Boy Scouts of America Concept Site Master Plan and Improvements

Our team, G1 Engineering, has partnered with the Boy Scouts of America to provide an update to their master plan for the Outdoor Education Center site located at 600 S. 120th Street, Lincoln, NE. Our work included providing transportation solutions; drainage evaluations; investigation of geotechnical conditions; environmental evaluation and determination of permitting requirements; preparation of concept design plans for bridges, drainage, utilities, and overall site plan; and evaluation of structural elements included in the project. Two streams cross the property presenting site access issues. Our team provided pedestrian, UTV, and emergency vehicle access bridges to address these issues. With the two streams on the property, a majority of the land is classified as a floodway or a floodplain. As such, there are regulations placed on any structures built in these areas to not raise flood elevations. Recent expanded use of the facility has led to strains on the parking areas and wastewater facilities. Our team has proposed solutions for expanded parking lots and lagoon operations. Finally, our team investigated the geotechnical conditions present on the site to allow for proper construction and placement of foundations of proposed structures

Noninvasive measures of brain edema predict outcome in pediatric cerebral malaria.

BackgroundIncreased brain volume (BV) and subsequent herniation are strongly associated with death in pediatric cerebral malaria (PCM), a leading killer of children in developing countries. Accurate noninvasive measures of BV are needed for optimal clinical trial design. Our objectives were to examine the performance of six different magnetic resonance imaging (MRI) BV quantification measures for predicting mortality in PCM and to review the advantages and disadvantages of each method.MethodsReceiver operator characteristics were generated from BV measures of MRIs of children admitted to an ongoing research project with PCM between 2009 and 2014. Fatal cases were matched to the next available survivor. A total of 78 MRIs of children aged 5 months to 13 years (mean 4.0 years), of which 45% were males, were included.ResultsAreas under the curve (AUC) with 95% confidence interval on measures from the initial MRIs were: Radiologist-derived score = 0.69 (0.58-0.79; P = 0.0037); prepontine cistern anteroposterior (AP) dimension = 0.70 (0.56-0.78; P = 0.0133); SamKam ratio [Rt. parietal lobe height/(prepontine AP dimension + fourth ventricle AP dimension)] = 0.74 (0.63-0.83; P = 0.0002); and global cerebrospinal fluid (CSF) space ascertained by ClearCanvas = 0.67 (0.55-0.77; P = 0.0137). For patients with serial MRIs (n = 37), the day 2 global CSF space AUC was 0.87 (0.71-0.96; P P ConclusionAll noninvasive measures of BV performed well in predicting death and providing a proxy measure for brain volume. Initial MRI assessment may inform future clinical trials for subject selection, risk adjustment, or stratification. Measures of temporal change may be used to stage PCM

Pdl1 Is a Putative Lipase that Enhances Photorhabdus Toxin Complex Secretion

The Toxin Complex (TC) is a large multi-subunit toxin first characterized in the insect pathogens Photorhabdus and Xenorhabdus, but now seen in a range of pathogens, including those of humans. These complexes comprise three protein subunits, A, B and C which in the Xenorhabdus toxin are found in a 4∶1∶1 stoichiometry. Some TCs have been demonstrated to exhibit oral toxicity to insects and have the potential to be developed as a pest control technology. The lack of recognisable signal sequences in the three large component proteins hinders an understanding of their mode of secretion. Nevertheless, we have shown the Photorhabdus luminescens (Pl) Tcd complex has been shown to associate with the bacteria's surface, although some strains can also release it into the surrounding milieu. The large number of tc gene homologues in Pl make study of the export process difficult and as such we have developed and validated a heterologous Escherichia coli expression model to study the release of these important toxins. In addition to this model, we have used comparative genomics between a strain that releases high levels of Tcd into the supernatant and one that retains the toxin on its surface, to identify a protein responsible for enhancing secretion and release of these toxins. This protein is a putative lipase (Pdl1) which is regulated by a small tightly linked antagonist protein (Orf53). The identification of homologues of these in other bacteria, linked to other virulence factor operons, such as type VI secretion systems, suggests that these genes represent a general and widespread mechanism for enhancing toxin release in Gram negative pathogens

Legitimacy intermediation in the multilevel European polity and its collapse in the euro crisis

This essay re-examines the dual – republican and liberal – foundations of democratic legitimacy in the Western traditions of normative political theory. Considered in isolation, the European Union conforms to liberal standards but cannot satisfy republican criteria. Given these conflicting standards, debates on the alleged European democratic deficit have remained inconclusive. Moreover, they have failed to pay sufficient attention to the multilevel character of the European polity and to the normative potential of legitimacy intermediation in its two-step compliance and legitimating relationships. I argue, however, that the capacity of democratic member states to legitimate the exercise of European governing functions is being destroyed in the present euro crisis, and I briefly discuss the implications of this new constellation.In der westlichen Tradition der normativen politischen Theorie beruht demokratische Legitimität auf der doppelten Grundlage republikanischer und liberaler Prinzipien. Für sich betrachtet entspricht die Europäische Union zwar liberalen Kriterien, aber eben nicht den republikanischen Anforderungen. Angesichts so unterschiedlicher Kriterien konnte es auch im Streit über das angebliche europäische Demokratiedefizit keine Einigung geben. Überdies ignorierte diese Diskussion den Mehrebenen-Charakter der europäischen Politik und das normative Potenzial der Legitimationsvermittlung zwischen Union und Bürgern durch die demokratisch verfassten Mitgliedstaaten. Die gegenwärtige Eurokrise allerdings zerstört die Fähigkeit demokratischer Mitgliedstaaten, die Ausübung europäischer Herrschaftsfunktionen zu legitimieren. Der Aufsatz erörtert die Implikationen dieser neuen Konstellation.1 Introduction 2 Legitimacy discourses The republican discourse The liberal discourse Differences 3 Constitutional democracies – and the European Union? 4 Legitimacy intermediation in the multilevel European polity 5 The end of legitimacy intermediation in the euro crisis Monetary Union and the failure of output legitimacy Rescuing the euro through supranational intervention 6 Legitimate supranational government? Input-oriented European legitimacy? 7 Reducing the burden on European legitimacy Reference

Boy Scouts of America Concept Site Master Plan and Improvements

Our team, G1 Engineering, has partnered with the Boy Scouts of America to provide an update to their master plan for the Outdoor Education Center site located at 600 S. 120th Street, Lincoln, NE. Our work included providing transportation solutions; drainage evaluations; investigation of geotechnical conditions; environmental evaluation and determination of permitting requirements; preparation of concept design plans for bridges, drainage, utilities, and overall site plan; and evaluation of structural elements included in the project. Two streams cross the property presenting site access issues. Our team provided pedestrian, UTV, and emergency vehicle access bridges to address these issues. With the two streams on the property, a majority of the land is classified as a floodway or a floodplain. As such, there are regulations placed on any structures built in these areas to not raise flood elevations. Recent expanded use of the facility has led to strains on the parking areas and wastewater facilities. Our team has proposed solutions for expanded parking lots and lagoon operations. Finally, our team investigated the geotechnical conditions present on the site to allow for proper construction and placement of foundations of proposed structures

A link between physician-diagnosed ulcer and anxiety disorders among adults

Purpose: Previous studies have suggested an association between mood and anxiety disorders and peptic ulcer, yet extant work suffers from methodologic limitations. Centrally, previous epidemiologic studies have relied exclusively on self-report of ulcer. This study aimed to investigate the relationship between DSM-IV depression and anxiety disorders and physician-diagnosed ulcer among adults in the general population. Methods: Data were drawn from a population-based, representative sample of 4181 adults aged 18 to 79 in the German National Health Interview and Examination Survey. Results: Any anxiety disorder (odds ratio [OR], 2.6), panic disorder (OR, 5.2), panic attacks (OR, 3.8), and social phobia (OR, 3.3) were associated with increased likelihood of physician-diagnosed ulcer, compared with those without ulcer. There was evidence of a dose–response relationship between number of mental disorders and likelihood of current ulcer. Conclusions: These findings provide initial evidence of a link between anxiety disorders and physician-diagnosed ulcer among adults in the community. Future work, ideally taking into account Helicobacter pylori infection, stress, and mental health problems is needed to improve our understanding of the possible mechanisms that can provide insight into the etiology of peptic ulcers

Awake craniotomy for gliomas in a high-field intraoperative magnetic resonance imaging suite: analysis of 42 cases

Object. The object of this study was to describe the experience of combining awake craniotomy techniques with high-field (1.5 T) intraoperative MRI (iMRI) for tumors adjacent to eloquent cortex. Methods. From a prospective database the authors obtained and evaluated the records of all patients who had undergone awake craniotomy procedures with cortical and subcortical mapping in the iMRI suite. The integration of these two modalities was assessed with respect to safety, operative times, workflow, extent of resection (EOR), and neurological outcome. Results. Between February 2010 and December 2011, 42 awake craniotomy procedures using iMRI were performed in 41 patients for the removal of intraaxial tumors. There were 31 left-sided and 11 right-sided tumors. In half of the cases (21 [50%] of 42), the patient was kept awake for both motor and speech mapping. The mean duration of surgery overall was 7.3 hours (range 4.0-13.9 hours). The median EOR overall was 90%, and gross-total resection (EOR >= 95%) was achieved in 17 cases (40.5%). After viewing the first MR images after initial resection, further resection was performed in 17 cases (40.5%); the mean EOR in these cases increased from 56% to 67% after further resection. No deficits were observed preoperatively in 33 cases (78.5%), and worsening neurological deficits were noted immediately after surgery in 11 cases (26.2%). At 1 month after surgery, however, worsened neurological function was observed in only 1 case (2.3%). Conclusions. There was a learning curve with regard to patient positioning and setup times, although it did not adversely affect patient outcomes. Awake craniotomy can be safely performed in a high-field (1.5 T) iMRI suite to maximize tumor resection in eloquent brain areas with an acceptable morbidity profile at 1 month

The Effect of Impact Damage on the Room-Temperature Fatigue Behavior of γ-TiAl

The relationship between impact damage and the fatigue behavior of γ-TiAl has been examined. Axial fatigue specimens fabricated from cast Ti-47.9Al-2.0Cr-1.9Nb (to be referred to as 48-2-2) and Ti-47.3Al-2.2Nb-0.5Mn-0.4W-0.4Mo-0.23Si (to be referred to as WMS) alloys were damaged by impact under controlled conditions with a 60 deg wedge-shaped indenter to simulate assembly-related damage in low-pressure turbine blades. The level of damage produced was quantified and found to correlate well with the peak load of the impact event. The WMS alloy exhibited a greater resistance to impact damage due to its higher yield strength and lamellar microstructure. A measure of the ambient-temperature fatigue failure stress in the alloys was obtained by standard fatigue testing employing a step-loading approach. The failure stress of the WMS alloy was greater than that of the 48-2-2 alloy in the undamaged state. The relationship between impact damage and failure stress was examined using a threshold-based approach. These studies indicate that, for damage levels below a transitional flaw size, the failure stress is near that for undamaged specimens. At damage levels greater than the transitional flaw size, the failure stress can be adequately approximated using the threshold stress-intensity range (ΔKTH ) from long-crack growth testing. Fractographic studies were performed to investigate impact damage and crack-advance mechanisms, which match those observed in other alloys tested at room temperature