Not Dying Alone — Modern Compassionate Care in the Covid-19 Pandemic

http://deepblue.lib.umich.edu/bitstream/2027.42/156077/1/nejmp2007781.pdfSEL

Tornado And Severe Weather Climatology And Predictability By Enso Phase In The North Central U.S.: A Compositing Study

Climatological factors, including the phase of the El Niño-Southern Oscillation (ENSO), are known predictors for parameters such as seasonal temperature and precipitation and tropical cyclone activity. ENSO phase also has a relationship to severe weather activity and may have utility in predicting anomalies in severe weather climatology, including the number of significant tornadoes and the number of tornado days. While not useful in daily severe weather operations and forecasting, determining the relationship between ENSO phase and severe weather climatology anomalies can aid preparedness for potentially active seasons among operational meteorologists, emergency managers, the media, and others with a role in preparing spotters and citizens for severe weather seasons

Frailty Is Associated With Increased Rates of Acute Cellular Rejection Within 3 Months After Liver Transplantation

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/154606/1/lt25690.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/154606/2/lt25690_am.pd

Synoptic-Scale Convective Environment Climatology by ENSO Phase in the North Central United States

The El Niño-Southern Oscillation (ENSO) is known to affect synoptic patterns across the continental United States, particularly by its impact on the upper tropospheric jet stream position. Global circulation patterns influence synoptic weather patterns by impacting the location of mid-tropospheric ridge and trough locations and thus areas favorable for temperature and precipitation anomalies, which in turn influence regional severe weather activity. Though it is one of several factors associated with the potential for severe weather, the synoptic environment plays a key role in severe weather potential by providing favorable ingredients for the development of severe convection (e.g. Miller 1967). While ENSO is one of many factors that influence global circulations, and by distillation may have a less distinguishable influence on the synoptic pattern, coherent signals can be uncovered in the synoptic environment, based on ENSO phase, that would influence the potential for severe convection in the north central United States. Seasonal predictions of severe weather potential are not much aid for daily operations, but they can be used by emergency managers, the media, and forecasters to increase preparedness for seasons that have the potential for above normal convective activity

The Uncorrelated Universe: Statistical Anisotropy and the Vanishing Angular Correlation Function in WMAP Years 1-3

The large-angle (low-ell) correlations of the Cosmic Microwave Background (CMB) as reported by the Wilkinson Microwave Anisotropy Probe (WMAP) after their first year of observations exhibited statistically significant anomalies compared to the predictions of the standard inflationary big-bang model. We suggested then that these implied the presence of a solar system foreground, a systematic correlated with solar system geometry, or both. We re-examine these anomalies for the data from the first three years of WMAP's operation. We show that, despite the identification by the WMAP team of a systematic correlated with the equinoxes and the ecliptic, the anomalies in the first-year Internal Linear Combination (ILC) map persist in the three-year ILC map, in all-but-one case at similar statistical significance. The three-year ILC quadrupole and octopole therefore remain inconsistent with statistical isotropy -- they are correlated with each other (99.6% C.L.), and there are statistically significant correlations with local geometry, especially that of the solar system. The angular two-point correlation function at scales >60 degrees in the regions outside the (kp0) galactic cut, where it is most reliably determined, is approximately zero in all wavebands and is even more discrepant with the best fit LambdaCDM inflationary model than in the first-year data - 99.97% C.L. for the new ILC map. The full-sky ILC map, on the other hand, has a non-vanishing angular two-point correlation function, apparently driven by the region inside the cut, but which does not agree better with LambdaCDM. The role of the newly identified low-ell systematics is more puzzling than reassuring.Comment: 18 pages, 7 figures, minor additions to refs and conclusions in v2. High resolution figures, multipole vector code and other information can be found at http://www.phys.cwru.edu/projects/mpvectors

Lahaina groundwater tracer study -- Lahaina, Maui, Hawaii

The studies presented in this report provide the positive establishment of hydrologic connections between the municipal wastewater injection from the LWRF and the nearshore region of the Kaanapali coast on the Island of Maui, Hawaii, and provide the results from the study’s principal objectives, which have been to: (1) implement a tracer dye study from the LWRF (Section 3), (2) conduct continuous monitoring for the emergence of the injected tracer dyes at the most probable points of emergence at nearshore sites within the coastal reaches of the LWRF (Section 2), (3) conduct an airborne infrared sea surface temperature mapping survey of coastal zone fronting the LWRF in an effort to detect cool and/or warm temperature anomalies that may be indicative of cool submarine groundwater discharge and warm wastewater effluent (Section 4), (4) complete radon and radium radiochemical surveys to detect the emergence points and flow rates of the naturally occurring submarine groundwater along the coastal zone (Section 5), (5) complete geochemical and stable isotopic analyses of LWRF effluent, upland well waters, terrestrial surface waters, marine waters, and submarine groundwater discharge in an effort to help partition the relative contribution of effluent waters to the ocean (Section 6), and (6) combine complete dye emergence breakthrough curves with which to develop groundwater models to determine the LWRFs effluent flow paths and rates of emergence to the coastal zone (Section 7).U.S. Environmental Protection AgencyDepartment of Health, State of HawaiiU.S. Army Engineer Research and Development Cente

Effective management of ecological resilience – are we there yet?

1. Ecological resilience is developing into a credible paradigm for policy development and environmental management for preserving natural capital in a rapidly changing world. However, resilience emerges from complex interactions, limiting the translation of theory into practice. 2. Main limitations include the following: (i) difficulty in quantification and detection of changes in ecological resilience, (ii) a lack of empirical evidence to support preventative or proactive management and (iii) difficulties in managing processes operating across socio-ecological systems that vary in space and time. 3. We highlight recent research with the potential to address these limitations including new and/or improved indicators of resilience and tools to assess scale as a driver of resilience. 4. Synthesis and applications. Effective resilience-based management must be adaptive in nature. To support this, we propose an operational model using resilience-based iterative management actions operating across scales

Population characteristics, space use and habitat selection of two non-migratory caribou herds in central Alaska, 1994 - 2009

Conservation and management of Alaska’s caribou (Rangifer tarandus granti) herds are important for ecological, cultural, social, and economic reasons.  While most research is directed towards the large migratory herds, smaller herds that may or may not be migratory can be an equally valuable component of the state’s faunal resources; but for many of these smaller herds, basic information on herd size, demographics, space use and movements is lacking.  We compiled Very High Frequency (VHF) telemetry data collected from 1994 - 2009 on 2 such herds in central Alaska, the Hodzana Hills Herd (HHH) and the Ray Mountain Herd (RMH) and estimated abundance, survival, resource selection and seasonal home ranges to inform future management of these herds.  We found that both herds were relatively small and stable with approximately 1000 – 1500 individuals; annual survivorship of adult females was high (93% and 94% for RMH and HHH, respectively) and comparable to other stable or increasing herds in Alaska.  Both herds were non-migratory maintaining seasonal ranges with substantial overlap.  Additionally, despite their close proximity, we did not document any exchange of individuals between the 2 herds.  Their spatial separation may be partly due to a strip of non-preferred habitat that somewhat parallels the Dalton Highway.  While the telemetry data we used were not originally collected for the purpose of this study, careful compilation and application of appropriate analytical techniques allowed us to glean important characteristics of these herds that will be of value to regulatory and management agencies in the future

After 50 Years of Heart Transplants: What Does the Next 50 Years Hold for Cardiovascular Medicine? A Perspective From the International Society for Applied Cardiovascular Biology

The first successful heart transplant 50 years ago by Dr.Christiaan Barnard in Cape Town, South Africa revolutionized cardiovascular medicine and research. Following this procedure, numerous other advances have reduced many contributors to cardiovascular morbidity and mortality; yet, cardiovascular disease remains the leading cause of death globally. Various unmet needs in cardiovascular medicine affect developing and underserved communities, where access to state-of-the-art advances remain out of reach. Addressing the remaining challenges in cardiovascular medicine in both developed and developing nations will require collaborative efforts from basic science researchers, engineers, industry, and clinicians. In this perspective, we discuss the advancements made in cardiovascular medicine since Dr. Barnard's groundbreaking procedure and ongoing research efforts to address these medical issues. Particular focus is given to the mission of the International Society for Applied Cardiovascular Biology (ISACB), which was founded in Cape Town during the 20th celebration of the first heart transplant in order to promote collaborative and translational research in the field of cardiovascular medicine