Reducing CO2 Emissions in the Upper Midwest: Technology, Resources, Economics, and Policy

We develop scenarios for reducing carbon dioxide emissions from the electricity sector in the upper Midwest (Wisconsin, Illinois, Minnesota, Iowa, North Dakota, South Dakota, Montana, Wyoming, and Manitoba) by 80% relative to 1990 levels. The report has three major components: 1) an inventory of CO2 emissions from all fossil fuel combustion in the region from 1960-2001, subdividing by economic sector and specific electricity generating station; 2) an evaluation of all electricity resources in the region and all technologies for utilizing them, taking into account the overall scale of the resource, technology costs, and other issues that influence the selection of a certain technology; and 3) the development of a simulation model to examine the impact of various factors (policies, prices, technologies, resources) on the regional electricity supply and its emissions from 2005-2055.Environmental Economics and Policy,

Red Optical Planet Survey : A radial velocity search for low mass M dwarf planets

This is an Open Access article distributed under the terms of the Creative Commons Attribution License 2.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly citedWe present radial velocity results from our Red Optical Planet Survey (ROPS), aimed at detecting low-mass planets orbiting mid-late M dwarfs. The similar to 10 ms(-1) precision achieved over 2 consecutive nights with the MIKE spectrograph at Magellan Clay is also found on week long timescales with UVES at VLT. Since we find that UVES is expected to attain photon limited precision of order 2 ms-1 using our novel deconvolution technique, we are limited only by the

Biographical learning: a process for promoting person-centredness in nursing

Background: This paper explores biographical approaches to nurses’ learning. It builds on previous PhD research to consider the effects of such approaches, drawing on the experiences of learners who have recently completed biographical study, in their own words. Aims and objectives: The aim of the paper is to make sense of different forms of learning. The objectives are to identify how autobiographical approaches that involve people learning from their life stories can engage people to exert agency, or ownership, in their own lives by taking control of their learning plans. Design: This longitudinal study started with the first group of learners undertaking a biographical preparation module on an Applied BSc Health and Social Care programme. Methods: Research relating to nurses’ learning is considered, including a Swiss perspective, as well as the validity of the biographical approach to developing knowledge. The learners share stories of their learning in order to develop understanding and new insights into their own lives and those of others. Results: Different dimensions of learning including learning about self, learning to make a difference and processes of repair are revealed through the learners’ narrations. Conclusions: Engaging biographically, to make sense of different forms of learning, appears to be beneficial to more person-centred working. Implications for practice: •Introducing biographical elements into courses of study can benefit learners by helping them to make sense of who they are as learners and practitioners •Co-creating compelling spaces of learning can facilitate learners to exert agency within their own lives as well as help others to learn. By exerting agency we mean taking ownership of the learning revealed through the biographical work and taking it forward in positive ways to enhance person-centred care

The stability of poloidal magnetic fields in rotating stars

The stability of large-scale magnetic fields in rotating stars is explored, using 3D numerical hydrodynamics to follow the evolution of an initial poloidal field. It is found that the field is subject to an instability, located initially on the magnetic equator, whereby the gas is displaced in a direction parallel to the magnetic axis. If the magnetic axis is parallel to the rotation axis, the rotation does not affect the initial linear growth of the instability, but does restrict the growth of the instability outside of the equatorial zone. The magnetic energy decays on a timescale which is a function of the Alfv\'en crossing time and the rotation speed, but short compared to any evolutionary timescale. No evidence is found for a possible stable end state to evolve from an initial axisymmetric poloidal field. The field of an oblique rotator is similarly unstable, in both cases regardless of the rotation speed.Comment: A&A accepted. Animations available at http://www.cita.utoronto.ca/~jon/research/rp_anims.htm

What Have We Learned from Policy Transfer Research? Dolowitz and Marsh Revisited

Over the last decade, policy transfer has emerged as an important concept within public policy analysis, guiding both theoretical and empirical research spanning many venues and issue areas. Using Dolowitz and Marsh's 1996 stocktake as its starting point, this article reviews what has been learned by whom and for what purpose. It finds that the literature has evolved from its rather narrow, state-centred roots to cover many more actors and venues. While policy transfer still represents a niche topic for some researchers, an increasing number have successfully assimilated it into wider debates on topics such as globalisation, Europeanisation and policy innovation. This article assesses the concept's position in the overall ‘tool-kit’ of policy analysis, examines some possible future directions and reflects on their associated risks and opportunities

Evidence for strategies that improve recruitment and retention of adults aged 65 years and over in randomised trials and observational studies: a systematic review

Background: adults aged ≥65 years are often excluded from health research studies. Lack of representation reduces generalisability of treatments for this age group. Objective: to evaluate the effectiveness of strategies that improve recruitment and retention of adults aged ≥65 in observational studies and randomised controlled trials (RCTs). Methods: searches conducted in 10 databases for RCTs of recruitment and retention strategies in RCTs or observational studies. Two reviewers screened abstracts and full-text articles for eligibility and extracted data. Studies without separate data for adults aged ≥65 were discarded. Risk of bias assessed using the Cochrane Risk of Bias tool. Results were synthesised narratively. Results: thirty-two studies were included in the review (n = 75,444). Twelve studies had low risk of bias, of which 10 had successful strategies including: Opt-out versus opt-in increased recruitment (13.6% (n = 261)-18.7% (n = 36) difference; two studies); Advance notification increased retention (1.6% difference, OR 1.45; 95% CI 1.01, 2.10, one study (n = 2,686); 9.1% difference at 4 months, 1.44; 1.08, 1.92, one study (n = 753)); Hand-delivered versus postal surveys increased response (25.1% difference; X2 = 11.40, P < 0.01; one study (n = 139)); Open randomised design versus blinded RCT increased recruitment (1.56; 1.05, 2.33) and retention (13.9% difference; 3.1%, 24.6%) in one study (n = 538). Risk of bias was high/unclear for studies in which incentives or shorter length questionnaires increased response. Discussion: in low risk of bias studies, few of the strategies that improved participation in older adults had been tested in ≥1 study. Opt-out and advance notification strategies improved recruitment and retention, respectively, although an opt-out approach may have ethical limitations. Evidence from single studies limits the generalisability of other strategies

Fungal Spore Dispersal by the Eastern Box Turtle (Terrapene carolina carolina)

Although spores from most macrofungi are wind- or water-dispersed, dispersal may also occur via biotic vectors. The Eastern box turtle (Terrapene carolina carolina) is a facultative mycovore that may play an important role in fungal spore dispersal although, to date, no information exists on fungi occurring in fecal samples of box turtles or on the ecological significance of box turtles as spore dispersal vectors. Consequently, a study of the potential for Eastern box turtles to act as vectors for spore dispersal was initiated by capturing wild turtles and collecting fecal samples. Serial dilutions from fecal samples were made to enumerate spores, quantify the number of spores per gram of fecal material and to isolate and identify fungi. Fungal spores were found to be extremely abundant throughout all samples. Fecal samples from 36 turtles yielded a total of 23 different fungal taxa in the Zygomycota, Ascomycota and Basidiomycota. Two yeasts that were isolated, Cryptococcus albidus and Rhodotorula mucilaginosa, are reported to naturally occur on Trifolium seeds found in fecal samples. A mold previously unreported from fecal material, Aspergillus wentii, was also found in fecal samples. Data collected suggests Eastern box turtles influence fungal spore dispersal by browsing on plant materials and defecating large numbers of fungal spores within their home ranges

Hypotension during propofol sedation for colonoscopy:an exploratory analysis

BACKGROUND: Intraoperative and postoperative hypotension occur commonly and are associated with organ injury and poor outcomes. Changes in arterial blood pressure (BP) during procedural sedation are not well described. METHODS: Individual patient data from five trials of propofol sedation for colonoscopy and a clinical database were pooled and explored with logistic and linear regression. A literature search and focused meta-analysis compared the incidence of hypotension with propofol and alternative forms of procedural sedation. Hypotensive episodes were characterised by the original authors' definitions (typically systolic BP 5 min, and in 89 (23%) the episodes exceeded 10 min. Meta-analysis of 18 RCTs identified an increased risk ratio for the development of hypotension in procedures where propofol was used compared with the use of etomidate (two studies; n=260; risk ratio [RR] 2.0 [95% confidence interval: 1.37–2.92]; P=0.0003), remimazolam (one study; n=384; RR 2.15 [1.61–2.87]; P=0.0001), midazolam (14 studies; n=2218; RR 1.46 [1.18–1.79]; P=0.0004), or all benzodiazepines (15 studies; n=2602; 1.67 [1.41–1.98]; P<0.00001). Hypotension was less likely with propofol than with dexmedetomidine (one study; n=60; RR 0.24 [0.09–0.62]; P=0.003). CONCLUSIONS: Hypotension is common during propofol sedation for colonoscopy and of a magnitude and duration associated with harm in surgical patients

Acute Cryptococcal Immune Reconstitution Inflammatory Syndrome in a Patient on Natalizumab

Presented is the first case of acute immune reconstitution inflammatory syndrome (IRIS)-associated cryptococcal meningoencephalitis in a patient on natalizumab for multiple sclerosis. The patient developed acute cerebral edema after initiation of amphotericin B. We propose several mechanisms that explain the acuity of IRIS in this specific patient population and suggest possible therapies