A Cabonaceous Chondrite Dominated Lithology from the HED Parent; PRA 04401

The paired howardite breccias Mt. Pratt (PRA) 04401 and PRA 04402 are notable for their high proportion of carbonaceous chondrite clasts [1]. They consist predominantly of coarse (0.1-7 mm) diogenite (orthopyroxene), eucrite (plagioclase + pyroxene), and carbonaceous chondrite clasts set in a finer grained matrix of these same materials. Coarse C-chondrite clasts up to 7 mm are composed mainly of fine-grained phyllosilicates with lesser sulfides and high-mg# anhydrous magnesian silicates. Most of these clasts appear to be texturally consistent with CM2 classification [1] and some contain relict chondrules. The clasts are angular and reaction or alteration textures are not apparent in the surrounding matrix. PRA 04401 contains about 70 modal% C-chondrite clasts while PRA 04402 contains about 7%. Although many howardites are known to contain abundant C-chondrite clasts [2,3,4], PRA 04401 is, to our knowledge, the most chondrite-rich howardite lithology identified to date. Low EPMA totals from CM2-type clasts in other howardites suggest that they frequently contain 10 wt% or more water [2], a figure consistent with their mineralogy. PRA 04401, therefore, demonstrates the potential for hydrous lithologies with greater than 5 wt% water to occur locally within the nominally anhydrous HED parent body. Since the origin of this water is xenogenic, it might therefore be concentrated in portions of the asteroid surface where it would be more readily observable by remote sensing techniques. We plan to further examine C-chondrite clasts in PRA 04401/2 with the intent of establishing firm chemical classification, estimating water content, and evaluating their relationship with the host breccia. To help place them in context of the HED parent, we will also compare these breccias with other howardites to evaluate which lithologies are likely to be more prevalent on the asteroid surface

Samples from Differentiated Asteroids; Regolithic Achondrites

Differentiated and partially differentiated asteroids preserve a glimpse of planet formation frozen in time from the early solar system and thus are attractive targets for future exploration. Samples of such asteroids arrive to Earth in the form of achondrite meteorites. Many achondrites, particularly those thought to be most representative of asteroidal regolith, contain a diverse assortment of materials both indigenous and exogenous to the original igneous parent body intermixed at microscopic scales. Remote sensing spacecraft and landers would have difficulty deciphering individual components at these spatial scales, potentially leading to confusing results. Sample return would thus be much more informative than a robotic probe. In this and a companion abstract [1] we consider two regolithic achondrite types, howardites and (polymict) ureilites, in order to evaluate what materials might occur in samples returned from surfaces of differentiated asteroids and what sampling strategies might be prudent

Trends in Drug Utilization, Glycemic Control, and Rates of Severe Hypoglycemia, 2006-2013.

ObjectiveTo examine temporal trends in utilization of glucose-lowering medications, glycemic control, and rate of severe hypoglycemia among patients with type 2 diabetes (T2DM).Research design and methodsUsing claims data from 1.66 million privately insured and Medicare Advantage patients with T2DM from 2006 to 2013, we estimated the annual 1) age- and sex-standardized proportion of patients who filled each class of agents; 2) age-, sex-, race-, and region-standardized proportion with hemoglobin A1c (HbA1c) <6%, 6 to <7%, 7 to <8%, 8 to <9%, ≥9%; and 3) age- and sex-standardized rate of severe hypoglycemia among those using medications. Proportions were calculated overall and stratified by age-group (18-44, 45-64, 65-74, and ≥75 years) and number of chronic comorbidities (zero, one, and two or more).ResultsFrom 2006 to 2013, use increased for metformin (from 47.6 to 53.5%), dipeptidyl peptidase 4 inhibitors (0.5 to 14.9%), and insulin (17.1 to 23.0%) but declined for sulfonylureas (38.8 to 30.8%) and thiazolidinediones (28.5 to 5.6%; all P < 0.001). The proportion of patients with HbA1c <7% declined (from 56.4 to 54.2%; P < 0.001) and with HbA1c ≥9% increased (9.9 to 12.2%; P < 0.001). Glycemic control varied by age and was poor among 23.3% of the youngest and 6.3% of the oldest patients in 2013. The overall rate of severe hypoglycemia remained the same (1.3 per 100 person-years; P = 0.72), declined modestly among the oldest patients (from 2.9 to 2.3; P < 0.001), and remained high among those with two or more comorbidities (3.2 to 3.5; P = 0.36).ConclusionsDuring the recent 8-year period, the use of glucose-lowering drugs has changed dramatically among patients with T2DM. Overall glycemic control has not improved and remains poor among nearly a quarter of the youngest patients. The overall rate of severe hypoglycemia remains largely unchanged

STS-118 Radiator Impact Damage

During the August 2007 STS-118 mission to the International Space Station, a micro-meteoroid or orbital debris (MMOD) particle impacted and completely penetrated one of shuttle Endeavour s radiator panels and the underlying thermal control system (TCS) blanket, leaving deposits on (but no damage to) the payload bay door. While it is not unusual for shuttle orbiters to be impacted by small MMOD particles, the damage from this impact is larger than any previously seen on the shuttle radiator panels. A close-up photograph of the radiator impact entry hole is shown in Figure 1, and the location of the impact on Endeavour s left-side aft-most radiator panel is shown in Figure 2. The aft radiator panel is 0.5-inches thick and consists of 0.011 inch thick aluminum facesheets on the front and back of an aluminum honeycomb core. The front facesheet is additionally covered by a 0.005 inch thick layer of silver-Teflon thermal tape. The entry hole in the silver-Teflon tape measured 8.1 mm by 6.4 mm (0.32 inches by 0.25 inches). The entry hole in the outer facesheet measured 7.4 mm by 5.3 mm (0.29 inches by 0.21 inches) (0.23 inches). The impactor also perforated an existing 0.012 inch doubler that had been bonded over the facesheet to repair previous impact damage (an example that lightning can strike the same place twice, even for MMOD impact). The peeled-back edge around the entry hole, or lip , is a characteristic of many hypervelocity impacts. High velocity impact with the front facesheet fragmented the impacting particle and caused it to spread out into a debris cloud. The debris cloud caused considerable damage to the internal honeycomb core with 23 honeycomb cells over a region of 28 mm by 26 mm (1.1 inches by 1.0 inches) having either been completely destroyed or partially damaged. Figure 3 is a view of the exit hole in the rear facesheet, and partially shows the extent of the honeycomb core damage and clearly shows the jagged petaled exit hole through the backside facesheet. The rear facesheet exit hole damage including cracks in the facesheet measures 14 mm by 14 mm (0.55 inches by 0.55 inches). The remnants of the impacting particle and radiator panel material blown through the rear facesheet hole also created two penetrations in the TCS blanket 115 mm (4.5 inches) behind the rear facesheet. Figure 4 shows these two impacts, which are located 75 mm (3 inches) apart. Some deposits of material were found on the payload bay door beneath the TCS blanket, but no additional damage occurred to the door. Figure 5 illustrates the relationship of the facesheet entry hole to the TCS blanket damage, which may indicate the direction of the impacting particle. The image on the left side of Figure 5 shows an overhead view of the damaged radiator after the facesheet holes were cored out of the panel. The entry hole location and the two underlying TCS blanket damage sites are annotated on the image. Section A-A, running through the entry hole and TCS blanket damage locations, describes a 25 angle from the longitudinal axis of the shuttle. The 2nd impact angle can be seen in section A-A on the right side of Figure 5. An average 17 angle of impact to the surface normal was derived by measuring the angles of the two damage sites in TCS blanket to the entry hole

Thermal History and Fragmentation of Ureilitic Asteroids: Insights from the Almahata Sitta Fall

Prior to recovery the Almahata Sitta fall was observed as the asteroid 2008 TC3 on an Earth-bound trajectory, providing a unique link between spectral data and ureilite composition. The event has also provided insight into the nature of ureilitic objects in space. In particular, the large size (4 m3) and low density (2.2 g/cm3) of the object combined with near-complete disintegration upon entry suggest a porous and loosely-consolidated body [1]. Accordingly, recovered fragments are small in size (1.5-283g) and represent several different ureilite lithologies. Some recovered fragments appear brecciated while others do not. We use chemical and mineralogic data to dissect the thermal history of this new ureilite, then use this information to compare the inferred size of fragments within the asteroid to those initially dislodged from a common ureilite parent body (UPB)

Carbonaceous Chondrite-Rich Howardites; The Potential for Hydrous Lithologies on the HED Parent

Howardites, eucrites, and diogenites, collectively referred to as the "HED's", are a clan of meteorites thought to represent three different lithologies from a common parent body. Collectively they are the most abundant type of achondrites in terrestrial collections. Eucrites are crustal basalts and gabbros, diogenites are mostly orthopyroxenites and are taken to represent lower crust or upper mantle materials, and howardites are mixed breccias containing both lithologies and are generally regarded as derived from the regolith or near-surface. The presence of exogenous chondritic material in howardite breccias has long been recognized. As a group, howardites exhibit divergence in bulk chemistry from what would be produced by mixing of diogenite and eucrite end-members exclusively, a phenomenon most evident in elevated concentrations of siderophile elements. Despite this chemical evidence for chondritic input in howardite breccias, chondritic clasts have only been identified in a minority of samples, and typically at levels of only a few percent. Three recent Antarctic howardite finds, the paired Mt. Pratt (PRA) 04401 and PRA 04402 and Scott Glacier (SCO) 06040, are notable for their high proportion of carbonaceous chondrite clasts. PRA 04401 is particularly well-endowed, with large chondritic clasts occupying more than half of the modal area of the sections we examined. Previously only a few percent chondritic clasts had been observed to occur in howardites. PRA 04401 is the most chondrite-rich howardite know

What is the effect of a decision aid in potentially vulnerable parents? Insights from the head CT choice randomized trial.

ObjectiveTo test the hypotheses that use of the Head CT Choice decision aid would be similarly effective in all parent/patient dyads but parents with high (vs low) numeracy experience a greater increase in knowledge while those with low (vs high) health literacy experience a greater increase in trust.MethodsThis was a secondary analysis of a cluster randomized trial conducted at seven sites. One hundred seventy-two clinicians caring for 971 children at intermediate risk for clinically important traumatic brain injuries were randomized to shared decision making facilitated by the DA (n = 493) or to usual care (n = 478). We assessed for subgroup effects based on patient and parent characteristics, including socioeconomic status (health literacy, numeracy and income). We tested for interactions using regression models with indicators for arm assignment and study site.ResultsThe decision aid did not increase knowledge more in parents with high numeracy (P for interaction [Pint ] = 0.14) or physician trust more in parents with low health literacy (Pint  = 0.34). The decision aid decreased decisional conflict more in non-white parents (decisional conflict scale, -8.14, 95% CI: -12.33 to -3.95; Pint  = 0.05) and increased physician trust more in socioeconomically disadvantaged parents (trust in physician scale, OR: 8.59, 95% CI: 2.35-14.83; Pint  = 0.04).ConclusionsUse of the Head CT Choice decision aid resulted in less decisional conflict in non-white parents and greater physician trust in socioeconomically disadvantaged parents. Decision aids may be particularly effective in potentially vulnerable parents

Shared decision making in patients with low risk chest pain: prospective randomized pragmatic trial.

OBJECTIVE: To compare the effectiveness of shared decision making with usual care in choice of admission for observation and further cardiac testing or for referral for outpatient evaluation in patients with possible acute coronary syndrome. DESIGN: Multicenter pragmatic parallel randomized controlled trial. SETTING: Six emergency departments in the United States. PARTICIPANTS: 898 adults (aged \u3e17 years) with a primary complaint of chest pain who were being considered for admission to an observation unit for cardiac testing (451 were allocated to the decision aid and 447 to usual care), and 361 emergency clinicians (emergency physicians, nurse practitioners, and physician assistants) caring for patients with chest pain. INTERVENTIONS: Patients were randomly assigned (1:1) by an electronic, web based system to shared decision making facilitated by a decision aid or to usual care. The primary outcome, selected by patient and caregiver advisers, was patient knowledge of their risk for acute coronary syndrome and options for care; secondary outcomes were involvement in the decision to be admitted, proportion of patients admitted for cardiac testing, and the 30 day rate of major adverse cardiac events. RESULTS: Compared with the usual care arm, patients in the decision aid arm had greater knowledge of their risk for acute coronary syndrome and options for care (questions correct: decision aid, 4.2 v usual care, 3.6; mean difference 0.66, 95% confidence interval 0.46 to 0.86), were more involved in the decision (observing patient involvement scores: decision aid, 18.3 v usual care, 7.9; 10.3, 9.1 to 11.5), and less frequently decided with their clinician to be admitted for cardiac testing (decision aid, 37% v usual care, 52%; absolute difference 15%; P CONCLUSIONS: Use of a decision aid in patients at low risk for acute coronary syndrome increased patient knowledge about their risk, increased engagement, and safely decreased the rate of admission to an observation unit for cardiac testing.Trial registration ClinicalTrials.gov NCT01969240

Historical Preservation Districts and Home Sale Prices: Evidence from the Sacramento Housing Market

Historical Preservation Districts and Home Sale Prices: Evidence from the Sacramento Housing Market Abstract: During the past two decades, cities have turned increasingly to historic preservation of residential and commercial property as a method to help revive declining metropolitan areas. Sacramento, California, established historical preservation districts in an attempt to protect and maintain older structures while simultaneously increasing their value. Historic preservation, however, imposes strict rules on property owners that make property improvement more expensive than it otherwise would be. This paper uses hedonic price theory on a sample of residential properties in Sacramento to test whether positive externalities resulting from an historic preservation designation outweigh the potential negative impact of a cumbersome set of rules. The findings suggest that an historic preservation designation has a net positive impact on property values in four of the six preservation districts in the sample