Empirical modeling of the quiet time nightside magnetosphere

Empirical modeling of plasma pressure and magnetic field for the quiet time nightside magnetosphere is investigated. Two models are constructed for this study. One model, referred to here as T89R, is basically the magnetic field model of Tsyganenko (1989) but is modified by the addition of an inner eastward ring current at a radial distance of ∼3 RE as suggested by observation. The other is a combination of the T89R model and the long version of the magnetic field model of Tsyganenko (1987) such that the former dominates the magnetic field in the inner magnetosphere, whereas the latter prevails in the distant tail. The distribution of plasma pressure, which is required to balance the magnetic force for each of these two field models, is computed along the tail axis in the midnight meridian. The occurrence of pressure anisotropy in the inner magnetospheric region is also taken into account by determining an empirical fit to the observed plasma pressure anisotropy. This effort is the first attempt to obtain the plasma pressure distribution in force equilibrium with magnetic stresses from an empirical field model with the inclusion of pressure anisotropy. The inclusion of pressure anisotropy alters the plasma pressure by as much as a factor of ∼3 in the inner magnetosphere. The deduced plasma pressure profile along the tail axis is found to be in good agreement with the observed quiet time plasma pressure for geocentric distances between ∼2 and ∼35 RE

A Common Denominator: Calculating Hospitalization Rates for Ambulatory Care–Sensitive Conditions in California

IntroductionChronic health conditions are considered ambulatory care-sensitive conditions (ACSC) when the illness is controllable with effective and timely outpatient care that can potentially prevent the need for hospitalizations. Hospitalization rates for ACSC serve as an indicator of the access to and quality of primary care for chronic conditions. Standard methods to calculate hospitalization rates incorporate the total population in the denominator instead of the total population at risk for a hospitalization. By accounting for people with an ACSC, this study compares standard methods to a disease prevalence-adjusted method to highlight the importance of adjusting for ACSC prevalence when using ACSC hospitalizations in assessing primary care outpatient services.MethodsWe combined California Health Interview Survey and hospital discharge data to calculate standard (crude and age-adjusted) and disease prevalence-adjusted hospitalization rates for hypertension and congestive heart failure. To compare rate calculations, we ranked California counties by their hospitalization rate.ResultsCounties had high prevalence and low numbers of hospitalizations for hypertension; their rankings for hospitalization rates for hypertension did not vary, even after accounting for prevalence. In contrast, counties had low prevalence and high numbers of hospitalizations for congestive heart failure; their rankings varied substantially for congestive heart failure after accounting for prevalence.ConclusionBecause the number of people diagnosed with an ACSC is rising and costs to treat these conditions are increasing, our findings suggest that more accurate measures of ACSC hospitalization rates are needed. Incorporating disease prevalence will contribute to ACSC research by improving the validity of hospitalization rates as a measure for quality of primary care services

Electron spin resonance study of puff-resolved free radical formation in mainstream cigarette smoke

Puff-by-puff resolved gas phase free radicals were measured in mainstream smoke from Kentucky 2R4F reference cigarettes using ESR spectroscopy. Three spin-trapping reagents were evaluated: PBN, DMPO and DEPMPO. Two procedures were used to collect gas phase smoke on a puff-resolved basis: i) the accumulative mode, in which all the gas phase smoke up to a particular puff was bubbled into the trap (i.e., the 5th puff corresponded to the total smoke from the 1st to 5th puffs). In this case, after a specified puff, an aliquot of the spin trap was taken and analysed; or, ii) the individual mode, in which the spin trap was analysed and then replaced after each puff. Spin concentrations were determined by double-integration of the first derivative of the ESR signal. This was compared with the integrals of known standards using the TEMPO free radical. The radicals trapped with PBN were mainly carbon-centred, whilst the oxygen-centred radicals were identified with DMPO and DEPMPO. With each spin trap, the puff-resolved radical concentrations showed a characteristic pattern as a function of the puff number. Based on the spin concentrations, the DMPO and DEPMPO spin traps showed better trapping efficiencies than PBN. The implication for gas phase free radical analysis is that a range of different spin traps should be used to probe complex free radical reactions in cigarette smoke

An approach to a real-time distribution system

The requirements of a real-time data distribution system are to provide fast, reliable delivery of data from source to destination with little or no impact to the data source. In this particular case, the data sources are inside an operational environment, the Mission Control Center (MCC), and any workstation receiving data directly from the operational computer must conform to the software standards of the MCC. In order to supply data to development workstations outside of the MCC, it is necessary to use gateway computers that prevent unauthorized data transfer back to the operational computers. Many software programs produced on the development workstations are targeted for real-time operation. Therefore, these programs must migrate from the development workstation to the operational workstation. It is yet another requirement for the Data Distribution System to ensure smooth transition of the data interfaces for the application developers. A standard data interface model has already been set up for the operational environment, so the interface between the distribution system and the application software was developed to match that model as closely as possible. The system as a whole therefore allows the rapid development of real-time applications without impacting the data sources. In summary, this approach to a real-time data distribution system provides development users outside of the MCC with an interface to MCC real-time data sources. In addition, the data interface was developed with a flexible and portable software design. This design allows for the smooth transition of new real-time applications to the MCC operational environment

Gender gap in Hong Kong: an update

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Biology and augmentation of tendon-bone insertion repair

Surgical reattachment of tendon and bone such as in rotator cuff repair, patellar-patella tendon repair and anterior cruciate ligament (ACL) reconstruction often fails due to the failure of regeneration of the specialized tissue ("enthesis") which connects tendon to bone. Tendon-to-bone healing taking place between inhomogenous tissues is a slow process compared to healing within homogenous tissue, such as tendon to tendon or bone to bone healing. Therefore special attention must be paid to augment tendon to bone insertion (TBI) healing. Apart from surgical fixation, biological and biophysical interventions have been studied aiming at regeneration of TBI healing complex, especially the regeneration of interpositioned fibrocartilage and new bone at the healing junction. This paper described the biology and the factors influencing TBI healing using patella-patellar tendon (PPT) healing and tendon graft to bone tunnel healing in ACL reconstruction as examples. Recent development in the improvement of TBI healing and directions for future studies were also reviewed and discussed