Evaluation of a Scalable Information Analytics System for Enhanced Situational Awareness in Mass Casualty Events

We investigate the utility of DIORAMA-II system which provides enhanced situational awareness within a disaster scene by using real-time visual analytics tools and a collaboration platform between the incident commander and the emergency responders. Our trials were conducted in different geographical areas (feature-rich and featureless regions) and in different lighting conditions (daytime and nighttime). DIORAMA-II obtained considerable time gain in efficiency compared to conventional paper based systems. DIORAMA-II time gain was reflected in reduction of both average triage time per patient (up to 34.3% average triage time reduction per patient) and average transport time per patient (up to 76.3% average transport time reduction per red patient and up to 66.3% average transport time reduction per yellow patient). In addition, DIORAMA-II ensured that no patients were left behind or transported in the incorrect order compared to the conventional method which resulted in patients being left behind and transported in the incorrect order

Heavy nucleus collisions between 20 and 60 GeV/nucleon

Interest in studying relativistic nucleus-nucleus interations arises from the fact that they offer an opportunity to probe nuclear matter at high density and temperature. It is expected that under such extreme conditions a transition from hadronic matter into quark-gluon plasma occurs and that in the interactions of highly relativistic nuclei such conditions are created. Cosmic rays remain a unique source of high energy heavy nuclei. The Japanese-American Cooperative Emulsion Experiment (JACEE-3) was designed to study the collisions of heavy cosmic ray nuclei with different nuclear targets at energies beyond 20 GeV/nucleon. JACEE-3 experiment was carried out using a combined electronic counters and an emulsion chamber detector, which was exposed to the cosmic rays on a balloon at an altitude of 5 g/sq cm

Nucleus-nucleus interaction above several hundred GeV/n

The Japanese-American Cooperative Emulsion Experiment (JACEE) have been investigating high energy nuclear interactions of cosmic ray nuclei by means of balloon-borne emulsion chamber. Current exposure parameters are listed. Analysis of the last two experiments (JACEE4 and JACEE5) are still in progress. A result of semi-inclusive analysis of a sample set of central collision events is presented here, concerning multiplicity, rapidity fluctuation for extremely high multiplicity events and correlation between transverse momentum and estimated energy density

Excessive production of electron pairs by soft photons in low multiplicity ion interactions

Three multiply charged primary cosmic ray interactions with carbon nuclei are reported, in which the number of materialized electron pairs within a distance of about 0.3 conversion length is larger than predicted from isospin considerations. These are the most energetic (sigma E gamma 4 TeV) of the low multiplicity ( 15 tracks) events observed in the Japanese-American Cooperative Experiment (JACEE-2) emulsion chamber

Nucleon-nucleus interactions from JACEE

Results on hadron-nucleus interactions from the Japanese-American Cooperation Emulsion Experiment experiment are presented. Angular distributions for charged particles, and angular and transverse momentum spectra for photons have been measured for a sample of events with sigma epsilon sub gamma. Results on central rapidity density and transverse energy flow are discussed

Collaborations in Liberal Arts Colleges in Support of Digital Humanities

The field of digital humanities has been rapidly expanding over the course of the last decade. As such, academic institutions have been working to identify ways of supporting these new endeavors in a time of economic struggles. The Digital Humanities Initiative (DHi) at Hamilton College was conceived as one possible model of supporting digital humanities scholarship at a liberal arts institution. The DHi model relies heavily on collaboration among different teams in the Library and Information Technology Services across campus, and with institutions across the United States. DHi also has international partnerships that promote its goals in research, learning, and public humanities. This chapter will describe the various collaborations of DHi and offer suggestions for how others can implement similar support models at their institutions

Challenges and opportunities for agroforestry practitioners to participate in state preferential property tax programs for agriculture and forestry

All 50 states offer preferential property tax programs that lower the taxes paid on enrolled agricultural and/or forest lands. While agroforestry is a land-use that combines elements of both agriculture and forestry, eligibility criteria and other rules and regulations may prevent landowners from enrolling agroforestry practices in one or more of the agricultural and forestry tax programs. This pilot-scale study developed conceptual and methodological frameworks to identify the current barriers to and opportunities in preferential tax policies applicable to agroforestry practices. We conducted an extensive review of state preferential property tax programs relevant for agroforestry practices, following focus group discussions with regional experts in five selected states across the United States: North Carolina, Nebraska, Wisconsin, New York, and Oregon. Based on a systematic review of statutes and their supporting documents, we developed a database of programs, which support or create barriers to enrollment of agroforestry practitioners into the programs. We found that agricultural tax assessments were more likely to favor multi-use agriculture and forestry systems than the preferential tax assessments of forestlands in the five states. Forest farming and silvopasture, followed by alley cropping, windbreaks, and riparian forest buffers, were found to be the most common agroforestry practices allowed under preferential tax classifications in the study states. This study provides a framework for cataloging and analyzing preferential property tax-programs to document barriers and facilitators to agroforestry practices in the United States

Epidural Hematoma Following Cervical Spine Surgery.

STUDY DESIGN: A multicentered retrospective case series. OBJECTIVE: To determine the incidence and circumstances surrounding the development of a symptomatic postoperative epidural hematoma in the cervical spine. METHODS: Patients who underwent cervical spine surgery between January 1, 2005, and December 31, 2011, at 23 institutions were reviewed, and all patients who developed an epidural hematoma were identified. RESULTS: A total of 16 582 cervical spine surgeries were identified, and 15 patients developed a postoperative epidural hematoma, for a total incidence of 0.090%. Substantial variation between institutions was noted, with 11 sites reporting no epidural hematomas, and 1 site reporting an incidence of 0.76%. All patients initially presented with a neurologic deficit. Nine patients had complete resolution of the neurologic deficit after hematoma evacuation; however 2 of the 3 patients (66%) who had a delay in the diagnosis of the epidural hematoma had residual neurologic deficits compared to only 4 of the 12 patients (33%) who had no delay in the diagnosis or treatment (P = .53). Additionally, the patients who experienced a postoperative epidural hematoma did not experience any significant improvement in health-related quality-of-life metrics as a result of the index procedure at final follow-up evaluation. CONCLUSION: This is the largest series to date to analyze the incidence of an epidural hematoma following cervical spine surgery, and this study suggest that an epidural hematoma occurs in approximately 1 out of 1000 cervical spine surgeries. Prompt diagnosis and treatment may improve the chance of making a complete neurologic recovery, but patients who develop this complication do not show improvements in the health-related quality-of-life measurements

236 Developing a Young Persons Advisory Group (YPAG) to inform the design of a study to improve pre-hospital pain management for Children and Young People (CYP)

Background Patient and public involvement is an integral component of clinical research. A YPAG is group of young people with active involvement in the design and conduct of clinical research aimed at CYP.1 2 Active collaboration with a YPAG can be mutually beneficial and can have a positive impact on study design and conduct.2 3 We report on the involvement of young people, their influence on study design and the perceived benefits to members. Method A UK secondary school was approached and ten 16–17 year old students agreed to form a YPAG. Three 1-hour sessions were planned involving arts-based activities to explore key challenges, predetermined iteratively by the research team. Activities involved group work to explore and propose solutions for effective CYP recruitment and data collection, produce a study logo and review the plain English summary. Results YPAG members produced insightful arts-based posters containing important ideas and concepts that were incorporated into the study design. A study logo was created, diaries and electronic communication methods to collect data were added and a variety of age-based leaflets were added to the recruitment strategy. Members reported several benefits from the sessions, including enhanced creative and problem-solving skills and members enjoyed the teamwork and collaborative approach. Conclusion YPAG involvement resulted in meaningful improvements to research design and members gained new knowledge, transferrable skills and improved confidence. This experience should help inform YPAG involvement in future research