A systematic review of the probability of asphyxia in children aged <2 years with unexplained epistaxis

ObjectiveTo determine the proportion of children aged <2 years who have been asphyxiated presenting with epistaxis in the absence of trauma or medical explanation and to identify the characteristics of the clinical presentation indicative of asphyxiation.Study designAn all-language systematic review was conducted by searching 10 databases from 1900 to 2015 and gray literature to identify high-quality studies that included children with epistaxis aged <2 years (alive or dead) with explicit confirmation of intentional or unintentional asphyxiation (upper airway obstruction). Studies of traumatic or pathological epistaxis were excluded. For each comparative study, the proportion of children presenting with epistaxis that were asphyxiated is reported with 95% CI.ResultsOf 2706 studies identified, 100 underwent full review, resulting in 6 included studies representing 30 children with asphyxiation-related epistaxis and 74 children with non–asphyxiation-related epistaxis. The proportion of children presenting with epistaxis that had been asphyxiated, reported by 3 studies, was between 7% and 24%. Features associated with asphyxiation in live children included malaise, altered skin color, respiratory difficulty, and chest radiograph abnormalities. There were no explicit associated features described among those children who were dead on arrival.ConclusionThere is an association between epistaxis and asphyxiation in young children; however, epistaxis does not constitute a diagnosis of asphyxia in itself. In any infant presenting with unexplained epistaxis, a thorough investigation of etiology is always warranted, which must include active exploration of asphyxia as a possible explanation

Double-QQ spin chirality stripes in the anomalous Hall antiferromagnet CoNb3_3S6_6

The metallic antiferromagnet CoNb$_3$S$_6$ exhibits a giant anomalous Hall effect (AHE) that cannot be explained by a collinear N\'eel order on intercalated Co ions. Thus, a noncoplanar structure is expected. We carried out resonant elastic x-ray scattering (REXS) to reexamine the magnetic structure of CoNb$_3$S$_6$ and found a double-$Q$ ($2Q$) order with a $(\frac{1}{2}00)$ commensurate component and a long-wavelength modulation. Circular dichroism and linear polarization analysis reveal that the commensurate components on the two Co sites are noncollinear and the modulation is helical. The resulting magnetic structure has a staggered scalar spin chirality forming a stripe pattern in real space. Furthermore, we found that the helical modulation wavevector exhibits a sample dependence and develops a low-symmetry domain structure. We propose that quenched-in lattice strain controls the helical domain structure, accounting for much of the sample dependence. These results provide insight into the mechanism of the AHE in CoNb$_3$S$_6$ and identifies potential routes for controlling the Hall response and realizing other unconventional electronic phenomena in metallic antiferromagnets.Comment: 15 pages, 16 figure

Discovering Local Food

Gail Patton will tell the story of her journey into the local food world and her special interest in locally driven economic development. Gail is a key founder of the Wild Ramp and sees the market as an opportunity to grow small businesses in the Tri-State Area

The use of a Rotary Asphalt Broom to Groom Aggregate Forest Roads

Due to the dispersed nature of forestry operations in much of the world, only a subset of a given forest road network are used in any year. Specifically, spur roads are generally only used when harvesting operations are adjacent to roadways; otherwise, they remain unused or only have infrequent administrative traffic. During these periods of light use, a substantial amount of organic litter may build up on the roads. As this detritus accumulates and decays, it creates conditions that encourage the growth of unwanted vegetation in the roadway, accelerating the contamination of the surface aggregate. This organic material can degrade the road by retaining moisture and creating a less tractive road surface. Contemporary forest practices control this unwanted vegetation by using a combination of grading or herbicides, at significant expense. One potential alternative treatment is the utilization of a rotary-mounted asphalt broom for vegetation and debris removal. A series of field trials were performed on wet, contaminated forest roads, in which we evaluated vegetation, debris removal effectiveness, and tire slip on segments of road before and after sweeping. The combined effects of wire and synthetic bristles on the rotary broom proved effective in both increasing traction and removing unwanted debris and vegetation from the road surface. Application of this technique was expedient, and did not result in significant loss of surface aggregate, removing on average less than 1% of the aggregate surface

A rapid equity focused health impact assessment of a policy implementation plan: An Australian case study and impact evaluation

<p>Abstract</p> <p>Background</p> <p>Equity focused health impact assessments (EFHIAs), or health equity impact assessments, are being increasingly promoted internationally as a mechanism for enhancing the consideration of health equity in the development of policies, programs and projects. Despite this there are relatively few examples of examples of completed EFHIAs available. This paper presents a case study of a rapid EFHIA that was conducted in Australia on a health promotion policy implementation plan. It briefly describes the process and findings of the EFHIA and evaluates the impact on decision-making and implementation.</p> <p>Methods</p> <p>The rapid EFHIA was undertaken in four days, drawing on an expert panel and limited review of the literature. A process evaluation was undertaken by email one month after the EFHIA was completed. An impact evaluation was undertaken two years later based on five semi-structured interviews with members of the EFHIA working group and policy officers and managers responsible for implementing the plan. A cost estimation was conducted by the EFHIA working group.</p> <p>Findings</p> <p>The EFHIA made both general and specific recommendations about how the health equity impacts of the policy implementation plan could be improved. The impact evaluation identified changes to development and implementation that occurred as a result of the EFHIA, though there was disagreement about the extent to which changes could be attributed solely to the EFHIA. Those responsible considered the recommendations of the EFHIA in the next versions of their ABHI implementation plans. Factors that influenced the impact of the EFHIA included consolidating understandings of equity, enabling discussion of alternatives, and differing understandings of the purpose of the EFHIA. The EFHIA cost US$4,036 to undertake.</p> <p>Conclusions</p> <p>This EFHIA was conducted in a short timeframe using relatively few resources. It had some reported impacts on the development of the implementation plan and enhanced overall consideration of health equity. This case highlights some of the factors and preconditions that may maximise the impact of future EFHIAs on decision-making and implementation.</p

The Effects of a 2-hour Surfing Session on the Hydration Status of Male Recreational Surfers

International Journal of Exercise Science 14(6): 1388-1399, 2021. Surfing is a popular sport globally which is performed in varied environmental conditions. With limited research in the field exploring hydration, monitoring the effect of surfing on subject hydration is warranted. The purpose of this study was to determine the relationship between surfing intensity and hydration status. A total of ten recreational male surfers were recruited for this study where hydration status was assessed pre-and post-surf session by measures of body mass (BM) and urine specific gravity (USG). Intensity of the surf session was quantified by Global Positioning Systems and Heart Rate monitoring. Subjects surfed for two hours and covered an average distance of 4974.18 ± 542.62 m, with an average speed of 2.48 ± 0.27 km/h and peak speed of 31.86 ± 3.51 km/h. A statistically significant decrease in absolute and relative BM was observed (0.70 ± 0.4 kg, p \u3c 0.05 & 0.86 ± 0.54%, p \u3c 0.001, respectively). No statistically significant correlation was found between variables (total distance paddled and relative BM, r = 0.432, p = 0.245; average HR and relative BM change, r = -.246, p = 0.595). Total distance paddled combined with average HR significantly predicted relative body mass change (F(2,3) = 29.362, p = 0.011, adjusted R2 = 95.1%). The results demonstrate that a 2-hour recreational surfing session, in temperate environmental conditions, without neoprene garments resulted in minimal BM changes and no changes in USG. Surfers who paddle a greater distance at a higher average HR sustained greater BM changes

"Infiltrators" or refugees? An analysis of Israel's policy towards African asylum seekers

This article adopts a genealogical approach in examining Israeli immigration policy by focusing on the situation confronting African asylum seekers who have been forced back into Egypt, detained and deported but who have not had their asylum claims properly assessed. Based on immigration policies formulated at the time of Israeli independence, whose principle objective was to secure a Jewish majority state, we argue that Israel’s treatment of African asylum seekers as ‘infiltrators’/economic migrants stems from an insistence on maintaining immigration as a sovereign issue formally isolated from other policy domains. Such an approach is not only in violation of Israel’s commitment to the Refugee Convention, it directly contributes to policies which are ineffective and unduly harsh

Detection of unanticipated faults for autonomous underwater vehicles using online topic models

© The Author(s), 2017. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Journal of Field Robotics 35 (2018): 705-716, doi:10.1002/rob.21771.For robots to succeed in complex missions, they must be reliable in the face of subsystem failures and environmental challenges. In this paper, we focus on autonomous underwater vehicle (AUV) autonomy as it pertains to self‐perception and health monitoring, and we argue that automatic classification of state‐sensor data represents an important enabling capability. We apply an online Bayesian nonparametric topic modeling technique to AUV sensor data in order to automatically characterize its performance patterns, then demonstrate how in combination with operator‐supplied semantic labels these patterns can be used for fault detection and diagnosis by means of a nearest‐neighbor classifier. The method is evaluated using data collected by the Monterey Bay Aquarium Research Institute's Tethys long‐range AUV in three separate field deployments. Our results show that the proposed method is able to accurately identify and characterize patterns that correspond to various states of the AUV, and classify faults at a high rate of correct detection with a very low false detection rate.Office of Naval Research Grant Number: N00014‐14‐1‐0199; David and Lucile Packard Foundatio