Far-infrared emission from dusty ellipticals

The incidence of dust lanes in elliptical galaxies has been estimated at approx. 40 percent by Sadler and Gerhard (1985), although the observed fraction is lower because of inclination effects. A similar percentage of ellipticals has been detected by the Infrared Astronomy Satellite (IRAS) at 100 microns (Knapp et al. 1989); these have far-infrared colors expected for emission from cool dust (S sub 60 micron/S sub 100 micron approx. 1/3). For the far-infrared detected galaxies, neither L sub 100 microns/L sub B nor L sub 60 microns/L sub 100 microns are very dependent on dust content, suggesting that the source of the infrared luminosity is the same in both cases; and hence that dust is responsible even when not detected optically. Despite this indication, L sub 100 microns does not prove to be a good indicator of the quantity of cool interstellar matter in elliptical galaxies, as measured by the mass of neutral hydrogen. There even exist several examples of ellipticals with dust, strong 100 micron flux density and sensitive limits on HI mass (Walsh et al. in preparation). Chief reasons for the lack of correlation include the existence of other important sources of far-IR power in ellipticals, such as nonthermal continuum emission extending from longer wavelengths in flat spectrum radio sources (Golombek, Miley and Neugebauer 1988); and the fact that far-infrared luminosity per unit dust mass is extremely sensitive to the temperature of the ambient radiation field, which is not accurately known. In addition to having their appearance distorted by dust, several ellipticals also show such features as shells, box-shaped isophotes or inner disks. These may be signatures of past mergers, which could also add to the ISM content of the system

Non-farmer\u27s Guide to Agriculture (Polk County)

An educational program helped non-farmers better understand agriculture through presentations and farm tours. Approximately 850 people participated and reported that the program was an enlightening, worthwhile experience. Two focus groups were held to assess attitudes about land use and quality of life issues in the Des Moines metro area

The Elatinaceae in Iowa

The first record of a member of the Elatinaceae, Elatine triandra Schk., is reported from a marsh in Dickinson County, Iowa

Evaluating the Effectiveness of Teaching Assistants in Active Learning Classrooms

Active learning classrooms (ALCs) support teaching approaches that foster greater interaction and student engagement. However, a common challenge for instructors who teach in ALCs is to provide adequate assistance to students while implementing collaborative activities. This study examined the impact of teaching assistants in a large ALC. The results showed that incorporating teaching assistants increases students’ access to expert advice during small group activities; further, students view the teaching assistants as supportive of their success in the classroom. Therefore, availability of teaching assistants for instructors teaching in large ALCs must be considered along with classroom design and pedagogical approach

Access to health care for older people with intellectual disability:a modelling study to explore the cost-effectiveness of health checks

Background: Whilst people with intellectual disability grow older, evidence has emerged internationally about the largely unmet health needs of this specific ageing population. Health checks have been implemented in some countries to address those health inequalities. Evaluations have focused on measuring process outcomes due to challenges measuring quality of life outcomes. In addition, the cost-effectiveness is currently unknown. As part of a national guideline for this population we sought to explore the likely cost-effectiveness of annual health checks in England. Methods: Decision-analytical Markov modelling was used to estimate the cost-effectiveness of a strategy, in which health checks were provided for older people with intellectual disability, when compared with standard care. The approach we took was explorative. Individual models were developed for a selected range of health conditions, which had an expected high economic impact and for which sufficient evidence was available for the modelling. In each of the models, hypothetical cohorts were followed from 40 yrs. of age until death. The outcome measure was cost per quality-adjusted life-year (QALY) gained. Incremental cost-effectiveness ratios (ICER) were calculated. Costs were assessed from a health provider perspective and expressed in 2016 GBP. Costs and QALYs were discounted at 3.5%. We carried out probabilistic sensitivity analysis. Data from published studies as well as expert opinion informed parameters. Results: Health checks led to a mean QALY gain of 0.074 (95% CI 0.072 to 0.119); and mean incremental costs of £4787 (CI 95% 4773 to 5017). For a threshold of £30,000 per QALY, health checks were not cost-effective (mean ICER £85,632; 95% CI 82,762 to 131,944). Costs of intervention needed to reduce from £258 to under £100 per year in order for health checks to be cost-effective. Conclusion: Whilst findings need to be considered with caution as the model was exploratory in that it was based on assumptions to overcome evidence gaps, they suggest that the way health systems deliver care for vulnerable populations might need to be re-examined. The work was carried out as part of a national guideline and informed recommendations about system changes to achieve more equal health care provisions. © 2019 The Author(s)

Local Online Information for carers in England: content and complexity

This article reports on a study of local online information for carers in England. It sets this in the context of the Care Act 2014 which gave local authorities (LAs) specific responsibility for providing information to carers. The study selected four varied case study LAs and explored the content of their websites to see what carers might find available and accessible. We found the LA websites differed, with some LAs making use of local voluntary sector groups to be the main information resource. Mentions of NHS services for carers appeared often less comprehensive and there was scant mention of private social care providers as being sources of advice and information. The article suggests that social workers should be careful of referring carers to LA websites without checking that they are sufficiently meaningful to the carer and accessible to the individual. Care is also needed in not taking internet accessibility for granted

A qualitative exploration of older people’s lived experiences of homelessness and memory problems – stakeholder perspectives

Background: The numbers of older people experiencing both homelessness and memory problems are growing, yet their complex health, housing and care needs remain undelineated and unmet. There is a critical gap in understanding what can improve the care, support and experiences of this group. In this qualitative study we explore how stakeholders understand memory problems among older people in the context of homelessness and consider what they judge gets in the way of achieving positive outcomes. Method: We conducted reflexive thematic analysis of qualitative interviews (n = 49) using a semi-structured topic guide, with 17 older people (aged ≥ 50 years) experiencing memory problems and homelessness, 15 hostel staff and managers, and 17 health, housing and social care practitioners. We recruited participants from six homelessness hostels, one specialist care home and National Health and Local Authority Services in England. Results: We identified four overarching themes. The population is not taken seriously; multiple causes are hard to disentangle; risk of exploitation and vulnerability; and (dis)connection and social isolation. The transience and lack of stability associated with homelessness intensified the disorienting nature of memory and cognitive impairment, and those providing direct and indirect support required flexibility and persistence, with staff moving beyond traditional roles to advocate, provide care and safeguard individuals. Memory problems were perceived by frontline staff and older people to be overlooked, misinterpreted, and misattributed as being caused by alcohol use, resulting in pervasive barriers to achieving positive and desired outcomes. Conclusions: Efforts to meet the needs of older people living with memory problems and experiencing homelessness and future interventions must reflect the complexity of their lives, often in the context of long-term alcohol use and current service provision and we make suggestions as to what could be done to improve the situation

A qualitative exploration of older people's lived experiences of homelessness and memory problems - stakeholder perspectives

BACKGROUND: The numbers of older people experiencing both homelessness and memory problems are growing, yet their complex health, housing and care needs remain undelineated and unmet. There is a critical gap in understanding what can improve the care, support and experiences of this group. In this qualitative study we explore how stakeholders understand memory problems among older people in the context of homelessness and consider what they judge gets in the way of achieving positive outcomes. METHOD: We conducted reflexive thematic analysis of qualitative interviews (n = 49) using a semi-structured topic guide, with 17 older people (aged ≥ 50 years) experiencing memory problems and homelessness, 15 hostel staff and managers, and 17 health, housing and social care practitioners. We recruited participants from six homelessness hostels, one specialist care home and National Health and Local Authority Services in England. RESULTS: We identified four overarching themes. The population is not taken seriously; multiple causes are hard to disentangle; risk of exploitation and vulnerability; and (dis)connection and social isolation. The transience and lack of stability associated with homelessness intensified the disorienting nature of memory and cognitive impairment, and those providing direct and indirect support required flexibility and persistence, with staff moving beyond traditional roles to advocate, provide care and safeguard individuals. Memory problems were perceived by frontline staff and older people to be overlooked, misinterpreted, and misattributed as being caused by alcohol use, resulting in pervasive barriers to achieving positive and desired outcomes. CONCLUSIONS: Efforts to meet the needs of older people living with memory problems and experiencing homelessness and future interventions must reflect the complexity of their lives, often in the context of long-term alcohol use and current service provision and we make suggestions as to what could be done to improve the situation

Understanding the Astrophysics of Galaxy Evolution: the role of spectroscopic surveys in the next decade

Over the last decade optical spectroscopic surveys have characterized the low redshift galaxy population and uncovered populations of star-forming galaxies back to z ~ 7. This work has shown that the primary epoch of galaxy building and black hole growth occurs at redshifts of 2 to 3. The establishment of the concordance LCDM cosmology shifted the focus of galaxy population studies from constraining cosmological parameters to characterizing the processes which regulate the formation and evolution of galaxies.In the next decade, high redshift observers will attempt to formulate a coherent evolutionary picture connecting galaxies in the high redshift Universe to galaxies today. In order to link galaxy populations at different redshifts, we must not only characterize their evolution in a systematic way, we must establish which physical processes are responsible for it. Considerable progress has already been made in understanding how galaxies evolved from z ~ 1 to the present day. Large spectroscopic surveys in the near infrared are required to push these studies back towards the main epoch of galaxy building. Only then will we understand the full story of the formation of L* galaxies like our own Milky Way. A large near-IR spectroscopic survey will also provide the calibration needed to avoid systematics in the large photometric programs proposed to study the nature of dark matter and dark energy. We provide an outline design for a multi-object 0.4 to 1.8 micron spectrograph, which could be placed on an existing telescope, and which would allow a full characterization of the galaxy population out to z ~ 2. We strongly recommend a serious further study to design a real instrument, which will be required for galaxy formation studies to advance to the next frontier.Comment: White paper, primary author J.E. Gunn, submitted to Astro2010 Decadal Survey, see http://www7.nationalacademies.org/bpa/Astro2010_SWP_byTitle.htm

Evaluation of the effect of prospective biomarker testing on progression-free survival in diffuse large B-cell lymphoma.

Novel treatment regimens combining chemotherapy with targeted agents are being developed for diffuse large B-cell lymphoma (DLBCL). These regimens are expected to show efficacy in biomarker-defined..