Altered Human Neutrophil Function in Response to Acute Psychological Stress

Objective: To examine the effects of an acute laboratory psychological stress task on neutrophil function, specifically phagocytosis of Escherichia coli and stimulated superoxide production in human neutrophils. There is mounting evidence that acute stress is associated with short-term increases in a number of immune indices. \ud \ud Methods: Participants were 40 (n = 20 females) university students (mean age, 25.9 ± 4.56 years). Blood samples to determine neutrophil function by flow cytometry were taken at the end of resting baseline, during an acute stress task, and during recovery. The stress task was a 10-minute time-pressured mental arithmetic challenge with social evaluation. \ud \ud Results: There was an acute increase in phagocytic ability, $\rho$ = .047, η2p = 0.076, and a reduction of superoxide production, p = .026, η2p = 0.101, associated with the stress task relative to baseline. \ud \ud Conclusion: These findings suggest that neutrophil bactericidal function may be sensitive to mental challenge tasks that provoke acute psychological stress. Further research is needed to replicate the observed psychological stress-induced changes in neutrophil function. \ud \u

Development and evaluation of lessons for class and group situations in grade I. Volume I.

Thesis (Ed.M.)--Boston University For volume II, please see: http://hdl.handle.net/2144/1415

The Role of Subsurface Flows in Solar Surface Convection: Modeling the Spectrum of Supergranular and Larger Scale Flows

We model the solar horizontal velocity power spectrum at scales larger than granulation using a two-component approximation to the mass continuity equation. The model takes four times the density scale height as the integral (driving) scale of the vertical motions at each depth. Scales larger than this decay with height from the deeper layers. Those smaller are assumed to follow a Kolomogorov turbulent cascade, with the total power in the vertical convective motions matching that required to transport the solar luminosity in a mixing length formulation. These model components are validated using large scale radiative hydrodynamic simulations. We reach two primary conclusions: 1. The model predicts significantly more power at low wavenumbers than is observed in the solar photospheric horizontal velocity spectrum. 2. Ionization plays a minor role in shaping the observed solar velocity spectrum by reducing convective amplitudes in the regions of partial helium ionization. The excess low wavenumber power is also seen in the fully nonlinear three-dimensional radiative hydrodynamic simulations employing a realistic equation of state. This adds to other recent evidence suggesting that the amplitudes of large scale convective motions in the Sun are significantly lower than expected. Employing the same feature tracking algorithm used with observational data on the simulation output, we show that the observed low wavenumber power can be reproduced in hydrodynamic models if the amplitudes of large scale modes in the deep layers are artificially reduced. Since the large scale modes have reduced amplitudes, modes on the scale of supergranulation and smaller remain important to convective heat flux even in the deep layers, suggesting that small scale convective correlations are maintained through the bulk of the solar convection zone.Comment: 36 pages, 6 figure

Does responsibility affect the public valuation of health care interventions? A relative valuation approach to health care safety

This article is available open access through the publisher’s website at the link below. Copyright © 2012, International Society for Pharmacoeconomics and Outcomes Research (ISPOR).Objective - Health services often spend more on safety interventions than seems cost-effective. This study investigates whether the public value safety-related health care improvements more highly than the same improvements in contexts where the health care system is not responsible. Method - An online survey was conducted to elicit the relative importance placed on preventing harms caused by 1) health care (hospital-acquired infections, drug administration errors, injuries to health care staff), 2) individuals (personal lifestyle choices, sports-related injuries), and 3) nature (genetic disorders). Direct valuations were obtained from members of the public by using a person trade-off or “matching” method. Participants were asked to choose between two preventative interventions of equal cost and equal health benefit per person for the same number of people, but differing in causation. If participants indicated a preference, their strength of preference was measured by using person trade-off. Results - Responses were obtained from 1030 people, reflecting the sociodemographic mix of the UK population. Participants valued interventions preventing hospital-acquired infections (1.31) more highly than genetic disorders (1.0), although drug errors were valued similarly to genetic disorders (1.07), and interventions to prevent injury to health care staff were given less weight than genetic disorders (0.71). Less weight was also given to interventions related to lifestyle (0.65) and sports injuries (0.41). Conclusion - Our results suggest that people do not attach a simple fixed premium to “safety-related” interventions but that preferences depend more subtly on context. The use of the results of such public preference surveys to directly inform policy would therefore be premature.Brunel University

Effectiveness of the ADEC as a level 2 screening test for young children with suspected autism spectrum disorders in a clinical setting

Background The Autism Detection in Early Childhood (ADEC) is a clinician-administered, Level 2 screening tool. A retrospective file audit was used to investigate its clinical effectiveness. Method Toddlers referred to an Australian child development service between 2008 and 2010 (N?=?53, M age?=?32.2 months) were screened with the ADEC. Their medical records were reviewed in 2013 when their mean age was 74.5 months, and the original ADEC screening results were compared with later diagnostic outcomes. Results The ADEC had good sensitivity (87.5%) and moderate specificity (62%). Three behaviours predicted autism spectrum disorders (ASDs): response to name, gaze switching, and gaze monitoring (p???.001). Conclusions The ADEC shows promise as a screening tool that can discriminate between young children with ASDs and those who have specific communication disorders or developmental delays that persist into middle childhood but who do not meet the criteria for ASDs

Orbital assembly and maintenance study

The requirements, conceptual design, tradeoffs, procedures, and techniques for orbital assembly of the support structure of the microwave power transmission system and the radio astronomy telescope are described. Thermal and stress analyses, packaging, alignment, and subsystems requirements are included along with manned vs. automated and transportation tradeoffs. Technical and operational concepts for the manned and automated maintenance of satellites were investigated and further developed results are presented

Orbital assembly and maintenance study. Executive summary

A sound, practical approach for the assembly and maintenance of very large structures in space is presented. The methods and approaches for assembling two large structures are examined. The maintenance objectives include the investigation of methods to maintain five geosynchronous satellites. The two assembly examples are a 200-meter-diameter radio astronomy telescope and a 1,000-meter-diameter microwave power transmission system. The radio astronomy telescope operates at an 8,000-mile altitude and receives RF signals from space. The microwave power transmission system is part of a solar power satellite that will be used to transmit converted solar energy to microwave ground receivers. Illustrations are included