Chevalier Jackson, M.D. (1865-1958): Il ne se repose jamais.

In the final year of the American Civil War, 1865, Chevalier Jackson was born on the 4th of November just outside Pittsburgh, Pennsylvania. The eldest of three sons of a poor, livestock-raising family, Jackson was raised in a period of social and political unrest. He was perhaps an even more unrestful boy. The description of his childhood days from his father’s father—Il ne se repose jamais, ‘‘He never rests’’—would ultimately reflect the man, doctor, and evangelist Jackson would later become.1 Indeed, he never did rest, Jackson would tirelessly pave the way for modern bronchoscopy and endoscopy as a whole; bringing international renown not only to himself, but also to his specialty

Deep ALMA imaging of the merger NGC1614 - Is CO tracing a massive inflow of non-starforming gas?

Observations of the molecular gas over scales of 0.5 to several kpc provide crucial information on how gas moves through galaxies, especially in mergers and interacting systems, where it ultimately reaches the galaxy center, accumulates, and feeds nuclear activity. Studying the processes involved in the gas transport is an important step forward to understand galaxy evolution. 12CO, 13CO and C18O1-0 high-sensitivity ALMA observations were used to assess properties of the large-scale molecular gas reservoir and its connection to the circumnuclear molecular ring in NGC1614. The role of excitation and abundances were studied in this context. Spatial distributions of the 12CO and 13CO emission show significant differences. 12CO traces the large-scale molecular gas reservoir, associated with a dust lane that harbors infalling gas. 13CO emission is - for the first time - detected in the large-scale dust lane. Its emission peaks between dust lane and circumnuclear molecular ring. A 12CO-to-13CO1-0 intensity ratio map shows high values in the ring region (~30) typical for the centers of luminous galaxy mergers and even more extreme values in the dust lane (>45). This drop in ratio is consistent with molecular gas in the dust lane being in a diffuse, unbound state while being funneled towards the nucleus. We find a high 16O-to-18O abundance ratio in the starburst region (>900), typical of quiescent disk gas - by now, the starburst is expected to have enriched the nuclear ISM in 18O relative to 16O. The massive inflow of gas may be partially responsible for the low 18O/16O abundance since it will dilute the starburst enrichment with unprocessed gas from greater radii. The 12CO-to-13CO abundance is consistent with this scenario. It suggests that the nucleus of NGC1614 is in a transient phase of evolution where starburst and nuclear growth are fuelled by returning gas from the minor merger event.Comment: 10 pages, 9 figures, accepted for publication in A&

A standardized comparison of peri-operative complications after minimally invasive esophagectomy: Ivor Lewis versus McKeown.

BACKGROUND: While our institutional approach to esophageal resection for cancer has traditionally favored a minimally invasive (MI) 3-hole, McKeown esophagectomy (MIE 3-hole) during the last five years several factors has determined a shift in our practice with an increasing number of minimally invasive Ivor Lewis (MIE IL) resections being performed. We compared peri-operative outcomes of the two procedures, hypothesizing that MIE IL would be less morbid in the peri-operative setting compared to MIE 3-hole. METHODS: Our institution\u27s IRB-approved esophageal database was queried to identify all patients who underwent totally MI esophagectomy (MIE IL vs. MIE 3-hole) from June 2011 to May 2016. Patient demographics, preoperative and peri-operative data, as well as post-operative complications were compared between the two groups. Post-operative complications were analyzed using the Clavien-Dindo classification system. RESULTS: There were 110 patients who underwent totally MI esophagectomy (MIE IL n = 49 [45%], MIE 3-hole n = 61 [55%]). The majority of patients were men (n = 91, 83%) with a median age of 62.5 (range 31-83). Preoperative risk stratifiers such as ECOG score, ASA, and Charlson Comorbidity Index were not significantly different between groups. Anastomotic leak rate was 2.0% in the MIE IL group compared to 6.6% in the MIE 3-hole group (p = 0.379). The rate of serious (Clavien-Dindo 3, 4, or 5) post-operative complications was significantly less in the MIE IL group (34.7 vs. 59.0%, p = 0.013). Serious pulmonary complications were not significantly different (16.3 vs. 26.2%, p = 0.251) between the two groups. CONCLUSIONS: In this cohort, totally MIE IL showed significantly less severe peri-operative morbidity than MIE 3-hole, but similar rates of serious pulmonary complications and anastomotic leaks. These findings confirm the safety of minimally invasive Ivor Lewis esophagectomies for esophageal cancer when oncologically and clinically appropriate. Minimally invasive McKeown esophagectomy remains a satisfactory and appropriate option when clinically indicated

Advancing Monitoring Infrastructure for Oregon’s Native Freshwater Turtles with Citizen Science Platforms

Monitoring is a core component of conservation plans as well as an opportunity for local stakeholders to contribute. Our objective was to advance monitoring infrastructure for the protection of native, threatened freshwater turtles in the Pacific Northwest through the creation of a citizen science application. This was done by researching previous designs of citizen science projects over the past ten years and improving the platform based on recommendations by practitioners. Current platforms can be improved by better crediting the work of citizen scientists, improving communication between scientists and users, building in flexibility for scientists, and accommodating for disabilities through ergonomic design. This set the framework to design and build a new multi-platform monitoring application. The final product is a mobile and web application that embodies these concepts and is ready for user-testing in the summer, providing scientists with critical data to help monitor multiple species of conservation concern, while engaging the public in this important task

Empirical Storm-Time Correction to the International Reference Ionosphere Model E-Region Electron and Ion Density Parameterizations Using Observations from TIMED/SABER

The response of the ionospheric E-region to solar-geomagnetic storms can be characterized using observations of infrared 4.3 micrometers emission. In particular, we utilize nighttime TIMED/SABER measurements of broadband 4.3 micrometers limb emission and derive a new data product, the NO+(v) volume emission rate, which is our primary observation-based quantity for developing an empirical storm-time correction the IRI E-region electron density. In this paper we describe our E-region proxy and outline our strategy for developing the empirical storm model. In our initial studies, we analyzed a six day storm period during the Halloween 2003 event. The results of this analysis are promising and suggest that the ap-index is a viable candidate to use as a magnetic driver for our model

Hubble Space Telescope Imaging of the Circumstellar Nebulosity of T Tauri

Short-exposure Planetary Camera images of T Tauri have been obtained using broadband filters spanning the wavelength range 0.55-0.80 μm. The optically visible star lies very close to an arc of reflection nebulosity. The arc's northern arm extends approximately 5" from the star, while its southwestern arm appears brighter and extends only 2". The arc shows an approximate symmetry along an axis toward the west-northwest, the direction of Hind's Nebula and the blueshifted molecular outflow. The morphology of the reflected light is similar to models of scattered light within an illuminated, axisymmetric outflow cavity in a circumbinary envelope, viewed ≈ 45° from the outflow axis. However, our model images do not successfully account for the amount of limb brightening that is seen. No optical counterpart to the infrared companion is seen to a limiting magnitude of V = 19.6, which suggests A_V > 7 mag toward this source. There is no evidence for an optical tertiary, to a limiting ΔV = 5.1 mag fainter than the primary, at the position where such an object has been previously reported

Ionospheric E-Region Response to Solar-Geomagnetic Storms Observed by TIMED/SABER and Application to IRI Storm-Model Development

The large thermospheric infrared radiance enhancements observed from the TIMED/SABER experiment during recent solar storms provide an exciting opportunity to study the influence of solar-geomagnetic disturbances on the upper atmosphere and ionosphere. In particular, nighttime enhancements of 4.3 um emission, due to vibrational excitation and radiative emission by NO+, provide an excellent proxy to study and analyze the response of the ionospheric E-region to auroral electron dosing and storm-time enhancements to the E-region electron density. In this paper we give a status report of on-going work on model and data analysis methodologies of deriving NO+ 4.3 um volume emission rates, a proxy for the storm-time E-region response, and the approach for deriving an empirical storm-time correction to International Reference Ionosphere (IRI) E-region NO+ and electron densities