The Science of Prevention Strategies

From newborn screening for Phenylkentonurea (PKU) and the birth dose of Hepatitis B vaccine to prostate and breast cancer screening and pneumococcal immunization for older adults, the science of health maintenance is multi-tiered and spans the lifetime of an individual. Primary, secondary, and tertiary prevention strategies are used in concert with each other to enable healthcare professionals and their patients to sustain and improve the quality of life

Developing Active Learning Exercises for Any Content

Teaching and learning both should be fun, engaging, and impactful in lasting ways. Studies show that student engagement and information retention increases when students are immersed in active learning - hands-on usage of the information. Modern faculty members are seeking methods of incorporating active learning into their teaching, but may not know where to start when creating their own active learning materials. This paper will outline a process for creating new activities. Included are appendices full of creative active-learning formats (hot topics borrowed from primary and secondary education), as well as guidelines on when to use them that will make teaching and learning fun and practical. These media are also useful for developing transferable skills that students will bring into the workplace

Relationship between Mindfulness-Based Stress Reduction and Immune Function in Cancer and HIV/AIDS

Objective: Chronic stress is widespread, and is detrimental to immune functioning and to overall physical and emotional health. These effects may be potentiated in patients with chronic illness, as high levels of chronic stress are common in this population. Numerous studies support the efficacy of mindfulness-based stress reduction (MBSR) in improving psychological functioning. If a strong relationship is found between MBSR and immune function, then MBSR may be implemented as a strategy to improve immune functioning and overall well-being. Methods: In the present review paper, the relationship between MBSR and immune function is evaluated. Empirical studies measuring immune markers as they relate to a standard MBSR intervention were reviewed. Relevant articles primarily involved patients with cancer or HIV. Therefore, the associations of immune measures with psychological distress are discussed, with an emphasis on patients with these conditions. A psychoneuroimmunological (PNI) framework was utilized to propose a mechanism for the relationship between MBSR and immune function. Results: Overall, the findings support a positive relationship between MBSR intervention and beneficial immunological outcomes. Variability in immune measures assessed across studies precludes pooling data to develop more conclusive results. Conclusions: MBSR has been shown to consistently improve emotional functioning and quality of life, and these effects appear to facilitate immune function

Thin Fisher Zeroes

Biskup et al. [Phys. Rev. Lett. 84 (2000) 4794] have recently suggested that the loci of partition function zeroes can profitably be regarded as phase boundaries in the complex temperature or field planes. We obtain the Fisher zeroes for Ising and Potts models on non-planar (``thin'') regular random graphs using this approach, and note that the locus of Fisher zeroes on a Bethe lattice is identical to the corresponding random graph. Since the number of states appears as a parameter in the Potts solution the limiting locus of chromatic zeroes is also accessible.Comment: 10 pages, 4 figure

A Top-Down Approach to Estimating Spatially Heterogeneous Impacts of Development Aid on Vegetative Carbon Sequestration

Since 1945, over $4.9 trillion dollars of international aid has been allocated to developing countries. To date, there have been no estimates of the regional impact of this aid on the carbon cycle. We apply a geographically explicit matching method to estimate the relative impact of large-scale World Bank projects implemented between 2000 and 2010 on sequestered carbon, using a novel and publicly available data set of 61,243 World Bank project locations. Considering only carbon sequestered due to fluctuations in vegetative biomass caused by World Bank projects, we illustrate the relative impact of World Bank projects on carbon sequestration. We use this information to illustrate the geographic variation in the apparent effectiveness of environmental safeguards implemented by the World Bank. We argue that sub-national data can help to identify geographically heterogeneous impact effects, and highlight many remaining methodological challenges

Development of a benchmarking toolkit for adolescent and young adult rheumatology services (BeTAR)

Background: Young people (YP; 12–24 years old) with rheumatic diseases face many challenges associated with chronic illness in addition to the physiological and psychosocial changes of adolescence. Timely access to developmentally appropriate multidisciplinary care is key to successfully managing rheumatic diseases, but gaps in the care of this vulnerable age group still exist. This study aimed to develop a benchmarking toolkit to enable comparative evaluation of YP rheumatology services in order to promote best practice and reduce variations in service delivery. Methods: A staged and consultative method was used across a broad group of stakeholders in the UK (YP, parents/other carers, and healthcare professionals, HCPs) to develop this toolkit, with reference to pre-existing standards of YP-friendly healthcare. Eighty-seven YP (median age 19 years, range 12–24 years) and 26 rheumatology HCPs with 1–34 years of experience caring for YP have participated. Results: Thirty quality criteria were identified, which were grouped into four main domains: assessment and treatment, information and involvement, accessibility and environment, and continuity of care. Two toolkit versions, one to be completed by HCPs and one to be completed by patients, were developed. These were further refined by relevant groups and face validity was confirmed. Conclusions: A toolkit has been developed to systematically evaluate and benchmark YP rheumatology services, which is key in setting standards of care, identifying targets for improvement and facilitating research. Engagement from YP, clinical teams, and commissioners with this tool should facilitate investigation of variability in levels of care and drive quality improvement

Bayesian Analysis for Stellar Evolution with Nine Parameters (BASE-9): User's Manual

BASE-9 is a Bayesian software suite that recovers star cluster and stellar parameters from photometry. BASE-9 is useful for analyzing single-age, single-metallicity star clusters, binaries, or single stars, and for simulating such systems. BASE-9 uses Markov chain Monte Carlo and brute-force numerical integration techniques to estimate the posterior probability distributions for the age, metallicity, helium abundance, distance modulus, and line-of-sight absorption for a cluster, and the mass, binary mass ratio, and cluster membership probability for every stellar object. BASE-9 is provided as open source code on a version-controlled web server. The executables are also available as Amazon Elastic Compute Cloud images. This manual provides potential users with an overview of BASE-9, including instructions for installation and use.Comment: 22 pages, 7 figure

The SFR-M _∗ Correlation Extends to Low Mass at High Redshift

To achieve a fuller understanding of galaxy evolution, SED fitting can be used to recover quantities beyond stellar masses (M$_*$) and star formation rates (SFRs). We use Star Formation Histories (SFHs) reconstructed via the Dense Basis method of Iyer \& Gawiser (2017) for a sample of $17,873$ galaxies at $0.5<z<6$ in the CANDELS GOODS-S field to study the nature and evolution of the SFR-M$_*$ correlation. The reconstructed SFHs represent trajectories in SFR-M$_*$ space, enabling us to study galaxies at epochs earlier than observed by propagating them backwards in time along these trajectories. We study the SFR-M$_*$ correlation at $z=1,2,3,4,5,6$ using both direct fits to galaxies observed at those epochs and SFR-M$_*$ trajectories of galaxies observed at lower redshifts. The SFR-M$_*$ correlations obtained using the two approaches are found to be consistent with each other through a KS test. Validation tests using SFHs from semi-analytic models and cosmological hydrodynamical simulations confirm the sensitivity of the method to changes in the slope, normalization and shape of the SFR-M$_*$ correlation. This technique allows us to further probe the low-mass regime of the correlation at high-z by $\sim 1$ dex and over an effective volume of $\sim 10\times$ larger than possible with just direct fits. We find that the SFR-M$_*$ correlation is consistent with being linear down to M$_*\sim 10^7 M_\odot$ at $z>4$. The evolution of the correlation is well described by $\log SFR= (0.80\pm 0.029 - 0.017\pm 0.010\times t_{univ})\log M_*$ $- (6.487\pm 0.282-0.039\pm 0.008\times t_{univ})$, where $t_{univ}$ is the age of the universe in Gyr.Comment: 22 pages, 10 figures. Accepted for publication in Ap

Infection and transmission dynamics of rKSHV.219 in primary endothelial cells

Kaposi's sarcoma-associated herpesvirus (KSHV) is the aetiologic agent of Kaposi's sarcoma (KS), a tumour of endothelial cell origin. The study of KS development was aided by the generation of a recombinant GFP (latent)/RFP (lytic)-expressing KSHV (rKSHV.219) by Vieira and O’Hearn (2004). In this study the first data characterising primary endothelial cell infection and transmission with this virus is presented. Infection was predominantly latent and the percentage of GFP-positive cells increased over time. Neither horizontal transmission of infection, nor cellular proliferation, explained this increase. Analysis of latency-associated nuclear antigen (LANA-1) expression revealed that a threshold level of infection was required for GFP expression early post infection. At later time points GFP correlated more closely with LANA-1 expression, likely due to the accumulation of GFP over time. This study provides methodological guidance for the use of rKSHV.21. In addition, it highlights potential problems associated with the use of fluorescent proteins as markers of viral infection