115 research outputs found
Indigenous People and the New England Town Meeting: Stockbridge, Massachusetts, 1730-1775
In the 1730s, Mahicans along the Housatonic River settled the mission town of Stockbridge, Massachusetts. They participated in town meetings and elected “traditional” leaders to typical New England offices. Even after a growing population of English settlers began dominating town offices, the Indians remained a strong presence in meetings, which was conducted in the Mahican as well as English language, and all voting done viva voce. In 1763, a major battle when an English faction tried to take control by introducing secret balloting; the Indians complained and mostly won their case. Stockbridge thus provides a case study comparing Indian and colonial New England decision-making, and highlighting the evolution of the town meeting during the 18th century
Optimization of Nonlinear Turbulence in Stellarators
We present new stellarator equilibria that have been optimized for reduced
turbulent transport using nonlinear gyrokinetic simulations within the
optimization loop. The optimization routine involves coupling the
pseudo-spectral GPU-native gyrokinetic code GX with the stellarator equilibrium
and optimization code DESC. Since using GX allows for fast nonlinear
simulations, we directly optimize for reduced nonlinear heat fluxes. To handle
the noisy heat flux traces returned by these simulations, we employ the
simultaneous perturbation stochastic approximation (SPSA) method that only uses
two objective function evaluations for a simple estimate of the gradient. We
show several examples that optimize for both reduced heat fluxes and good
quasisymmetry as a proxy for low neoclassical transport. Finally, we run full
transport simulations using T3D to evaluate the changes in the macroscopic
profiles
Coordination of sustainable financing for evidence-based youth mental health treatments: Protocol for development and evaluation of the fiscal mapping process
BACKGROUND: Sustained delivery of evidence-based treatments (EBTs) is essential to addressing the public health and economic impacts of youth mental health problems, but is complicated by the limited and fragmented funding available to youth mental health service agencies (hereafter, service agencies ). Strategic planning tools are needed that can guide these service agencies in their coordination of sustainable funding for EBTs. This protocol describes a mixed-methods research project designed to (1) develop and (2) evaluate our novel fiscal mapping process that guides strategic planning efforts to finance the sustainment of EBTs in youth mental health services.
METHOD: Participants will be 48 expert stakeholder participants, including representatives from ten service agencies and their partners from funding agencies (various public and private sources) and intermediary organizations (which provide guidance and support on the delivery of specific EBTs). Aim 1 is to develop the fiscal mapping process: a multi-step, structured tool that guides service agencies in selecting the optimal combination of strategies for financing their EBT sustainment efforts. We will adapt the fiscal mapping process from an established intervention mapping process and will incorporate an existing compilation of 23 financing strategies. We will then engage participants in a modified Delphi exercise to achieve consensus on the fiscal mapping process steps and gather information that can inform the selection of strategies. Aim 2 is to evaluate preliminary impacts of the fiscal mapping process on service agencies\u27 EBT sustainment capacities (i.e., structures and processes that support sustainment) and outcomes (e.g., intentions to sustain). The ten agencies will pilot test the fiscal mapping process. We will evaluate how the fiscal mapping process impacts EBT sustainment capacities and outcomes using a comparative case study approach, incorporating data from focus groups and document review. After pilot testing, the stakeholder participants will conceptualize the process and outcomes of fiscal mapping in a participatory modeling exercise to help inform future use and evaluation of the tool.
DISCUSSION: This project will generate the fiscal mapping process, which will facilitate the coordination of an array of financing strategies to sustain EBTs in community youth mental health services. This tool will promote the sustainment of youth-focused EBTs
An Unusual Transmission Spectrum for the Sub-Saturn KELT-11b Suggestive of a Sub-Solar Water Abundance
We present an optical-to-infrared transmission spectrum of the inflated
sub-Saturn KELT-11b measured with the Transiting Exoplanet Survey Satellite
(TESS), the Hubble Space Telescope (HST) Wide Field Camera 3 G141 spectroscopic
grism, and the Spitzer Space Telescope (Spitzer) at 3.6 m, in addition to
a Spitzer 4.5 m secondary eclipse. The precise HST transmission spectrum
notably reveals a low-amplitude water feature with an unusual shape. Based on
free retrieval analyses with varying molecular abundances, we find strong
evidence for water absorption. Depending on model assumptions, we also find
tentative evidence for other absorbers (HCN, TiO, and AlO). The retrieved water
abundance is generally solar (0.001--0.7 solar
over a range of model assumptions), several orders of magnitude lower than
expected from planet formation models based on the solar system metallicity
trend. We also consider chemical equilibrium and self-consistent 1D
radiative-convective equilibrium model fits and find they too prefer low
metallicities (, consistent with the free retrieval
results). However, all the retrievals should be interpreted with some caution
since they either require additional absorbers that are far out of chemical
equilibrium to explain the shape of the spectrum or are simply poor fits to the
data. Finally, we find the Spitzer secondary eclipse is indicative of full heat
redistribution from KELT-11b's dayside to nightside, assuming a clear dayside.
These potentially unusual results for KELT-11b's composition are suggestive of
new challenges on the horizon for atmosphere and formation models in the face
of increasingly precise measurements of exoplanet spectra.Comment: Accepted to The Astronomical Journal. 31 pages, 20 figures, 7 table
Reduced functional measure of cardiovascular reserve predicts admission to critical care unit following kidney transplantation
Background: There is currently no effective preoperative assessment for patients undergoing kidney transplantation that is
able to identify those at high perioperative risk requiring admission to critical care unit (CCU). We sought to determine if
functional measures of cardiovascular reserve, in particular the anaerobic threshold (VO2AT) could identify these patients.
Methods: Adult patients were assessed within 4 weeks prior to kidney transplantation in a University hospital with a 37-bed
CCU, between April 2010 and June 2012. Cardiopulmonary exercise testing (CPET), echocardiography and arterial
applanation tonometry were performed.
Results: There were 70 participants (age 41.7614.5 years, 60% male, 91.4% living donor kidney recipients, 23.4% were
desensitized). 14 patients (20%) required escalation of care from the ward to CCU following transplantation. Reduced
anaerobic threshold (VO2AT) was the most significant predictor, independently (OR = 0.43; 95% CI 0.27–0.68; p,0.001) and
in the multivariate logistic regression analysis (adjusted OR = 0.26; 95% CI 0.12–0.59; p = 0.001). The area under the receiveroperating-
characteristic curve was 0.93, based on a risk prediction model that incorporated VO2AT, body mass index and
desensitization status. Neither echocardiographic nor measures of aortic compliance were significantly associated with CCU
admission.
Conclusions: To our knowledge, this is the first prospective observational study to demonstrate the usefulness of CPET as a
preoperative risk stratification tool for patients undergoing kidney transplantation. The study suggests that VO2AT has the
potential to predict perioperative morbidity in kidney transplant recipients
Transiting Exoplanet Studies and Community Targets for JWST's Early Release Science Program
The James Webb Space Telescope will revolutionize transiting exoplanet
atmospheric science due to its capability for continuous, long-duration
observations and its larger collecting area, spectral coverage, and spectral
resolution compared to existing space-based facilities. However, it is unclear
precisely how well JWST will perform and which of its myriad instruments and
observing modes will be best suited for transiting exoplanet studies. In this
article, we describe a prefatory JWST Early Release Science (ERS) program that
focuses on testing specific observing modes to quickly give the community the
data and experience it needs to plan more efficient and successful future
transiting exoplanet characterization programs. We propose a multi-pronged
approach wherein one aspect of the program focuses on observing transits of a
single target with all of the recommended observing modes to identify and
understand potential systematics, compare transmission spectra at overlapping
and neighboring wavelength regions, confirm throughputs, and determine overall
performances. In our search for transiting exoplanets that are well suited to
achieving these goals, we identify 12 objects (dubbed "community targets") that
meet our defined criteria. Currently, the most favorable target is WASP-62b
because of its large predicted signal size, relatively bright host star, and
location in JWST's continuous viewing zone. Since most of the community targets
do not have well-characterized atmospheres, we recommend initiating preparatory
observing programs to determine the presence of obscuring clouds/hazes within
their atmospheres. Measurable spectroscopic features are needed to establish
the optimal resolution and wavelength regions for exoplanet characterization.
Other initiatives from our proposed ERS program include testing the instrument
brightness limits and performing phase-curve observations.(Abridged)Comment: This is a white paper that originated from an open discussion at the
Enabling Transiting Exoplanet Science with JWST workshop held November 16 -
18, 2015 at STScI (http://www.stsci.edu/jwst/science/exoplanets). Accepted
for publication in PAS
No thick carbon dioxide atmosphere on the rocky exoplanet TRAPPIST-1 c
Seven rocky planets orbit the nearby dwarf star TRAPPIST-1, providing a
unique opportunity to search for atmospheres on small planets outside the Solar
System (Gillon et al., 2017). Thanks to the recent launch of JWST, possible
atmospheric constituents such as carbon dioxide (CO2) are now detectable
(Morley et al., 2017, Lincowski et al., 2018}. Recent JWST observations of the
innermost planet TRAPPIST-1 b showed that it is most probably a bare rock
without any CO2 in its atmosphere (Greene et al., 2023). Here we report the
detection of thermal emission from the dayside of TRAPPIST-1 c with the
Mid-Infrared Instrument (MIRI) on JWST at 15 micron. We measure a
planet-to-star flux ratio of fp/fs = 421 +/- 94 parts per million (ppm) which
corresponds to an inferred dayside brightness temperature of 380 +/- 31 K. This
high dayside temperature disfavours a thick, CO2-rich atmosphere on the planet.
The data rule out cloud-free O2/CO2 mixtures with surface pressures ranging
from 10 bar (with 10 ppm CO2) to 0.1 bar (pure CO2). A Venus-analogue
atmosphere with sulfuric acid clouds is also disfavoured at 2.6 sigma
confidence. Thinner atmospheres or bare-rock surfaces are consistent with our
measured planet-to-star flux ratio. The absence of a thick, CO2-rich atmosphere
on TRAPPIST-1 c suggests a relatively volatile-poor formation history, with
less than 9.5 +7.5 -2.3 Earth oceans of water. If all planets in the system
formed in the same way, this would indicate a limited reservoir of volatiles
for the potentially habitable planets in the system.Comment: Published in Nature on June 19th. 2023, 10 figures, 4 table
Response to gefitinib and erlotinib in Non-small cell lung cancer: a retrospective study
<p>Abstract</p> <p>Background</p> <p>In Non-small cell lung cancer (NSCLC), an overactive epidermal growth factor receptor (EGFR) pathway is a component of the malignant phenotype. Two tyrosine kinase inhibitors (TKIs) of EGFR, gefinitib and erlotinib, have been used with variable benefit.</p> <p>Methods</p> <p>We have analyzed outcome data of a population of NSCLC patients that received these TKIs to determine the benefit derived and to define the clinical and molecular parameters that correlate with response. Tumor tissue from a subgroup of these patients was analyzed by immunohistochemistry to measure the expression level of EGFR and four activated (phosphorylated) members of the pathway, pEGFR, pERK, pAKT, and pSTAT3.</p> <p>Results</p> <p>Erlotinib was slightly superior to gefitinib in all measures of response, although the differences were not statistically significant. The most robust clinical predictors of time to progression (TTP) were best response and rash (p < 0.0001). A higher level of pEGFR was associated with longer TTP, while the total EGFR level was not associated with response. Higher levels of pAKT and pSTAT3 were also associated with longer TTP. In contrast, a higher level of pERK1/2 was associated with shorter TTP.</p> <p>Conclusion</p> <p>These observations suggest the hypothesis that tumor cells that have activated EGFR pathways, presumably being utilized for survival, are clinically relevant targets for pathway inhibition. An accurate molecular predictive model of TKI response should include activated members of the EGFR pathway. TKIs may be best reserved for tumors expressing pEGFR and pAKT or pSTAT, and little pERK. In the absence of molecular predictors of response, the appearance of a rash and a positive first scan are good clinical indicators of response.</p
Exoplanet Diversity in the Era of Space-based Direct Imaging Missions
This whitepaper discusses the diversity of exoplanets that could be detected
by future observations, so that comparative exoplanetology can be performed in
the upcoming era of large space-based flagship missions. The primary focus will
be on characterizing Earth-like worlds around Sun-like stars. However, we will
also be able to characterize companion planets in the system simultaneously.
This will not only provide a contextual picture with regards to our Solar
system, but also presents a unique opportunity to observe size dependent
planetary atmospheres at different orbital distances. We propose a preliminary
scheme based on chemical behavior of gases and condensates in a planet's
atmosphere that classifies them with respect to planetary radius and incident
stellar flux.Comment: A white paper submitted to the National Academy of Sciences Exoplanet
Science Strateg
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