1,236 research outputs found
An integrated Rotorcraft Avionics/Controls Architecture to support advanced controls and low-altitude guidance flight research
Salient design features of a new NASA/Army research rotorcraft--the Rotorcraft-Aircrew Systems Concepts Airborne Laboratory (RASCAL) are described. Using a UH-60A Black Hawk helicopter as a baseline vehicle, the RASCAL will be a flying laboratory capable of supporting the research requirements of major NASA and Army guidance, control, and display research programs. The paper describes the research facility requirements of these programs together with other critical constraints on the design of the research system. Research program schedules demand a phased development approach, wherein specific research capability milestones are met and flight research projects are flown throughout the complete development cycle of the RASCAL. This development approach is summarized, and selected features of the research system are described. The research system includes a real-time obstacle detection and avoidance system which will generate low-altitude guidance commands to the pilot on a wide field-of-view, color helmet-mounted display and a full-authority, programmable, fault-tolerant/fail-safe, fly-by-wire flight control system
Preliminary design features of the RASCAL: A NASA /Army rotorcraft in-flight simulator
Salient design features of a new NASA/Army research rotorcraft - the Rotorcraft-Aircrew Systems Concepts Airborne Laboratory (RASCAL) - are described. Using a UH-60A Black Hawk helicopter as a baseline vehicle, the RASCAL will be a flying laboratory capable of supporting the research requirements of major NASA and Army guidance, control, and display research programs. The paper describes the research facility requirements of these programs together with other critical constraints on the design of the research system, including safety-of-flight. Research program schedules demand a phased development approach, wherein specific research capability milestones are met and flight research projects are flown throughout the complete development cycle of the RASCAL. This development approach is summarized, and selected features of the research system are described. The research system includes a full-authority, programmable, fault-tolerant/fail-safe, fly-by-wire flight control system and a real-time obstacle detection and avoidance system which will generate low-altitude guidance commands to the pilot on a wide field-of-view, color helmet-mounted display
Extracting Patient-Centered Outcomes from Clinical Notes in Electronic Health Records: Assessment of Urinary Incontinence After Radical Prostatectomy
Objective: To assess documentation of urinary incontinence (UI) in prostatectomy patients using
unstructured clinical notes from Electronic Health Records (EHRs).
Methods: We developed a weakly-supervised natural language processing tool to extract assessments, as recorded in unstructured text notes, of UI before and after radical prostatectomy in a single academic
practice across multiple clinicians. Validation was carried out using a subset of patients who completed
EPIC-26 surveys before and after surgery. The prevalence of UI as assessed by EHR and EPIC-26 was
compared using repeated-measures ANOVA. The agreement of reported UI between EHR and EPIC-26 was evaluated using Cohen\u2019s Kappa coefficient.
Results: A total of 4870 patients and 716 surveys were included. Preoperative prevalence of UI was 12.7
percent. Postoperative prevalence was 71.8 percent at 3 months, 50.2 percent at 6 months and 34.4 and
41.8 at 12 and 24 months, respectively. Similar rates were recorded by physicians in the EHR, particularly
for early follow-up. For all time points, the agreement between EPIC-26 and the EHR was moderate (all p
< 0.001) and ranged from 86.7 percent agreement at baseline (Kappa = 0.48) to 76.4 percent agreement
at 24 months postoperative (Kappa = 0.047).
Conclusions: We have developed a tool to assess documentation of UI after prostatectomy using EHR
clinical notes. Our results suggest such a tool can facilitate unbiased measurement of important PCOs
using real-word data, which are routinely recorded in EHR unstructured clinician notes. Integrating PCO
information into clinical decision support can help guide shared treatment decisions and promote patient-valued care
Restoration of a Severely Impacted Riparian Wetland System - The Pen Branch Project
The Savannah River Swamp is a 3020 ha forested wetland on the floodplain of the Savannah River and is located on the Department of Energy’s Savannah River Site (SRS) near Aiken, SC (Fig. 1). Historically the swamp consisted ofapproximately 50% baldcypress-water tupelo stands, 40% mixed bottomland hardwood stands, and 10% shrub, marsh, and open water. Tributeries of the river were typical of Southeastern bottomland hardwood forests. The hydrology was controlled by flow from four creeks that drain into the swamp and by flooding of the Savannah River. Upstream dams on the Savannah River have caused some alteration of the water levels and timing of flooding within the floodplain(Schneider et al., 1989)
Himalayan landslide-dam lake record
Abstract About 5400 cal yr BP, a large landslide formed a N400-m-tall dam in the upper Marsyandi River, central Nepal. The resulting lacustrine and deltaic deposits stretched N 7 km upstream, reaching a thickness of 120 m. 14 C dating of 7 wood fragments reveals that the aggradation and subsequent incision occurred remarkably quickly (∼ 500 yr). Reconstructed volumes of lacustrine (∼ 0.16 km 3 ) and deltaic (∼ 0.09 km 3 ) deposits indicate a bedload-to-suspended load ratio of 1:2, considerably higher than the ≤1:10 that is commonly assumed. At the downstream end of the landslide dam, the river incised a new channel through ≥ 70 m of Greater Himalayan gneiss, requiring a minimum bedrock incision rate of 13 mm/ yr over last 5400 yr. The majority of incision presumably occurred over a fraction of this time, suggesting much higher rates. The high bedload ratio from such an energetic mountain river is a particularly significant addition to our knowledge of sediment flux in orogenic environments
Tomographic Separation of Composite Spectra. VIII. The Physical Properties of the Massive Compact Binary in the Triple Star System HD 36486 (delta Orionis A)
Double-lined spectroscopic orbital elements have recently been found for the
central binary in the massive triple, delta Orionis A based on radial
velocities from cross-correlation techniques applied to IUE high dispersion
spectra and He I 6678 spectra obtained at Kitt Peak. The primary and secondary
velocity amplitudes were found to be 94.9 +/- 0.6 km/s and 186 +/- 9 km/s
respectively. Tomographic reconstructions of the primary and secondary stars'
spectra confirm the O9.5 II classification of the primary and indicate a B0.5
III type for the secondary. The widths of the UV cross-correlation functions
are used to estimate the projected rotational velocities, Vsin i = 157 +/- 6
km/s and 138 +/- 16 km/s for the primary and secondary, respectively implying
that both stars rotate faster than their orbital motion. We used the
spectroscopic results to make a constrained fit of the Hipparcos light curve of
this eclipsing binary, and the model fits limit the inclination to the range
between 67 and 77 degrees. The i = 67 degrees solution, which corresponds to a
near Roche-filling configuration, results in a primary mass of 11.2 solar
masses and a secondary mass of 5.6 solar masses, both of which are
substantially below the expected masses for stars of their luminosity. This
binary may have experienced a mass ratio reversal caused by Case A Roche lobe
overflow, or the system may have suffered extensive mass loss through a binary
interaction, perhaps during a common envelope phase, in which most of the
primary's mass was lost from the system rather than transferred to the
secondary.Comment: 27 pages, 15 figures in press, the Astrophysical Journal, February 1,
200
A novel BH3 ligand that selectively targets Mcl-1 reveals that apoptosis can proceed without Mcl-1 degradation
Like Bcl-2, Mcl-1 is an important survival factor for many cancers, its expression contributing to chemoresistance and disease relapse. However, unlike other prosurvival Bcl-2–like proteins, Mcl-1 stability is acutely regulated. For example, the Bcl-2 homology 3 (BH3)–only protein Noxa, which preferentially binds to Mcl-1, also targets it for proteasomal degradation. In this paper, we describe the discovery and characterization of a novel BH3-like ligand derived from Bim, BimS2A, which is highly selective for Mcl-1. Unlike Noxa, BimS2A is unable to trigger Mcl-1 degradation, yet, like Noxa, BimS2A promotes cell killing only when Bcl-xL is absent or neutralized. Furthermore, killing by endogenous Bim is not associated with Mcl-1 degradation. Thus, functional inactivation of Mcl-1 does not always require its elimination. Rather, it can be efficiently antagonized by a BH3-like ligand tightly engaging its binding groove, which is confirmed here with a structural study. Our data have important implications for the discovery of compounds that might kill cells whose survival depends on Mcl-1
ABCB1 (MDR1) polymorphisms and ovarian cancer progression and survival: A comprehensive analysis from the Ovarian Cancer Association Consortium and The Cancer Genome Atlas
<b>Objective</b>
<i>ABCB1</i> encodes the multi-drug efflux pump P-glycoprotein (P-gp) and has been implicated in multi-drug resistance. We comprehensively evaluated this gene and flanking regions for an association with clinical outcome in epithelial ovarian cancer (EOC).<p></p>
<b>Methods</b>
The best candidates from fine-mapping analysis of 21 <i>ABCB1</i> SNPs tagging C1236T (rs1128503), G2677T/A (rs2032582), and C3435T (rs1045642) were analysed in 4616 European invasive EOC patients from thirteen Ovarian Cancer Association Consortium (OCAC) studies and The Cancer Genome Atlas (TCGA). Additionally we analysed 1,562 imputed SNPs around ABCB1 in patients receiving cytoreductive surgery and either ‘standard’ first-line paclitaxel–carboplatin chemotherapy (n = 1158) or any first-line chemotherapy regimen (n = 2867). We also evaluated ABCB1 expression in primary tumours from 143 EOC patients.<p></p>
<b>Result</b>
Fine-mapping revealed that rs1128503, rs2032582, and rs1045642 were the best candidates in optimally debulked patients. However, we observed no significant association between any SNP and either progression-free survival or overall survival in analysis of data from 14 studies. There was a marginal association between rs1128503 and overall survival in patients with nil residual disease (HR 0.88, 95% CI 0.77–1.01; p = 0.07). In contrast, <i>ABCB1</i> expression in the primary tumour may confer worse prognosis in patients with sub-optimally debulked tumours.<p></p>
<b>Conclusion</b>
Our study represents the largest analysis of <i>ABCB1</i> SNPs and EOC progression and survival to date, but has not identified additional signals, or validated reported associations with progression-free survival for rs1128503, rs2032582, and rs1045642. However, we cannot rule out the possibility of a subtle effect of rs1128503, or other SNPs linked to it, on overall survival.<p></p>
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