New Methods in Creating Transdisciplinary Science Policy Research Agendas: The Case of Legislative Science Advice

In transdisciplinary fields such as science policy, research agendas do not evolve organically from within disciplines but instead require stakeholders to engage in active co-creation. ‘Big questions’ exercises fulfill this need but simultaneously introduce new challenges in their subjectivity and potential bias. By applying Q methodology to an exercise in developing an international collaborative research agenda for legislative science advice (LSA), we demonstrate a technique to illustrate stakeholder perspectives. While the LSA international respondents—academics, practitioners, and policymakers—demonstrated no difference in their research priorities across advisory system roles, the analysis by developing and developed nation status revealed both common interests in institutional- and systems-level research and distinct preferences. Stakeholders in developing nations prioritized the design of advisory systems, especially in low- and middle-income countries, while those in developed countries emphasized policymaker evidence use. These differences illustrate unique regional research needs that should be met through an international agenda for LSA

Contrast sensitivity and low power oblique axis astigmatism

Contrast sensitivity and low power oblique axis astigmatis

Model of HIV-1 Disease Progression Based on Virus-Induced Lymph Node Homing and Homing-Induced Apoptosis of CD4+ Lymphocytes

Several proposed theories have described the progression of HIV infection. Even so, no concrete evidence supports any as comprehensive, including, for example, why the CD4+ T-cell counts fall from 1000/mm^3 of blood to roughly 100/mm^3 over an average 10-year period, whereas concomitant viral loads are relatively constant, increasing by several orders of magnitude in late-stage disease. Here, we develop and validate a theoretical model that altered lymphocyte circulation patterns between the lymph system and blood due to HIV-induced enhanced lymph-node homing and subsequent apoptosis of resting CD4+ T cells can explain many aspects of HIV-1 disease progression. These results lead to a recalculation of the CD4+ lymphocyte dynamics during highly active antiretroviral therapy, and also suggest new targets for therapy.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/83499/1/Kirschner_et_al.jaids2000.pd

Calculation of a self-consistent, low frequency electrostatic field in the drift-kinetic approximation

July 1977Includes bibliographical references (pages 22-23)We derive an asymptotic series in [omega]p -2 , the inverse-square plasma frequency, for the self-consistent, low frequency electrostatic field in tori. The derivation is consistent with the drift-kinetic ordering and may be used in either instability or equilibrium calculations. We find that in a time-dependent formalism, the electric field is completely determined to first order in a drift-kinetic expansion.Research supported by the Energy Research and Development Administration under contract with Union Carbide Corporation and under contract at M.I.T EX-76-A-01-229

Dynamics of Naive and Memory CD4+ T Lymphocytes in HIV-1 Disease Progression

Understanding the dynamics of naive and memory CD4+ T cells in the immune response to HIV-1 infection can help elucidate typical disease progression patterns observed in HIV-1 patients. Although infection markers such as CD4+ T-cell count and viral load are monitored in patient blood, the lymphatic tissues (LT) have been shown to be an important viral reservoir. Here, we introduce the first comprehensive theoretical model of disease progression based on T-cell subsets and virus circulating between the two compartments of LT and blood. We use this model to predict several trademarks observed in adult HIV-1 disease progression such as the establishment of a setpoint in the asymptomatic stage. Our model predicts that both host and viral elements play a role in determining different disease progression patterns. Viral factors include viral infectivity and production rates, whereas host factors include elements of specific immunity. We also predict the effect of highly active antiretroviral therapy and treatment cessation on cellular and viral dynamics in both blood and LT.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/83367/1/seema-jaids-2002.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/83367/4/Errata.Bajaria_et_al.2002.pd

Foundational Skills for Science Communication: A Preliminary Framework

Because science communication training programs are often developed by individuals or programs, different curricula frequently emphasize different skills. While there is great value in sharing these diverse approaches to this training, we saw an opportunity for the field to develop greater coherence. To that end, we examined work from science communication researchers, evaluators, and trainers and synthesized a set of recommendations for core skills that scientists should develop to communicate effectively with different publics.In order to work towards greater coherence across different training approaches supporting science communication and public engagement efforts, we present a preliminary framework that outlines foundational science communication skills. This framework categorizes different skills and their component parts and includes: identifying and aligning engagement goals; adapting to communication landscape and audience; messaging; language; narrative; design; nonverbal communication; writing style; and providing space for dialogue. Through this framework and associated practical, research, and evaluative literatures, we aim to support the training community to explore more concretely opportunities that bridge research and practice and to collectively discuss core competencies in science communication and public engagement.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/150489/1/Foundational Science Communication Skills paper - final, formatted 7-30-19_A.pdfDescription of Foundational Science Communication Skills paper - final, formatted 7-30-19_A.pdf : Main Articl

A Comparison of Rectal Diazepam Gel and Placebo for Acute Repetitive Seizures

ABSTRACT Background Acute repetitive seizures are readily recognizable episodes involving increased seizure frequency. Urgent treatment is often required. Rectal diazepam gel is a promising therapy. Methods We conducted a randomized, doubleblind, parallel-group, placebo-controlled study of home-based treatment for acute repetitive seizures. Patients were randomly assigned to receive either rectal diazepam gel, at doses ranging from 0.2 to 0.5 mg per kilogram of body weight on the basis of age, or placebo. Children received one dose at the onset of acute repetitive seizures and a second dose four hours later. Adults received three doses — one dose at onset, and two more doses 4 and 12 hours after onset. Treatment was administered by a care giver, such as a parent, who had received special training. The number of seizures after the first dose was counted for 12 hours in children and for 24 hours in adults. Results Of 125 study patients (64 assigned to diazepam and 61 to placebo) with a history of acute repetitive seizures, 91 (47 children and 44 adults) were treated for an exacerbation of seizures during the study period. Diazepam treatment was superior to placebo with regard to the outcome variables related to efficacy: reduced seizure frequency (P\u3c0.001) and improved global assessment of treatment outcome by the care giver (frequency and severity of seizures and drug toxicity) (P\u3c0.001). Post hoc analysis showed diazepam to be superior to placebo in reducing seizure frequency in both children (P\u3c0.001) and adults (P=0.02), but only in children was it superior with regard to improvement in global outcome (P\u3c0.001). The time to the first recurrence of seizures after initial treatment was longer for the patients receiving diazepam (P\u3c0.001). Thirty-five patients reported at least one adverse effect of treatment; somnolence was the most frequent. Respiratory depression was not reported. Conclusions Rectal diazepam gel, administered at home by trained care givers, is an effective and welltolerated treatment for acute repetitive seizures. (N Engl J Med 1998;338:1869-75.

Putting the Customer Back in the Center of SOA with Service Design and User-Centered Design

This article introduces a methodology used for designing the online presence of a Swiss SME providing Cloud Services. The Web application used for the purchasing and administration, backed by a Service-Oriented Architec-ture (SOA), has been designed to be customer-centric using a combination of different techniques borrowed from the fields of ethnomethodology, service de-sign and user-centered design. The tools employed include service blueprint de-sign and affinity diagram analysis followed by prototyping and subsequent usa-bility evaluation. This collaborative methodology explained with the help of the applied research project use case is seen to yield excellent results in terms of customer-orientation

A Pilot Study Assessing Pharmacokinetics and Tolerability of Oral and Intravenous Baclofen in Healthy Adult Volunteers

Abstract Our objective was to characterize baclofen pharmacokinetics and safety given orally and intravenously. Twelve healthy subjects were enrolled in a randomized, open-label, crossover study and received single doses of baclofen: 3 or 5 mg given intravenously and 5 or 10 mg taken orally with a 48-hour washout. Blood samples for baclofen analysis were collected pre-dose and at regular intervals up to 24 hours post-dose. Clinical response was assessed by sedation scores, ataxia, and nystagmus. Mean absolute bioavailability of oral baclofen was 74%. Dose-adjusted areas under the curve between the oral and intravenous arms were statistically different (P ¼ .0024), whereas area under the curve variability was similar (coefficient of variation: 18%-24%). Adverse effects were mild in severity and not related to either dose or route of administration. Three-and 5-mg intravenous doses of baclofen were well tolerated. Seventy-four percent oral bioavailability indicates that smaller doses of intravenous baclofen are needed to attain comparable total drug exposures