The Design of a High-Q, MACH-5 Nozzle for the Langley 8-Foot HTT

A new nozzle has ben designed for the NASA Langley Research Center 8-Foot High Temperature Tunnel. The new nozzle was designed with a Mach-5 exit flow at a Mach-5 flight-enthalpy test condition and has a smaller throat area than the existing Mach-5 nozzle which significantly increases the range of dynamic pressures that can be achieved in the facility. The nozzle was designed using the NASA Langley IMOCND computer program which solves the potential equation using the classical method of characteristics. Several axisymmetric nozzle contours were generated and evaluated using viscous computational fluid dynamics. A number of items were considered in the evaluation, including flow uniformity, thermal and structural design, manufacturing schedule and cost. Once the final contour was selected, studies were done to determine the effects of manufacturing irregularities (steps and cavities at joints). These studies were done to develop manufacturing specifications and assembly tolerances

Researching the delivery of health and nutrition interventions for women and children in the context of armed conflict: Lessons on research challenges and strategies from BRANCH Consortium case studies of Somalia, Mali, Pakistan and Afghanistan

Background: The BRANCH Consortium recently conducted 10 mixed-methods case studies to investigate the provision of health and nutrition interventions for women and children in conflict-affected countries, aiming to better understand the dominant influences on humanitarian health actors\u27 programmatic decision-making and how such actors surmount intervention delivery barriers. In this paper, the research challenges encountered and the mitigating strategies employed by the case study investigators in four of the BRANCH case study contexts are discussed: Somalia, Mali, Pakistan and Afghanistan.Discussion: Many of the encountered research challenges were anticipated, with investigators adopting mitigation strategies in advance or early on, but others were unexpected, with implications for how studies were ultimately conducted and how well the original study aims were met. Insecurity was a fundamental challenge in all study contexts, with restricted geographical access and concerns for personal safety affecting sampling and data collection plans, and requiring reliance on digital communications, remote study management, and off-site team meetings wherever possible. The need to navigate complex local sociopolitical contexts required maximum reliance on local partners\u27 knowledge, expertise and networks, and this was facilitated by early engagement with a wide range of local study stakeholders. Severe lack of reliable quantitative data on intervention coverage affected the extent to which information from different sources could be triangulated or integrated to inform an understanding of the influences on humanitarian actors\u27 decision-making.Conclusion: Strong local partners are essential to the success of any project, contributing not only technical and methodological capacity but also the insight needed to truly understand and interpret local dynamics for the wider study team and to navigate those dynamics to ensure study rigour and relevance. Maintaining realistic expectations of data that are typically available in conflict settings is also essential, while pushing for more resources and further methodological innovation to improve data collection in such settings. Finally, successful health research in the complex, dynamic and unpredictable contexts of conflict settings requires flexibility and adaptability of researchers, as well as sponsors and donors

Prioritizing Research for Integrated Implementation of Early Childhood Development and Maternal, Newborn, Child and Adolescent Health and Nutrition Platforms

Background: Existing health and nutrition services present potential platforms for scaling up delivery of early childhood development (ECD) interventions within sensitive windows across the life course, especially in the first 1000 days from conception to age 2 years. However, there is insufficient knowledge on how to optimize implementation for such strategies in an integrated manner. In light of this knowledge gap, we aimed to systematically identify a set of integrated implementation research priorities for health, nutrition and early child development within the 2015 to 2030 timeframe of the Sustainable Development Goals (SDGs). Methods: We applied the Child Health and Nutrition Research Initiative method, and consulted a diverse group of global health experts to develop and score 57 research questions against five criteria: answerability, effectiveness, deliverability, impact, and effect on equity. These questions were ranked using a research priority score, and the average expert agreement score was calculated for each question. Findings: The research priority scores ranged from 61.01 to 93.52, with a median of 82.87. The average expert agreement scores ranged from 0.50 to 0.90, with a median of 0.75. The top-ranked research question were: i) How can interventions and packages to reduce neonatal mortality be expanded to include ECD and stimulation interventions? ; ii) How does the integration of ECD and MNCAH&N interventions affect human resource requirements and capacity development in resource-poor settings? ; and iii) How can integrated interventions be tailored to vulnerable refugee and migrant populations to protect against poor ECD and MNCAH&N outcomes? . Most highly-ranked research priorities varied across the life course and highlighted key aspects of scaling up coverage of integrated interventions in resource-limited settings, including: workforce and capacity development, cost-effectiveness and strategies to reduce financial barriers, and quality assessment of programs. Conclusions: Investing in ECD is critical to achieving several of the SDGs, including SDG 2 on ending all forms of malnutrition, SDG 3 on ensuring health and well-being for all, and SDG 4 on ensuring inclusive and equitable quality education and promotion of life-long learning opportunities for all. The generated research agenda is expected to drive action and investment on priority approaches to integrating ECD interventions within existing health and nutrition services

Fibroblastic polyp of the colon: clinicopathological analysis of 10 cases with emphasis on its common association with serrated crypts

: To describe the clinical and pathological features of 10 further cases of fibroblastic polyps (FP), a recently described, distinctive type of colorectal mucosal polyp. Methods and results : The patients were seven women and three men with ages ranging from 44 to 63 years. The lesions ranged in size from 2 to 4 mm. Eight of the polyps were located in the sigmoid colon. Five cases were associated with hyperplastic polyps. Histologically, FP displayed bland, plump spindle cells with oval nuclei arranged as bundles parallel to the surface or as haphazardly orientated sheets with a focal periglandular or perivascular concentric arrangement. Eight polyps represented mixed fibroblastic/hyperplastic polyps as they contained serrated (hyperplastic) crypts. Immunohistochemically, all cases were positive for vimentin and negative for desmin, smooth-muscle actin, h-caldesmon, S100 protein, c-Kit, epithelial membrane antigen, cytokeratin AE1/3, CD34, CD68, COX-2, and factor XIIIa. Ultrastructural examination supported the fibroblastic nature of the tumour cells. Conclusions : FP is a distinctive type of benign mucosal colorectal polyp characterized by its distal location, small size, frequent association with hyperplastic polyps, distinct morphological appearance and typical immunonegativity for markers of specific differentiation. FP with serrated crypts (mixed fibroblastic/hyperplastic polyp) represents a frequent variant of this lesion. Pathologists should recognize FP and discriminate it from other types of colorectal polyps.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/72181/1/j.1365-2559.2006.02357.x.pd

Water, sanitation and hygiene interventions for acute childhood diarrhea: a systematic review to provide estimates for the lives saved tool

Background: In the Sustainable Development Goals (SDGs) era, there is growing recognition of the responsibilities of non-health sectors in improving the health of children. Interventions to improve access to clean water, sanitation facilities, and hygiene behaviours (WASH) represent key opportunities to improve child health and well-being by preventing the spread of infectious diseases and improving nutritional status.Methods: We conducted a systematic review of studies evaluating the effects of WASH interventions on childhood diarrhea in children 0–5 years old. Searches were run up to September 2016. We screened the titles and abstracts of retrieved articles, followed by screening of the full-text reports of relevant studies. We abstracted study characteristics and quantitative data, and assessed study quality. Meta-analyses were performed for similar intervention and outcome pairs.Results: Pooled analyses showed diarrhea risk reductions from the following interventions: point-of-use water filtration (pooled risk ratio (RR): 0.47, 95% confidence interval (CI): 0.36–0.62), point-of-use water disinfection (pooled RR: 0.69, 95% CI: 0.60–0.79), and hygiene education with soap provision (pooled RR: 0.73, 95% CI: 0.57–0.94). Quality ratings were low or very low for most studies, and heterogeneity was high in pooled analyses. Improvements to the water supply and water disinfection at source did not show significant effects on diarrhea risk, nor did the one eligible study examining the effect of latrine construction.Conclusions: Various WASH interventions show diarrhea risk reductions between 27% and 53% in children 0–5 years old, depending on intervention type, providing ample evidence to support the scale-up of WASH in low and middle-income countries (LMICs). Due to the overall low quality of the evidence and high heterogeneity, further research is required to accurately estimate the magnitude of the effects of these interventions in different contexts

Olivine or Impact Melt: Nature of the "Orange" Material on Vesta from Dawn

NASA's Dawn mission observed a great variety of colored terrains on asteroid (4) Vesta during its survey with the Framing Camera (FC). Here we present a detailed study of the orange material on Vesta, which was first observed in color ratio images obtained by the FC and presents a red spectral slope. The orange material deposits can be classified into three types, a) diffuse ejecta deposited by recent medium-size impact craters (such as Oppia), b) lobate patches with well-defined edges, and c) ejecta rays from fresh-looking impact craters. The location of the orange diffuse ejecta from Oppia corresponds to the olivine spot nicknamed "Leslie feature" first identified by Gaffey (1997) from ground-based spectral observations. The distribution of the orange material in the FC mosaic is concentrated on the equatorial region and almost exclusively outside the Rheasilvia basin. Our in-depth analysis of the composition of this material uses complementary observations from FC, the visible and infrared spectrometer (VIR), and the Gamma Ray and Neutron Detector (GRaND). Combining the interpretations from the topography, geomorphology, color and spectral parameters, and elemental abundances, the most probable analog for the orange material on Vesta is impact melt

Spectral evidence of size dependent space weathering processes on asteroid surfaces

Most compositional characterizations of the minor planets are derived from analysis of visible and near-infrared reflectance spectra. However, such spectra are derived from light which has only interacted with a very thin surface layer. Although regolith processes are assumed to mix all near-surface lithologic units into this layer, it has been proposed that space weathering processes can alter this surface layer to obscure the spectral signature of the bedrock lithology. It has been proposed that these spectral alteration processes are much less pronounced on asteroid surfaces than on the lunar surface, but the possibility of major spectral alteration of asteroidal optical surfaces has been invoked to reconcile S-asteroids with ordinary chondrites. The reflectance spectra of a large subset of the S-asteroid population have been analyzed in a systematic investigation of the mineralogical diversity within the S-class. In this sample, absorption band depth is a strong function of asteroid diameter. The S-asteroid band depths are relatively constant for objects larger than 100 km and increase linearly by factor of two toward smaller sizes (approximately 40 km). Although the S-asteroid surface materials includes a diverse variety of silicate assemblages, ranging from dunites to basalts, all compositional subtypes of the S-asteroids conform to this trend. The A-, R-, and V-type asteroids which are primarily silicate assemblages (as opposed to the metal-silicate mixtures of most S-asteroids) follow a parallel but displaced trend. Some sort of textural or regolith equilibrium appears to have been attained in the optical surfaces of asteroids larger than about 100 km diameter but not on bodies below this size. The relationships between absorption band depth, spectral slope, surface albedo and body size provide an intriguing insight into the nature of the optical surfaces of the S-asteroids and space weathering on these objects

Delivering nutrition interventions to women and children in conflict settings: A systematic review

Background: Low/middle-income countries (LMICs) face triple burden of malnutrition associated with infectious diseases, and non-communicable diseases. This review aims to synthesise the available data on the delivery, coverage, and effectiveness of the nutrition programmes for conflict affected women and children living in LMICs.Methods: We searched MEDLINE, Embase, CINAHL, and PsycINFO databases and grey literature using terms related to conflict, population, and nutrition. We searched studies on women and children receiving nutrition-specific interventions during or within five years of a conflict in LMICs. We extracted information on population, intervention, and delivery characteristics, as well as delivery barriers and facilitators. Data on intervention coverage and effectiveness were tabulated, but no meta-analysis was conducted.Results: Ninety-one pubblications met our inclusion criteria. Nearly half of the publications (n=43) included population of sub-Saharan Africa (n=31) followed by Middle East and North African region. Most publications (n=58) reported on interventions targeting children under 5 years of age, and pregnant and lactating women (n=27). General food distribution (n=34), micronutrient supplementation (n=27) and nutrition assessment (n=26) were the most frequently reported interventions, with most reporting on intervention delivery to refugee populations in camp settings (n=63) and using community-based approaches. Only eight studies reported on coverage and effectiveness of intervention. Key delivery facilitators included community advocacy and social mobilisation, effective monitoring and the integration of nutrition, and other sectoral interventions and services, and barriers included insufficient resources, nutritional commodity shortages, security concerns, poor reporting, limited cooperation, and difficulty accessing and following-up of beneficiaries.Discussion: Despite the focus on nutrition in conflict settings, our review highlights important information gaps. Moreover, there is very little information on coverage or effectiveness of nutrition interventions; more rigorous evaluation of effectiveness and delivery approaches is needed, including outside of camps and for preventive as well as curative nutrition interventions.Prospero registration number: CRD42019125221