Blue Balloons and White Fog

My paintings begin with an examination of photography’s authority; practically the ubiquitous family snapshot’s power over memory and the development of our constructed identity. The amateur photographer’s desire for a pleasantly scripted narrative can easily misrepresent the reality of a moment. Because of this, I see family photo albums as mythological artifacts: they arise out of reality but are incapable of fully reproducing it. By using my own family photographs as reference material I embrace this mythology, indulging myself in a fantasy of place, history and narrative. This interest in the mythology of my past is contradicted by my own fear of fetishized nostalgia and a desire to derail the narrative of my family snapshots. My own attraction and disenchantment with narrative is combined into a compromising gesture that intertwines abstraction and representation and tangles the relationship each painting has to time: speaking of the past, present and future simultaneously

Effect of water, sanitation, and hygiene on the prevention of trachoma: a systematic review and meta-analysis.

BACKGROUND: Trachoma is the world's leading cause of infectious blindness. The World Health Organization (WHO) has endorsed the SAFE strategy in order to eliminate blindness due to trachoma by 2020 through "surgery," "antibiotics," "facial cleanliness," and "environmental improvement." While the S and A components have been widely implemented, evidence and specific targets are lacking for the F and E components, of which water, sanitation, and hygiene (WASH) are critical elements. Data on the impact of WASH on trachoma are needed to support policy and program recommendations. Our objective was to systematically review the literature and conduct meta-analyses where possible to report the effects of WASH conditions on trachoma and identify research gaps. METHODS AND FINDINGS: We systematically searched PubMed, Embase, ISI Web of Knowledge, MedCarib, Lilacs, REPIDISCA, DESASTRES, and African Index Medicus databases through October 27, 2013 with no restrictions on language or year of publication. Studies were eligible for inclusion if they reported a measure of the effect of WASH on trachoma, either active disease indicated by observed signs of trachomatous inflammation or Chlamydia trachomatis infection diagnosed using PCR. We identified 86 studies that reported a measure of the effect of WASH on trachoma. To evaluate study quality, we developed a set of criteria derived from the GRADE methodology. Publication bias was assessed using funnel plots. If three or more studies reported measures of effect for a comparable WASH exposure and trachoma outcome, we conducted a random-effects meta-analysis. We conducted 15 meta-analyses for specific exposure-outcome pairs. Access to sanitation was associated with lower trachoma as measured by the presence of trachomatous inflammation-follicular or trachomatous inflammation-intense (TF/TI) (odds ratio [OR] 0.85, 95% CI 0.75-0.95) and C. trachomatis infection (OR 0.67, 95% CI 0.55-0.78). Having a clean face was significantly associated with reduced odds of TF/TI (OR 0.42, 95% CI 0.32-0.52), as were facial cleanliness indicators lack of ocular discharge (OR 0.42, 95% CI 0.23-0.61) and lack of nasal discharge (OR 0.62, 95% CI 0.52-0.72). Facial cleanliness indicators were also associated with reduced odds of C. trachomatis infection: lack of ocular discharge (OR 0.40, 95% CI 0.31-0.49) and lack of nasal discharge (OR 0.56, 95% CI 0.37-0.76). Other hygiene factors found to be significantly associated with reduced TF/TI included face washing at least once daily (OR 0.76, 95% CI 0.57-0.96), face washing at least twice daily (OR 0.85, 95% CI 0.80-0.90), soap use (OR 0.76, 95% CI 0.59-0.93), towel use (OR 0.65, 95% CI 0.53-0.78), and daily bathing practices (OR 0.76, 95% CI 0.53-0.99). Living within 1 km of a water source was not found to be significantly associated with TF/TI or C. trachomatis infection, and the use of sanitation facilities was not found to be significantly associated with TF/TI. CONCLUSIONS: We found strong evidence to support F and E components of the SAFE strategy. Though limitations included moderate to high heterogenity, low study quality, and the lack of standard definitions, these findings support the importance of WASH in trachoma elimination strategies and the need for the development of standardized approaches to measuring WASH in trachoma control programs

Risks of introduction and economic consequences associated with African swine fever, classical swine fever and foot-and-mouth disease: A review of the literature

African swine fever (ASF), classical swine fever (CSF) and foot-and-mouth disease (FMD) are considered to be three of the most detrimental animal diseases and are currently foreign to the U.S. Emerging and re-emerging pathogens can have tremendous impacts in terms of livestock morbidity and mortality events, production losses, forced trade restrictions, and costs associated with treatment and control. The United States is the world\u27s top producer of beef for domestic and export use and the world\u27s third-largest producer and consumer of pork and pork products; it has also recently been either the world\u27s largest or second largest exporter of pork and pork products. Understanding the routes of introduction into the United States and the potential economic impact of each pathogen are crucial to (a) allocate resources to prevent routes of introduction that are believed to be more probable, (b) evaluate cost and efficacy of control methods and (c) ensure that protections are enacted to minimize impact to the most vulnerable industries. With two scoping literature reviews, pulled from global data, this study assesses the risk posed by each disease in the event of a viral introduction into the United States and illustrates what is known about the economic costs and losses associated with an outbreak

Pharmacy Data for Tuberculosis Surveillance and Assessment of Patient Management

Pharmacy data help locate tuberculosis cases and assess their management

Association between Serum IGF-I levels and Postoperative Delirium in Elderly Subjects Undergoing Elective Knee Arthroplasty.

Evidence is mixed for an association between serum insulin-like growth factor-I (IGF-I) levels and postoperative delirium (POD). The current study assessed preoperative serum IGF-I levels as a predictor of incident delirium in non-demented elderly elective knee arthroplasty patients. Preoperative serum levels of total IGF-I were measured using a commercially available Human IGF-I ELISA kit. POD incidence and severity were determined using DSM-IV criteria and the Delirium Rating Scale-Revised-98 (DRS-R98), respectively. Median IGF-I levels in delirious (62.6 ng/ml) and non-delirious groups (65.9 ng/ml) were not significantly different (p = 0.141). The ratio (95% CI) of geometric means, D/ND, was 0.86 (0.70, 1.06). The Hodges-Lehmann median difference estimate was 7.23 ng/mL with 95% confidence interval (−2.32, 19.9). In multivariate logistic regression analysis IGF-I level was not a significant predictor of incident POD after correcting for medical comorbidities. IGF-I levels did not correlate wit

The Accretion History of AGN: A Newly Defined Population of Cold Quasars

Quasars are the most luminous of active galactic nuclei (AGN), and are perhaps responsible for quenching star formation in their hosts. The Stripe 82X catalog covers 31.3 deg$^2$ of the Stripe 82 field, of which the 15.6 deg$^2$ covered with XMM-Newton is also covered by Herschel/SPIRE. We have 2500 X-ray detected sources with multi-wavelength counterparts, and 30% of these are unobscured quasars, with $L_X > 10^{44}\,$erg/s and $M_B < -23$. We define a new population of quasars which are unobscured, have X-ray luminosities in excess of $10^{44}\,$erg/s, have broad emission lines, and yet are also bright in the far-infrared, with a 250$\mu$m flux density of $S_{\rm 250}>30$mJy. We refer to these Herschel-detected, unobscured quasars as "Cold Quasars". A mere 4% (21) of the X-ray- and optically-selected unobscured quasars in Stripe 82X are detected at 250$\mu$m. These Cold Quasars lie at $z\sim1-3$, have $L_{\rm IR}>10^{12}\,L_\odot$, and have star formation rates of $\sim200-1400\,M_\odot$/yr. Cold Quasars are bluer in the mid-IR than the full quasar population, and 72% of our Cold Quasars have WISE W3 $<$ 11.5 [Vega], while only 19% of the full quasar sample meets this criteria. Crucially, Cold Quasars have on average $\sim9\times$ as much star formation as the main sequence of star forming galaxies at similar redshifts. Although dust-rich, unobscured quasars have occasionally been noted in the literature before, we argue that they should be considered as a separate class of quasars due to their high star formation rates. This phase is likely short-lived, as the central engine and immense star formation consume the gas reservoir. Cold Quasars are type-1 blue quasars that reside in starburst galaxies.Comment: Accepted for publication in Ap

Growth hormone deficiency in megalencephaly-capillary malformation syndrome: An association with activating mutations in PIK3CA

Megalencephaly-capillary malformation syndrome (MCAP) is a brain overgrowth disorder characterized by cortical malformations (specifically polymicrogyria), vascular anomalies, and segmental overgrowth secondary to somatic activating mutations in the PI3K-AKT-MTOR pathway (PIK3CA). Cases of growth failure and hypoglycemia have been reported in patients with MCAP, raising the suspicion for unappreciated growth hormone (GH) deficiency. Here we report an observational multicenter study of children with MCAP and GH deficiency. Eleven participants were confirmed to have GH deficiency, all with very low or undetectable circulating concentrations of insulin-like growth factor-1 and insulin-like growth factor binding protein-3. Seven underwent GH stimulation testing and all had insufficient responses with a median GH peak of 3.7 ng/ml (range 1.1-8.6). Growth patterns revealed a drastic decline in length z-scores within the first year of life but then stabilized afterward. Five were treated with GH; one discontinued due to inconsolability. The other four participants continued on GH with improvement in linear growth velocity. Other endocrinopathies were identified in 7 of the 11 participants in this cohort. This study indicates that GH deficiency is associated with MCAP and that children with MCAP and hypoglycemia and/or postnatal growth failure should be evaluated for GH deficiency and other endocrinopathies

The Accretion History of AGN: The Spectral Energy Distributions of X-ray Luminous AGN

Spectral energy distributions (SEDs) from X-ray to far-infrared (FIR) wavelengths are presented for a sample of 1246 X-ray luminous active galactic nuclei (AGN; $L_{0.5-10\rm{keV}}>10^{43}$ erg s$^{-1}$), with $z_{\rm{spec}}<1.2$, selected from Stripe 82X, COSMOS, and GOODS-N/S. The rest-frame SEDs show a wide spread ($\sim2.5$ dex) in the relative strengths of broad continuum features at X-ray, ultraviolet (UV), mid-infrared (MIR), and FIR wavelengths. A linear correlation (log-log slope of 0.7$\pm0.04$) is found between $L_{\rm{MIR}}$ and $L_{\rm{X}}$. There is significant scatter in the relation between the $L_{\rm{UV}}$ and $L_{\rm{X}}$ due to heavy obscuration, however the most luminous and unobscured AGN show a linear correlation (log-log slope of 0.8$\pm0.06$) in the relation above this scatter. The relation between $L_{\rm{FIR}}$ and $L_{\rm{X}}$ is predominantly flat, but with decreasing dispersion at $L_{\rm{X}}>10^{44}$ erg s$^{-1}$. The ratio between the "galaxy subtracted" bolometric luminosity and the intrinsic $L_{\rm{X}}$ increases from a factor of $\sim$$10-70$ from log $L_{\rm{bol}}/{\rm(erg\; s}^{-1})=44.5-46.5$. Characteristic SED shapes have been determined by grouping AGN based on relative strengths of the UV and MIR emission. The average $L_{1\mu\rm{m}}$ is constant for the majority of these SED shapes, while AGN with the strongest UV and MIR emission have elevated $L_{1\mu\rm{m}}$, consistent with the AGN emission dominating their SEDs at optical and NIR wavelengths. A strong correlation is found between the SED shape and both the $L_{\rm{X}}$ and $L_{\rm{bol}}$, such that $L_{\rm{bol}}/L_{\rm{X}}=20.4\pm1.8$, independent of the SED shape. This is consistent with an evolutionary scenario of increasing $L_{\rm{bol}}$ with decreasing obscuration as the AGN blows away circumnuclear gas.Comment: 24 pages, 20 figures, 4 appendix tables, Accepted to Ap