A sediment trap experiment in the Vema Channel to evaluate the effect of horizontal particle fluxes on measured vertical fluxes

Sediment traps are used to measure fluxes and collect samples for studies in biology, chemistry and geology, yet we have much to learn about factors that influence particle collection rates. Toward this end, we deployed cylindrical sediment traps on five current meter moorings across the Vema Channel to field-test the effect of different horizontal particle fluxes on the collection rate of the traps— instruments intended for the collection of vertically settling particles. The asymmetric flow of Antarctic Bottom Water through the Vema Channel created an excellent natural flume environment in which there were vertical and lateral gradients in the distribution of both horizontal velocity and particle concentration and, therefore, the resulting horizontal flux. Horizontal effects were examined by comparing quantities of collected material (apparent vertical fluxes) with the horizontal fluxes of particles past each trap. We also looked for evidence of hydrodynamic biases by comparing and contrasting the composition of trap material based on particle size and the concentration of Al, Si, Ca, Mg, Mn, Corg and CaCO3. Experimental inverted traps and traps with only side openings were deployed to test a hypothesis of how particles are collected in traps. The vertical flux of surface-water particles should have been relatively uniform over the 45 km region of the mooring locations, so if horizontal transport contributed significantly to collection rates in traps, the calculated trap fluxes should be correlated positively with the horizontal flux. If the horizontal flow caused undertrapping, there should be a negative correlation with velocity or Reynolds number. The gross horizontal flux past different traps varied by a factor of 37, yet the quantity collected by the traps differed by only a factor of 1.4. The calculated horizontal fluxes were 2–4 orders of magnitude larger than the measured apparent vertical fluxes. Mean velocities past the traps ranged from 1–22 cm s−1 (Reynolds numbers of 3,500–43,000 for these traps with a diameter of 30.5 cm and an aspect ratio of ≈3) and showed no statistically significant relationship to the apparent vertical flux. We conclude that at current speeds measured in a very large portion of the world\u27s oceans, vertical fluxes measured with moored, cylindrical traps should exhibit little effect from horizontal currents

Optical techniques for remote and in-situ characterization of particles pertinent to GEOTRACES

Field and laboratory characterization of marine particles is laborious and expensive. Proxies of particle properties have been developed that allow researchers to obtain high frequency distributions of such properties in space or time. We focus on optical techniques used to characterize marine particles in-situ, with a focus on GEOTRACES-relevant properties, such as bulk properties including particle mass, cross-sectional area, particle size distribution, particle shape information, and also single particle optical properties, such as individual particle type and size. We also address the use of optical properties of particles to infer particulate organic or inorganic carbon. In addition to optical sensors we review advances in imaging technology and its use to study marine particles in situ. This review addresses commercially available technology and techniques that can be used as a proxy for particle properties and the associated uncertainties with particular focus to open ocean environments, the focus of GEOTRACES

Model-based remote sensing algorithms for particulate organic carbon (POC) in the Northeastern Gulf of Mexico

Hydrographic data, including particulate organic carbon (POC) from the Northeastern Gulf of Mexico (NEGOM) study, were combined with remotely-sensed SeaWiFS data to estimate POC concentration using principal component analysis (PCA). The spectral radiance was extracted at each NEGOM station, digitized, and averaged. The mean value and spurious trends were removed from each spectrum. De-trended data included six wavelengths at 58 stations. The correlation between the weighting factors of the first six eigenvectors and POC concentration were applied using multiple linear regression. PCA algorithms based on the first three, four, and five modes accounted for 90, 95, and 98% of total variance and yielded significant correlations with POC with R2 = 0.89, 0.92, and 0.93. These full waveband approaches provided robust estimates of POC in various water types. Three different analyses (root mean square error, mean ratio and standard deviation) showed similar error estimates, and suggest that spectral variations in the modes defined by just the first four characteristic vectors are closely correlated with POC concentration, resulting in only negligible loss of spectral information from additional modes. The use of POC algorithms greatly increases the spatial and temporal resolution for interpreting POC cycling and can be extrapolated throughout and perhaps beyond the area of shipboard sampling

Multispectral remote-sensing algorithms for particulate organic carbon (POC): The Gulf of Mexico

To greatly increase the spatial and temporal resolution for studying carbon dynamics in the marine environment, we have developed remote-sensing algorithms for particulate organic carbon (POC) by matching in situ POC measurements in the Gulf of Mexico with matching SeaWiFS remote-sensing reflectance. Data on total particulate matter (PM) as well as POC collected during nine cruises in spring, summer and early winter from 1997-2000 as part of the Northeastern Gulf of Mexico (NEGOM) study were used to test algorithms across a range of environments from low %POC coastal waters to high %POC open-ocean waters. Finding that the remote-sensing reflectance clearly exhibited a peak shift from blue-to-green wavelengths with increasing POC concentration, we developed a Maximum Normalized Difference Carbon Index (MNDCI) algorithm which uses the maximum band ratio of all available blue-to-green wavelengths, and provides a very robust estimate over a wide range of POC and PM concentrations (R2 = 0.99, N = 58). The algorithm can be extrapolated throughout the region of shipboard sampling for more detailed coverage and analysis

The Iowa Homemaker vol.20, no.1

Recreation that Recreates, Editor, page 1 Dual Personalities, Catherine Raymond, page 2 Married Right Out of College, Mary Ellen Lynch Brown, page 3 Sally Bows to Summer’s Sun, Kathryn Cooley, page 4 Selling Yourself, Kathryn Monson, page 6 I Want a Cotton Dress, Marcia E. Turner, page 7 Playtime Pays Dividends, Jane Wiley, page 8 Behind Closed Doors, Margaret Kumlien, page 9 Sunshine Sports, Jeanette Woodward, page 10 Packing the Convention Bag, Shirley Ambrose, page 11 What’s New in Home Economics, page 12 Veishea Presents, Adelaide Richardson, page 14 Picnic Basket, Dorothy Jo Weber, page 16 Alums in the News, Bette Simpson, page 17 Make Room for Music, Nancy Mason, page 18 Behind Bright Jackets, Betty Bice, page 20 Journalistic Spindles, Dorothy Anne Roost, page 23 Biography of a Home Economist, Eleanor White, page 2

Design and methods for a randomized clinical trial comparing three outreach efforts to improve screening mammography adherence

<p>Abstract</p> <p>Background</p> <p>Despite the demonstrated need to increase screening mammography utilization and strong evidence that mail and telephone outreach to women can increase screening, most managed care organizations have not adopted comprehensive outreach programs. The uncertainty about optimum strategies and cost effectiveness have retarded widespread acceptance. While 70% of women report getting a mammogram within the prior 2 years, repeat mammography rates are less than 50%. This 5-year study is conducted though a Central Massachusetts healthcare plan and affiliated clinic. All womenhave adequate health insurance to cover the test.</p> <p>Methods/Design</p> <p>This randomized study compares 3 arms: reminder letter alone; reminder letter plus reminder call; reminder letter plus a second reminder and booklet plus a counselor call. All calls provide women with the opportunity to schedule a mammogram in a reasonable time. The invention period will span 4 years and include repeat attempts. The counselor arm is designed to educate, motivate and counsel women in an effort to alleviate PCP burden.</p> <p>All women who have been in the healthcare plan for 24 months and who have a current primary care provider (PCP) and who are aged 51-84 are randomized to 1 of 3 arms. Interventions are limited to women who become ≥18 months from a prior mammogram. Women and their physicians may opt out of the intervention study.</p> <p>Measurement of completed mammograms will use plan billing records and clinic electronic records. The primary outcome is the proportion of women continuously enrolled for ≥24 months who have had ≥1 mammogram in the last 24 months. Secondary outcomes include the number of women who need repeat interventions. The cost effectiveness analysis will measure all costs from the provider perspective.</p> <p>Discussion</p> <p>So far, 18,509 women aged 51-84 have been enrolled into our tracking database and were randomized into one of three arms. At baseline, 5,223 women were eligible for an intervention. We anticipate that the outcome will provide firm data about the maximal effectiveness as well as the cost effectiveness of the interventions both for increasing the mammography rate and the repeat mammography rate.</p> <p>Trial registration</p> <p><url>http://clinicaltrials.gov/</url><a href="http://www.clinicaltrials.gov/ct2/show/NCT01332032">NCT01332032</a></p

Procalcitonin Is Not a Reliable Biomarker of Bacterial Coinfection in People With Coronavirus Disease 2019 Undergoing Microbiological Investigation at the Time of Hospital Admission

Abstract Admission procalcitonin measurements and microbiology results were available for 1040 hospitalized adults with coronavirus disease 2019 (from 48 902 included in the International Severe Acute Respiratory and Emerging Infections Consortium World Health Organization Clinical Characterisation Protocol UK study). Although procalcitonin was higher in bacterial coinfection, this was neither clinically significant (median [IQR], 0.33 [0.11–1.70] ng/mL vs 0.24 [0.10–0.90] ng/mL) nor diagnostically useful (area under the receiver operating characteristic curve, 0.56 [95% confidence interval, .51–.60]).</jats:p

Implementation of corticosteroids in treating COVID-19 in the ISARIC WHO Clinical Characterisation Protocol UK:prospective observational cohort study

BACKGROUND: Dexamethasone was the first intervention proven to reduce mortality in patients with COVID-19 being treated in hospital. We aimed to evaluate the adoption of corticosteroids in the treatment of COVID-19 in the UK after the RECOVERY trial publication on June 16, 2020, and to identify discrepancies in care. METHODS: We did an audit of clinical implementation of corticosteroids in a prospective, observational, cohort study in 237 UK acute care hospitals between March 16, 2020, and April 14, 2021, restricted to patients aged 18 years or older with proven or high likelihood of COVID-19, who received supplementary oxygen. The primary outcome was administration of dexamethasone, prednisolone, hydrocortisone, or methylprednisolone. This study is registered with ISRCTN, ISRCTN66726260. FINDINGS: Between June 17, 2020, and April 14, 2021, 47 795 (75·2%) of 63 525 of patients on supplementary oxygen received corticosteroids, higher among patients requiring critical care than in those who received ward care (11 185 [86·6%] of 12 909 vs 36 415 [72·4%] of 50 278). Patients 50 years or older were significantly less likely to receive corticosteroids than those younger than 50 years (adjusted odds ratio 0·79 [95% CI 0·70–0·89], p=0·0001, for 70–79 years; 0·52 [0·46–0·58], p80 years), independent of patient demographics and illness severity. 84 (54·2%) of 155 pregnant women received corticosteroids. Rates of corticosteroid administration increased from 27·5% in the week before June 16, 2020, to 75–80% in January, 2021. INTERPRETATION: Implementation of corticosteroids into clinical practice in the UK for patients with COVID-19 has been successful, but not universal. Patients older than 70 years, independent of illness severity, chronic neurological disease, and dementia, were less likely to receive corticosteroids than those who were younger, as were pregnant women. This could reflect appropriate clinical decision making, but the possibility of inequitable access to life-saving care should be considered. FUNDING: UK National Institute for Health Research and UK Medical Research Council

Significant benefits of AIP testing and clinical screening in familial isolated and young-onset pituitary tumors

Context Germline mutations in the aryl hydrocarbon receptor-interacting protein (AIP) gene are responsible for a subset of familial isolated pituitary adenoma (FIPA) cases and sporadic pituitary neuroendocrine tumors (PitNETs). Objective To compare prospectively diagnosed AIP mutation-positive (AIPmut) PitNET patients with clinically presenting patients and to compare the clinical characteristics of AIPmut and AIPneg PitNET patients. Design 12-year prospective, observational study. Participants & Setting We studied probands and family members of FIPA kindreds and sporadic patients with disease onset ≤18 years or macroadenomas with onset ≤30 years (n = 1477). This was a collaborative study conducted at referral centers for pituitary diseases. Interventions & Outcome AIP testing and clinical screening for pituitary disease. Comparison of characteristics of prospectively diagnosed (n = 22) vs clinically presenting AIPmut PitNET patients (n = 145), and AIPmut (n = 167) vs AIPneg PitNET patients (n = 1310). Results Prospectively diagnosed AIPmut PitNET patients had smaller lesions with less suprasellar extension or cavernous sinus invasion and required fewer treatments with fewer operations and no radiotherapy compared with clinically presenting cases; there were fewer cases with active disease and hypopituitarism at last follow-up. When comparing AIPmut and AIPneg cases, AIPmut patients were more often males, younger, more often had GH excess, pituitary apoplexy, suprasellar extension, and more patients required multimodal therapy, including radiotherapy. AIPmut patients (n = 136) with GH excess were taller than AIPneg counterparts (n = 650). Conclusions Prospectively diagnosed AIPmut patients show better outcomes than clinically presenting cases, demonstrating the benefits of genetic and clinical screening. AIP-related pituitary disease has a wide spectrum ranging from aggressively growing lesions to stable or indolent disease course

International genome-wide meta-analysis identifies new primary biliary cirrhosis risk loci and targetable pathogenic pathways.

Primary biliary cirrhosis (PBC) is a classical autoimmune liver disease for which effective immunomodulatory therapy is lacking. Here we perform meta-analyses of discovery data sets from genome-wide association studies of European subjects (n=2,764 cases and 10,475 controls) followed by validation genotyping in an independent cohort (n=3,716 cases and 4,261 controls). We discover and validate six previously unknown risk loci for PBC (Pcombined<5 × 10(-8)) and used pathway analysis to identify JAK-STAT/IL12/IL27 signalling and cytokine-cytokine pathways, for which relevant therapies exist