Sr-isotope analysis of speleothems by LA-MC-ICP-MS: High temporal resolution and fast data acquisition

Speleothems are well established climate archives. A wide array of geochemical proxies, including stable isotopes and trace elements are present within speleothems to reconstruct past climate variability. However, each proxy is influenced by multiple factors, often hampering robust interpretation. Sr isotope ratios (87Sr/86Sr) can provide useful information about water residence time and water mixing in the host rock, as they are not fractionated during calcite precipitation. Laser ablation multi-collector-inductively coupled plasma mass spectrometry (LA-MC-ICP-MS) has rarely been used for determination of Sr isotope signatures in speleothems, as speleothems often do not possess appropriately high concentrations of Sr to facilitate this analysis. Yet the advantages of this approach include rapid data acquisition, higher spatial resolution, larger sample throughput and the absence of chemical treatment prior to analysis. We present LA-MC-ICP-MS Sr isotope data from two speleothems from Morocco (Grotte de Piste) and India (Mawmluh Cave), and we compare linescan and spot analysis ablation techniques along speleothem growth axes. The analytical uncertainty of our LA-MC-ICP-MS Sr data is comparable to studies conducted on other carbonate materials. The results of both ablation techniques are reproducible within analytical error, implying that this technique yields robust results when applied to speleothems. In addition, several comparative measurements of different carbonate reference materials (i.e. MACS-3, JCt-1, JCp-1), including tests with standard bracketing and comparison of the 87Sr/86Sr ratios with a nanosecond laser ablation system and a state-of-the-art femtosecond laser ablation system, highlight the robustness of the method

Attention-deficit/Hyperactivity disorder in children

In the past ten years, many people have become aware of Attention Deficit Hyperactivity Disorder (ADHD). This sudden increase in awareness has been good, since more children with ADHD are now being properly diagnosed and treated. Furthermore, classroom teachers and parents are beginning to understand this disorder and how to manage it. Fewer parents feel the issues their children are having are their fault because they did not have a good parenting style (Phelan, 2000). The purpose of this paper is to continue to increase awareness about ADHD, the effects it has on children, and the treatments and interventions used to maintain or control the symptoms of the disorder. This will be accomplished through an overview of the definition, symptoms, prevalence, treatment, and interventions relative to ADHD

Whole Genome Analysis of the Red-Crowned Crane Provides Insight into Avian Longevity

The red-crowned crane (Grus japonensis) is an endangered, large-bodied crane native to East Asia. It is a traditional symbol of longevity and its long lifespan has been confirmed both in captivity and in the wild. Lifespan in birds is known to be positively correlated with body size and negatively correlated with metabolic rate, though the genetic mechanisms for the red-crowned crane's long lifespan have not previously been investigated. Using whole genome sequencing and comparative evolutionary analyses against the grey-crowned crane and other avian genomes, including the long-lived common ostrich, we identified red-crowned crane candidate genes with known associations with longevity. Among these are positively selected genes in metabolism and immunity pathways (NDUFA5, NDUFA8, NUDT12, SOD3, CTH, RPA1, PHAX, HNMT, HS2ST1, PPCDC, PSTK CD8B, GP9, IL-9R, and PTPRC). Our analyses provide genetic evidence for low metabolic rate and longevity, accompanied by possible convergent adaptation signatures among distantly related large and long-lived birds. Finally, we identified low genetic diversity in the red-crowned crane, consistent with its listing as an endangered species, and this genome should provide a useful genetic resource for future conservation studies of this rare and iconic species

Survey of Pharmacist-Managed Primary Care Clinics Using Healthcare Failure Mode and Effect Analysis (HFMEA)

Objectives: The primary objective was to expand upon results of a previously piloted patient perception survey with Healthcare Failure Mode and Effect Analysis (HFMEA), to identify areas within pharmacist-managed clinics needing improvement. Methods: The survey was adapted for use in pharmacist-managed clinics. Patients completed the survey following regularly scheduled pharmacist appointments. Data were analyzed with a method adapted from HFMEA. Product scores could range from five to 25. A product of five indicates that pharmacists are doing a good job on the items that patients place the most value on, while a product score of 25 indicates that pharmacists are doing a poor job. A score greater than or equal to ten was used to identify areas for improvement. Results: Seventy-one patients completed surveys. Thirteen components were assessed and no item achieved a mean product greater than or equal to ten. The survey item with the highest mean product pertained to discussion of potential medication side effects (mean: 7.06; interquartile range: 5-10). Analysis of each survey item found that all survey items had multiple individual responses that provided a product score of greater than or equal to ten. The survey items most frequently listed in the overall population as being most valued were “Told you the name of each of your medicines and what they are used for”, “Answered your questions fully,” and “Explained what your medicines do”. Conclusions: Educational components provided during pharmacist-managed clinic appointments are aligned with patients’ needs and are successfully incorporating the components that patients value highly in a patient-healthcare provider interaction. The HFMEA model can be an important teaching tool to identify specific processes in need of improvement and to help enhance pharmacists’ self-efficacy, which may further improve patient care

Aquilegia, Vol. 34 No. 2, Summer 2010, Newsletter of the Colorado Native Plant Society

https://epublications.regis.edu/aquilegia/1132/thumbnail.jp

Prioritization of Features for Mobile Apps for Families in a Federal Nutrition Program for Low-Income Women, Infants, and Children: User-Centered Design Approach

Background: The Special Supplemental Nutrition Assistance Program for Women, Infants, and Children (WIC) is a federal nutrition program that provides nutritious food, education, and health care referrals to low-income women, infants, and children up to the age of 5 years. Although WIC is associated with positive health outcomes for each participant category, modernization and efficiency are needed at the clinic and shopping levels to increase program satisfaction and participation rates. New technologies, such as electronic benefits transfer (EBT), online nutrition education, and mobile apps, can provide opportunities to improve the WIC experience for participants. Objective: This formative study applies user-centered design principles to inform the layout and prioritization of features in mobile apps for low-income families participating in the WIC program. Methods: To identify and prioritize desirable app features, caregivers (N=22) of the children enrolled in WIC participated in individual semistructured interviews with a card sorting activity. Interviews were transcribed verbatim and analyzed using constant comparative analysis for themes. App features were ranked and placed into natural groupings by each participant. The sum and average of the rankings were calculated to understand which features were prioritized by the users. Natural groupings of features were labeled according to participant descriptions. Results: Natural groupings focused on the following categories: clinics/appointments, shopping/stores, education/assessments, location, and recipes/food. Themes from the interviews triangulated the results from the ranking activity. The priority app features were balance checking, an item scanner, and appointment scheduling. Other app features discussed and ranked included appointment reminders, nutrition training and quizzes, shopping lists, clinic and store locators, recipe gallery, produce calculator, and dietary preferences/allergies. Conclusions: This study demonstrates how a user-centered design process can aid the development of an app for low-income families participating in WIC to inform the effective design of the app features and user interface

Changes in precipitating snow chemistry with location and elevation in the California Sierra Nevada

Orographic snowfall in the Sierra Nevada Mountains is an important source of water for California and can vary significantly on an annual basis. The microphysical properties of orographic clouds and subsequent formation of precipitation are impacted, in part, by aerosols of varying size, number, and chemical composition, which are incorporated into clouds formed along the Sierra barrier. Herein, the physicochemical properties and sources of insoluble residues and soluble ions found in precipitation samples were explored for three sites of variable elevation in the Sierra Nevada during the 2012–2013 winter season. Residues were characterized using a suite of physicochemical techniques to determine the size‐resolved number concentrations and associated chemical composition. A transition in the aerosol sources that served as cloud seeds or were scavenged in‐cloud and below‐cloud was observed as a function of location and elevation. Anthropogenic influence from the Central Valley was dominant at the two lowest elevation sites (1900 and 2200 m above mean sea level (AMSL)), whereas long‐range transported mineral dust was a larger contributor at the highest elevation site where cleaner conditions were observed (2600 m AMSL). The residues and soluble ions observed provide insight into how multiple aerosol sources can impact cloud and precipitation formation processes, even over relatively small spatial scales. The transition with increasing elevation to aerosols that serve as ice nucleating particles may impact the properties and extent of snowfall in remote mountain regions where snowpack provides a vital supply of water.Key PointsPhysiochemical properties of particles found in precipitation were determinedBoth anthropogenic and natural sources contributed to the snow residue chemistrySnow residue sources varied depending on location and elevationPeer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/133563/1/jgrd53083-sup-0001-SI.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/133563/2/jgrd53083_am.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/133563/3/jgrd53083.pd