Renewable Energies

Fossil fuels are being consumed at much faster rates than they are produced in the Earth's crust; hence, the world's supply of these fuels is being depleted. The depletion of these nonrenewable fuels is a major challenge facing humanity. There are alternative sources of energy that are renewable and not based on the burning of fossil fuels. Renewable energy resources are those from sources that are capable of being continually replenished after exploitation. They are not exhaustible within human timescales. They occur naturally and abundantly and provide relatively clean energy that does not produce greenhouse gases like fossil fuels do

Biogeochemical Exploration of the Pescadero Basin Vents

In 2015, the deepest high-temperature hydrothermal vents in the Pacific Ocean (3,700 m) were discovered in a sediment-covered pull-apart basin along the Pescadero Transform Fault in the Gulf of California. Biological communities were observed thriving among the carbonate chimney structures (Figure 1; Goffredi et al., 2017). As a result of their striking contrast to other hydrothermal systems, the high- temperature, high-carbon Pescadero Basin vents provided the opportunity to examine the influence of tectonic setting on the nature of seafloor vent sites, the fundamental geochemical controls on biological colonization in the deep ocean, and the role of fluid venting on global-scale ocean chemistry and climate. In November 2017, with support from the Dalio Ocean Initiative, a multidisciplinary science team led by Woods Hole Oceanographic Institution scientists set out on E/V Nautilus to investigate this area of active venting

Biogeochemical Exploration of the Pescadero Basin Vents

In 2015, the deepest high-temperature hydrothermal vents in the Pacific Ocean (3,700 m) were discovered in a sediment-covered pull-apart basin along the Pescadero Transform Fault in the Gulf of California. Biological communities were observed thriving among the carbonate chimney structures (Figure 1; Goffredi et al., 2017). As a result of their striking contrast to other hydrothermal systems, the high- temperature, high-carbon Pescadero Basin vents provided the opportunity to examine the influence of tectonic setting on the nature of seafloor vent sites, the fundamental geochemical controls on biological colonization in the deep ocean, and the role of fluid venting on global-scale ocean chemistry and climate. In November 2017, with support from the Dalio Ocean Initiative, a multidisciplinary science team led by Woods Hole Oceanographic Institution scientists set out on E/V Nautilus to investigate this area of active venting

International Multi-Institutional Experience with Presentation and Management of Aortic Arch Laterality in Aberrant Subclavian Artery and Kommerell's Diverticulum

Background: Aberrant subclavian artery (ASA) with or without Kommerell's diverticulum (KD) is a rare anatomic aortic arch anomaly that can cause dysphagia and/or life-threatening rupture. The objective of this study is to compare outcomes of ASA/KD repair in patients with a left versus right aortic arch. Methods: Using the Vascular Low Frequency Disease Consortium methodology, a retrospective review was performed of patients ≥18 years old with surgical treatment of ASA/KD from 2000 to 2020 at 20 institutions. Results: 288 patients with ASA with or without KD were identified; 222 left-sided aortic arch (LAA), and 66 right-sided aortic arch (RAA). Mean age at repair was younger in LAA 54 vs. 58 years (P = 0.06). Patients in RAA were more likely to undergo repair due to symptoms (72.7% vs. 55.9%, P = 0.01), and more likely to present with dysphagia (57.6% vs. 39.1%, P < 0.01). The hybrid open/endovascular approach was the most common repair type in both groups. Rates of intraoperative complications, death within 30 days, return to the operating room, symptom relief and endoleaks were not significantly different. For patients with symptom status follow-up data, in LAA, 61.7% had complete relief, 34.0% had partial relief and 4.3% had no change. In RAA, 60.7% had complete relief, 34.4% had partial relief and 4.9% had no change. Conclusions: In patients with ASA/KD, RAA patients were less common than LAA, presented more frequently with dysphagia, had symptoms as an indication for intervention, and underwent treatment at a younger age. Open, endovascular and hybrid repair approaches appear equally effective, regardless of arch laterality

Women from the Middle East and North Africa in Europe: Understanding their marriage and family dynamics

The aim of this article is to assist the understanding of social workers in Europe of marriage and family dynamics among women from Middle East and North African countries who have moved to Europe. The focus of this article is on husband selection processes and family dynamics after marriage in Egypt, which is used as a case study reflecting culture and norms surrounding marriage in this region. This article reports on the findings of doctoral studies which examined marriage patterns and family dynamics in North Africa and in particular in Egypt where more in-depth data were available. The authors reflect issues surrounding values and process of marriage not only in terms of the implications for practice with social work clients or service users, but also in relation to the potential of women from this region who may join the social care workforce

Multiorgan MRI findings after hospitalisation with COVID-19 in the UK (C-MORE): a prospective, multicentre, observational cohort study

Introduction: The multiorgan impact of moderate to severe coronavirus infections in the post-acute phase is still poorly understood. We aimed to evaluate the excess burden of multiorgan abnormalities after hospitalisation with COVID-19, evaluate their determinants, and explore associations with patient-related outcome measures. Methods: In a prospective, UK-wide, multicentre MRI follow-up study (C-MORE), adults (aged ≥18 years) discharged from hospital following COVID-19 who were included in Tier 2 of the Post-hospitalisation COVID-19 study (PHOSP-COVID) and contemporary controls with no evidence of previous COVID-19 (SARS-CoV-2 nucleocapsid antibody negative) underwent multiorgan MRI (lungs, heart, brain, liver, and kidneys) with quantitative and qualitative assessment of images and clinical adjudication when relevant. Individuals with end-stage renal failure or contraindications to MRI were excluded. Participants also underwent detailed recording of symptoms, and physiological and biochemical tests. The primary outcome was the excess burden of multiorgan abnormalities (two or more organs) relative to controls, with further adjustments for potential confounders. The C-MORE study is ongoing and is registered with ClinicalTrials.gov, NCT04510025. Findings: Of 2710 participants in Tier 2 of PHOSP-COVID, 531 were recruited across 13 UK-wide C-MORE sites. After exclusions, 259 C-MORE patients (mean age 57 years [SD 12]; 158 [61%] male and 101 [39%] female) who were discharged from hospital with PCR-confirmed or clinically diagnosed COVID-19 between March 1, 2020, and Nov 1, 2021, and 52 non-COVID-19 controls from the community (mean age 49 years [SD 14]; 30 [58%] male and 22 [42%] female) were included in the analysis. Patients were assessed at a median of 5·0 months (IQR 4·2–6·3) after hospital discharge. Compared with non-COVID-19 controls, patients were older, living with more obesity, and had more comorbidities. Multiorgan abnormalities on MRI were more frequent in patients than in controls (157 [61%] of 259 vs 14 [27%] of 52; p&lt;0·0001) and independently associated with COVID-19 status (odds ratio [OR] 2·9 [95% CI 1·5–5·8]; padjusted=0·0023) after adjusting for relevant confounders. Compared with controls, patients were more likely to have MRI evidence of lung abnormalities (p=0·0001; parenchymal abnormalities), brain abnormalities (p&lt;0·0001; more white matter hyperintensities and regional brain volume reduction), and kidney abnormalities (p=0·014; lower medullary T1 and loss of corticomedullary differentiation), whereas cardiac and liver MRI abnormalities were similar between patients and controls. Patients with multiorgan abnormalities were older (difference in mean age 7 years [95% CI 4–10]; mean age of 59·8 years [SD 11·7] with multiorgan abnormalities vs mean age of 52·8 years [11·9] without multiorgan abnormalities; p&lt;0·0001), more likely to have three or more comorbidities (OR 2·47 [1·32–4·82]; padjusted=0·0059), and more likely to have a more severe acute infection (acute CRP &gt;5mg/L, OR 3·55 [1·23–11·88]; padjusted=0·025) than those without multiorgan abnormalities. Presence of lung MRI abnormalities was associated with a two-fold higher risk of chest tightness, and multiorgan MRI abnormalities were associated with severe and very severe persistent physical and mental health impairment (PHOSP-COVID symptom clusters) after hospitalisation. Interpretation: After hospitalisation for COVID-19, people are at risk of multiorgan abnormalities in the medium term. Our findings emphasise the need for proactive multidisciplinary care pathways, with the potential for imaging to guide surveillance frequency and therapeutic stratification

Asymptomatic hypoechoic regions on patellar tendon ultrasound : a 4-year clinical and ultrasound followup of 46 tendons

Patellar tendon ultrasound appearance is commonly used in clinical practice to diagnose patellar tendinopathy and guide management. Using a longitudinal study design we examined whether or not the presence of a hypoechoic ultrasonographic lesion in an asymptomatic patellar tendon conferred a risk for developing jumper\u27s knee compared with a tendon that was ultrasonographically normal. Ultrasonographic, symptomatic and anthropometric assessment was completed at baseline and followup. Magnetic resonance imaging was performed on four tendons that resolved ultrasonographically in the study period. Forty-six patellar tendons were followed over 47&plusmn;11.8 months. Eighteen tendons were hypoechoic at baseline and 28 were ultrasonographically normal. Five tendons resolved ultrasonographically in the study period. Magnetic resonance imaging in four of these tendons was normal. Seven normal patellar tendons at baseline developed a hypoechoic area but only two became symptomatic. Analysis of ultrasonography at baseline and clinical outcome with Fisher\u27s exact test shows there is no association between baseline ultrasound changes and symptoms at followup. In this study there is no statistically significant relationship between ultrasonographic patellar tendon abnormalities and clinical outcome in elite male athletes. Management of jumper\u27s knee should not be solely based on ultrasonographic appearance; clinical assessment remains the cornerstone of appropriate management.<br /

Joan HughesTHE PERSONALITY TRAITS OF INSTRUMENTALITY AND EXPRESSIVENESS IN RELATION TO MICROCOMPUTER PLAYFULNESS

This dissertation is dedicated to my grandfather, Herbert Coleman, for whom I was named and countless other African-Americans who never had the opportunities I have to pursue an education. It is also dedicated to my parents Nora A. Brumsey and Edward I. Coleman who both taught me, in so many ways, that gender does not have to define your role or who you are. Acknowledgments There are so many people I need to thank for their encouragement, support, guidance and patience while I pursued this study of interest. First, I thank my family, friends, and colleagues who listened to me talk about computers and gender personality traits for 14 years and still remained supportive and encouraging of my efforts to investigate this relationship. Secondly, to the Austin Community College District that supported me, encouraged me, provided supervisors who allowed the time off needed, and provided a laboratory for me to conduct my investigation. Also, to the ACC students who participated in the study, without whom the research would not have been possible, I say, thank you. I need to thank the University of Texas at Austin, Department of Education