202 research outputs found

    Making Collaboration Count: A Tool for Tracking and Building Participation in Community Collaboratives and Coalitions

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    Evaluation is necessary not only for assessing the impact of programs and interventions, but also for gathering actionable feedback on the ways in which organizations work together. Continuous evaluation of collaboratives themselves can help to address common issues, such as getting the right people at the table, balancing multiple stakeholder priorities, avoiding tokenism, and perhaps most importantly, encouraging participation and maintaining it over time. With the growing interest in collaborative processes over the past several years—and with collaboration and coalition development as a key practice competency identified by the Society for Community Research and Action (2012)—it is necessary to identify new tools that can be used to evaluate coalition processes, promote participation, and to ensure that these groups function in a way that promotes working toward collective goals. This article presents a tool and supporting strategies for tracking and encouraging participation in  collaborative processes, as well as a case example illustrating how this tool has been utilized within the North Jersey Health Collaborative

    Making Collaboration Count: A Tool for Tracking and Building Participation in Community Collaboratives and Coalitions

    Get PDF
    Evaluation is necessary not only for assessing the impact of programs and interventions, but also for gathering actionable feedback on the ways in which organizations work together. Continuous evaluation of collaboratives themselves can help to address common issues, such as getting the right people at the table, balancing multiple stakeholder priorities, avoiding tokenism, and perhaps most importantly, encouraging participation and maintaining it over time. With the growing interest in collaborative processes over the past several years—and with collaboration and coalition development as a key practice competency identified by the Society for Community Research and Action (2012)—it is necessary to identify new tools that can be used to evaluate coalition processes, promote participation, and to ensure that these groups function in a way that promotes working toward collective goals. This article presents a tool and supporting strategies for tracking and encouraging participation in  collaborative processes, as well as a case example illustrating how this tool has been utilized within the North Jersey Health Collaborative

    Severity and Treatment of Alcohol Withdrawal in Elderly Versus Younger Patients

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    Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/65425/1/j.1530-0277.1994.tb00903.x.pd

    Whole exome and targeted deep sequencing identify genome-wide allelic loss and frequent SETDB1 mutations in malignant pleural mesotheliomas.

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    Malignant pleural mesothelioma (MPM), a rare malignancy with a poor prognosis, is mainly caused by exposure to asbestos or other organic fibers, but the underlying genetic mechanism is not fully understood. Genetic alterations and causes for multiple primary cancer development including MPM are unknown. We used whole exome sequencing to identify somatic mutations in a patient with MPM and two additional primary cancers who had no evidence of venous, arterial, lymphovascular, or perineural invasion indicating dissemination of a primary lung cancer to the pleura. We found that the MPM had R282W, a key TP53 mutation, and genome-wide allelic loss or loss of heterozygosity, a distinct genomic alteration not previously described in MPM. We identified frequent inactivating SETDB1 mutations in this patient and in 68 additional MPM patients (mutation frequency: 10%, 7/69) by targeted deep sequencing. Our observations suggest the possibility of a new genetic mechanism in the development of either MPM or multiple primary cancers. The frequent SETDB1 inactivating mutations suggest there could be new diagnostic or therapeutic options for MPM

    Cryo-EM Structures of HIV-1 trimer bound to CD4-mimetics M48U1 and BNM-III-170 adopt a CD4-bound open conformation

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    Human Immunodeficiency Virus-1 (HIV-1), the causative agent of AIDS, impacts millions of people. Entry into target cells is mediated by the HIV-1 envelope (Env) glycoprotein interacting with host receptor CD4, which triggers conformational changes allowing binding to a coreceptor and subsequent membrane fusion. Small molecule or peptide CD4-mimetic drugs mimic CD4’s Phe43 interaction with Env by inserting into the conserved Phe43 pocket on Env subunit gp120. Here, we present single-particle cryo-EM structures of CD4-mimetics BNM-III-170 and M48U1 bound to a BG505 native-like Env trimer plus the CD4-induced antibody 17b at 3.7Å and 3.9Å resolution, respectively. CD4-mimetic-bound BG505 exhibits canonical CD4-induced conformational changes including trimer opening, formation of the 4-stranded gp120 bridging sheet, displacement of the V1V2 loop, and formation of a compact and elongated gp41 HR1C helical bundle. We conclude that CD4-induced structural changes on both gp120 and gp41 Env subunits are induced by binding to the gp120 Phe43 pocket

    A High-Resolution Record of Atmospheric Dust Composition and Variability Since Ad 1650 from a Mount Everest Ice Core

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    A Mount Everest ice core analyzed at high resolution for major and trace elements (Sr, Cs, Ba, La, Ce, Pr, Nd, Sm, Eu, Tb, Dy, Ho, Er, Tm, Yb, Lu, Bi, U, Tl, Al, S, Ca, Ti, V, Cr, Mn, Fe, Co) and spanning the period A. D. 1650- 2002 is used to investigate the sources of and variations in atmospheric dust through time. The chemical composition of dust varies seasonally, and peak dust concentrations occur during the winter-spring months. Significant correlations between the Everest dust record and dust observations at stations suggest that the Everest record is representative of regional variations in atmospheric dust loading. Back-trajectory analysis in addition to a significant correlation of Everest dust concentrations and the Total Ozone Mapping Spectrometer (TOMS) aerosol index indicates that the dominant winter sources of dust are the Arabian Peninsula, Thar Desert, and northern Sahara. Factors that contribute to dust generation at the surface include soil moisture and temperature, and the long-range transport of dust aerosols appears to be sensitive to the strength of 500-mb zonal winds. There are periods of high dust concentration throughout the 350-yr Mount Everest dust record; however, there is an increase in these periods since the early 1800s. The record was examined for recent increases in dust emissions associated with anthropogenic activities, but no recent dust variations can be conclusively attributed to anthropogenic inputs of dust

    A 200 Year Sulfate Record from Sixteen Antarctic Ice Cores and Associations With Southern Ocean Sea-Ice Extent

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    Chemistry data from 16, 50-115 m deep, sub-annually dated ice cores are used to investigate spatial and temporal concentration variability of sea-salt (ss) SO42- and excess (xs) SO42- over West Antarctica and the South Pole for the last 200 years. Low-elevation ice-core sites in western West Antarctica contain higher concentrations Of SO42- as a result of cyclogenesis over the Ross Ice Shelf and proximity to the Ross Sea Polynya. Linear correlation analysis of 15 West Antarctic ice-core SO42- time series demonstrates that at several sites concentrations Of ssSO(4)(2-) are higher when sea-ice (SIE) extent is greater, and the inverse for XSS04. Concentrations Of XSS04 from the South Pole site (East Antarctica) are associated with SIE from the Weddell region, and West Antarctic XSSO42- concentrations are associated with SIE from the Bellingshausen-Amundsen-Ross region. The only notable rise of the last 200 years in xsSO(4)(2-), around 1940, is not related to SIE fluctuations and is most likely a result of increased xsSO(4)(2-) production in the mid-low latitudes and/or an increase in transport efficiency from the mid-low latitudes to central West Antarctica. These high-resolution records show that the source types and source areas Of ssSO(4)(2-) and xsSO(4)(2-) delivered to eastern and western West Antarctica and the South Pole differ from site to site but can best be resolved using records from spatial ice-core arrays such as the International Trans-Antarctic Scientific Expedition (ITASE)

    Reduction in Northward Incursions of the South Asian Monsoon Since ~1400 AD Inferred from a Mt. Everest Ice Core

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    A highly resolved Mt. Everest ice core reveals a decrease in marine and increase in continental air masses related to relatively high summer surface pressure over Mongolia, and reduction in northward incursions of the summer South Asian monsoon since similar to 1400 AD. Previously published proxy records from lower sites south of the Himalayas indicate strengthening of the monsoon since this time. These regional differences are consistent with a south north seesaw in convective activity in the Asian monsoon region, and reflect a southward shift in the mean summer position of the monsoon trough since similar to 1400 AD. The change in monsoonal circulation at 1400 AD is synchronous with a reduction in solar irradiance and the onset of the LIA. This demonstrates a hemispheric scale circulation reorganization at this time, and the potential for future large shifts in monsoonal circulation

    Classification of Aerosol Retrievals from Spaceborne Polarimetry Using a Multiparameter Algorithm

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    In this presentation, we demonstrate application of a new aerosol classification algorithm to retrievals from the POLDER-3 polarimter on the PARASOL spacecraft. Motivation and method: Since the development of global aerosol measurements by satellites and AERONET, classification of observed aerosols into several types (e.g., urban-industrial, biomass burning, mineral dust, maritime, and various subtypes or mixtures of these) has proven useful to: understanding aerosol sources, transformations, effects, and feedback mechanisms; improving accuracy of satellite retrievals and quantifying assessments of aerosol radiative impacts on climate
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