Pathways and Pavilions in a Chesapeake Bay Landscape. Eastern Shore, Maryland

This thesis proposes the design of an environmental cultural park for the Chesapeake Bay that represents the culmination of a study of form, sustainability, and the history of the Bay. The thesis will also consider how architecture can redefine and mediate edge as it relates to experience of space and spatial connections. A museum and a series of pavilions will be developed on a 45 ½ acre parcel of land on Maryland's eastern shore of the Bay. The museum will contain exhibits, both temporary and permanent, of a variety of mediums that speak to the life, culture, and history on the Chesapeake Bay The thesis exploration will look critically at where and how the pavilions are situated on the site to ensure the connection and experience of the structures and the landscape will be enlightening and engagin

Void Statistics in Large Galaxy Redshift Surveys: Does Halo Occupation of Field Galaxies Depend on Environment?

We use measurements of the projected galaxy correlation function w_p and galaxy void statistics to test whether the galaxy content of halos of fixed mass is systematically different in low density environments. We present new measurements of the void probability function (VPF) and underdensity probability function (UPF) from Data Release Four of the Sloan Digital Sky Survey, as well as new measurements of the VPF from the full data release of the Two-Degree Field Galaxy Redshift Survey. We compare these measurements to predictions calculated from models of the Halo Occupation Distribution (HOD) that are constrained to match both w_p and the space density of galaxies. The standard implementation of the HOD assumes that galaxy occupation depends on halo mass only, and is independent of local environment. For luminosity-defined samples, we find that the standard HOD prediction is a good match to the observations, and the data exclude models in which galaxy formation efficiency is reduced in low-density environments. More remarkably, we find that the void statistics of red and blue galaxies (at L ~ 0.4L_*) are perfectly predicted by standard HOD models matched to the correlation function of these samples, ruling out "assembly bias" models in which galaxy color is correlated with large-scale environment at fixed halo mass. We conclude that the luminosity and color of field galaxies are determined predominantly by the mass of the halo in which they reside and have little direct dependence on the environment in which the host halo formed. In broader terms, our results show that the sizes and emptiness of voids found in the distribution of L > 0.2L_* galaxies are in excellent agreement with the predictions of a standard cosmological model with a simple connection between galaxies and dark matter halos. (abridged)Comment: 20 emulateapj pages, 9 figures. submitted to Ap

A prospective evaluation of treatment with Selective Internal Radiation Therapy (SIR-spheres) in patients with unresectable liver metastases from colorectal cancer previously treated with 5-FU based chemotherapy

BACKGROUND: To prospectively evaluate the efficacy and safety of selective internal radiation (SIR) spheres in patients with inoperable liver metastases from colorectal cancer who have failed 5FU based chemotherapy. METHODS: Patients were prospectively enrolled at three Australian centres. All patients had previously received 5-FU based chemotherapy for metastatic colorectal cancer. Patients were ECOG 0–2 and had liver dominant or liver only disease. Concurrent 5-FU was given at investigator discretion. RESULTS: Thirty patients were treated between January 2002 and March 2004. As of July 2004 the median follow-up is 18.3 months. Median patient age was 61.7 years (range 36 – 77). Twenty-nine patients are evaluable for toxicity and response. There were 10 partial responses (33%), with the median duration of response being 8.3 months (range 2–18) and median time to progression of 5.3 mths. Response rates were lower (21%) and progression free survival shorter (3.9 mths) in patients that had received all standard chemotherapy options (n = 14). No responses were seen in patients with a poor performance status (n = 3) or extrahepatic disease (n = 6). Overall treatment related toxicity was acceptable, however significant late toxicity included 4 cases of gastric ulceration. CONCLUSION: In patients with metastatic colorectal cancer that have previously received treatment with 5-FU based chemotherapy, treatment with SIR-spheres has demonstrated encouraging activity. Further studies are required to better define the subsets of patients most likely to respond

Cosmic Voids and Galaxy Bias in the Halo Occupation Framework

(Abridged) We investigate the power of void statistics to constrain galaxy bias and the amplitude of dark matter fluctuations. We use the halo occupation distribution (HOD) framework to describe the relation between galaxies and dark matter. After choosing HOD parameters that reproduce the mean space density n_gal and projected correlation function w_p measured for galaxy samples with M_r<-19 and M_r<-21 from the Sloan Digital Sky Survey (SDSS), we predict the void probability function (VPF) and underdensity probability function (UPF) of these samples by populating the halos of a large, high-resolution N-body simulation. If we make the conventional assumption that the HOD is independent of large scale environment at fixed halo mass, then models constrained to match n_gal and w_p predict nearly identical void statistics, independent of the scatter between halo mass and central galaxy luminosity or uncertainties in HOD parameters. Models with sigma_8=0.7 and sigma_8=0.9 also predict very similar void statistics. However, the VPF and UPF are sensitive to environmental variations of the HOD in a regime where these variations have little impact on w_p. For example, doubling the minimum host halo mass in regions with large scale (5 Mpc/h) density contrast delta<-0.65 has a readily detectable impact on void probabilities of M_r<-19 galaxies, and a similar change for delta<-0.2 alters the void probabilities of M_r<-21 galaxies at a detectable level. The VPF and UPF provide complementary information about the onset and magnitude of density- dependence in the HOD. By detecting or ruling out HOD changes in low density regions, void statistics can reduce systematic uncertainties in the cosmological constraints derived from HOD modeling, and, more importantly, reveal connections between halo formation history and galaxy properties.Comment: emulateapj, 16 pages, 13 figure

High Power Density from a Miniature Microbial Fuel Cell Using \u3ci\u3eShewanella oneidensis\u3c/i\u3e DSP10

A miniature microbial fuel cell (mini-MFC) is described that demonstrates high output power per device crosssection (2.0 cm2) and volume (1.2 cm3). Shewanella oneidensis DSP10 in growth medium with lactate and buffered ferricyanide solutions were used as the anolyte and catholyte, respectively. Maximum power densities of 24 and 10 mW/m2 were measured using the true surface areas of reticulated vitreous carbon (RVC) and graphite felt (GF) electrodes without the addition of exogenous mediators in the anolyte. Current densities at maximum power were measured as 44 and 20 mA/m2 for RVC and GF, while short circuit current densities reached 32 mA/m2 for GF anodes and 100 mA/m2 for RVC. When the power density for GF was calculated using the cross sectional area of the device or the volume of the anode chamber, we found values (3 W/m2, 500 W/m3) similar to the maxima reported in the literature. The addition of electron mediators resulted in current and power increases of 30-100%. These power densities were surprisingly high considering a pure S. oneidensis culture was used. We found that the short diffusion lengths and high surface-area-to-chamber volume ratio utilized in the mini-MFC enhanced power density when compared to output from similar macroscopic MFCs

High Power Density from a Miniature Microbial Fuel Cell Using \u3ci\u3eShewanella oneidensis\u3c/i\u3e DSP10

A miniature microbial fuel cell (mini-MFC) is described that demonstrates high output power per device crosssection (2.0 cm2) and volume (1.2 cm3). Shewanella oneidensis DSP10 in growth medium with lactate and buffered ferricyanide solutions were used as the anolyte and catholyte, respectively. Maximum power densities of 24 and 10 mW/m2 were measured using the true surface areas of reticulated vitreous carbon (RVC) and graphite felt (GF) electrodes without the addition of exogenous mediators in the anolyte. Current densities at maximum power were measured as 44 and 20 mA/m2 for RVC and GF, while short circuit current densities reached 32 mA/m2 for GF anodes and 100 mA/m2 for RVC. When the power density for GF was calculated using the cross sectional area of the device or the volume of the anode chamber, we found values (3 W/m2, 500 W/m3) similar to the maxima reported in the literature. The addition of electron mediators resulted in current and power increases of 30-100%. These power densities were surprisingly high considering a pure S. oneidensis culture was used. We found that the short diffusion lengths and high surface-area-to-chamber volume ratio utilized in the mini-MFC enhanced power density when compared to output from similar macroscopic MFCs

The Virome of Cerebrospinal Fluid: Viruses Where We Once Thought There Were None.

Traditionally, medicine has held that some human body sites are sterile and that the introduction of microbes to these sites results in infections. This paradigm shifted significantly with the discovery of the human microbiome and acceptance of these commensal microbes living across the body. However, the central nervous system (CNS) is still believed by many to be sterile in healthy people. Using culture-independent methods, we examined the virome of cerebrospinal fluid (CSF) from a cohort of mostly healthy human subjects. We identified a community of DNA viruses, most of which were identified as bacteriophages. Compared to other human specimen types, CSF viromes were not ecologically distinct. There was a high alpha diversity cluster that included feces, saliva, and urine, and a low alpha diversity cluster that included CSF, body fluids, plasma, and breast milk. The high diversity cluster included specimens known to have many bacteria, while other specimens traditionally assumed to be sterile formed the low diversity cluster. There was an abundance of viruses shared among CSF, breast milk, plasma, and body fluids, while each generally shared less with urine, feces, and saliva. These shared viruses ranged across different virus families, indicating that similarities between these viromes represent more than just a single shared virus family. By identifying a virome in the CSF of mostly healthy individuals, it is now less likely that any human body site is devoid of microbes, which further highlights the need to decipher the role that viral communities may play in human health

Feasibility cluster randomised controlled trial of a within-consultation intervention to reduce antibiotic prescribing for children presenting to primary care with acute respiratory tract infection and cough

Objective To investigate recruitment and retention, data collection methods and the acceptability of a ‘within-consultation’ complex intervention designed to reduce antibiotic prescribing. Design Primary care feasibility cluster randomised controlled trial. Setting 32 general practices in South West England recruiting children from October 2014 to April 2015. Participants Children (aged 3 months to <12 years) with acute cough and respiratory tract infection (RTI). Intervention A web-based clinician-focussed clinical rule to predict risk of future hospitalisation and a printed leaflet with individualised child health information for carers, safety-netting advice and a treatment decision record. Controls Usual practice, with clinicians recording data on symptoms, signs and treatment decisions. Results Of 542 children invited, 501 (92.4%) consented to participate, a month ahead of schedule. Antibiotic prescribing data were collected for all children, follow-up data for 495 (98.8%) and the National Health Service resource use data for 494 (98.6%). The overall antibiotic prescribing rates for children’s RTIs were 25% and 15.8% (p=0.018) in intervention and control groups, respectively. We found evidence of postrandomisation differential recruitment: the number of children recruited to the intervention arm was higher (292 vs 209); over half were recruited by prescribing nurses compared with less than a third in the control arm; children in the intervention arm were younger (median age 2 vs 3 years controls, p=0.03) and appeared to be more unwell than those in the control arm with higher respiratory rates (p<0.0001), wheeze prevalence (p=0.007) and global illness severity scores assessed by carers (p=0.045) and clinicians (p=0.01). Interviews with clinicians confirmed preferential recruitment of less unwell children to the trial, more so in the control arm. Conclusion Differential recruitment may explain the paradoxical antibiotic prescribing rates. Future cluster level studies should consider designs which remove the need for individual consent postrandomisation and embed the intervention within electronic primary care records

Translating clinicians' beliefs into implementation interventions (TRACII) : a protocol for an intervention modeling experiment to change clinicians' intentions to implement evidence-based practice

Background: Biomedical research constantly produces new findings, but these are not routinely incorporated into health care practice. Currently, a range of interventions to promote the uptake of emerging evidence are available. While their effectiveness has been tested in pragmatic trials, these do not form a basis from which to generalise to routine care settings. Implementation research is the scientific study of methods to promote the uptake of research findings, and hence to reduce inappropriate care. As clinical practice is a form of human behaviour, theories of human behaviour that have proved to be useful in other settings offer a basis for developing a scientific rationale for the choice of interventions. Aims: The aims of this protocol are 1) to develop interventions to change beliefs that have already been identified as antecedents to antibiotic prescribing for sore throats, and 2) to experimentally evaluate these interventions to identify those that have the largest impact on behavioural intention and behavioural simulation. Design: The clinical focus for this work will be the management of uncomplicated sore throat in general practice. Symptoms of upper respiratory tract infections are common presenting features in primary care. They are frequently treated with antibiotics, and research evidence is clear that antibiotic treatment offers little or no benefit to otherwise healthy adult patients. Reducing antibiotic prescribing in the community by the "prudent" use of antibiotics is seen as one way to slow the rise in antibiotic resistance, and appears safe, at least in children. However, our understanding of how to do this is limited. Participants will be general medical practitioners. Two theory-based interventions will be designed to address the discriminant beliefs in the prescribing of antibiotics for sore throat, using empirically derived resources. The interventions will be evaluated in a 2 × 2 factorial randomised controlled trial delivered in a postal questionnaire survey. Two outcome measures will be assessed: behavioural intention and behavioural simulation.This study is funded by the European Commission Research Directorate as part of a multi-partner program: Research Based Education and Quality Improvement (ReBEQI): A Framework and tools to develop effective quality improvement programs in European healthcare. (Proposal No: QLRT-2001-00657)