Case–Control Research Study of Auto-Brewery Syndrome

Background: Auto-brewery syndrome (ABS), also known as Gut Fermentation Syndrome and Endogenous Ethanol Fermentation, is afflicting people worldwide, but little is known about ABS patients’ demographics, health history, lifestyle factors, and diet. Method: We conducted a broad-based case–control survey study on 52 patients known to have a diagnosis of ABS and their household members. The research compares the symptomatic group (N ¼ 28) to the asymptomatic group (N ¼ 18) regarding lifestyle and health, diet, and medical history. Results: With a response rate of 88% and using rank-sum tests, the data demonstrate that patients with ABS have significant differences compared to people without ABS in lower quality bowel movements (P ¼.048), more frequent bowel movements (P ¼.038), more reports of malodorous breath (P ¼.0001), and self-classify as having poorer health (P ¼.009). Furthermore, participants with ABS consume more water (P ¼.038), consume less tea and coffee (P ¼.033), eat fewer dairy products (P ¼.0185), eat less candy (P ¼.032), eat out less and rely on food prepared at home (P ¼.043), have more aversion to starch (P ¼.008), and have more food sensitivities (P ¼.043) than the group without ABS. The ABS group also reports more diarrhea (P ¼.048), higher amounts of yeast in their gastrointestinal tract (P ¼.015), and using acne medication for a longer time (P ¼.037) than the control group. Conclusion: Patients with ABS have significant differences in their lifestyle and health, diet, and medical history compared to non-ABS participants and these differences warrant further research

A New Metric for Quantifying Burn Severity: The Relativized Burn Ratio

Satellite-inferred burn severity data have become increasingly popular over the last decade for management and research purposes. These data typically quantify spectral change between pre-and post-fire satellite images (usually Landsat). There is an active debate regarding which of the two main equations, the delta normalized burn ratio (dNBR) and its relativized form (RdNBR), is most suitable for quantifying burn severity; each has its critics. In this study, we propose and evaluate a new Landsat-based burn severity metric, the relativized burn ratio (RBR), that provides an alternative to dNBR and RdNBR. For 18 fires in the western US, we compared the performance of RBR to both dNBR and RdNBR by evaluating the agreement of these metrics with field-based burn severity measurements. Specifically, we evaluated (1) the correspondence between each metric and a continuous measure of burn severity (the composite burn index) and (2) the overall accuracy of each metric when classifying into discrete burn severity classes (i.e., unchanged, low, moderate, and high). Results indicate that RBR corresponds better to field-based measurements (average R2 among 18 fires = 0.786) than both dNBR (R2 = 0.761) and RdNBR (R2 = 0.766). Furthermore, the overall classification accuracy achieved with RBR (average among 18 fires = 70.5%) was higher than both dNBR (68.4%) and RdNBR (69.2%). Consequently, we recommend RBR as a robust alternative to both dNBR and RdNBR for measuring and classifying burn severity

New Mechanical Model for the Transmutation Fuel Performance Code

A new mechanical model has been developed for implementation into the TRU fuel performance code. The new model differs from the existing FRAPCON 3 model, which it is intended to replace, in that it will include structural deformations (elasticity, plasticity, and creep) of the fuel. Also, the plasticity algorithm is based on the “plastic strain–total strain” approach, which should allow for more rapid and assured convergence. The model treats three situations relative to interaction between the fuel and cladding: (1) an open gap between the fuel and cladding, such that there is no contact, (2) contact between the fuel and cladding where the contact pressure is below a threshold value, such that axial slippage occurs at the interface, and (3) contact between the fuel and cladding where the contact pressure is above a threshold value, such that axial slippage is prevented at the interface. The first stage of development of the model included only the fuel. In this stage, results obtained from the model were compared with those obtained from finite element analysis using ABAQUS on a problem involving elastic, plastic, and thermal strains. Results from the two analyses showed essentially exact agreement through both loading and unloading of the fuel. After the cladding and fuel/clad contact were added, the model demonstrated expected behavior through all potential phases of fuel/clad interaction, and convergence was achieved without difficulty in all plastic analysis performed. The code is currently in stand alone form. Prior to implementation into the TRU fuel performance code, creep strains will have to be added to the model. The model will also have to be verified against an ABAQUS analysis that involves contact between the fuel and cladding

Transmutation Fuel Performance Code Conceptual Design

One of the objectives of the Global Nuclear Energy Partnership (GNEP) is to facilitate the licensing and operation of Advanced Recycle Reactors (ARRs) for transmutation of the transuranic elements (TRU) present in spent fuel. A fuel performance code will be an essential element in the licensing process ensuring that behavior of the transmutation fuel elements in the reactor is understood and predictable. Even more important in the near term, a fuel performance code will assist substantially in the fuels research and development, design, irradiation testing and interpretation of the post-irradiation examination results

Transmutation Fuel Performance Code Thermal Model Verification

FRAPCON fuel performance code is being modified to be able to model performance of the nuclear fuels of interest to the Global Nuclear Energy Partnership (GNEP). The present report documents the effort for verification of the FRAPCON thermal model. It was found that, with minor modifications, FRAPCON thermal model temperature calculation agrees with that of the commercial software ABAQUS (Version 6.4-4). This report outlines the methodology of the verification, code input, and calculation results

Serum osteoprotegerin in adolescent girls with anorexia nervosa

Low bone mineral density (BMD) in adolescents with anorexia nervosa (AN) is associated with a low bone turnover state. Osteoprotegerin (OPG), a cytokine that acts as a decoy receptor for receptor activator of nuclear factor-kappaB ligand, decreases bone resorption by inhibiting differentiation of osteoclast precursors and activation of mature osteoclasts, and by stimulating osteoclast apoptosis. We compared OPG levels in 43 adolescent girls with AN with 38 controls and examined bone density, bone turnover, and hormonal parameters. Girls with AN had lower fat mass, lean body mass, lumbar BMD z-scores, and lumbar bone mineral apparent density than controls. OPG levels were higher in girls with AN than in controls (44.5 +/- 22.5 pg/ml vs. 34.5 +/- 12.7 pg/ml, P = 0.02). Osteocalcin, deoxypyridinoline, estradiol, free testosterone, IGF-I, and leptin were lower in AN than in healthy adolescents. OPG values correlated negatively with body mass index (r = -0.27, P = 0.02), percent fat mass (r = -0.35, P = 0.0002), leptin (r = -0.28, P = 0.02), lumbar BMD z-scores (r = -0.25, P = 0.03), and lumbar bone mineral apparent density (r = -0.26, P = 0.03). In conclusion, adolescent girls with AN have higher serum OPG values than controls. OPG values correlate negatively with markers of nutritional status and lumbar bone density z-scores and may be a compensatory response to the bone loss seen in this population

A Technical Roadmap for Autonomy for Marine Future Vertical Lift (FVL)

NPS NRP Executive SummaryThe Marines desire to leverage automation in their next Future Vertical Lift (FVL) platform, meaning they must define the human-FVL teaming interactions. The FVL will operate in a wide spectrum of flight regimes, from remotely piloted, to fully manned, to mostly automatic, and in combinations of the above. This broadened operating approach necessitates that understanding the various human machine teaming interdependent interactions across this diverse operating spectrum be completely delineated. NPS is well positioned to assist. Three approaches are considered: Use Co-active Design, since it is a rigorous engineering process that captures these interactions and interdependencies, develops workflows, and identifies resilient paths for human machine teaming using interdependence analysis (IA); define an FVL 'Living Lab' (LL) that the FVL program management office (PMO) could use to explore technical and concept tradeoffs; establish the cost/benefit relationships of these approaches; and design approaches to developing trust within this operating framework. The topic sponsor desires these techniques so as to create a PMO that decreases the speed at which technical tradeoffs can be identified and made.HQMC Aviation (AVN)This research is supported by funding from the Naval Postgraduate School, Naval Research Program (PE 0605853N/2098). https://nps.edu/nrpChief of Naval Operations (CNO)Approved for public release. Distribution is unlimited.

A Technical Roadmap for Autonomy for Marine Future Vertical Lift (FVL)

NPS NRP Project PosterThe Marines desire to leverage automation in their next Future Vertical Lift (FVL) platform, meaning they must define the human-FVL teaming interactions. The FVL will operate in a wide spectrum of flight regimes, from remotely piloted, to fully manned, to mostly automatic, and in combinations of the above. This broadened operating approach necessitates that understanding the various human machine teaming interdependent interactions across this diverse operating spectrum be completely delineated. NPS is well positioned to assist. Three approaches are considered: Use Co-active Design, since it is a rigorous engineering process that captures these interactions and interdependencies, develops workflows, and identifies resilient paths for human machine teaming using interdependence analysis (IA); define an FVL 'Living Lab' (LL) that the FVL program management office (PMO) could use to explore technical and concept tradeoffs; establish the cost/benefit relationships of these approaches; and design approaches to developing trust within this operating framework. The topic sponsor desires these techniques so as to create a PMO that decreases the speed at which technical tradeoffs can be identified and made.HQMC Aviation (AVN)This research is supported by funding from the Naval Postgraduate School, Naval Research Program (PE 0605853N/2098). https://nps.edu/nrpChief of Naval Operations (CNO)Approved for public release. Distribution is unlimited.

Computer Administered Safety Planning for Individuals at Risk for Suicide: Development and Usability Testing

BACKGROUND: Safety planning is a brief intervention that has become an accepted practice in many clinical settings to help prevent suicide. Even though it is quick compared to other approaches, it frequently requires 20 min or more to complete, which can impede adoption. A self-administered, Web-based safety planning application could potentially reduce clinician time, help promote standardization and quality, and provide enhanced ability to share the created plan. OBJECTIVE: The aim of this study was to design, build, and test the usability of a Web-based, self-administered safety planning application. METHODS: We employed a user-centered software design strategy led by a multidisciplinary team. The application was tested for usability with a target sample of suicidal patients. Detailed observations, structured usability ratings, and Think Aloud procedures were used. Suicidal ideation intensity and perceived ability to cope were assessed pre-post engagement with the Web application. RESULTS: A total of 30 participants were enrolled. Usability ratings were generally strong, and all patients successfully built a safety plan. However, the completeness of the safety plan varied. The mean number of steps completed was 5.5 (SD 0.9) out of 6, with 90% (27/30) of participants completing at least 5 steps and 67% (20/30) completing all 6 steps. Some safety planning steps were viewed as inapplicable to some individuals. Some confusion in instructions led to modifications to improve understandability of each step. Ratings of suicide intensity after completion of the application were significantly lower than preratings, pre: mean 5.11 (SD 2.9) versus post: mean 4.46 (SD 3.0), t27=2.49, P=.02. Ratings of ability to cope with suicidal thoughts after completion of the application were higher than preratings, with the difference approaching statistical significance, pre: mean 5.93 (SD 2.9), post: mean 6.64 (SD 2.4), t27=-2.03, P=.05. CONCLUSIONS: We have taken the first step toward identifying the components needed to maximize usability of a self-administered, Web-based safety planning application. Results support initial consideration of the application as an adjunct to clinical contact. This allows for the clinician or other personnel to provide clarification, when needed, to help the patient build the plan, and to help review and revise the draft