Asymmetrical Distribution of Quaternary Alluvial Fills, Pumpkin Creek Drainage Basin, Western Nebraska

A remnant alluvial fill of early Pleistocene age exposed in Pumpkin Creek Valley, Banner and Morrill counties, Nebraska, has yielded fossils of Mammuthus meridionalis (Nesti) and Equus sp. cf. E. scotti Gidley. Younger fill remnants of trunk and tributary streams allow a refinement of earlier views on the development of the Pumpkin Creek drainage basin during the Quaternary Period. Ancestral Pumpkin Creek both shifted to the north and entrenched its valley several times during the Quaternary Period leaving alluvial fills at three levels or more south of the present creek. Piracy of the headwaters of ancestral Pumpkin Creek took place after the last of these erosional events, probably in middle or late Pleistocene time. Asymmetrical distribution of alluvial fills occurs in Pumpkin Creek Valley, along the north side of parts of the North Platte River in western Nebraska, and along streams east of the Black Hills. The asymmetrical distribution of these deposits may have been due to structural warping, which could have caused these streams to shift their courses laterally and to entrench their valleys repeatedly

Asymmetrical Distribution of Quaternary Alluvial Fills, Pumpkin Creek Drainage Basin, Western Nebraska

A remnant alluvial fill of early Pleistocene age exposed in Pumpkin Creek Valley, Banner and Morrill counties, Nebraska, has yielded fossils of Mammuthus meridionalis (Nesti) and Equus sp. cf. E. scotti Gidley. Younger fill remnants of trunk and tributary streams allow a refinement of earlier views on the development of the Pumpkin Creek drainage basin during the Quaternary Period. Ancestral Pumpkin Creek both shifted to the north and entrenched its valley several times during the Quaternary Period leaving alluvial fills at three levels or more south of the present creek. Piracy of the headwaters of ancestral Pumpkin Creek took place after the last of these erosional events, probably in middle or late Pleistocene time. Asymmetrical distribution of alluvial fills occurs in Pumpkin Creek Valley, along the north side of parts of the North Platte River in western Nebraska, and along streams east of the Black Hills. The asymmetrical distribution of these deposits may have been due to structural warping, which could have caused these streams to shift their courses laterally and to entrench their valleys repeatedly

Exploring experiences of cancer care in Wales: a thematic analysis of free-text responses to the 2013 Wales Cancer Patient Experience Survey (WCPES)

Objectives To provide the first systematic analysis of a national (Wales) sample of free-text comments from patients with cancer, to determine emerging themes and insights regarding experiences of cancer care in Wales. Design Thematic analysis of free-text data from a population-based survey. Setting and participants Adult patients with a confirmed cancer diagnosis treated within a 3-month period during 2012 in the 7 health boards and 1 trust providing cancer care in Wales. Main outcome measures Free-text categorised by theme, coded as positive or negative, with ratios. Overarching themes are identified incorporating comment categories. Methods 4672 respondents (of n=7352 survey respondents) provided free-text comments. Data were coded using a multistage approach: (1) coding of comments into general categories (eg, nursing, surgery, etc), (2) coding of subcategories within main categories (eg, nursing care, nursing communication, etc), (3) cross-sectional analysis to identify themes cutting across categories, (4) mapping of categories/subcategories to corresponding closed questions in the Wales Cancer Patient Experience Survey (WCPES) data for comparison. Results Most free-text respondents (82%, n 3818) provided positive comments about their cancer care, with 49% (n=2313) giving a negative comment (ratio 0.6:1, negative-to-positive). 3172 respondents (67.9% of free-text respondents) provided a comment mapping to 1 of 4 overarching themes: communication (n=1673, 35.8% free-text respondents, a ratio of 1.0:1); waiting during the treatment and/or post-treatment phase (n=923, 19.8%, ratio 1.5:1); staffing and resource levels (n=671, 14.4% ratio 5.3:1); speed and quality of diagnostic care (n=374, 8.0%, ratio 1.5:1). Within these areas, constituent subthemes are discussed. Conclusions This study presents specific areas of concern for patients with cancer, and reveals a number of themes present across the cancer journey. While the majority of comments were positive, analysis reveals concerns shared by significant numbers of respondents. Timely communication can help to manage these anxieties, even where delays or difficulties in treatment may be encountered

Multi-Pulse Laser Wakefield Acceleration: A New Route to Efficient, High-Repetition-Rate Plasma Accelerators and High Flux Radiation Sources

Laser-driven plasma accelerators can generate accelerating gradients three orders of magnitude larger than radio-frequency accelerators and have achieved beam energies above 1 GeV in centimetre long stages. However, the pulse repetition rate and wall-plug efficiency of plasma accelerators is limited by the driving laser to less than approximately 1 Hz and 0.1% respectively. Here we investigate the prospects for exciting the plasma wave with trains of low-energy laser pulses rather than a single high-energy pulse. Resonantly exciting the wakefield in this way would enable the use of different technologies, such as fibre or thin-disc lasers, which are able to operate at multi-kilohertz pulse repetition rates and with wall-plug efficiencies two orders of magnitude higher than current laser systems. We outline the parameters of efficient, GeV-scale, 10-kHz plasma accelerators and show that they could drive compact X-ray sources with average photon fluxes comparable to those of third-generation light source but with significantly improved temporal resolution. Likewise FEL operation could be driven with comparable peak power but with significantly larger repetition rates than extant FELs

Spatio-temporal analysis of spatial accessibility to primary health care in Bhutan

© 2015 by the authors; licensee MDPI, Basel, Switzerland. Geographic information systems (GIS) can be effectively utilized to carry out spatio-temporal analysis of spatial accessibility to primary healthcare services. Spatial accessibility to primary healthcare services is commonly measured using floating catchment area models which are generally defined with three variables; namely, an attractiveness component of the service centre, travel time or distance between the locations of the service centre and the population, and population demand for healthcare services. The nearest-neighbour modified two-step floating catchment area (NN-M2SFCA) model is proposed for computing spatial accessibility indices for the entire country. Accessibility values from 2010 to 2013 for Bhutan were analysed both spatially and temporally by producing accessibility ranking maps, plotting Lorenz curves, and conducting spatial clustering analysis. The spatial accessibility indices of the 205 sub-districts show great disparities in healthcare accessibility in the country. The mean-and median-based classification results indicate that, in 2013, 24 percent of Bhutan's population have poor access to primary healthcare services, 66 percent of the population have medium-level access, and 10 percent have good access

A New Genus of Cricetid Rodent from the Hemingfordian (Miocene) of Nebraska

5 p., 2 fig.http://paleo.ku.edu/contributions.htm

CaNaSTA - Crop Niche Selection for Tropical Agriculture, a Spatial Decision Support System

Farmers in the developing world frequently find themselves in uncertain and risky environments, often having to make decisions based on very little information. Risks for smallholder farmers are often critical because of their poverty. In addition, in the tropics and subtropics, the natural environment is spatially and temporally variable and often harsh, thereby increasing the uncertainty faced by these farmers. This research aims to improve forage adoption decisions in the developing world, thereby increasing sustainable intensification and ultimately contributing to increased sustainable world food production and the alleviation of under-nutrition

A cohort study of the recovery of health and wellbeing following colorectal cancer (CREW study): protocol paper

Background: the number of people surviving colorectal cancer has doubled in recent years. While much of the literature suggests that most people return to near pre-diagnosis status following surgery for colorectal cancer, this literature has largely focused on physical side effects. Longitudinal studies in colorectal cancer have either been small scale or taken a narrow focus on recovery after surgery. There is a need for a comprehensive, long-term study exploring all aspects of health and wellbeing in colorectal cancer patients. The aim of this study is to establish the natural history of health and wellbeing in people who have been treated for colorectal cancer. People have different dispositions, supports and resources, likely resulting in individual differences in restoration of health and wellbeing. The protocol described in this paper is of a study which will identify who is most at risk of problems, assess how quickly people return to a state of subjective health and wellbeing, and will measure factors which influence the course of recovery. Methods: this is a prospective, longitudinal cohort study following 1000 people with colorectal cancer over a period of two years, recruiting from 30 NHS cancer treatment centres across the UK. Questionnaires will be administered prior to surgery, and 3, 9, 15 and 24 months after surgery, with the potential to return to this cohort to explore on-going issues related to recovery after cancer. Discussion: outcomes will help inform health care providers about what helps or hinders rapid and effective recovery from cancer, and identify areas for intervention development to aid this process. Once established the cohort can be followed up for longer periods and be approached to participate in related projects as appropriate and subject to funding<br/