Potential mechanisms underlying the decision to use a seat belt: a literature review

The purpose of this literature review was to serve as the background knowledgebase for a 5-year cooperative agreement between NHTSA and the University of Michigan. This discretionary cooperative agreement is intended to study promising lines of research that elucidate the mechanisms that underlie risk perception and can be applied to converting part-time belt users to full-time users. The overall goal of this cooperative agreement is to develop testable strategies, based on basic and applied research, for influencing risk perception to move motor vehicle occupants from part-time to full-time use of seat belts. Specific topics covered in this literature review are: individual belt user characteristics; social influences on belt use; applications from research on other risky behaviors; policy/enforcement/incentive; communication and education; and technology. Conclusions are drawn within each section and for the review overall.National Highway Traffic Safety Administrationhttp://deepblue.lib.umich.edu/bitstream/2027.42/110521/1/103147.pdfDescription of 103147.pdf : final repor

Development of flux-tuneable inductive nanobridge SQUIDs for quantum technology applications

Niobium nanobridge SQUIDs have shown exceptional noise performance with potential applications in quantum information processing, weak signal detection and single spin detection where the nanobridge geometry should enable efficient electromagnetic coupling to implanted spins. Combining such devices with dispersive microwave readout circuitry allows the spin sensitivity to be further improved by overcoming the standard thermal limit. Here we report on the fabrication and dispersive microwave readout of an array of niobium nanobridge rf SQUIDs incorporated into a superconducting resonator, including the optimization of the nanobridge fabrication process by electron beam lithography. We show the measured flux-tuneability of the resonance is in good agreement with theory, and we also discuss how the nonlinearity of the weak-link in the resonator structure allows for the mediation of parametric effects to enhance performance

Improving Confidence in ACLS among UMKC Internal Medicine Residents

"The American Board of Internal Medicine requires all residents to have their certification in basic life support (BLS) and advanced cardiovascular life support (ACLS) renewed every two years. However, there is concern that residents do not retain the confidence and the medical knowledge gained during this course throughout the two years that follow. The goal of our quality improvement project was to add a training workshop to improve resident confidence in performing ACLS."Ray Segebrecht, Anweshan Samanta, Laith Derbas, Alison Scharber, Ahmed Elkaryoni, Annapoorna Singh, Rahul Myadam, Adnan Choudhury, David Wooldridge, Ashraf Gohar, and Julie Banderas (Department of Internal Medicine, School of Medicine, University of Missouri-Kansas City)Includes bibliographical reference

Simplified Formulae for the Estimation of Offshore Wind Turbines Clutter on Marine Radars

The potential impact that offshore wind farms may cause on nearby marine radars should be considered before the wind farm is installed. Strong radar echoes from the turbines may degrade radars' detection capability in the area around the wind farm. Although conventional computational methods provide accurate results of scattering by wind turbines, they are not directly implementable in software tools that can be used to conduct the impact studies. This paper proposes a simple model to assess the clutter that wind turbines may generate on marine radars. This method can be easily implemented in the system modeling software tools for the impact analysis of a wind farm in a real scenario

Comorbidities, exposure to medications, and the risk of community-acquired clostridium difficile infection: a systematic review and meta-analysis

Background. Clostridium difficile infection (CDI) has been extensively escribedin healthcare settings; however, risk factor sassociated with community-acquired (CA) CDI remain uncertain. This study aimed to synthesize the current evidence for an association between commonly prescribed medications and comorbidities with CA-CDI. methods. A systematic search was conducted in 5 electronic databases for epidemiologicstudi esthatexamined the associtation between the presence of comorbidities and exposure to medications with the risk of CA-CDI. Pooled odds ratios were estimated using 3 meta-analytic methods. Subgroup analyses by location of studies and by life stages were conducted. results. Twelve publications (n=56,776 patients) met inclusion criteria. Antimicrobial (odds ratio, 6.18; 95% CI, 3.80-10.04) and corticosteroid (1.81; 1.15-2.84) exposure were associated with increased risk of CA-CDI. Among the comorbidities, inflammatory bowel disease (odds ratio, 3.72; 95% CI, 1.52-9.12), renal failure (2.64; 1.23-5.68), hematologic cancer (1.75; 1.02-5.68), and diabetes mellitus (1.15; 1.05-1.27) were associated with CA-CDI. By location, antimicrobial exposure was associated with a higher risk of CA-CDI in the United States, whereas proton-pump inhibitor exposure was associated with a higher risk in Europe. By life stages, the risk of CA-CDI associated with antimicrobial exposure greatly increased in adults older than 65 years. conclusions. Antimicrobial exposure was the strongest risk factor associated with CA-CDI. Further studies are required to investigate the risk of CA-CDI associated with medications commonly prescribed in the community. Patients with diarrhea who have inflammatory bowel disease, renal failure, hematologic cancer, or diabetes are appropriate populations for interventional studies of screening

Are HIV Epidemics among Men Who Have Sex with Men Emerging in the Middle East and North Africa?: A Systematic Review and Data Synthesis

A systematic review by Laith Abu-Raddad and colleagues collates and analyzes the epidemiology of HIV among men who have sex with men in Middle Eastern and North African countries

The star formation histories of z ∼ 1 post-starburst galaxies

Funding: LTA acknowledges support from the Ministry of Higher Education and Scientific Research (MOHESR), Iraq. AW acknowledges financial support from the Royal Society Newton Fund (grant NAF/R1/180403, PI Natalia Vale Asari) and Fundação de à Amparo Pesquisa do Estado de São Paulo (FAPESP) process number 2019/01768-6.We present the star formation histories of 39 galaxies with high-quality rest-frame optical spectra at 0.5 <z <1.3 selected to have strong Balmer absorption lines and/or Balmer break, and compare to a sample of spectroscopically selected quiescent galaxies at the same redshift. Photometric selection identifies a majority of objects that have clear evidence for a recent short-lived burst of star formation within the last 1.5 Gyr, i.e. 'post-starburst' galaxies, however we show that good quality continuum spectra are required to obtain physical parameters such as burst mass fraction and burst age. Dust attenuation appears to be the primary cause for misidentification of post-starburst galaxies, leading to contamination in spectroscopic samples where only the [O II] emission line is available, as well as a small fraction of objects lost from photometric samples. The 31 confirmed post-starburst galaxies have formed 40-90 per cent of their stellar mass in the last1-1.5 Gyr. We use the derived star formation histories to find that the post-starburst galaxies are visible photometrically for 0.5-1 Gyr. This allows us to update a previous analysis to suggest that 25-50 per cent of the growth of the red sequence at z ∼ 1 could be caused by a starburst followed by rapid quenching. We use the inferred maximum historical star formation rates of several 100-1000 M⊙yr-1 and updated visibility times to confirm that sub-mm galaxies are likely progenitors of post-starburst galaxies. The short quenching time-scales of 100-200 Myr are consistent with cosmological hydrodynamic models in which rapid quenching is caused by the mechanical expulsion of gas due to an acive galactic neucleus.Publisher PDFPeer reviewe

The star formation histories of z~1 post-starburst galaxies

We present the star formation histories of 39 galaxies with high quality rest-frame optical spectra at 0.5<z<1.3 selected to have strong Balmer absorption lines and/or Balmer break, and compare to a sample of spectroscopically selected quiescent galaxies at the same redshift. Photometric selection identifies a majority of objects that have clear evidence for a recent short-lived burst of star formation within the last 1.5 Gyr, i.e. "post-starburst" galaxies, however we show that good quality continuum spectra are required to obtain physical parameters such as burst mass fraction and burst age. Dust attenuation appears to be the primary cause for misidentification of post-starburst galaxies, leading to contamination in spectroscopic samples where only the [OII] emission line is available, as well as a small fraction of objects lost from photometric samples. The 31 confirmed post-starburst galaxies have formed 40-90% of their stellar mass in the last 1-1.5 Gyr. We use the derived star formation histories to find that the post-starburst galaxies are visible photometrically for 0.5-1 Gyr. This allows us to update a previous analysis to suggest that 25-50% of the growth of the red sequence at z~1 could be caused by a starburst followed by rapid quenching. We use the inferred maximum historical star formation rates of several 100-1000 Msun/yr and updated visibility times to confirm that sub-mm galaxies are likely progenitors of post-starburst galaxies. The short quenching timescales of 100-200 Myr are consistent with cosmological hydrodynamic models in which rapid quenching is caused by the mechanical expulsion of gas due to an AGN.Comment: 24 pages, 16 figures, MNRAS accepted 06/03/202

Economic evaluation of interventions designed to reduce Clostridium difficile infection

Introduction: Healthcare decision-makers are increasingly expected to balance increasing demand for health services with a finite budget. The role of economic evaluation in healthcare is increasing and this research provides decision-makers with new information about the management of Clostridium difficile infection, from an economic perspective. Methods: A model-based economic evaluation was undertaken to identify the most cost-effective healthcare intervention relating to the reduction of Clostridium difficile transmission. Efficacy evidence was synthesised from the literature and was used to inform the effectiveness of both bundled approaches and stand-alone interventions, where appropriate intervention combinations were coupled together. Changes in health outcomes were estimated by combining information about intervention effectiveness and its subsequent impact on quality of life. Results: A bundled approach of improving hand hygiene and environmental cleaning produces the best combination of increased health benefits and cost-savings. It has the highest mean net monetary benefit when compared to all other interventions. This intervention remains the optimal decision under different clinical circumstances, such as when mortality rate and patient length of stay are increased. Bundled interventions offered the best opportunity for health improvements. Conclusion: These findings provide healthcare decision-makers with novel information about the allocation of scarce resources relating to Clostridium difficile. If investments are not made in interventions that clearly yield gains in health outcomes, the allocation and use of scarce healthcare resources is inappropriate and improvements in health outcomes will be forgone