308 research outputs found
Rural Crime and Policing in American Indian Communities
While people in rural places generally have less crime, American Indians and communities are an anomaly, by sufferingfrom unusually high rates of criminal victimization despite being predominantly rural.One element with thisheightened vulnerability to crime is the historic under-policing of Indian reservations and communities. This paper examines the policing of Indian communities, first by tracing the historical development of Indian tribal police in the United States overthe past two centuries, which shapes the legal-social context for presentday Indian police agencies. Next the paper identifies three major factorslimiting the implementation of effective police forces by Indian communities: (1) legal limitations on the policing authority of tribal governments as historical vestiges; (2) cultural conflicts between traditional Native American values and modern bureaucratic policing practices; and (3) ecological limitations on tribal police from the extremely rural settings in which most Indian communities are located
Measurements of Si Hybrid CMOS X-Ray Detector Characteristics
The development of Hybrid CMOS Detectors (HCDs) for X-Ray telescope focal
planes will place them in con- tention with CCDs on future satellite missions
due to their faster frame rates, flexible readout scenarios, lower power
consumption, and inherent radiation hardness. CCDs have been used with great
success on the current generation of X-Ray telescopes (e.g. Chandra, XMM,
Suzaku, and Swift). However their bucket-brigade read-out architecture, which
transfers charge across the chip with discrete component readout electronics,
results in clockrate limited readout speeds that cause pileup (saturation) of
bright sources and an inherent susceptibility to radiation induced displacement
damage that limits mission lifetime. In contrast, HCDs read pixels with low
power, on-chip multiplexer electronics in a random access fashion. Faster frame
rates achieved with multi-output readout design will allow the next
generation's larger effective area telescopes to observe bright sources free of
pileup. Radiation damaged lattice sites effect a single pixel instead of an
entire row. Random access, multi-output readout will allow for novel readout
modes such as simultaneous bright-source-fast/whole-chip-slow readout. In order
for HCDs to be useful as X-Ray detectors, they must show noise and energy
resolution performance similar to CCDs while retaining advantages inherent to
HCDs. We will report on readnoise, conversion gain, and energy resolution
measurements of an X-Ray enhanced Teledyne HAWAII-1RG (H1RG) HCD and describe
techniques of H1RG data reduction.Comment: 11 pages, 10 figure
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Pain Severity Correlates With Biopsy-Mediated Colonic Afferent Activation But Not Psychological Scores in Patients With IBS-D.
INTRODUCTION: Despite heterogeneity, an increased prevalence of psychological comorbidity and an altered pronociceptive gut microenvironment have repeatedly emerged as causative pathophysiology in patients with irritable bowel syndrome (IBS). Our aim was to study these phenomena by comparing gut-related symptoms, psychological scores, and biopsy samples generated from a detailed diarrhea-predominant IBS patient (IBS-D) cohort before their entry into a previously reported clinical trial. METHODS: Data were generated from 42 patients with IBS-D who completed a daily 2-week bowel symptom diary, the Hospital Anxiety and Depression score, and the Patient Health Questionnaire-12 Somatic Symptom score and underwent unprepared flexible sigmoidoscopy. Sigmoid mucosal biopsies were separately evaluated using immunohistochemistry and culture supernatants to determine cellularity, mediator levels, and ability to stimulate colonic afferent activity. RESULTS: Pain severity scores significantly correlated with the daily duration of pain (r = 0.67, P < 0.00001), urgency (r = 0.57, P < 0.0005), and bloating (r = 0.39, P < 0.05), but not with psychological symptom scores for anxiety, depression, or somatization. Furthermore, pain severity scores from individual patients with IBS-D were significantly correlated (r = 0.40, P < 0.008) with stimulation of colonic afferent activation mediated by their biopsy supernatant, but not with biopsy cell counts nor measured mediator levels. DISCUSSION: Peripheral pronociceptive changes in the bowel seem more important than psychological factors in determining pain severity within a tightly phenotyped cohort of patients with IBS-D. No individual mediator was identified as the cause of this pronociceptive change, suggesting that nerve targeting therapeutic approaches may be more successful than mediator-driven approaches for the treatment of pain in IBS-D
Pain Severity Correlates With Biopsy-Mediated Colonic Afferent Activation But Not Psychological Scores in Patients With IBS-D.
INTRODUCTION: Despite heterogeneity, an increased prevalence of psychological comorbidity and an altered pronociceptive gut microenvironment have repeatedly emerged as causative pathophysiology in patients with irritable bowel syndrome (IBS). Our aim was to study these phenomena by comparing gut-related symptoms, psychological scores, and biopsy samples generated from a detailed diarrhea-predominant IBS patient (IBS-D) cohort before their entry into a previously reported clinical trial. METHODS: Data were generated from 42 patients with IBS-D who completed a daily 2-week bowel symptom diary, the Hospital Anxiety and Depression score, and the Patient Health Questionnaire-12 Somatic Symptom score and underwent unprepared flexible sigmoidoscopy. Sigmoid mucosal biopsies were separately evaluated using immunohistochemistry and culture supernatants to determine cellularity, mediator levels, and ability to stimulate colonic afferent activity. RESULTS: Pain severity scores significantly correlated with the daily duration of pain (r = 0.67, P < 0.00001), urgency (r = 0.57, P < 0.0005), and bloating (r = 0.39, P < 0.05), but not with psychological symptom scores for anxiety, depression, or somatization. Furthermore, pain severity scores from individual patients with IBS-D were significantly correlated (r = 0.40, P < 0.008) with stimulation of colonic afferent activation mediated by their biopsy supernatant, but not with biopsy cell counts nor measured mediator levels. DISCUSSION: Peripheral pronociceptive changes in the bowel seem more important than psychological factors in determining pain severity within a tightly phenotyped cohort of patients with IBS-D. No individual mediator was identified as the cause of this pronociceptive change, suggesting that nerve targeting therapeutic approaches may be more successful than mediator-driven approaches for the treatment of pain in IBS-D
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