The Jackson Sanatorium: The Best Appointed Health Institution in America. Built of Brick and Iron and Absolutely Fire Proof.

The Jackson Sanatorium, dedicated to the “scientific treatment of chronic invalids,” was one of several names given over the years to the famous health resort which operated in Dansville, NY, from 1854 through 1971. It can still be seen high on the hill just east of the village. This undated brochure was aimed to entice overworked, nervous, and exhausted persons with the curative promise of Dansville’s mountain spring water, regular lectures on health, lessons of hygiene, and opportunities for social and religious interaction. The Sanatorium, directed by Dr. James H. Jackson at the time of printing, used non-pharmaceutical treatments, focusing on careful regulation of daily life, including diet, exercise, rest, and proper dress. This last must have been of great interest to the trussed up, bejeweled 19th- and early 20th-century women, as the brochure suggests that simple dress will insure “better health, a wider scope for unused powers, and a far greater degree of happiness.” In an early example of celebrity endorsement, a quote from Clara Barton appears in the back of the brochure.https://knightscholar.geneseo.edu/historical-reprints/1026/thumbnail.jp

On kernel engineering via Paley–Wiener

A radial basis function approximation takes the form $$s(x)=\sum_{k=1}^na_k\phi(x-b_k),\quad x\in {\mathbb{R}}^d,$$ where the coefficients a 1,…,a n are real numbers, the centres b 1,…,b n are distinct points in ℝ d , and the function φ:ℝ d →ℝ is radially symmetric. Such functions are highly useful in practice and enjoy many beautiful theoretical properties. In particular, much work has been devoted to the polyharmonic radial basis functions, for which φ is the fundamental solution of some iterate of the Laplacian. In this note, we consider the construction of a rotation-invariant signed (Borel) measure μ for which the convolution ψ=μ φ is a function of compact support, and when φ is polyharmonic. The novelty of this construction is its use of the Paley–Wiener theorem to identify compact support via analysis of the Fourier transform of the new kernel ψ, so providing a new form of kernel engineering

ACCURACY OF THE BRCAPRO RISK ASSESSMENT MODEL IN MALES PRESENTING TO MD ANDERSON FOR BRCA TESTING

ACCURACY OF THE BRCAPRO RISK ASSESSMENT MODEL IN MALES PRESENTING TO MD ANDERSON FOR BRCA TESTING Publication No. _______ Carolyn A. Garby, B.S. Supervisory Professor: Banu Arun, M.D. Hereditary Breast and Ovarian Cancer (HBOC) syndrome is due to mutations in BRCA1 and BRCA2 genes. Women with HBOC have high risks to develop breast and ovarian cancers. Males with HBOC are commonly overlooked because male breast cancer is rare and other male cancer risks such as prostate and pancreatic cancers are relatively low. BRCA genetic testing is indicated for men as it is currently estimated that 4-40% of male breast cancers result from a BRCA1 or BRCA2 mutation (Ottini, 2010) and management recommendations can be made based on genetic test results. Risk assessment models are available to provide the individualized likelihood to have a BRCA mutation. Only one study has been conducted to date to evaluate the accuracy of BRCAPro in males and was based on a cohort of Italian males and utilized an older version of BRCAPro. The objective of this study is to determine if BRCAPro5.1 is a valid risk assessment model for males who present to MD Anderson Cancer Center for BRCA genetic testing. BRCAPro has been previously validated for determining the probability of carrying a BRCA mutation, however has not been further examined particularly in males. The total cohort consisted of 152 males who had undergone BRCA genetic testing. The cohort was stratified by indication for genetic counseling. Indications included having a known familial BRCA mutation, having a personal diagnosis of a BRCA-related cancer, or having a family history suggestive of HBOC. Overall there were 22 (14.47%) BRCA1+ males and 25 (16.45%) BRCA2+ males. Receiver operating characteristic curves were constructed for the cohort overall, for each particular indication, as well as for each cancer subtype. Our findings revealed that the BRCAPro5.1 model had perfect discriminating ability at a threshold of 56.2 for males with breast cancer, however only 2 (4.35%) of 46 were found to have BRCA2 mutations. These results are significantly lower than the high approximation (40%) reported in previous literature. BRCAPro does perform well in certain situations for men. Future investigation of male breast cancer and men at risk for BRCA mutations is necessary to provide a more accurate risk assessment

Prevalence of glycosuria and diabetes among Indians and Bantu

No Abstract

Predicting seawater intrusion in coastal groundwater boreholes using self-potential data

Many coastal groundwater abstraction wells are under threat from seawater intrusion: this is exacerbated in summer by low water tables and increased abstraction. Existing hydrochemistry or geophysical techniques often fail to predict the timing of intrusion events. We investigate whether the presence and transport of seawater can influence self-potentials (SPs) measured within groundwater boreholes, with the aim of using SP monitoring to provide early warning of saline intrusion. SP data collection: SP data were collected from a coastal groundwater borehole and an inland borehole (> 60 km from the coast) in the Seaford Chalk of southern England. The SP gradient in the inland borehole was approximately 0.05 mV/m, while that in the coastal borehole varied from 0.16-0.26 mV/m throughout the monitoring period. Spectral analysis showed that semi-diurnal fluctuations in the SP gradient were several orders of magnitude higher at the coast than inland, indicating a strong influence from oceanic tides. A characteristic decrease in the gradient, or precursor, was observed in the coastal borehole several days prior to seawater intrusion. Modelling results: Hydrodynamic transport and geoelectric modelling suggest that observed pressure changes (associated with the streaming potential) are insufficient to explain either the magnitude of the coastal SP gradient or the semi-diurnal SP fluctuations. By contrast, a model of the exclusion-diffusion potential closely matches these observations and produces a precursor similar to that observed in the field. Sensitivity analysis suggests that both a sharp saline front and spatial variations in the exclusion efficiency arising from aquifer heterogeneities are necessary to explain the SP gradient observed in the coastal borehole. The presence of the precursor in the model depends also on the presence and depth of fractures near the base of the borehole. Conclusions: Our results indicate that SP monitoring, combined with hydrodynamic transport and geoelectric modelling, holds considerable promise as an early warning device for seawater intrusion. We now aim to refine our understanding of the technique by applying it to a range of aquifer types

Characterizing the Self‐Potential Response to Concentration Gradients in Heterogeneous Subsurface Environments

DJM was supported by NERC CASE studentship NE/I018417/1. Additional support was provided by NERC to MG under the Science and Solutions for a Changing Planet Doctoral Training Partnership, run by the Grantham Institute for Climate Change at Imperial College London. Two anonymous reviewers are thanked for their comments, which greatly helped to improve the manuscript. The authors would also like to thank Southern Water for access to the borehole at Saltdean. Atkins Global and Southern Water are thanked for some additional funding under the NERC CASE studentship. The laboratory components of this work were carried out with support from TOTAL who we gratefully acknowledged. All data supporting the conclusions of this work are available in the supporting information.Peer reviewedPublisher PD

Cross-validation of short forms of the Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R)

Background The Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) is a 24-item assessment designed to assist in the prediction of aberrant drug-related behavior (ADB) among patients with chronic pain. Recent work has created shorter versions of the SOAPP-R, including a static 12-item short form and two computer-based methods (curtailment and stochastic curtailment) that monitor assessments in progress. The purpose of this study was to cross-validate these shorter versions in two new populations. Methods This retrospective study used data from patients recruited from a hospital-based pain center (n = 84) and pain patients followed and treated at primary care centers (n = 110). Subjects had been administered the SOAPP-R and assessed for ADB. In real-data simulation, the sensitivity, specificity, and area under the curve (AUC) of each form were calculated, as was the mean test length using curtailment and stochastic curtailment. Results Curtailment reduced the number of items administered by 30% to 34% while maintaining sensitivity and specificity identical to those of the full-length SOAPP-R. Stochastic curtailment reduced the number of items administered by 45% to 63% while maintaining sensitivity and specificity within 0.03 of those of the full-length SOAPP-R. The AUC of the 12-item form was equal to that of the 24-item form in both populations. Conclusions Curtailment, stochastic curtailment, and the 12-item short form have potential to enhance the efficiency of the SOAPP-

Silicon isotopes reveal recycled altered oceanic crust in the mantle sources of ocean island basalts

EP thanks the Chateaubriand STEM fellowship program for funding. FM thanks the European Research Council under the European Community’s H2020 framework program/ERC grant agreement #637503 (Pristine) and the Agence Nationale de la Recherche for a chaire d’Excellence Sorbonne Paris Cité (IDEX13C445) and for the UnivEarthS Labex program (ANR-10-LABX-0023 and ANR-11-IDEX-0005-02). PS thanks the support of the Marie Curie FP7-IOF fellowship “Isovolc”.The study of silicon (Si) isotopes in Ocean Island Basalts (OIB) has the potential to discern between different models for the origins of geochemical heterogeneities in the mantle. Relatively large (∼several per mil per atomic mass unit) Si isotope fractionation occurs in low-temperature environments during biochemical and geochemical precipitation of dissolved Si, where the precipitate is preferentially enriched in the lighter isotopes relative to the dissolved Si. In contrast, only a limited range (∼tenths of a per mil) of Si isotope fractionation has been observed from high-temperature igneous processes. Therefore, Si isotopes may be useful as tracers for the presence of crustal material within OIB mantle source regions that experienced relatively low-temperature surface processes in a manner similar to other stable isotope systems, such as oxygen. Characterizing the isotopic composition of the mantle is also of central importance to the use of the Si isotope system as a basis for comparisons with other planetary bodies (e.g., Moon, Mars, asteroids). Here we present the first comprehensive suite of high-precision Si isotope data obtained by MC-ICP-MS for a diverse suite of OIB. Samples originate from ocean islands in the Pacific, Atlantic, and Indian Ocean basins and include representative end-members for the EM-1, EM-2, and HIMU mantle components. On average, δ30Si values for OIB (−0.32 ± 0.09‰, 2 sd) are in general agreement with previous estimates for the δ30Si value of Bulk Silicate Earth (−0.29 ± 0.07‰, 2 sd; Savage et al., 2014). Nonetheless, some small systematic variations are present; specifically, most HIMU-type (Mangaia; Cape Verde; La Palma, Canary Islands) and Iceland OIB are enriched in the lighter isotopes of Si (δ30Si values lower than MORB), consistent with recycled altered oceanic crust and lithospheric mantle in their mantle sources.PostprintPeer reviewe

On spherical averages of radial basis functions

A radial basis function (RBF) has the general form $$s(x)=\sum_{k=1}^{n}a_{k}\phi(x-b_{k}),\quad x\in\mathbb{R}^{d},$$ where the coefficients a 1,…,a n are real numbers, the points, or centres, b 1,…,b n lie in ℝ d , and φ:ℝ d →ℝ is a radially symmetric function. Such approximants are highly useful and enjoy rich theoretical properties; see, for instance (Buhmann, Radial Basis Functions: Theory and Implementations, [2003]; Fasshauer, Meshfree Approximation Methods with Matlab, [2007]; Light and Cheney, A Course in Approximation Theory, [2000]; or Wendland, Scattered Data Approximation, [2004]). The important special case of polyharmonic splines results when φ is the fundamental solution of the iterated Laplacian operator, and this class includes the Euclidean norm φ(x)=‖x‖ when d is an odd positive integer, the thin plate spline φ(x)=‖x‖2log  ‖x‖ when d is an even positive integer, and univariate splines. Now B-splines generate a compactly supported basis for univariate spline spaces, but an analyticity argument implies that a nontrivial polyharmonic spline generated by (1.1) cannot be compactly supported when d>1. However, a pioneering paper of Jackson (Constr. Approx. 4:243–264, [1988]) established that the spherical average of a radial basis function generated by the Euclidean norm can be compactly supported when the centres and coefficients satisfy certain moment conditions; Jackson then used this compactly supported spherical average to construct approximate identities, with which he was then able to derive some of the earliest uniform convergence results for a class of radial basis functions. Our work extends this earlier analysis, but our technique is entirely novel, and applies to all polyharmonic splines. Furthermore, we observe that the technique provides yet another way to generate compactly supported, radially symmetric, positive definite functions. Specifically, we find that the spherical averaging operator commutes with the Fourier transform operator, and we are then able to identify Fourier transforms of compactly supported functions using the Paley–Wiener theorem. Furthermore, the use of Haar measure on compact Lie groups would not have occurred without frequent exposure to Iserles’s study of geometric integration