Torts

Covers cases on constitutional takings and constitutional damaging—wrongful activity by municipal corporation—recovery against airport by adjacent property owners—airspace ownership (Neff); on misrepresentation as a fraudulent act of the insured (Feeley); and on negligence—consequence of failure to obey posted traffic control—efficacy of yield right of way sign (Allper)

Family-Centered Care: Current Applications and Future Directions in Pediatric Health Care

Family-centered care (FCC) is a partnership approach to health care decision-making between the family and health care provider. FCC is considered the standard of pediatric health care by many clinical practices, hospitals, and health care groups. Despite widespread endorsement, FCC continues to be insufficiently implemented into clinical practice. In this paper we enumerate the core principles of FCC in pediatric health care, describe recent advances applying FCC principles to clinical practice, and propose an agenda for practitioners, hospitals, and health care groups to translate FCC into improved health outcomes, health care delivery, and health care system transformation

Evidence for Accelerated Weathering and Sulfate Export in High Alpine Environments

High elevation alpine ecosystems—the \u27water towers of the world\u27—provide water for human populations around the globe. Active geomorphic features such as glaciers and permafrost leave alpine ecosystems susceptible to changes in climate which could also lead to changing biogeochemistry and water quality. Here, we synthesize recent changes in high-elevation stream chemistry from multiple sites that demonstrate a consistent and widespread pattern of increasing sulfate and base cation concentrations or fluxes. This trend has occurred over the past 30 years and is consistent across multiple sites in the Rocky Mountains of the United States, western Canada, the European Alps, the Icelandic Shield, and the Himalayas in Asia. To better understand these recent changes and to examine the potential causes of increased sulfur and base cation concentrations in surface waters, we present a synthesis of global records as well as a high resolution 33 year record of atmospheric deposition and river export data from a long-term ecological research site in Colorado, USA. We evaluate which factors may be driving global shifts in stream chemistry including atmospheric deposition trends and broad climatic patterns. Our analysis suggests that recent changes in climate may be stimulating changes to hydrology and/or geomorphic processes, which in turn lead to accelerated weathering of bedrock. This cascade of effects has broad implications for the chemistry and quality of important surface water resources

Core handling and processing for the WAIS Divide ice-core project

On 1 December 2011 the West Antarctic Ice Sheet (WAIS) Divide ice-core project reached its final depth of 3405 m. The WAIS Divide ice core is not only the longest US ice core to date, but is also the highest-quality deep ice core, including ice from the brittle ice zone, that the US has ever recovered. The methods used at WAIS Divide to handle and log the drilled ice, the procedures used to safely retrograde the ice back to the US National Ice Core Laboratory (NICL) and the methods used to process and sample the ice at the NICL are described and discussed

Core handling and processing for the WAIS Divide ice-core project

On 1 December 2011 the West Antarctic Ice Sheet (WAIS) Divide ice-core project reached its final depth of 3405 m. The WAIS Divide ice core is not only the longest US ice core to date, but is also the highest-quality deep ice core, including ice from the brittle ice zone, that the US has ever recovered. The methods used at WAIS Divide to handle and log the drilled ice, the procedures used to safely retrograde the ice back to the US National Ice Core Laboratory (NICL) and the methods used to process and sample the ice at the NICL are described and discussed

Two different hematocrit detection methods: Different methods, different results?

BACKGROUND: Less is known about the influence of hematocrit detection methodology on transfusion triggers. Therefore, the aim of the present study was to compare two different hematocrit-assessing methods. In a total of 50 critically ill patients hematocrit was analyzed using (1) blood gas analyzer (ABLflex 800) and (2) the central laboratory method (ADVIA(R) 2120) and compared. FINDINGS: Bland-Altman analysis for repeated measurements showed a good correlation with a bias of +1.39% and 2 SD of +/- 3.12%. The 24%-hematocrit-group showed a correlation of r2 = 0.87. With a kappa of 0.56, 22.7% of the cases would have been transfused differently. In the-28%-hematocrit group with a similar correlation (r2 = 0.8) and a kappa of 0.58, 21% of the cases would have been transfused differently. CONCLUSIONS: Despite a good agreement between the two methods used to determine hematocrit in clinical routine, the calculated difference of 1.4% might substantially influence transfusion triggers depending on the employed method

Project Vestia: Future of Martian Habitats

Project Vestia’s main goal is to design and test a floor for inflatable habitat modules (IHM) in Martian or Lunar environments. Currently, there is no method for creating a stable floor in an IHM that does not inhibit the benefits of using that module, as there is for a hard shell habitat. The scope of this project is to: design and simulate three designs; manufacture and test scale models of the top two performing models; design, manufacture, and test different hinge constructions. Each final scale model must withstand 1668.2 N of downwardly applied force, a scaled down representation of what could be typical use modified to account for difference in gravitational pull. Three folding designs were created with Fusion 360 computer modeling software, and simulation was performed using ANSYS software. The hinges used in each model are all of one design but multiple different construction methods. Hinges were manufactured using each method, and then were subsequently tested to determine each method’s tensile strength and flexibility. The parts are all manufactured and tested by the student researchers in house, with materials obtained externally. Preliminary results show that with current design methodology, all models have a minimum factor of safety of 1.5 at the weakest point, compared to at least 5 across the rest of each design. The end goal of this project is to confirm a design and create a scale model of the best design with the best hinge construction method and publish the findings to encourage further research and apply this technology in future IHMs

Ancillary health effects of climate mitigation scenarios as drivers of policy uptake: a review of air quality, transportation and diet co-benefits modeling studies

Background: Significant mitigation efforts beyond the Nationally Determined Commitments (NDCs) coming out of the 2015 Paris Climate Agreement are required to avoid warming of 2 °C above pre-industrial temperatures. Health co-benefits represent selected near term, positive consequences of climate policies that can offset mitigation costs in the short term before the beneficial impacts of those policies on the magnitude of climate change are evident. The diversity of approaches to modeling mitigation options and their health effects inhibits meta-analyses and syntheses of results useful in policy-making. Methods/Design: We evaluated the range of methods and choices in modeling health co-benefits of climate mitigation to identify opportunities for increased consistency and collaboration that could better inform policy-making. We reviewed studies quantifying the health co-benefits of climate change mitigation related to air quality, transportation, and diet published since the 2009 Lancet Commission 'Managing the health effects of climate change' through January 2017. We documented approaches, methods, scenarios, health-related exposures, and health outcomes. Results/Synthesis: Forty-two studies met the inclusion criteria. Air quality, transportation, and diet scenarios ranged from specific policy proposals to hypothetical scenarios, and from global recommendations to stakeholder-informed local guidance. Geographic and temporal scope as well as validity of scenarios determined policy relevance. More recent studies tended to use more sophisticated methods to address complexity in the relevant policy system. Discussion: Most studies indicated significant, nearer term, local ancillary health benefits providing impetus for policy uptake and net cost savings. However, studies were more suited to describing the interaction of climate policy and health and the magnitude of potential outcomes than to providing specific accurate estimates of health co-benefits. Modeling the health co-benefits of climate policy provides policy-relevant information when the scenarios are reasonable, relevant, and thorough, and the model adequately addresses complexity. Greater consistency in selected modeling choices across the health co-benefits of climate mitigation research would facilitate evaluation of mitigation options particularly as they apply to the NDCs and promote policy uptake