Ultrahigh Bandwidth Spin Noise Spectroscopy: Detection of Large g-Factor Fluctuations in Highly n-Doped GaAs

We advance all optical spin noise spectroscopy (SNS) in semiconductors to detection bandwidths of several hundred gigahertz by employing an ingenious scheme of pulse trains from ultrafast laser oscillators as an optical probe. The ultrafast SNS technique avoids the need for optical pumping and enables nearly perturbation free measurements of extremely short spin dephasing times. We employ the technique to highly n-doped bulk GaAs where magnetic field dependent measurements show unexpected large g-factor fluctuations. Calculations suggest that such large g-factor fluctuations do not necessarily result from extrinsic sample variations but are intrinsically present in every doped semiconductor due to the stochastic nature of the dopant distribution.Comment: 5 pages, 3 figure

Cognitive Aid Use Improves Transition of Care by Graduating Medical Students During a Simulated Crisis

Background: Residents are expected to have transition of care (ToC) skills upon entering graduate medical education. It is unclear whether experience and training during medical school is adequate. Objective: The aim of the project was to assess: 1) graduating medical students\u27 ability to perform ToC in a crisis situation, and 2) whether using a cognitive aid improves the ToC quality. Methods: The authors developed simulation scenarios for rapid response teams and a cognitive aid to assist in the ToC during crisis situations. Graduating medical students were enrolled and randomly divided into teams of three students, randomly assigned into one of two groups: teams using a cognitive aid for ToC (CA), or not using a cognitive aid (nCA). In the scenario, teams respond to a deteriorating patient and then transfer care to the next provider after stabilization. Three faculty reviewed the recording to assess completeness of the ToC and the overall quality. A completeness score was expressed as a fraction of the maximum score. Statistical analysis was performed using a t-test and Mann-Whitney U test. Results: A total of 112 senior medical students participated: CA n=19, nCA n=17. The completeness score of the ToC and overall quality improved when using the cognitive aid (completeness score: CA 0.80±0.06 vs. nCA 0.52±0.07, p \u3c 0.01; ToC quality: CA 3.16±0.65 vs. nCA 1.92±0.56, p \u3c 0.01). Participants’ rating of knowledge and comfort with the ToC process increased after the simulation. Conclusion: The completeness of information transfer during the ToC process by graduating medical students improved by using a cognitive aid in a simulated patient crisis

Legumes as a Strategy for Reducing Greenhouse Gas Emissions of Forage-Livestock Systems

Incorporation of legumes into forage systems has been a widely adopted strategy to increase pasture productivity and forage nutritive value, while reducing N inputs. Considering the population growth, and the diminishing land resources for food production, the need to increase the food supply will have to be balanced with the environmental impact of these systems, particularly their carbon footprint. Enteric methane production represents the largest source of greenhouse gas emissions from livestock. Certain forage legumes have evolved plant secondary compounds, such as tannins and other polyphenols, which have been associated with reductions in enteric methane emissions. Studies were conducted at Utah State University (USU), and at the University of Florida, North Florida Research and Education Center (UF-NFREC) to assess in vivo methane emissions in grazing cattle, using the SF6 tracer technique. At USU, cattle grazing pastures of Birdsfoot trefoil (Lotus corniculatus; BFT) emitted less methane per unit of dry matter consumed when compared with cattle fed a totally mixed ration (50% barley grain, 25% alfalfa hay, and 25% corn silage) in ad libitum amounts. However, emissions in cattle grazing BFT did not differ from those grazing the legume Cicer milkvetch (Astragalus cicer), or a traditional pasture-finishing system based on Meadow brome (Bromus riparius). At UF-NFREC, three livestock-forage systems were tested during three consecutive years to determine the effects of including the legume Rhizoma peanut (Arachis glabrata Benth.; BHR) in bahiagrass pastures (Paspalum notatum Flügge) fertilized (BH) or not (BHF) with N during the warm season. No differences were observed in methane emissions (g d-1), or in methane emission intensity. From the legumes grazed in these experiments, only BFT contains significant concentrations of tannins. Thus, the potential to mitigate livestock enteric methane emissions by grazing legumes appears to be directly related to the presence of tannins

The Jericho Option: Al-Qa'ida and Attacks on Critical Infrastructure

There is no doubt that al-Qaida and its affiliates have displayed, and continue to display, an acute interest in attacking targets that are considered to be important components of the infrastructure of the United States. What has not thus far been carried out, however, is an in-depth examination of the basic nature, historical evolution, and present scope of the organization's objectives that might help government personnel develop sound policy recommendations and analytical indicators to assist in detecting and interdicting plots of this nature. This study was completed with the financial support of the Lawrence Livermore National Laboratory, through a project sponsored by the U.S. Department of Homeland Security, Science and Technology Directorate. It is specifically intended to increase counterterrorism analysts understanding of certain features of al-Qaida's strategy and operations in order to facilitate the anticipation and prevention of attacks directed against our most critical infrastructures. The procedure adopted herein has involved consulting a wide variety of source materials that bear on the topic, ranging from sacred religious texts and historical accounts to al-Qaida-linked materials and the firsthand testimony of captured members of the group. It has also intentionally combined multiple approaches, including exploring the more esoteric religion-historical referents that have served to influence al-Qaida's behavior, providing a strategic analysis of its objectives and targeting rationales, closely examining the statements and writings of al-Qaida leaders and spokesmen (in part on the basis of material translated from primary sources), offering a descriptive analysis of its past global attack patterns, and producing concise but nonetheless in-depth case studies of its previous ''infrastructural'' attacks on U.S. soil. The analyses contained herein tend to support the preliminary assessment made by some of the authors in an earlier report, namely, that transnational jihadist organizations are amongst the extremist groups that are most likely to carry out successful attacks against targets that U.S. officials would categorize as elements of this country's critical infrastructure. These networks clearly have the operational capabilities to conduct these types of attacks, even on a large scale, and they display a number of ideological proclivities that may incline them to attack such targets. Although this seems self-evident, this study has also yielded more detailed insights into the behavior and orientation of al-Qaida and its affiliated networks

Nutrient Return from Plant Litter and Cattle Excretion Grazing on N-Fertilized Grass or Grass-Legume Pastures in North Florida

Nutrient recycling via plant litter and livestock excreta is an important ecosystem service provided by grasslands. This study determined nutrient return via these pathways in three grazing systems. The experiment was conducted from May to October (2016 and 2017) and treatments were: 1) Nitrogen fertilized bahiagrass (Paspalum notatum Flügge) pastures (112 kg N ha-1) during the warm-season, overseeded with a mixture (56 kg ha-1 of each) of ‘FL 401’ cereal rye (Secale cereale, L.) and ‘RAM’ oat (Avena sativa, L.) during the cool-season (BGN); 2) Ecoturf Rhizoma peanut (Arachis glabrata Benth.)/bahiagrass pastures during the warm-season, overseeded with similar rye/oat mixture fertilized with 34 kg N ha-1 plus a mixture of clovers (Trifolium incarnatum L., T. pretense L., and T. nigrescens L.) during the cool-season (BGRP); 3) unfertilized bahiagrass pastures during the warm-season, overseeded with similar rye/oat grass/clover mixture + 34 kg N ha-1 during the cool-season (BG). Litter mass was evaluated every 5wk. Litter decomposition was evaluated with incubation periods of 0, 2, 4, 8, 16, 32, 64, 128, and 256 days. Urine and fecal samples were collected for N concentration analysis. There was a net return of 47 kg N ha-1 season-1 via litter in all three systems without differing among them. In addition, litter decomposition rates were not different in the three systems. Conversely, N returned via excreta (urine and feces) was greater (63, 27, and 51 kg N ha-1 season-1) than that returned via litter (58.6, 41.6, and 41.2 kg ha-1 season-1). When assessing the proportions of N returning to the system via litter or excreta, no differences were observed among treatments, and on average 65.1 % of the N returned via excreta vs. 34.9 % returning via litter. The introduction of legumes could reduce the inputs from N fertilizers in grazing systems and keep the productivity similar because of more efficient N cycling

Ongoing under-reporting of clinically relevant safety data in phase II studies of tyrosine kinase inhibitors

status: publishe

A Smartphone-based Decision Support Tool Improves Test Performance Concerning Application of the Guidelines for Managing Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy

BACKGROUND: The American Society of Regional Anesthesia and Pain Medicine (ASRA) consensus statement on regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy is the standard for evaluation and management of these patients. The authors hypothesized that an electronic decision support tool (eDST) would improve test performance compared with native physician behavior concerning the application of this guideline. METHODS: Anesthesiology trainees and faculty at 8 institutions participated in a prospective, randomized trial in which they completed a 20-question test involving clinical scenarios related to the ASRA guidelines. The eDST group completed the test using an iOS app programmed to contain decision logic and content of the ASRA guidelines. The control group completed the test by using any resource in addition to the app. A generalized linear mixed-effects model was used to examine the effect of the intervention. RESULTS: After obtaining institutional review board's approval and informed consent, 259 participants were enrolled and randomized (eDST = 122; control = 137). The mean score was 92.4 ± 6.6% in the eDST group and 68.0 ± 15.8% in the control group (P < 0.001). eDST use increased the odds of selecting correct answers (7.8; 95% CI, 5.7 to 10.7). Most control group participants (63%) used some cognitive aid during the test, and they scored higher than those who tested from memory alone (76 ± 15% vs. 57 ± 18%, P < 0.001). There was no difference in time to completion of the test (P = 0.15) and no effect of training level (P = 0.56). CONCLUSIONS: eDST use improved application of the ASRA guidelines compared with the native clinician behavior in a testing environment

Cathepsin L Inhibition Prevents Murine Autoimmune Diabetes via Suppression of CD8+ T Cell Activity

Background: Type 1 diabetes (T1D) is an autoimmune disease resulting from defects in central and peripheral tolerance and characterized by T cell-mediated destruction of islet b cells. To determine whether specific lysosomal proteases might influence the outcome of a T cell–mediated autoimmune response, we examined the functional significance of cathepsin inhibition on autoimmune T1D-prone non-obese diabetic (NOD) mice. Methods and Findings: Here it was found that specific inhibition of cathepsin L affords strong protection from cyclophosphamide (CY)-induced insulitis and diabetes of NOD mice at the advanced stage of CD8 + T cell infiltration via inhibiting granzyme activity. It was discovered that cathepsin L inhibition prevents cytotoxic activity of CD8 + T cells in the pancreatic islets through controlling dipeptidyl peptidase I activity. Moreover, the gene targeting for cathepsin L with application of in vivo siRNA administration successfully prevented CY-induced diabetes of NOD mice. Finally, cathepsin L mRNA expression of peripheral CD8 + T cells from NOD mice developing spontaneous T1D was significantly increased compared with that from control mice. Conclusions: Our results identified a novel function of cathepsin L as an enzyme whose activity is essential for the progression of CD8 + T cell-mediated autoimmune diabetes, and inhibition of cathepsin L as a powerful therapeutic strateg

Banting Lecture 2009: An Unfinished Journey: Molecular Pathogenesis to Prevention of Type 1A Diabetes

The Banting Medal for Scientific Achievement Award is the American Diabetes Association's highest scientific award and honors an individual who has made significant, long-term contributions to the understanding of diabetes, its treatment, and/or prevention. The award is named after Nobel Prize winner Sir Frederick Banting, who codiscovered insulin treatment for diabetes

The effectiveness of a preferred intensity exercise programme on the mental health outcomes of young people with depression: a sequential mixed methods evaluation

<p>Abstract</p> <p>Background</p> <p>People with mental illness are more likely to suffer physical health problems than comparable populations who do not have mental illness. There is evidence to suggest that exercise, as well has having obvious physical benefits, also has positive effects on mental health. There is a distinct paucity of research testing its effects on young people seeking help for mental health issues. Additionally, it is generally found that compliance with prescribed exercise programmes is low. As such, encouraging young people to exercise at levels recommended by national guidelines may be unrealistic considering their struggle with mental health difficulties. It is proposed that an exercise intervention tailored to young people's preferred intensity may improve mental health outcomes, overall quality of life, and reduce exercise attrition rates.</p> <p>Methods/Design</p> <p>A sequential mixed methods design will be utilised to assess the effectiveness of an individually tailored exercise programme on the mental health outcomes of young people with depression. The mixed methods design incorporates a Randomised Controlled Trial (RCT), focus groups and interviews and an economic evaluation. <it>Participants: </it>158 young people (14-17 years) recruited from primary care and voluntary services randomly allocated to either the intervention group or control group. <it>Intervention group</it>: Participants will undertake a 12 week exercise programme of 12 × 60 minutes of preferred intensity aerobic exercise receiving motivational coaching and support throughout. Participants will also be invited to attend focus groups and 1-1 interviews following completion of the exercise programme to illicit potential barriers facilitators to participation. <it>Control group</it>: Participants will receive treatment as usual. <it>Primary Outcome measure</it>: Depression using the Children's Depression Inventory 2 (CDI-2). <it>Secondary Outcome measures</it>: Quality of Life (EQ-5D), physical fitness (Borg RPE scale, heart rate), incidents of self-harm, treatment received and compliance with treatment, and the cost effectiveness of the intervention. Outcome measures will be taken at baseline, post intervention and 6 month follow up.</p> <p>Discussion</p> <p>The results of this study will inform policy makers of the effectiveness of preferred intensity exercise on the mental health outcomes of young people with depression, the acceptability of such an intervention to this population and its cost effectiveness.</p> <p>Trial Registration</p> <p>ClinicalTrials.gov: <a href="http://www.clinicaltrials.gov/ct2/show/NCT01474837">NCT01474837</a></p