An analysis of pilot error-related aircraft accidents

A multidisciplinary team approach to pilot error-related U.S. air carrier jet aircraft accident investigation records successfully reclaimed hidden human error information not shown in statistical studies. New analytic techniques were developed and applied to the data to discover and identify multiple elements of commonality and shared characteristics within this group of accidents. Three techniques of analysis were used: Critical element analysis, which demonstrated the importance of a subjective qualitative approach to raw accident data and surfaced information heretofore unavailable. Cluster analysis, which was an exploratory research tool that will lead to increased understanding and improved organization of facts, the discovery of new meaning in large data sets, and the generation of explanatory hypotheses. Pattern recognition, by which accidents can be categorized by pattern conformity after critical element identification by cluster analysis

Acute vs. Chronic Citrulline Malate Supplementation on Muscle Fatigue

Citrulline malate has been proposed to aid in reducing fatigue by increasing blood flow through promoting an increase in the nitric oxide synthase pathway along with the ability to remove ammonia and lactate accumulations. Results on the effectiveness of an acute supplementation are mixed, but it is proposed that regular consumption may help to attenuate the onset of fatigue during exercise. PURPOSE: To investigate the effects of acute and chronic citrulline malate supplementation on fatigue rate of the quadriceps. METHODS: Recreationally trained males (n=18, 24±5 yr, 83±14 kg, 174±6 cm) participated in seven testing sessions. The familiarization session consisted of participants performing a graded exercise test to determine max power output. In a randomized, counterbalanced order, participants consumed a placebo (PL) and citrulline malate (CM) treatment for two separate dosing periods. For each dosing period, participants reported on three separate days with seven days between each visit. The first experimental testing session for each dosing period was considered the baseline day (BL), the second session the acute day (D1), and the third session the chronic day (D2). For chronic supplementation, all participants consumed each treatment for seven consecutive days. The exercise protocol all testing sessions and the four supplemental testing sessions included exercising on a cycle ergometer at 50-60% of their max power output for 30 min. Following the bout, all participants performed the Thorstensson test on an isokinetic dynamometer for torque, power, and fatigue rate of the dominate leg quadriceps. RESULTS: The acute supplement x time interactions were not significant (p\u3e0.05) for peak power (PL BL 469+81 W, PL D1 490+97 W vs. CM BL 465+85 W, CM D1 480+103 W), peak torque (PL BL 150+26 Nm, PL D1 157+32 Nm vs. CM BL 149+26 Nm, CM D1 156+33 Nm), fatigue rate (PL BL 57+9%, PL D1 57+10% vs. CM BL 57+10%, CM D1 56+9%), and heart rate (PL BL 156+17 bpm, PL D1 146+13 bpm vs. CM BL 155+11 bpm, CM D1 146+11 bpm). The chronic supplement x time interactions were not significant (p\u3e0.05) for peak power (PL BL 469+81 W, PL D2 501+99 W vs. CM BL 464+85 W, CM D2 501+81 W), peak torque (PL BL 150+26 Nm, PL D2 161+31 Nm vs. CM BL 149+27 Nm, CM D2 161+26 Nm), fatigue rate (PL BL 57+9%, PL D2 58+9% vs. CM BL 57+10%, CM D2 58+9%), and heart rate (PL BL 156+17 bpm, PL D2 146+9 bpm vs. CM BL 155+11 bpm, CM D2 146+9 bpm). CONCLUSION: The results of this study suggest that neither acute or chronic supplementation of CM had an effect on recovery or fatigue rate of the quadriceps. Based on the data collected there were no significant differences between the recorded values for torque and power for each participant

Role of Adjuvant Multimodality Therapy After Curative-Intent Resection of Ampullary Carcinoma

Importance: Ampullary adenocarcinoma is a rare malignant neoplasm that arises within the duodenal ampullary complex. The role of adjuvant therapy (AT) in the treatment of ampullary adenocarcinoma has not been clearly defined. Objective: To determine if long-term survival after curative-intent resection of ampullary adenocarcinoma may be improved by selection of patients for AT directed by histologic subtype. Design, setting, and participants: This multinational, retrospective cohort study was conducted at 12 institutions from April 1, 2000, to July 31, 2017, among 357 patients with resected, nonmetastatic ampullary adenocarcinoma receiving surgery alone or AT. Cox proportional hazards regression was used to identify covariates associated with overall survival. The surgery alone and AT cohorts were matched 1:1 by propensity scores based on the likelihood of receiving AT or by survival hazard from Cox modeling. Overall survival was compared with Kaplan-Meier estimates. Exposures: Adjuvant chemotherapy (fluorouracil- or gemcitabine-based) with or without radiotherapy. Main outcomes and measures: Overall survival. Results: A total of 357 patients (156 women and 201 men; median age, 65.8 years [interquartile range, 58-74 years]) underwent curative-intent resection of ampullary adenocarcinoma. Patients with intestinal subtype had a longer median overall survival compared with those with pancreatobiliary subtype (77 vs 54 months; P = .05). Histologic subtype was not associated with AT administration (intestinal, 52.9% [101 of 191]; and pancreatobiliary, 59.5% [78 of 131]; P = .24). Patients with pancreatobiliary histologic subtype most commonly received gemcitabine-based regimens (71.0% [22 of 31]) or combinations of gemcitabine and fluorouracil (12.9% [4 of 31]), whereas treatment of those with intestinal histologic subtype was more varied (fluorouracil, 50.0% [17 of 34]; gemcitabine, 44.1% [15 of 34]; P = .01). In the propensity score-matched cohort, AT was not associated with a survival benefit for either histologic subtype (intestinal: hazard ratio, 1.21; 95% CI, 0.67-2.16; P = .53; pancreatobiliary: hazard ratio, 1.35; 95% CI, 0.66-2.76; P = .41). Conclusions and relevance: Adjuvant therapy was more frequently used in patients with poor prognostic factors but was not associated with demonstrable improvements in survival, regardless of tumor histologic subtype. The value of a multimodality regimen remains poorly defined

Youthful Internationalism in the Age of ‘Socialism in One Country’: Komsomol'tsy, Pioneers and ‘World Revolution’ in the Interwar Period

This article examines the complex and multifaceted engagement of young Soviet communists with the idea of revolutionary internationalism and international solidarity in the interwar period. In spite of the introduction of the official doctrine of ‘Socialism in One Country’ and the ritualization of internationalism in in the 1920s, youth activists continued to encounter the powerful charismatic idea of ‘world revolution’. Moscow’s central role in the Communist International and developments in Asia and Europe meant that the members of the Pioneer organization and the Komsomol had to engage with revolutionary events abroad through the official discourse as well as through their league’s practices. The article seeks to reveal the interplay and tensions between the Komsomol’s official rhetoric and policies concerning its leading role in the international communist youth movement and the idiosyncratic revolutionary identities and beliefs of young activists. By examining the shifting rhetoric and realities in expressions and enactments of international solidarity by young communists, the paper will question the potency of the idea of ‘revolutionary internationalism’ amongst the communist youth movement and its significance in the intergenerational discourse

Homogeneous M2 duals

Motivated by the search for new gravity duals to M2 branes with $N>4$ supersymmetry --- equivalently, M-theory backgrounds with Killing superalgebra $\mathfrak{osp}(N|4)$ for $N>4$ --- we classify homogeneous M-theory backgrounds with symmetry Lie algebra $\mathfrak{so}(n) \oplus \mathfrak{so}(3,2)$ for $n=5,6,7$. We find that there are no new backgrounds with $n=6,7$ but we do find a number of new (to us) backgrounds with $n=5$. All backgrounds are metrically products of the form $\operatorname{AdS}_4 \times P^7$, with $P$ riemannian and homogeneous under the action of $\operatorname{SO}(5)$, or $S^4 \times Q^7$ with $Q$ lorentzian and homogeneous under the action of $\operatorname{SO}(3,2)$. At least one of the new backgrounds is supersymmetric (albeit with only $N=2$) and we show that it can be constructed from a supersymmetric Freund--Rubin background via a Wick rotation. Two of the new backgrounds have only been approximated numerically. (The second version of this paper includes an appendix by Alexander~S.~Haupt, closing a gap in our original analysis.)Comment: 56 page