Electrodynamics of the high‐latitude trough: Its relationship with convection flows and field‐aligned currents

We present a detailed case study of the electrodynamics of a high‐latitude trough observed at ~ 12 UT (~1 MLT) on 8 March 2008 using multiple instruments, including incoherent scattering radar (ISR), GPS total electron content (TEC), magnetometers, and auroral imager. The electron density within the trough dropped as much as 80% within 6 minutes. This trough was collocated with a counterclockwise convection flow vortex, indicating divergent horizontal electric fields and currents. Together with a collocated dark area shown in auroral images, the observations provide strong evidence for an existence of downward field‐aligned currents (FACs) collocated with the high‐latitude trough. This is further supported by assimilative mapping of ionospheric electrodynamics results. In addition, the downward FACs formed at about the same time as a substorm onset and east of the Harang reversal, suggesting it is part of the substorm current wedge. It has long been a puzzle why this type of high‐latitude trough predominantly occurs just east of the Harang reversal in the postmidnight sector. We suggest that the high‐latitude trough is associated with the formation of downward FACs of the substorm current system, which usually occur just east of the Harang reversal. In addition, we find that the ionospheric electron temperature within the high latitude trough decreases in the F region while increasing in the E region. We discuss possible mechanisms responsible for the complex change in electron temperature, such as ion composition change and/or presence of downward FACs. Key Points Multi‐instrument study of the high‐latitude trough electrodynamics Trough is associated with anti‐clockwise flow vortex and substorm downward FACs Complex Te profile observed in the trough and due to downward FACsPeer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/98817/1/jgra50120.pd

The Identification and Verification of Hazardous Convective Cells Over Oceans Using Visible and Infrared Satellite Observations

Three algorithms based on geostationary visible and infrared (IR) observations are used to identify convective cells that do (or may) present a hazard to aviation over the oceans. The performance of these algorithms in detecting potentially hazardous cells is determined through verification with Tropical Rainfall Measuring Mission (TRMM) satellite observations of lightning and radar reflectivity, which provide internal information about the convective cells. The probability of detection of hazardous cells using the satellite algorithms can exceed 90% when lightning is used as a criterion for hazard, but the false-alarm ratio with all three algorithms is consistently large (40%), thereby exaggerating the presence of hazardous conditions. This shortcoming results in part from the algorithms’ dependence upon visible and IR observations, and can be traced to the widespread prevalence of deep cumulonimbi with weak updrafts but without lightning over tropical oceans, whose origin is attributed to significant entrainment during ascent

Lactation and neonatal nutrition: defining and refining the critical questions.

This paper resulted from a conference entitled "Lactation and Milk: Defining and refining the critical questions" held at the University of Colorado School of Medicine from January 18-20, 2012. The mission of the conference was to identify unresolved questions and set future goals for research into human milk composition, mammary development and lactation. We first outline the unanswered questions regarding the composition of human milk (Section I) and the mechanisms by which milk components affect neonatal development, growth and health and recommend models for future research. Emerging questions about how milk components affect cognitive development and behavioral phenotype of the offspring are presented in Section II. In Section III we outline the important unanswered questions about regulation of mammary gland development, the heritability of defects, the effects of maternal nutrition, disease, metabolic status, and therapeutic drugs upon the subsequent lactation. Questions surrounding breastfeeding practice are also highlighted. In Section IV we describe the specific nutritional challenges faced by three different populations, namely preterm infants, infants born to obese mothers who may or may not have gestational diabetes, and infants born to undernourished mothers. The recognition that multidisciplinary training is critical to advancing the field led us to formulate specific training recommendations in Section V. Our recommendations for research emphasis are summarized in Section VI. In sum, we present a roadmap for multidisciplinary research into all aspects of human lactation, milk and its role in infant nutrition for the next decade and beyond

Short term outcomes of prostate biopsy in men tested for cancer by prostate specific antigen: prospective evaluation within ProtecT study

Objectives To measure the effect of the adverse events within 35 days of transrectal ultrasound guided biopsy from the perspective of asymptomatic men having prostate specific antigen (PSA) testing; to assess early attitude to re-biopsy; to estimate healthcare resource use associated with adverse events due to biopsy; and to develop a classification scheme for reporting adverse events after prostate biopsy

Measurements of Differential Reflectivity in Snowstorms and Warm Season Stratiform Systems

The organized behavior of differential radar reflectivity (ZDR) is documented in the cold regions of a wide variety of stratiform precipitation types occurring in both winter and summer. The radar targets and attendant cloud microphysical conditions are interpreted within the context of measurements of ice crystal types in laboratory diffusion chambers in which humidity and temperature are both stringently controlled. The overriding operational interest here is in the identification of regions prone to icing hazards with long horizontal paths. Two predominant regimes are identified: category A, which is typified by moderate reflectivity (from 10 to 30 dBZ) and modest +ZDR values (from 0 to +3 dB) in which both supercooled water and dendritic ice crystals (and oriented aggregates of ice crystals) are present at a mean temperature of −13°C, and category B, which is typified by small reflectivity (from −10 to +10 dBZ) and the largest +ZDR values (from +3 to +7 dB), in which supercooled water is dilute or absent and both flat-plate and dendritic crystals are likely. The predominant positive values for ZDR in many case studies suggest that the role of an electric field on ice particle orientation is small in comparison with gravity. The absence of robust +ZDR signatures in the trailing stratiform regions of vigorous summer squall lines may be due both to the infusion of noncrystalline ice particles (i.e., graupel and rimed aggregates) from the leading deep convection and to the effects of the stronger electric fields expected in these situations. These polarimetric measurements and their interpretations underscore the need for the accurate calibration of ZDR.United States. Federal Aviation Administration (Air Force Contract FA8721-05-C-0002

Nuclear Morphometry using a Deep Learning-based Algorithm has Prognostic Relevance for Canine Cutaneous Mast Cell Tumors

Variation in nuclear size and shape is an important criterion of malignancy for many tumor types; however, categorical estimates by pathologists have poor reproducibility. Measurements of nuclear characteristics (morphometry) can improve reproducibility, but manual methods are time consuming. In this study, we evaluated fully automated morphometry using a deep learning-based algorithm in 96 canine cutaneous mast cell tumors with information on patient survival. Algorithmic morphometry was compared with karyomegaly estimates by 11 pathologists, manual nuclear morphometry of 12 cells by 9 pathologists, and the mitotic count as a benchmark. The prognostic value of automated morphometry was high with an area under the ROC curve regarding the tumor-specific survival of 0.943 (95% CI: 0.889 - 0.996) for the standard deviation (SD) of nuclear area, which was higher than manual morphometry of all pathologists combined (0.868, 95% CI: 0.737 - 0.991) and the mitotic count (0.885, 95% CI: 0.765 - 1.00). At the proposed thresholds, the hazard ratio for algorithmic morphometry (SD of nuclear area $\geq 9.0 \mu m^2$) was 18.3 (95% CI: 5.0 - 67.1), for manual morphometry (SD of nuclear area $\geq 10.9 \mu m^2$) 9.0 (95% CI: 6.0 - 13.4), for karyomegaly estimates 7.6 (95% CI: 5.7 - 10.1), and for the mitotic count 30.5 (95% CI: 7.8 - 118.0). Inter-rater reproducibility for karyomegaly estimates was fair ($\kappa$ = 0.226) with highly variable sensitivity/specificity values for the individual pathologists. Reproducibility for manual morphometry (SD of nuclear area) was good (ICC = 0.654). This study supports the use of algorithmic morphometry as a prognostic test to overcome the limitations of estimates and manual measurements

Quality of life after sleeve gastrectomy and adjustable gastric banding

Abstract Background: With the addition of laparoscopic vertical sleeve gastrectomy (SG) to the bariatric surgery procedural toolkit, patients desiring a restrictive bariatric procedure often choose between adjustable gastric banding (LAGB) and SG. One study compared quality of life after these 2 procedures and found no difference. The purpose of our study was to re-evaluate the postoperative quality of life in LAGB and SG patients at a military teaching hospital in the United States. Methods: A retrospective review of 108 consecutive laparoscopic restrictive bariatric procedures performed within 15 months at a Department of Defense hospital was conducted. Of these 108 patients, 69 had undergone laparoscopic vertical SG and 39 LAGB. A validated quality of life questionnaire (Bariatric Quality of Life) was conducted a mean of 9.3 Ϯ 3.2 months (range 5-16) postoperatively. The weight loss and standard laboratory parameters were measured at 0, 1, 3, 6, and 12 months. Results: The quality of life assessment revealed significantly better scores after SG than after LAGB (66.5 versus 57.9, P ϭ .0002). The excess weight loss and excess body mass index loss at 3, 6, and 12 months postoperatively were significantly greater in the laparoscopic SG group. The patients demonstrated a clear preference over time for SG once it was offered. Conclusion: Early postoperative quality of life was superior after SG than after LAGB. SG also resulted in superior early excess weight loss. In a practice not constrained by reimbursement, these findings were associated with increased patient choice of SG after it began to be offered. (Surg Obes Relat Dis 2012;8:31-40.

Observation of a kilogram-scale oscillator near its quantum ground state

We introduce a novel cooling technique capable of approaching the quantum ground state of a kilogram-scale system—an interferometric gravitational wave detector. The detectors of the Laser Interferometer Gravitational-wave Observatory (LIGO) operate within a factor of 10 of the standard quantum limit (SQL), providing a displacement sensitivity of 10[superscript −18] m in a 100 Hz band centered on 150 Hz. With a new feedback strategy, we dynamically shift the resonant frequency of a 2.7 kg pendulum mode to lie within this optimal band, where its effective temperature falls as low as 1.4 μK, and its occupation number reaches about 200 quanta. This work shows how the exquisite sensitivity necessary to detect gravitational waves can be made available to probe the validity of quantum mechanics on an enormous mass scale.Alfred P. Sloan FoundationUnited States. National Aeronautics and Space AdministrationDavid & Lucile Packard FoundationResearch CorporationNational Science Foundation (U.S.