EskDale, a religious commune and the Order of Aaron

The focus of this thesis will be a narrative overview of the religious commune at EskDale, Utah and its affiliated religious sect, the Order of Aaron. This study includes field research utilizing participant observation, informal interview and formal interview methods. Historical background information was gathered with a literature review and from newspaper clippings, letters and other documents supplied to me by the community at EskDale and the Order of Aaron; Through this study I will review the founding of the religion and the community. I will also identify changes, previously undocumented, that have occurred during the last ten years. Descriptions of the life of the community will be based on my first impressions, gathered during a period of less than three weeks, at EskDale. Practices and beliefs of the Order of Aaron and EskDale will be compared to other religious and communal groups

Symptom Perceptions and Self-care Behaviors in Patients Who Self-manage Heart Failure

Background: Patients with heart failure (HF) are at heightened risk for acute exacerbation requiring hospitalization. Although timely reporting of symptoms can expedite outpatient treatment and avoid the need for hospitalization, few patients recognize and respond to symptoms until acutely ill. Objective: The purpose of this study was to explore patients’ perceptions of symptoms and self-care behaviors for symptom relief, leading up to a HF hospitalization. Methods: To examine prehospitalization symptom scenarios, semistructured interviews were conducted with 60 patients hospitalized for acute decompensated HF. Results: Thirty-seven patients (61.7%) said that they had a sense that “something just wasn’t quite right” before their symptoms began but were unable to specify further. Signs and symptoms most often recognized by the patients were related to dyspnea (85%), fatigue (53.3%), and edema (41.7%). Few patients interpreted their symptoms as being related to worsening HF and most often attributed symptoms to changes in diet (18.3%) and medications (13.3%). Twenty-six patients (43.3%) used self-care strategies to relieve symptoms before hospital admission. More than 40% of the patients had symptoms at least 2 weeks before hospitalization. Conclusions: Despite the wide dissemination of HF evidence-based guidelines, important components of symptom self-management remain suboptimal. Because most of HF self-management occurs in the postdischarge environment, research is needed that identifies how patients interpret symptoms of HF in the specific contexts in which patients self-manage their HF. These findings suggest the need for interventions that will help patients expeditiously recognize, accurately interpret, and use appropriate and safe self-care strategies for symptoms

Five planets and an independent confirmation of HD 196885Ab from Lick Observatory

We present time series Doppler data from Lick Observatory that reveal the presence of long-period planetary companions orbiting nearby stars. The typical eccentricity of these massive planets are greater than the mean eccentricity of known exoplanets. HD30562b has Msini = 1.29 Mjup, with semi-major axis of 2.3 AU and eccentricity 0.76. The host star has a spectral type F8V and is metal rich. HD86264b has Msini = 7.0 Mjup, arel = 2.86 AU, an eccentricity, e = 0.7 and orbits a metal-rich, F7V star. HD87883b has Msini = 1.78 Mjup, arel = 3.6 AU, e = 0.53 and orbits a metal-rich K0V star. HD89307b has Msini = 1.78 Mjup, arel = 3.3 AU, e = 0.24 and orbits a G0V star with slightly subsolar metallicity. HD148427b has Msini = 0.96 Mjup, arel = 0.93 AU, eccentricity of 0.16 and orbits a metal rich K0 subgiant. We also present velocities for a planet orbiting the F8V metal-rich binary star, HD196885A. The planet has Msini = 2.58 Mjup, arel = 2.37 AU, and orbital eccentricity of 0.48, in agreement with the independent discovery by Correia et al. 2008.Comment: 12 figures, 8 tables, accepted Ap

The MD Anderson Symptom Inventory (MDASI) survey discloses persistent moderate to high-level symptoms in cancer survivors

cancer survivorship care; patient reported outcomeshttps://openworks.mdanderson.org/acif24/1006/thumbnail.jp

The Science Performance of JWST as Characterized in Commissioning

This paper characterizes the actual science performance of the James Webb Space Telescope (JWST), as determined from the six month commissioning period. We summarize the performance of the spacecraft, telescope, science instruments, and ground system, with an emphasis on differences from pre-launch expectations. Commissioning has made clear that JWST is fully capable of achieving the discoveries for which it was built. Moreover, almost across the board, the science performance of JWST is better than expected; in most cases, JWST will go deeper faster than expected. The telescope and instrument suite have demonstrated the sensitivity, stability, image quality, and spectral range that are necessary to transform our understanding of the cosmos through observations spanning from near-earth asteroids to the most distant galaxies.Comment: 5th version as accepted to PASP; 31 pages, 18 figures; https://iopscience.iop.org/article/10.1088/1538-3873/acb29

The James Webb Space Telescope Mission

Twenty-six years ago a small committee report, building on earlier studies, expounded a compelling and poetic vision for the future of astronomy, calling for an infrared-optimized space telescope with an aperture of at least $4m$. With the support of their governments in the US, Europe, and Canada, 20,000 people realized that vision as the $6.5m$ James Webb Space Telescope. A generation of astronomers will celebrate their accomplishments for the life of the mission, potentially as long as 20 years, and beyond. This report and the scientific discoveries that follow are extended thank-you notes to the 20,000 team members. The telescope is working perfectly, with much better image quality than expected. In this and accompanying papers, we give a brief history, describe the observatory, outline its objectives and current observing program, and discuss the inventions and people who made it possible. We cite detailed reports on the design and the measured performance on orbit.Comment: Accepted by PASP for the special issue on The James Webb Space Telescope Overview, 29 pages, 4 figure

Point-of-care testing in paediatric settings in the UK and Ireland: A cross-sectional study

Background: Point-of-care testing (POCT) is diagnostic testing performed at or near to the site of the patient. Understanding the current capacity, and scope, of POCT in this setting is essential in order to respond to new research evidence which may lead to wide implementation. Methods: A cross-sectional online survey study of POCT use was conducted between 6th January and 2nd February 2020 on behalf of two United Kingdom (UK) and Ireland-based paediatric research networks (Paediatric Emergency Research UK and Ireland, and General and Adolescent Paediatric Research UK and Ireland). Results: In total 91/109 (83.5%) sites responded, with some respondents providing details for multiple units on their site based on network membership (139 units in total). The most commonly performed POCT were blood sugar (137/139; 98.6%), urinalysis (134/139; 96.4%) and blood gas analysis (132/139; 95%). The use of POCT for Influenza/Respiratory Syncytial Virus (RSV) (45/139; 32.4%, 41/139; 29.5%), C-Reactive Protein (CRP) (13/139; 9.4%), Procalcitonin (PCT) (2/139; 1.4%) and Group A Streptococcus (5/139; 3.6%) and was relatively low. Obstacles to the introduction of new POCT included resources and infrastructure to support test performance and quality assurance. Conclusion: This survey demonstrates significant consensus in POCT practice in the UK and Ireland but highlights specific inequity in newer biomarkers, some which do not have support from national guidance. A clear strategy to overcome the key obstacles of funding, evidence base, and standardising variation will be essential if there is a drive toward increasing implementation of POCT

Late Devonian carbonate magnetostratigraphy from the Oscar and Horse Spring Ranges, Lennard Shelf, Canning Basin, Western Australia

The Late Devonian was a time of major evolutionary change encompassing the fifth largest mass extinction, the Frasnian–Famennian event. In order to establish a chronological framework for global correlation before, during, and following the Frasnian–Famennian mass extinction, we carried out a coupled magnetostratigraphic and biostratigraphic study of two stratigraphic sections in the Upper Devonian carbonate reef complexes of the Lennard Shelf, in the Canning Basin, Western Australia. Magnetostratigraphy from these rocks provides the first high-resolution definition of the Late Devonian magnetic polarity timescale. A 581-m-reference section and an 82-m overlapping section through the marginal slope facies (Napier Formation) of the Oscar Range as well as a 117-m section at Horse Spring (Virgin Hills Formation) were sampled at decimeter to meter scale for magnetostratigraphy. Conodont biostratigraphy was used to correlate both sections, and link magnetostratigraphic polarity zones to a globally established biostratigraphy. A stable, Characteristic Remanent Magnetization (ChRM) with dual polarities (NE, shallowly upward and SW, shallowly downward) is recovered from ∼60%∼60% of all samples, with magnetite inferred to be the chief magnetic carrier from thermal demagnetization characteristics. These directions define a geomagnetic pole at 49.5°S/285.8°E and α95=2.4α95=2.4 (n=501n=501), placing the Canning Basin at 9.9°S during the Late Devonian, consistent with carbonate reef development at this time.A conservative interpretation of the magnetostratigraphy shows the recovery of multiple reversals from both sections, not including possible cryptochrons and short duration magnetozones. Field tests for primary remanence include positive reversal tests and matching magnetozones from an overlapping section in the Oscar Range. A strong correlation was found between magnetic polarity stratigraphies of the Oscar Range and Horse Spring sections, and we correlate 12 magnetostratigraphic packages. The relative stratigraphic thicknesses of the isochronous sediments from these two sections indicate that carbonate accumulation was ∼4.5× faster in the middle slope deposits at Oscar Range than in the more distal, lower slope Horse Spring deposits for the middle Frasnian through Famennian. The magnetic field during the Late Devonian underwent a relatively high reversal frequency with good potential for regional and global correlation, and should prove useful in deciphering a high-resolution chronostratigraphy across the Lennard Shelf to enable higher confidence examination of reef development across a major biotic crisis