Owning your own home: reality or myth

The focus of the white paper will be to highlight the housing challenges that people in the New England region and in the United States face. Affordability, sustainability, people needs, societal needs, environmental needs, economic incentives and impact of government policies are just a few of the topics that will be explored

Robert Henry, Associate Professor of Civil Engineering, CEPS travels to South Africa

As the director of several STEM based camps at UNH, Prof. Henry helped organized and participated in the Girls Winter Camp in Johannesburg, South Africa

Elastic analysis of shear test plate

March, 1970.CER70-71RHJ-MDV19.Includes bibliographical references

Neural Systems Governed by Nicotinic Acetylcholine Receptors: Emerging Hypotheses

Cholinergic neurons and nicotinic acetylcholine receptors (nAChRs) in the brain participate in diverse functions: reward, learning and memory, mood, sensory processing, pain, and neuroprotection. Nicotinic systems also have well-known roles in drug abuse. Here, we review recent insights into nicotinic function, linking exogenous and endogenous manipulations of nAChRs to alterations in synapses, circuits, and behavior. We also discuss how these contemporary advances can motivate attempts to exploit nicotinic systems therapeutically in Parkinson's disease, cognitive decline, epilepsy, and schizophrenia

Wind Structure in Winter Storms

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/77570/1/AIAA-511-343.pd

BUMC Annual Report

Annual report of the Boston University Medical Center

REACH Cost Analysis

In this report, we present a cost analysis of Raising Educational Achievement Coalition of Harlem (REACH), a partnership between Teachers College, Columbia University, and five high-needs schools in Harlem, New York City. A rigorous cost analysis can help illuminate the resources used to implement its theory of action, in addition to contextualizing the size of measured effects in a broader implementation framework and helping decision-makers select among alternative uses of scarce resources. REACH entails deep collaboration between schools and program staff in five key areas: Leadership, Teaching and Learning, Expanded Learning Opportunities, Physical and Mental Health, and Family and Community Engagement. The program supports schools in achieving their goals for student learning by utilizing university and community resources, including research from faculty, and graduate student assistants working as interns or volunteers in exchange for hands-on learning experiences. We used the ingredients method for cost analysis, documenting all resources utilized to operationalize the program’s theory of action regardless of whether each resource has a monetary cost or who pays for or provides the resource, in order to fully capture the economic or opportunity cost of the program. We obtained data on ingredients from program documentation, a detailed report on program implementation, and interviews and personal communications with program staff. In 2016-17, REACH cost $2,732,960, or$1,560 per student, with substantial variation by school site, domain of REACH, type of ingredient, and source of ingredient and associated funding. We supplement this analysis with a case study of the Teachers College Community School and sensitivity analysis. While the costs of REACH are substantial, the program itself is comprehensive and wide-reaching; further study should compare the costs of REACH to measured effects in a variety of areas, including student test scores, and behavioral, health, and socioemotional learning outcomes

Frailty in the critically ill: a novel concept

The concept of frailty has been defined as a multidimensional syndrome characterized by the loss of physical and cognitive reserve that predisposes to the accumulation of deficits and increased vulnerability to adverse events. Frailty is strongly correlated with age, and overlaps with and extends aspects of a patient's disability status (that is, functional limitation) and/or burden of comorbid disease. The frail phenotype has more specifically been characterized by adverse changes to a patient's mobility, muscle mass, nutritional status, strength and endurance. We contend that, in selected circumstances, the critically ill patient may be analogous to the frail geriatric patient. The prevalence of frailty amongst critically ill patients is currently unknown; however, it is probably increasing, based on data showing that the utilization of intensive care unit (ICU) resources by older people is rising. Owing to the theoretical similarities in frailty between geriatric and critically ill patients, this concept may have clinical relevance and may be predictive of outcomes, along with showing important interaction with several factors including illness severity, comorbid disease, and the social and structural environment. We believe studies of frailty in critically ill patients are needed to evaluate how it correlates with outcomes such as survival and quality of life, and how it relates to resource utilization, such as length of mechanical ventilation, ICU stay and duration of hospitalization. We hypothesize that the objective measurement of frailty may provide additional support and reinforcement to clinicians confronted with end-of-life decisions on the appropriateness of ICU support and/or withholding of life-sustaining therapies