Photography of operative techniques and pathology during arthroscopy using a second arthroscope.

The use of two arthroscopes is recommended to reduce the time needed for photography eliminating the need to remove video control from the main arthroscope, to record pathology and operative techniques for teaching without an additional light source

Firearms, Youth Homicide, and Public Health

Homicide is seven times as common among U.S. non-Hispanic Black as among non-Hispanic White youth ages 15 to 24 years. In 83% of these youth homicides, the murder weapon is a firearm. Yet, for more than a decade, the national public health position on youth violence has been largely silent about the role of firearms, and tools used by public health professionals to reduce harm from other potential hazards have been unusable where guns are concerned. This deprives already underserved populations from the full benefits public health agencies might be able to deliver. In part, political prohibitions against research about direct measures of firearm control and the absence of valid public health surveillance are responsible. More refined epidemiologic theories as well as traditional public health methods are needed if the U.S. aims to reduce disparate Black-White youth homicide rates

Socioeconomic, environmental, and geographic factors and US lung cancer mortality, 1999–2009

Background The American Cancer Society estimates that about 25% of all US cancer deaths will be due to lung cancer – more than from cancers of the colon, breast, and prostate combined. Methods We ascertained county-level age-adjusted and age-specific death rates and 95% confidence intervals from the Centers for Disease Control and Prevention Compressed Mortality File. Multiple regression analyses were used to estimate the strength and direction of relationships between county poverty, smoking, fine particulate matter (PM2.5) air pollution, and US Census divisions and race- and sex-specific lung cancer deaths. Results Poverty, smoking, and particulate matter air pollution were positively and significantly related to lung cancer deaths among white men, but of these, only poverty and smoking were significantly associated with lung cancer deaths among white women. Residence in the South Atlantic, East South Central, and West South Central US Census divisions at the time of death was significantly associated with lung cancer deaths for both white men and white women. As with white men, poverty and smoking were associated with lung cancer deaths among black men, but of these, only adult smoking had a statistically significant association among black women. Conclusions The results support the need for further research, particularly in high-risk areas, to better differentiate factors specific to race and sex and to understand the impact of local risk factors

Observed Limits on Charge Exchange Contributions to the Diffuse X-ray Background

We present a high resolution spectrum of the diffuse X-ray background from 0.1 to 1 keV for a ~1 region of the sky centered at l=90, b=+60 using a 36-pixel array of microcalorimeters flown on a sounding rocket. With an energy resolution of 11 eV FWHM below 1 keV, the spectrum's observed line ratios help separate charge exchange contributions originating within the heliosphere from thermal emission of hot gas in the interstellar medium. The X-ray sensitivity below 1 keV was reduced by about a factor of four from contamination that occurred early in the flight, limiting the significance of the results. The observed centroid of helium-like O VII is 568+2-3 eV at 90% confidence. Since the centroid expected for thermal emission is 568.4 eV while for charge exchange is 564.2 eV, thermal emission appears to dominate for this line complex, consistent with much of the high-latitude O VII emission originating in 2-3 x 10^6 K gas in the Galactic halo. On the other hand, the observed ratio of C VI Ly gamma to Ly alpha is 0.3+-0.2. The expected ratios are 0.04 for thermal emission and 0.24 for charge exchange, indicating that charge exchange must contribute strongly to this line and therefore potentially to the rest of the ROSAT R12 band usually associated with 10^6 K emission from the Local Hot Bubble. The limited statistics of this experiment and systematic uncertainties due to the contamination require only >32% thermal emission for O VII and >20% from charge exchange for C VI at the 90% confidence level. An experimental gold coating on the silicon substrate of the array greatly reduced extraneous signals induced on nearby pixels from cosmic rays passing through the substrate, reducing the triggered event rate by a factor of 15 from a previous flight of the instrument.Comment: 14 pages, 7 figures, to be published in Ap

A multifactorial obesity model developed from nationwide public health exposome data and modern computational analyses

Summary Statement of the problem Obesity is both multifactorial and multimodal, making it difficult to identify, unravel and distinguish causative and contributing factors. The lack of a clear model of aetiology hampers the design and evaluation of interventions to prevent and reduce obesity. Methods Using modern graph-theoretical algorithms, we are able to coalesce and analyse thousands of inter-dependent variables and interpret their putative relationships to obesity. Our modelling is different from traditional approaches; we make no a priori assumptions about the population, and model instead based on the actual characteristics of a population. Paracliques, noise-resistant collections of highly-correlated variables, are differentially distilled from data taken over counties associated with low versus high obesity rates. Factor analysis is then applied and a model is developed. Results and conclusions Latent variables concentrated around social deprivation, community infrastructure and climate, and especially heat stress were connected to obesity. Infrastructure, environment and community organisation differed in counties with low versus high obesity rates. Clear connections of community infrastructure with obesity in our results lead us to conclude that community level interventions are critical. This effort suggests that it might be useful to study and plan interventions around community organisation and structure, rather than just the individual, to combat the nation’s obesity epidemic

IXO/XMS Detector Trade-Off Study

This document presents the outcome of the detector trade-off for the XMS instrument on IXO. This trade-off is part of the Cryogenic instrument Phase-A study as proposed to ESA in the Declaration of Interest SRONXMS-PL-2009-003 dated June 6, 2009. The detector consists of two components: a core array for the highest spectral resolution and an outer array to increase the field of view substantially with modest increase in the number of read-out channels. Degraded resolution of the outer array in comparison with the core array is accepted in order to make this scheme possible. The two detector components may be a single unit or separate units. These arrays comprise pixels and the components that allow them to be arrayed. Each pixel comprises a thermometer, an absorber, and the thermal links between them and to the rest of the array. These links may be interfaces or distinct components. The array infrastructure comprises the mechanical structure of the array, the arrangement of the leads, and features added to improve the integrated thermal properties of the array in the focal-plane assembly