Say What? The Case for Hearsay at the Guantanamo Bay Military Commissions

Article published in the Michigan State International Law Review

Interfacing citizen participation with planning and decision-making processes

The evolution of traditional and contemporary planning and decision-making models has given educational leaders several variations on a theme

Overview of PHARE Projects Implemented in Romania Between 1997 – 2008, for Enhancing the Nuclear Safety Level

Through the Poland Hungary Aid for Reconstruction of the Economy (PHARE) programme, the European Commission (EC) supported the transition of the Eastern European states to the European market economy. PHARE was a pre-accession financial assistance programme which involved countries from Central and Eastern Europe that applied to become members of the European Union. The paper presents a synthesis of the projects carried out in Romania for enhancing nuclear safety by consolidating key areas such as Regulatory Activities, Radioactive Waste Management and On-Site assistance, in order to fulfil the requirements for accession to the European Union. Statistical considerations on the impact of the projects are also proposed and an analysis of the methodology of intervention is made.JRC.F.5-Nuclear Reactor Safety Assessmen

Risk Assessment and Comparative Effectiveness of Left Ventricular Assist Device and Medical Management in Ambulatory Heart Failure Patients The ROADMAP Study 2-Year Results

OBJECTIVES The authors sought to provide the pre-specified primary endpoint of the ROADMAP (Risk Assessment and Comparative Effectiveness of Left Ventricular Assist Device and Medical Management in Ambulatory Heart Failure Patients) trial at 2 years. BACKGROUND The ROADMAP trial was a prospective nonrandomized observational study of 200 patients (97 with a left ventricular assist device [LVAD], 103 on optimal medical management [OMM]) that showed that survival with improved functional status at 1 year was better with LVADs compared with OMM in a patient population of ambulatory New York Heart Association functional class IIIb/IV patients. METHODS The primary composite endpoint was survival on original therapy with improvement in 6-min walk distance \u3e= 75 m. RESULTS Patients receiving LVAD versus OMM had lower baseline health-related quality of life, reduced Seattle Heart Failure Model 1-year survival (78% vs. 84%; p = 0.012), and were predominantly INTERMACS (Interagency Registry for Mechanically Assisted Circulatory Support) profile 4 (65% vs. 34%; p \u3c 0.001) versus profiles 5 to 7. More LVAD patients met the primary endpoint at 2 years: 30% LVAD versus 12% OMM (odds ratio: 3.2 [95% confidence interval: 1.3 to 7.7]; p = 0.012). Survival as treated on original therapy at 2 years was greater for LVAD versus OMM (70 +/- 5% vs. 41 +/- 5%; p \u3c 0.001), but there was no difference in intent-to-treat survival (70 +/- 5% vs. 63 +/- 5%; p = 0.307). In the OMM arm, 23 of 103 (22%) received delayed LVADs (18 within 12 months; 5 from 12 to 24 months). LVAD adverse events declined after year 1 for bleeding (primarily gastrointestinal) and arrhythmias. CONCLUSIONS Survival on original therapy with improvement in 6-min walk distance was superior with LVAD compared with OMM at 2 years. Reduction in key adverse events beyond 1 year was observed in the LVAD group. The ROADMAP trial provides risk-benefit information to guide patient- and physician-shared decision making for elective LVAD therapy as a treatment for heart failure. (Risk Assessment and Comparative Effectiveness of Left Ventricular Assist Device and Medical Management in Ambulatory Heart Failure Patients [ROADMAP]; NCT01452802

Coupling angle variability in healthy and patellofemoral pain runners

Background Patellofemoral pain is hypothesized to result in less joint coordination variability. The ability to relate coordination variability to patellofemoral pain pathology could have many clinical uses; however, evidence to support its clinical application is lacking. The aim was to determine if vector coding's coupling angle variability, as a measure of joint coordination variability, was less for runners with patellofemoral pain than healthy controls as is commonly postulated. Methods Nineteen female recreational runners with patellofemoral pain and eleven healthy controls performed a treadmill acclimation protocol then ran at a self-selected pace for 15 min. 3-D kinematics, force plate kinetics, knee pain and rating of perceived exertion were recorded each minute. Data were selected for the: pain group at the highest pain reached (pain � 3/10) in a non-exerted state (exertion < 14/20), and; non-exerted healthy group from the eleventh minute. Coupling angle variability was calculated over several portions of the stride for six knee-ankle combinations during five non-consecutive strides. Findings 46 of 48 coupling angle variability measures were greater for the pain group, with 7 significantly greater (P <.05). Interpretation These findings oppose the theory that less coupling angle variability is indicative of a pathological coordinate state during running. Greater coupling angle variability may be characteristic of patellofemoral pain in female treadmill running when a larger threshold of pain is reached than previously observed. A predictable and directional response of coupling angle variability measures in relation to knee pathology is not yet clear and requires further investigation prior to considerations for clinical utility. © 2013 Elsevier Ltd

Radio transients from stellar tidal disruption by massive black holes

The tidal disruption of a star by a supermassive black hole provides us with a rare glimpse of these otherwise dormant beasts. It has long been predicted that the disruption will be accompanied by a thermal `flare', powered by the accretion of bound stellar debris. Several candidate disruptions have been discovered in this manner at optical, UV and X-ray wavelengths. Here we explore the observational consequences if a modest fraction of the accretion power is channeled into an ultra-relativistic outflow. We show that a relativistic jet decelerates due to its interaction with the interstellar medium at sub-parsec distances from the black hole. Synchrotron radiation from electrons accelerated by the reverse shock powers a bright radio-infrared transient that peaks on a timescale ~1 yr after disruption. Emission from the forward shock may be detectable for several years after the peak. Deep radio follow-up observations of tidal disruption candidates at late times can test for the presence of relativistic ejecta. Upcoming radio transient surveys may independently discover tens to hundreds of tidal disruptions per year, complimenting searches at other wavelengths. Non-thermal emission from tidal disruption probes the physics of jet formation under relatively clean conditions, in which the flow parameters are independently constrained.Comment: 5 pages, 2 figures, submitted to MNRAS Letter

Predicting Survival in Patients Receiving Continuous Flow Left Ventricular Assist Devices The HeartMate II Risk Score

ObjectivesThe aim of this study was to derive and validate a model to predict survival in candidates for HeartMate II (HMII) (Thoratec, Pleasanton, California) left ventricular assist device (LVAD) support.BackgroundLVAD mortality risk prediction is important for candidate selection and communicating expectations to patients and clinicians. With the evolution of LVAD support, prior risk prediction models have become less valid.MethodsPatients enrolled into the HMII bridge to transplantation and destination therapy trials (N = 1,122) were randomly divided into derivation (DC) (n = 583) and validation cohorts (VC) (n = 539). Pre-operative candidate predictors of 90-day mortality were examined in the DC with logistic regression, from which the HMII Risk Score (HMRS) was derived. The HMRS was then applied to the VC.ResultsThere were 149 (13%) deaths within 90 days. In the DC, mortality (n = 80) was higher in older patients (odds ratio [OR]: 1.3, 95% confidence interval [CI]: 1.1 to 1.7 per 10 years), those with greater hypoalbuminemia (OR: 0.49, 95% CI: 0.31 to 0.76 per mg/dl of albumin), renal dysfunction (OR: 2.1, 95% CI: 1.4 to 3.2 per mg/dl creatinine), coagulopathy (OR: 3.1, 95% CI: 1.7 to 5.8 per international normalized ratio unit), and in those receiving LVAD support at less experienced centers (OR: 2.2, 95% CI: 1.2 to 4.4 for <15 trial patients). Mortality in the DC low, medium, and high HMRS groups was 4%, 16%, and 29%, respectively (p < 0.001). In the VC, corresponding mortality was 8%, 11%, and 25%, respectively (p < 0.001). HMRS discrimination was good (area under the receiver-operating characteristic curve: 0.71, 95% CI: 0.66 to 0.75).ConclusionsThe HMRS might be useful for mortality risk stratification in HMII candidates and may serve as an additional tool in the patient selection process

Continued safe operation of nuclear power generation plants during the Covid-19 pandemic

An important goal of any pandemic response strategy is to assure the continued reliability of the electricity grid. Electricity production and delivery, two of the most important elements of economic and social infrastructure, must remain reliable during a pandemic because many parts of the infrastructure (e.g. food supply, water, transportation, public health) cannot function without a stable, reliable supply of electricity. More than 100 nuclear power reactor units are currently in operation in the EU and their continued operation during a pandemic is essential to maintain grid stability and ensure the needed power supplies in combination with the other sources of power generation. This report provides an overview of the findings of an investigation into the pandemic preparedness and response actions of nuclear power plant operating organisations in EU and some third countries operating nuclear power reactors. The investigation has been performed by means of media monitoring and information gathering during approximately three weeks, from 16 March – 3 April 2020.JRC.G.10-Knowledge for Nuclear Security and Safet

Spectral decomposition of internal gravity wave sea surface height in global models

Two global ocean models ranging in horizontal resolution from 1/12° to 1/48° are used to study the space and time scales of sea surface height (SSH) signals associated with internal gravity waves (IGWs). Frequency‐horizontal wavenumber SSH spectral densities are computed over seven regions of the world ocean from two simulations of the HYbrid Coordinate Ocean Model (HYCOM) and three simulations of the Massachusetts Institute of Technology general circulation model (MITgcm). High wavenumber, high‐frequency SSH variance follows the predicted IGW linear dispersion curves. The realism of high‐frequency motions (>0.87  cpd) in the models is tested through comparison of the frequency spectral density of dynamic height variance computed from the highest‐resolution runs of each model (1/25° HYCOM and 1/48° MITgcm) with dynamic height variance frequency spectral density computed from nine in situ profiling instruments. These high‐frequency motions are of particular interest because of their contributions to the small‐scale SSH variability that will be observed on a global scale in the upcoming Surface Water and Ocean Topography (SWOT) satellite altimetry mission. The variance at supertidal frequencies can be comparable to the tidal and low‐frequency variance for high wavenumbers (length scales smaller than ∼50 km), especially in the higher‐resolution simulations. In the highest‐resolution simulations, the high‐frequency variance can be greater than the low‐frequency variance at these scales.Key PointsTwo high‐resolution ocean models compare well against data in frequency spectral density of dynamic heightSea surface height frequency‐horizontal wavenumber spectral densities show high variance along internal gravity wave dispersion curvesTwo high‐resolution ocean models give different estimates of variance in high‐frequency, high wavenumber phenomenaPeer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/139946/1/jgrc22465-sup-0002-2017JC013009-fs01.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/139946/2/jgrc22465-sup-0003-2017JC013009-fs02.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/139946/3/jgrc22465_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/139946/4/jgrc22465.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/139946/5/jgrc22465-sup-0007-2017JC013009-fs06.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/139946/6/jgrc22465-sup-0009-2017JC013009-fs08.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/139946/7/jgrc22465-sup-0004-2017JC013009-fs03.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/139946/8/jgrc22465-sup-0005-2017JC013009-fs04.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/139946/9/jgrc22465-sup-0006-2017JC013009-fs05.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/139946/10/jgrc22465-sup-0001-2017JC013009-s01.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/139946/11/jgrc22465-sup-0008-2017JC013009-fs07.pd

Scalar field-perfect fluid correspondence and nonlinear perturbation equations

The properties of dynamical Dark Energy (DE) and, in particular, the possibility that it can form or contribute to stable inhomogeneities, have been widely debated in recent literature, also in association to a possible coupling between DE and Dark Matter (DM). In order to clarify this issue, in this paper we present a general framework for the study of the nonlinear phases of structure formation, showing the equivalence between two possible descriptions of DE: a scalar field \phi self-interacting through a potential V(\phi) and a perfect fluid with an assigned negative equation of state w(a). This enables us to show that, in the presence of coupling, the mass of DE quanta may increase where large DM condensations are present, so that also DE may partake to the clustering process.Comment: 16 pages, accepted for publication in JCA