Vial of Life Redesign

Cambria Anonymous Neighbors (CAN), a nonprofit organization assisting the residences of Cambria, hopes to standardize first responder procedures and make medical information easily accessible in case of a medical emergency. Currently the container costs $3.78. CAN would like to provide 2000 containers at a lower cost. After researching materials, acrylic was found to be the best option for the container material due to its low cost and durability. A laser cutter was used to cut the acrylic pieces, and then a set of step by step instructions were created to assemble the product. To reduce the cost of acrylic, the most expensive material in the process, it is recommended for CAN to order at least 51 units of 18’’ x 24’’ acrylic. Assuming the labor costs are free because CAN has volunteers, and the laser cutter is free for use, the new container costs$2.17. This product provides a 43% cost reduction for each container CAN makes and provides for a more flexible options for the medical documents inside of the container

The Drought Monitor

There is a need for improved drought monitoring and assessment methods in the United States. Drought is the most costly natural disaster [Federal Emergency Management Agancy (FEMA 1995; Wilhite 2000)], but it is often neglected by developers of assessment and forecast products. Drought is more nebulous than other disasters and does not lend itself to traditional assessments or forecast methods. Its relatively slow onset and the complexity of its impacts are reasons for the new assessment methodology. Improvements in drought monitoring and forecasting techniques will allow for better preparation, lead to better management practices, and reduce the vulnerability of society to drought and its subsequent impacts. The Drought Monitor (additional information available online at http://drought.unl/edu/dm) was created with the goal of tracking and displaying the magnitude and spatial extent of drought and its impacts across the United States. The Drought Monitor is produced weekly and classifies drought severity into four major categories, with a fifth category threshold assigned to locations on a map are determined from a number of indicators, or tools, blended with subjective interpretation

Studying Free-Space Transmission Statistics and Improving Free-Space QKD in the Turbulent Atmosphere

The statistical fluctuations in free-space links in the turbulent atmosphere are important for the distribution of quantum signals. To that end, we first study statistics generated by the turbulent atmosphere in an entanglement based free-space quantum key distribution (QKD) system. Using the insights gained from this analysis, we study the effect of link fluctuations on the security and key generation rate of decoy state QKD concluding that it has minimal effect in the typical operating regimes. We then investigate the novel idea of using these turbulent fluctuations to our advantage in QKD experiments. We implement a signal-to-noise ratio filter (SNRF) in our QKD system which rejects measurements during periods of low transmission efficiency, where the measured quantum bit error rate (QBER) is temporarily elevated. Using this, we increase the total secret key generated by the system from 78,009 bits to 97,678 bits, representing an increase of 25.2% in the final secure key rate, generated from the same raw signals. Lastly, we present simulations of a QKD exchange with an orbiting LEO satellite and show that an SNRF will be extremely useful in such a situation, allowing many more passes to extract a secret key than would otherwise be possible.Comment: 9 pages, 6 figure

The Drought Monitor

There is a need for improved drought monitoring and assessment methods in the United States. Drought is the most costly natural disaster [Federal Emergency Management Agancy (FEMA 1995; Wilhite 2000)], but it is often neglected by developers of assessment and forecast products. Drought is more nebulous than other disasters and does not lend itself to traditional assessments or forecast methods. Its relatively slow onset and the complexity of its impacts are reasons for the new assessment methodology. Improvements in drought monitoring and forecasting techniques will allow for better preparation, lead to better management practices, and reduce the vulnerability of society to drought and its subsequent impacts. The Drought Monitor (additional information available online at http://drought.unl/edu/dm) was created with the goal of tracking and displaying the magnitude and spatial extent of drought and its impacts across the United States. The Drought Monitor is produced weekly and classifies drought severity into four major categories, with a fifth category threshold assigned to locations on a map are determined from a number of indicators, or tools, blended with subjective interpretation

Comparisons of dissolved organic matter and its optical characteristics in small low and high Arctic catchments

Climate change is affecting the rate of carbon cycling, particularly in the Arctic. Permafrost degradation through deeper thaw and physical disturbances results in the release of carbon dioxide and methane to the atmosphere and to an increase in lateral dissolved organic matter (DOM) fluxes. Whereas riverine DOM fluxes of the large Arctic rivers are well assessed, knowledge is limited with regard to small catchments that cover more than 40 % of the Arctic drainage basin. Here, we use absorption measurements to characterize changes in DOM quantity and quality in a low Arctic (Herschel Island, Yukon, Canada) and a high Arctic (Cape Bounty, Melville Island, Nunavut, Canada) setting with regard to geographical differences, impacts of permafrost degradation, and rainfall events. We find that DOM quantity and quality is controlled by differences in vegetation cover and soil organic carbon content (SOCC). The low Arctic site has higher SOCC and greater abundance of plant material resulting in higher chromophoric dissolved organic matter (cDOM) and dissolved organic carbon (DOC) than in the high Arctic. DOC concentration and cDOM in surface waters at both sites show strong linear relationships similar to the one for the great Arctic rivers. We used the optical characteristics of DOM such as cDOM absorption, specific ultraviolet absorbance (SUVA), ultraviolet (UV) spectral slopes (S275–295), and slope ratio (SR) for assessing quality changes downstream, at base flow and storm flow conditions, and in relation to permafrost disturbance. DOM in streams at both sites demonstrated optical signatures indicative of photodegradation downstream processes, even over short distances of 2000 m. Flow pathways and the connected hydrological residence time control DOM quality. Deeper flow pathways allow the export of permafrost-derived DOM (i.e. from deeper in the active layer), whereas shallow pathways with shorter residence times lead to the export of fresh surface- and near-surface-derived DOM. Compared to the large Arctic rivers, DOM quality exported from the small catchments studied here is much fresher and therefore prone to degradation. Assessing optical properties of DOM and linking them to catchment properties will be a useful tool for understanding changing DOM fluxes and quality at a pan-Arctic scale

Ruminant neurological disease: a retrospective cohort study

Between January 2006 and June 2016, 96 ruminants with neurological signs were donated to the Scottish Centre for Production Animal Health and Food Safety (SCPAHFS), University of Glasgow, by veterinarians in the field representing 5.4 per cent of all submissions. Forty-seven different neurological presenting signs were reported with 79 per cent of the donated patients presenting with abnormal gait. All cases presenting with abnormalities in more than 4 out of 10 neurological categories died or were euthanased on welfare grounds. Calves were significantly more likely to present with neurological disorders than adult cattle compared with the proportion of calves: cows in the Scottish cattle population and total case population donated to SCPAHFS. Lesions were most commonly localised to the spinal cord in sheep 47 per cent (16), the peripheral nervous system in cattle 45 per cent (28) and to the brain in the overall population 41 per cent (39). The most common aetiology of neurological pathologies observed was infectious or inflammatory 28 per cent (27). Definitive diagnoses could be reached in 84 per cent (81) of patients. When postmortem reports were available, they produced a diagnosis in 70 per cent (52) of cases and contradicted clinical diagnoses in 38 per cent (26) of cases. The most frequently diagnosed conditions in ruminants over the 10 years were spastic paresis, vertebral osteomyelitis and listeriosis

Studying free-space transmission statistics and improving free-space quantum key distribution in the turbulent atmosphere

The statistical fluctuations in free-space links in the turbulent atmosphere are important for the distribution of quantum signals. To that end, we first study statistics generated by the turbulent atmosphere in an entanglement-based free-space quantum key distribution (QKD) system. Using the insights gained from this analysis, we study the effect of link fluctuations on the security and key generation rate of decoy state QKD concluding that it has minimal effect in the typical operating regimes. We then investigate the novel idea of using these turbulent fluctuations to our advantage in QKD experiments. We implement a signal-to-noise ratio filter (SNRF) in our QKD system which rejects measurements during periods of low transmission efficiency, where the measured quantum bit error rate is temporarily elevated. Using this, we increase the total secret key generated by the system from 78 009 bits to 97 678 bits, representing an increase of 25.2% in the final secure key rate, generated from the same raw signals. Lastly, we present simulations of a QKD exchange with an orbiting low earth orbit satellite and show that an SNRF will be extremely useful in such a situation, allowing many more passes to extract a secret key than would otherwise be possible

Improving Smoking Cessation Counseling Using a Point-of-Care Health Intervention Tool (IT): From the Virginia Practice Support and Research Network (VaPSRN)

Purpose: Primary care practices are an ideal setting for reducing national smoking rates because >70% of smokers visit their physician annually, yet smoking cessation counseling is inconsistently delivered to patients. We designed and created a novel software program for handheld computers and hypothesized that it would improve clinicians' ability to provide patient-tailored smoking cessation counseling at the point of care. Methods: A handheld computer software program was created based on smoking cessation guidelines and an adaptation of widely accepted behavioral change theories. The tool was evaluated using a validated before/after survey to measure physician smoking cessation counseling behaviors, knowledge, and comfort/self-efficacy. Results: Participants included 17 physicians (mean age, 41 years; 71% male; 5 resident physicians) from a practice-based research network. After 4 months of use in direct patient care, physicians were more likely to advise patients to stop smoking (P = .049) and reported an increase in use of the “5 As” (P = .03). Improved self-efficacy in counseling patients regarding smoking cessation (P = .006) was seen, as was increased comfort in providing follow-up to patients (P = .04). Conclusions: Use of a handheld computer software tool improved smoking cessation counseling among physicians and shows promise for translating evidence about smoking cessation counseling into practice and educational settings.This is the publisher’s final pdf. The published article can be found at: http://www.jabfm.org/Keywords: Practice-based Research, Health Information Technology, Smoking Cessation, Behavioral Counselin