a}$ where $$ is the sound damping constant and $a$ is the shear rate.Comment: 15 pages, 2 figures. Submitted to PR

Factors predictive of successful retention in care among HIV-infected men in a universal test-and-treat setting in Uganda and Kenya: A mixed methods analysis.

BackgroundPrevious research indicates clinical outcomes among HIV-infected men in sub-Saharan Africa are sub-optimal. The SEARCH test and treat trial (NCT01864603) intervention included antiretroviral care delivery designed to address known barriers to HIV-care among men by decreasing clinic visit frequency and providing flexible, patient-centered care with retention support. We sought to understand facilitators and barriers to retention in care in this universal treatment setting through quantitative and qualitative data analysis.MethodsWe used a convergent mixed methods study design to evaluate retention in HIV care among adults (age > = 15) during the first year of the SEARCH (NCT01864603) test and treat trial. Cox proportional hazards regression was used to evaluate predictors of retention in care. Longitudinal qualitative data from n = 190 in-depth interviews with HIV-positive individuals and health care providers were analyzed to identify facilitators and barriers to HIV care engagement.ResultsThere were 1,863 men and 3,820 women who linked to care following baseline testing. Retention in care was 89.7% (95% CI 87.0-91.8%) among men and 89.0% (86.8-90.9%) among women at one year. In both men and women older age was associated with higher rates of retention in care at one year. Additionally, among men higher CD4+ at ART initiation and decreased time between testing and ART initiation was associated with higher rates of retention. Maintaining physical health, a patient-centered treatment environment, supportive partnerships, few negative consequences to disclosure, and the ability to seek care in facilities outside of their community of residence were found to promote retention in care.ConclusionsFeatures of the ART delivery system in the SEARCH intervention and social and structural advantages emerged as facilitators to retention in HIV care among men. Messaging around the health benefits of early ART start, decreasing logistical barriers to HIV care, support of flexible treatment environments, and accelerated linkage to care, are important to men's success in ART treatment programs. Men already benefit from increased social support following disclosure of their HIV-status. Future efforts to shift gender norms towards greater equity are a potential strategy to support high levels of engagement in care for both men and women