End of a Dark Age?

We argue that dark matter and dark energy phenomena associated with galactic rotation curves, X-ray cluster mass profiles, and type Ia supernova data can be accounted for via small corrections to idealized general relativistic spacetime geometries due to disordered locality. Accordingly, we fit THINGS rotation curve data rivaling modified Newtonian dynamics, ROSAT/ASCA X-ray cluster mass profile data rivaling metric-skew-tensor gravity, and SCP Union2.1 SN Ia data rivaling $\Lambda$CDM without non-baryonic dark matter or a cosmological constant. In the case of dark matter, we geometrically modify proper mass interior to the Schwarzschild solution. In the case of dark energy, we modify proper distance in Einstein-deSitter cosmology. Therefore, the phenomena of dark matter and dark energy may be chimeras created by an errant belief that spacetime is a differentiable manifold rather than a disordered graph.Comment: This version was accepted for publication in the International Journal of Modern Physics D; revised version of an essay that won Honorable Mention in the Gravity Research Foundation 2016 Awards for Essays on Gravitation. 10 pages, 3 figures. arXiv admin note: text overlap with arXiv:1509.0928

The Missing Mass Problem as a Manifestation of GR Contextuality

In Newtonian gravity, mass is an intrinsic property of matter while in general relativity (GR), mass is a contextual property of matter, i.e., matter can simultaneously possess two different values of mass when it is responsible for two different spatiotemporal geometries. Herein, we explore the possibility that the astrophysical missing mass attributed to non-baryonic dark matter (DM) actually obtains because we have been assuming the Newtonian view of mass rather than the GR view. Since an exact GR solution for realistic astrophysical situations is not feasible, we explore GR-motivated ansatzes relating proper mass and dynamic mass for one and the same baryonic matter, as justified by GR contextuality. We consider four GR alternatives and find that the GR ansatz motivated by metric perturbation theory works well in fitting galactic rotation curves (THINGS data), the mass profiles of X-ray clusters (ROSAT and ASCA data) and the angular power spectrum of the cosmic microwave background (CMB, Planck 2015 data) without DM. We compare our galactic rotation curve fits to modified Newtonian dynamics (MOND), Burkett halo DM and Navarro-Frenk-White (NFW) halo DM. We compare our X-ray cluster mass profile fits to metric skew-tensor gravity (MSTG) and core-modified NFW DM. We compare our CMB angular power spectrum fit to scalar-tensor-vector gravity (STVG) and $\Lambda$CDM. Overall, we find our fits to be comparable to those of MOND, MSTG, STVG, $\Lambda$CDM, Burkett, and NFW. We present and discuss correlations and trends for the best fit values of our fitting parameters. For the most part, the correlations are consistent with well-established results at all scales, which is perhaps surprising given the simple functional form of the GR ansatz.Comment: 18 pages text. Twice revised per referee/reviewer comments. Fit of CMB angular power spectrum and dark matter halo fits adde

Crystallographic and Magnetic Properties of the Spinel-type Ferrites ZnxCo1-xFe2O4 (0.0 <= x <= 0.75)

Ultrahigh frequencies (UHF) have applications in signal and power electronics to minimize product sizes, increase production quantity and lower manufacturing cost. In the UHF range of 300 MHz to 3 GHz, ferrimagnetic iron oxides (ferrites) are especially useful because they combine the properties of a magnetic material with that of an electrical insulator. Ferrites have much higher electrical resistivity than metallic ferromagnetic materials, resulting in minimization of the eddy current losses, and total penetration of the electromagnetic (EM) field. Hence ferrites are frequently applied as circuit elements, magnetic storage media like read/write heads, phase shifters and Faraday rotators. The electromagnetic properties of ferrites are affected by operating conditions such as field strength, temperature and frequency. The spinel system ZnxCo1-xFe2O4 (x= 0.0, 0.25, 0.50 and 0.75) has been prepared by the standard solid state sintering method. X-ray and neutron powder diffraction measurements were performed at room temperature. Neutron diffraction data analysis confirms the cubic symmetry corresponding to the space group Fd3m. The distribution of three cations Zn2+, Co2+ and Fe3+ over the spinel lattice and other crystallographic parameters like lattice constant, oxygen position parameter, overall temperature factor and occupancies of different ions in different lattice sites for the samples have been determined from the analysis of neutron diffraction data. The lattice constant increases with increasing Zn content in the system. The magnetic structure was found to be ferrimagnetic for the samples with x <= 0.50. Magnetization measurements show that with the increase of Zn content in the system the value of saturation magnetization first increases and then decreases. The variation of the magnetic moment with Zn substitution has been discussed in terms of the distribution of magnetic and non-magnetic ions over the A and B sub-lattices and their exchange coupling

Ka-Band Site Characterization of the NASA Near Earth Network in Svalbard, Norway

Critical to NASA s rapid migration toward Ka-Band is the comprehensive characterization of the communication channels at NASA's ground sites to determine the effects of the atmosphere on signal propagation and the network's ability to support various classes of users in different orbits. Accordingly, NASA has initiated a number of studies involving the ground sites of its Near Earth and Deep Space Networks. Recently, NASA concluded a memorandum of agreement (MOA) with the Norwegian Space Centre of the Kingdom of Norway and began a joint site characterization study to determine the atmospheric effects on Ka-Band links at the Svalbard Satellite Station in Norway, which remains a critical component of NASA s Near Earth Communication Network (NEN). System planning and design for Ka-band links at the Svalbard site cannot be optimally achieved unless measured attenuation statistics (e.g. cumulative distribution functions (CDF)) are obtained. In general, the CDF will determine the necessary system margin and overall system availability due to the atmospheric effects. To statistically characterize the attenuation statistics at the Svalbard site, NASA has constructed a ground-based monitoring station consisting of a multi-channel total power radiometer (25.5 - 26.5 GHz) and a weather monitoring station to continuously measure (at 1 second intervals) attenuation and excess noise (brightness temperature). These instruments have been tested in a laboratory environment as well as in an analogous outdoor climate (i.e. winter in Northeast Ohio), and the station was deployed in Svalbard, Norway in May 2011. The measurement campaign is planned to last a minimum of 3 years but not exceeding a maximum of 5 years

Assessment of Maternal Posttraumatic Stress Disorder Following Childbirth: Psychometric Properties of the Swedish Version of City Birth Trauma Scale

Objective: City Birth Trauma Scale is an instrument designed to evaluate and diagnose postpartum posttraumatic stress disorder (PTSD) according to the 5th edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5). No validated Swedish instrument exists to measure postpartum PTSD according to DSM-5. Therefore, the objective of this study was to assess the psychometric properties of the Swedish version of the City BiTS (City BiTS-Swe) and to examine the latent factor structure of postpartum PTSD. Method: A total of 619 women, who had given birth at five clinics in the past six to 16 weeks, completed an online version of City BiTS-Swe and the Edinburgh Postnatal Depression Scale (EPDS). Additionally, sociodemographic and medical data was collected. A second questionnaire was answered by 110 women to examine reliability over time. Results: The confirmatory factor analysis using the two-factor model gave best fit to the data. We found a high internal consistency (α = 0.89-0.87) and good test-retest reliability (ICC = 0.53 - 0.90). Divergent reliability with EPDS showed significant correlations with satisfying results for the subscale birth-related symptoms (r=0.41). We also found discriminant validity concerning mode of birth, parity, gestational age, mental illness, history of traumatic childbirth and history of traumatic event as expected. Conclusions: The City BiTS-Swe is a valid and reliable instrument to assess and diagnose PTSD following childbirth. Clinical impact statement: PTSD following childbirth can cause considerable suffering for the affected woman, her partner and the child. Having a valid and reliable instrument to assess and diagnose childbirth-related PTSD is of great importance for the detection and treatment of the disease. The results of this study confirms that the Swedish version of City BiTS is a reliable and valid instrument that can be recommended for use in daily clinical practice and for research purposes

Family Perceptions of Palliative Care and Communication in the Surgical Intensive Care Unit

Few data exist on palliative care for trauma and acute care surgery patients. This pilot study evaluated family perceptions and experiences around palliative care in a surgical intensive care unit (SICU) via mixed methods interviews conducted from February 1, 2020, to March 5, 2020, with 5 families of patients in the SICU. Families emphasized the importance of clear, honest communication, and inclusiveness in decision-making. Many interviewees were unable to recall whether goals-of-care discussions had occurred, and most lacked understanding of the patients’ illnesses. This study highlights the significance of frequent communication and goals-of-care discussions in the SICU

The long-term impact of the MEMA kwa Vijana adolescent sexual and reproductive health intervention: effect of dose and time since intervention exposure.

BACKGROUND: Despite recent decreases in HIV incidence in many sub-Saharan African countries, there is little evidence that specific behavioural interventions have led to a reduction in HIV among young people. Further and wider-scale decreases in HIV require better understanding of when behaviour change occurs and why. The MEMA kwa Vijana adolescent sexual and reproductive health intervention has been implemented in rural Mwanza, Tanzania since 1999. A long-term evaluation in 2007/8 found that the intervention improved knowledge, attitudes to sex and some reported risk behaviours, but not HIV or HSV2 prevalence. The aim of this paper was to assess the differential impact of the intervention according to gender, age, marital status, number of years of exposure and time since last exposure to the intervention. METHODS: In 2007, a cross-sectional survey was conducted in the 20 trial communities among 13,814 young people (15-30 yrs) who had attended intervention or comparison schools between 1999 and 2002. Outcomes for which the intervention had an impact in 2001 or 2007 were included in this subgroup analysis. Data were analysed using cluster-level methods for stratified cluster-randomised trials, using interaction tests to determine if intervention impact differed by subgroup. RESULTS: Taking into account multiplicity of testing, concurrence with a priori hypotheses and consistency within the results no strong effect-modifiers emerged. Impact on pregnancy knowledge and reported attitudes to sex increased with years of exposure to high-quality intervention. CONCLUSIONS: The desirable long-term impact of the MEMA kwa Vijana intervention did not vary greatly according to the subgroups examined. This suggests that the intervention can have an impact on a broad cross-section of young people in rural Mwanza. TRIAL REGISTRATION: ClinicalTrials.gov NCT00248469

Genetic markers of insulin sensitivity and insulin secretion are associated with spontaneous postnatal growth and response to growth hormone treatment in short SGA children: the North European SGA Study (NESGAS).

PURPOSE: The wide heterogeneity in the early growth and metabolism of children born small for gestational age (SGA), both before and during GH therapy, may reflect common genetic variations related to insulin secretion or sensitivity. METHOD: Combined multiallele single nucleotide polymorphism scores with known associations with insulin sensitivity or insulin secretion were analyzed for their relationships with spontaneous postnatal growth and first-year responses to GH therapy in 96 short SGA children. RESULTS: The insulin sensitivity allele score (GS-InSens) was positively associated with spontaneous postnatal weight gain (regression coefficient [B]: 0.12 SD scores per allele; 95% confidence interval [CI], 0.01-0.23; P = .03) and also in response to GH therapy with first-year height velocity (B: 0.18 cm/y per allele; 95% CI, 0.02-0.35; P = .03) and change in IGF-1 (B: 0.17 SD scores per allele; 95% CI, 0.00-0.32; P = .03). The association with first-year height velocity was independent of reported predictors of response to GH therapy (adjusted P = .04). The insulin secretion allele score (GS-InSec) was positively associated with spontaneous postnatal height gain (B: 0.15; 95% CI, 0.01-0.30; P = .03) and disposition index both before (B: 0.02; 95% CI, 0.00-0.04; P = .04) and after 1 year of GH therapy (B: 0.03; 95% CI, 0.01-0.05; P = .002), but not with growth and IGF-1 responses to GH therapy. Neither of the allele scores was associated with size at birth. CONCLUSION: Genetic allele scores indicative of insulin sensitivity and insulin secretion were associated with spontaneous postnatal growth and responses to GH therapy in short SGA children. Further pharmacogenetic studies may support the rationale for adjuvant therapies by informing the mechanisms of treatment response.This study was funded by a research grant from The Danish Council for Independent Research/ Medical Sciences and a research grant from Novo Nordisk A/S.This is the accepted manuscript. The final version is available at http://dx.doi.org/10.1210/jc.2014-3469

Incidence of WHO stage 3 and 4 conditions following initiation of Anti-Retroviral Therapy in resource limited settings

To determine the incidence of WHO clinical stage 3 and 4 conditions during early anti-retroviral therapy (ART) in resource limited settings (RLS)