Ridges, Mounds, and valleys : glacial-interglacial history of the Kaskaskia Basin, Southwestern Illinois, 55th Midwest Friends of the Pleistocene 2011 Field Conference

Geophysical surveys: two-dimensional resistivity imaging; Field trip stops: 1. Keyesport Sand and Gravel Pit; 2. Terrapin Ridge: Cores and Geophysics; 3. Ogles Creek Section; 4. Emerald Mound: Archaeology and History; 5. Pleasant Ridge Area: Cores and Geophysics; 6. Highbanks Road Section; 7. Vandalia Sand and Gravel Pit; 8. Central Illinois Materials Sand and Gravel Pit: Catfish Pond Paleoecology; 9. Pittsburg Basin: Paleoenvironmental History from Fossil Pollen and Ostracode Records in South-Central Illinois; 10. Sodium-Affected Soils in South-Central Illinois: Relationships with Relict Patterned GroundOpe

Guiding Transformation: How Medical Practices Can Become Patient-Centered Medical Homes

Describes in detail eight change concepts as a guide to transforming a practice into a patient-centered medical home, including engaged leadership, quality improvement strategy, continuous and team-based healing relationships, and enhanced access

Geometric origin of excess low-frequency vibrational modes in amorphous solids

Glasses have a large excess of low-frequency vibrational modes in comparison with crystalline solids. We show that such a feature is a necessary consequence of the geometry generic to weakly connected solids. In particular, we analyze the density of states of a recently simulated system, comprised of weakly compressed spheres at zero temperature. We account for the observed a) constancy of the density of modes with frequency, b) appearance of a low-frequency cutoff, and c) power-law increase of this cutoff with compression. We predict a length scale below which vibrations are very different from those of a continuous elastic body.Comment: 4 pages, 2 figures. Argument rewritten, identical result

Rethinking Brain Health

poster abstractProject Supervisor: Youngbok Hong “Safe And Effective Deprescribing of Anticholinergics (SEDA)” project, led by Regenstrief Institute and IU Center for Aging and Eskenazi, focuses on patient safety harms from medications with anticholinergic effects. Drugs with anticholinergic effects have been implicated in cognitive impairment in older adults. The Rethinking Brain Health research project was conducted in the course of Collaborative Action Research in Design. Our team adopted a people-centered design approach, aimed to develop a behavioral and cultural understanding of brain safety issues related to anticholinergic medication. At the beginning of the research, we identified the key stakeholders as patients, family and community support, caregivers, registered nurses, care coordinators, pharmacists, primary doctors, and geriatricians in order to understand the complexity of the problems from multiple perspectives and a systematic view. The poster identifies 3 different personas that exemplify the major characteristics from the patients interviewed such as their communication with their provider, the sources of support, and their quality of life. It also shows the relationship between the patient and providers. By using research methods, we were able to gain a contextual understanding of the behaviors and the needs of patients and caregivers. This gigamap poster serves as a tool to reveal the interconnectedness of the problems associated with the patients’ experience with anticholinergics from the perspective of both the patient and provider. A deep understanding of the problems associated with anticholinergics helped us to identify the opportunity areas as assisting the patients’ support system in playing an active role in health decisions, assisting the patient in taking ownership of their health decisions and developing a holistic approach to treatment options, and creating a better information system between providers. Framing the problems into opportunities allows the SEDA team to take the next appropriate actionable steps in identifying appropriate solutions

Glucose-induced down regulation of thiamine transporters in the kidney proximal tubular epithelium produces thiamine insufficiency in diabetes

Increased renal clearance of thiamine (vitamin B1) occurs in experimental and clinical diabetes producing thiamine insufficiency mediated by impaired tubular re-uptake and linked to the development of diabetic nephropathy. We studied the mechanism of impaired renal re-uptake of thiamine in diabetes. Expression of thiamine transporter proteins THTR-1 and THTR-2 in normal human kidney sections examined by immunohistochemistry showed intense polarised staining of the apical, luminal membranes in proximal tubules for THTR-1 and THTR-2 of the cortex and uniform, diffuse staining throughout cells of the collecting duct for THTR-1 and THTR-2 of the medulla. Human primary proximal tubule epithelial cells were incubated with low and high glucose concentration, 5 and 26 mmol/l, respectively. In high glucose concentration there was decreased expression of THTR-1 and THTR-2 (transporter mRNA: −76% and −53% respectively, p<0.001; transporter protein −77% and −83% respectively, p<0.05), concomitant with decreased expression of transcription factor specificity protein-1. High glucose concentration also produced a 37% decrease in apical to basolateral transport of thiamine transport across cell monolayers. Intensification of glycemic control corrected increased fractional excretion of thiamine in experimental diabetes. We conclude that glucose-induced decreased expression of thiamine transporters in the tubular epithelium may mediate renal mishandling of thiamine in diabetes. This is a novel mechanism of thiamine insufficiency linked to diabetic nephropathy

Increased HIV Incidence in Men Who Have Sex with Men Despite High Levels of ART-Induced Viral Suppression: Analysis of an Extensively Documented Epidemic

Background: There is interest in expanding ART to prevent HIV transmission, but in the group with the highest levels of ART use, men-who-have-sex-with-men (MSM), numbers of new infections diagnosed each year have not decreased as ART coverage has increased for reasons which remain unclear. Methods: We analysed data on the HIV-epidemic in MSM in the UK from a range of sources using an individual-based simulation model. Model runs using parameter sets found to result in good model fit were used to infer changes in HIV-incidence and risk behaviour. Results: HIV-incidence has increased (estimated mean incidence 0.30/100 person-years 1990–1997, 0.45/100 py 1998–2010), associated with a modest (26%) rise in condomless sex. We also explored counter-factual scenarios: had ART not been introduced, but the rise in condomless sex had still occurred, then incidence 2006–2010 was 68% higher; a policy of ART initiation in all diagnosed with HIV from 2001 resulted in 32% lower incidence; had levels of HIV testing been higher (68% tested/year instead of 25%) incidence was 25% lower; a combination of higher testing and ART at diagnosis resulted in 62% lower incidence; cessation of all condom use in 2000 resulted in a 424% increase in incidence. In 2010, we estimate that undiagnosed men, the majority in primary infection, accounted for 82% of new infections. Conclusion: A rise in HIV-incidence has occurred in MSM in the UK despite an only modest increase in levels of condomless sex and high coverage of ART. ART has almost certainly exerted a limiting effect on incidence. Much higher rates of HIV testing combined with initiation of ART at diagnosis would be likely to lead to substantial reductions in HIV incidence. Increased condom use should be promoted to avoid the erosion of the benefits of ART and to prevent other serious sexually transmitted infections

Publishing Aviation Research: A Literature Review of Scholarly Journals

The importance of the aviation industry\u27s socio-economic impact, domestically and globally, cannot be denied. In light of this and, as aviation continues to evolve as an academic field of study, post-secondary institutions with aviation specific curriculum have grown,in number and prominence. As a direct consequence of academic growth, the necessity to publish follows as a concomitant requirement. Through the diligence of those researchers actively conducting aviation related research a common theoretical and conceptual base for aviation specific research has been established. The void that once existed for aviation research has been filled, predominantly by three aviation specific journals and a number of other journals of prominence that accept aviation research for publication. In a 1995 article entitled Publishing Aviation Research: An Interdisciplinary Review of Scholarly Journals, Truitt and Kaps, using a specialized computer research criterion, and key informant interviews identified a list of 21 aviation specific and related publication outlets available for publishing. This research procedure and methodology received additional validity when the University Aviation Association codified the findings into a UAA publication entitled, Director of Scholarly Journals Which Publish Non-Engineering Aviation Research. Replication of that study and by expanding the field of search mechanisms, the authors set out to determine the present field for aviation publications, both scholarly and non-scholarly. Twenty-nine academically peer reviewed journals are included in this update. The results validate the previous study, and identify and define, through tabular exhibits, contact points, addresses and email and/or web site locations of previously sited locations and those emerging subsequent to the UAA listing. In addition, this current effort adds new perspectives on the reasons for publishing and who might be encouraged to publish in what type of journal

Fractional power-law susceptibility and specific heat in low temperature insulating state of o-TaS_{3}

Measurements of the magnetic susceptibility and its anisotropy in the quasi-one-dimensional system o-TaS_{3} in its low-T charge density wave (CDW) ground state are reported. Both sets of data reveal below 40 K an extra paramagnetic contribution obeying a power-law temperature dependence \chi(T)=AT^{-0.7}. The fact that the extra term measured previously in specific heat in zero field, ascribed to low-energy CDW excitations, also follows a power law C_{LEE}(0,T)=CT^{0.3}, strongly revives the case of random exchange spin chains. Introduced impurities (0.5% Nb) only increase the amplitude C, but do not change essentially the exponent. Within the two-level system (TLS) model, we estimate from the amplitudes A and C that there is one TLS with a spin s=1/2 localized on the chain at the lattice site per cca 900 Ta atoms. We discuss the possibility that it is the charge frozen within a soliton-network below the glass transition T_{g}~40 K determined recently in this system.Comment: 7 pages, 3 figures, submitted to Europhysics Letter

Lewis X antigen mediates adhesion of human breast carcinoma cells to activated endothelium. Possible involvement of the endothelial scavenger receptor C-Type lectin

Lewis x (Lex, CD15), also known as SSEA-1 (stage specific embryonic antigen-1), is a trisaccharide with the structure Galβ(1–4)Fucα(1–3)GlcNAc, which is expressed on glycoconjugates in human polymorphonuclear granulocytes and various tumors such as colon and breast carcinoma. We have investigated the role of Lex in the adhesion of MCF-7 human breast cancer cells and PMN to human umbilical endothelial cells (HUVEC) and the effects of two different anti-Lex mAbs (FC-2.15 and MCS-1) on this adhesion. We also analyzed the cytolysis of Lex+-cells induced by anti-Lex mAbs and complement when cells were adhered to the endothelium, and the effect of these antibodies on HUVEC. The results indicate that MCF-7 cells can bind to HUVEC, and that MCS-1 but not FC-2.15 mAb inhibit this interaction. Both mAbs can efficiently lyse MCF-7 cells bound to HUVEC in the presence of complement without damaging endothelial cells. We also found a Lex-dependent PMN interaction with HUVEC. Although both anti-Lex mAbs lysed PMN in suspension and adhered to HUVEC, PMN aggregation was only induced by mAb FC-2.15. Blotting studies revealed that the endothelial scavenger receptor C-type lectin (SRCL), which binds Lex-trisaccharide, interacts with specific glycoproteins of Mr␣∼␣28 kD and 10 kD from MCF-7 cells. The interaction between Lex+-cancer cells and vascular endothelium is a potential target for cancer treatment.Fil: Elola, Maria Teresa. Fundación Instituto Leloir; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Capurro, Mariana Isabel. University of Toronto; CanadáFil: Barrio, Maria Marcela. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Fundación para la Investigación, Docencia y Prevención del Cáncer; ArgentinaFil: Coombs, Peter J.. Imperial College London; Reino UnidoFil: Taylor, Maureen E.. Imperial College London; Reino UnidoFil: Drickamer, Kurt. Imperial College London; Reino UnidoFil: Mordoh, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Fundación para la Investigación, Docencia y Prevención del Cáncer; Argentin

The 'Antiretrovirals, Sexual Transmission Risk and Attitudes' (ASTRA) study. Design, methods and participant characteristics.

Life expectancy for people diagnosed with HIV has improved dramatically however the number of new infections in the UK remains high. Understanding patterns of sexual behaviour among people living with diagnosed HIV, and the factors associated with having condom-less sex, is important for informing HIV prevention strategies and clinical care. In addition, in view of the current interest in a policy of early antiretroviral treatment (ART) for all people diagnosed with HIV in the UK, it is of particular importance to assess whether ART use is associated with increased levels of condom-less sex. In this context the ASTRA study was designed to investigate current sexual activity, and attitudes to HIV transmission risk, in a large unselected sample of HIV-infected patients under care in the UK. The study also gathered background information on demographic, socio-economic, lifestyle and disease-related characteristics, and physical and psychological symptoms, in order to identify other key factors impacting on HIV patients and the behaviours which underpin transmission. In this paper we describe the study rationale, design, methods, response rate and the demographic characteristics of the participants. People diagnosed with HIV infection attending 8 UK HIV out-patient clinics in 2011-2012 were invited to participate in the study. Those who agreed to participate completed a confidential, self-administered pen-and-paper questionnaire, and their latest CD4 count and viral load test results were recorded. During the study period, 5112 eligible patients were invited to take part in the study and 3258 completed questionnaires were obtained, representing a response rate of 64% of eligible patients. The study includes 2248 men who have sex with men (MSM), 373 heterosexual men and 637 women. Future results from ASTRA will be a key resource for understanding HIV transmission within the UK, targeting prevention efforts, and informing clinical care of individuals living with HIV