The Lord\u27s Anointed: Covenantal Kingship in Psalm 2 and Acts 4

This study examines the title “Christ” as applied to Jesus in Acts 4:25-27. “Christ” or “Anointed One” here is directly connected to Psalm 2:1-2, and ultimately derives from the royal anointing ceremony of Israel. That ceremony symbolizes a commitment by God to the monarch which is made most specific in the Davidic covenant. The Gospel of Luke uses the title “Christ” to connect these Davidic themes to Jesus. In Acts 4:25-27, “Christ” continues to signify Israel’s king backed by the Davidic covenant. The apostles’ reading of Psalm 2 provides a foundation for understanding their own recent persecution and for their hope that the opponents of the King they represent—like those in Psalm 2—will not prevail

Evaluating the Biomechanics of the Pediatric Foot in Turner Syndrome

Turner syndrome is a genetic disorder that can present clinically with multiple concurrent comorbidities. This case report describes a 12-year-old girl with Turner syndrome who was referred for podiatric medical assessment and explores the application of optoelectronic stereophotogrammetry in the biomechanical assessment of the foot and lower limb. A four-segment kinematic foot model using 14-mm reflective markers was applied to the foot and lower limb of the patient to track motion at the tibia, rearfoot, forefoot, and hallux. Kinematic results presented in this case study illustrate evidence of excessive foot pronation throughout the stance phase of gait. Whether excessive pronation is a general characteristic of foot function in Turner syndrome remains to be confirmed, but the findings presented suggest that a comprehensive evaluation of foot biomechanics in patients with Turner syndrome may be warranted

Neutron spectroscopy as a tool in catalytic science

Catalytic science currently has access to a range of advanced experimental methods for the study of molecular behaviour in chemical processes. Neutron spectroscopy, however, is uniquely placed to gain detailed insight into such systems, particularly through techniques such as vibrational spectroscopy with neutrons (INS) which gives access to vibrational modes unavailable to conventional spectroscopy techniques, and quasielastic neutron scattering (QENS) which studies molecular motion on a range of timescales. The present article illustrates the role of these techniques in advancing the field of catalysis. We first provide a brief introduction to the basic principles of the techniques, and then discuss their use in the study of three key catalytic systems: the behaviour of hydrocarbons confined in zeolite catalysts; the methanol-to-hydrocarbons process; and methane reforming. We demonstrate the importance of neutron spectroscopy in understanding established catalytic processes, but also consider its role in the design of future catalytic systems

Reservoir Memory Machines as Neural Computers

Differentiable neural computers extend artificial neural networks with an explicit memory without interference, thus enabling the model to perform classic computation tasks such as graph traversal. However, such models are difficult to train, requiring long training times and large datasets. In this work, we achieve some of the computational capabilities of differentiable neural computers with a model that can be trained very efficiently, namely an echo state network with an explicit memory without interference. This extension enables echo state networks to recognize all regular languages, including those that contractive echo state networks provably can not recognize. Further, we demonstrate experimentally that our model performs comparably to its fully-trained deep version on several typical benchmark tasks for differentiable neural computers.Comment: In print at the special issue 'New Frontiers in Extremely Efficient Reservoir Computing' of IEEE TNNL

The Language of End-of-Life Decision Making: A Simulation Study

Background: Framing is known to influence decision making. Objective: The study objective was to describe language used by physicians when discussing treatment options with a critically and terminally ill elder. Methods: High-fidelity simulation was used, involving an elder with end-stage cancer and life-threatening hypoxia, followed by a debriefing interview. Subjects were hospitalist, emergency medicine, and critical care physicians from three academic medical centers. Measures were observation of encounters in real time followed by content analysis of simulation and debriefing interview transcripts. During the simulation we identified the first mention (?broaching?) of principal treatment options?intubation and mechanical ventilation (life-sustaining treatment [LST]) and palliation in anticipation of death (palliation)?and used constant comparative methods to identify language used. We identified physician opinions about the use of LST in this clinical context during the debriefing interviews, and compared language used with opinions. Results: Among 114 physician subjects, 106 discussed LST, 86 discussed palliation, and 84 discussed both. We identified five frames: will (decided), must (necessary), should (convention), could (option), and ask (elicitation of preferences). Physicians broached LST differently than palliation (p<0.01), most commonly framing LST as necessary (53%), while framing palliation as optional (49%). Among physicians who framed LST as imperative (will or must), 16 (30%) felt intubation would be inappropriate in this clinical situation. Conclusions: In this high-fidelity simulation experiment involving a critically and terminally ill elder, the majority of physicians framed the available options in ways implying LST was the expected or preferred choice. Framing of treatment options could influence ultimate treatment decisions.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/140120/1/jpm.2015.0089.pd

New Concepts in Median Nail Dystrophy, Onychomycosis, and Hand, Foot, and Mouth Disease Nail Pathology

Nails are underutilized as diagnostic tools, despite being involved in many dermatologic conditions. This paper explores new concepts in the treatment of median nail dystrophy (MND), onychomycosis, and the nail pathology of hand, foot, and mouth disease (HFMD). A Pubmed database literature search was conducted for MND treatment, onychomycosis treatment, and HFMD nail pathology. Only papers published after January 2008 were reviewed. The results showed that 0.1% tacrolimus ointment can be an effective treatment for MND. Early studies on laser therapy indicate that it is a safe and efficacious treatment option for onychomycosis, compared to conventional oral antifungal agents. Vicks VapoRub (The Proctor & Gamble Company, Cincinnati, OH) is effective against onychomycosis and is a reasonable option in patients who choose to forgo conventional treatments. Lastly, there is evidence to support a correlation between HFMD and onychomadesis

Revision of the \u3cem\u3eMesobuthus caucasicus\u3c/em\u3e complex from Central Asia, with descriptions of six new species (Scorpiones: Buthidae)

A widespread Mesobuthus caucasicus complex, which includes some of the most common scorpions found from the Caucasus to China, is revised for the first time based on new extensive collections from Central Asia, using both morphological and DNA marker data. Mesobuthus caucasicus (Nordmann, 1840), s.str. is restricted to the Caucasus Mts. Four taxa are elevated to species rank: M. fuscus (Birula, 1897) (Tajikistan), M. intermedius (Birula, 1897) (Tajikistan), M. kaznakovi (Birula, 1904) (Tajikistan, Uzbekistan), and M. parthorum (Pocock, 1889) (Afghanistan, Iran, Turkmenistan). Six new species are described: M. brutus sp. n. (Iran), M. elenae sp. n. (Tajikistan, Uzbekistan), M. gorelovi sp. n. (Kazakhstan, Turkmenistan, Uzbekistan), M. kreuzbergi sp. n. (Tajikistan, Uzbekistan), M. mischi sp. n. (Afghanistan), and M. nenilini sp. n. (Uzbekistan). The most common species in Central Asia is a psammophilic Mesobuthus gorelovi sp. n., widespread through lowland sand deserts across Turkmenistan (Karakum), Uzbekistan (Kizylkum), and Kazakhstan (north to Baigakum and Moyinkum). A key to all studied species is provided. A DNA phylogeny based on COI and 16S rRNA markers is presented including nine Central Asian species (M. elenae sp. n., M. fuscus, M. gorelovi sp. n., M. intermedius, M. kaznakovi, M. kreuzbergi sp. n., M. mischi sp. n., M. nenilini sp. n., and M. parthorum) and M. caucasicus from Turkey. A deep phylogenetic diversity across Central Asia is revealed. Historical biogeographic scenarios for this scorpion group are discussed, including fragmentation in mountain valleys and expansion across sand deserts in Central Asia. The monotypic scorpion genus Afghanobuthus Lourenço, 2005 and its single species A. naumanni Lourenço, 2005, from Afghanistan, are demonstrated to be junior synonyms, respectively, of Mesobuthus Vachon, 1950, and M. parthorum (Pocock, 1889) from the same area

Physicians Use of Inclusive Sexual Orientation Language During Teenage Annual Visits

Purpose: Physicians are encouraged to use inclusive language regarding sexuality in order to help all adolescent patients feel accepted. Non-inclusive language by physicians may influence relationships with adolescent patients, especially those with still-developing sexual identities. The aim of this study was to identify patterns of physicians' use of inclusive and non-inclusive language when discussing sexuality. Method: A total of 393 conversations between 393 adolescents and 49 physicians from 11 clinics located throughout the Raleigh-Durham, North Carolina, area were audio recorded. Conversations were coded for the use of inclusive talk (language use that avoids the use of specific gender, sex, or sexual orientation language), direct non-inclusive talk (language use that assumes the teenager is heterosexual or exclusively engages in heterosexual sexual activity), and indirect non-inclusive talk (language use that frames talk heterosexually but does not pre-identify the adolescent as heterosexual). Results: Nearly two-thirds (63%, 245) of the visits contained some sexuality talk. Inclusive talk rarely occurred (3.3%) while non-inclusive language was predominant (48.1% direct and 48.6% indirect). There were no significant differences in language use by gender, age, adolescent race, or visit length. These non-significant findings suggest that all adolescents regardless of race, gender, or age are receiving non-inclusive sexuality talk from their providers. Conclusion: Physicians are missing opportunities to create safe environments for teenagers to discuss sexuality. The examples of inclusive talk from this study may provide potentially useful ways to teach providers how to begin sexuality discussions, focusing on sexual attraction or asking about friends' sexual behavior, and maintain these discussions.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/140157/1/lgbt.2014.0035.pd

Octane isomer dynamics in H-ZSM-5 as a function of Si/Al ratio:a quasi-elastic neutron scattering study

Dynamical behaviour of n-octane and 2,5-dimethylhexane in H-ZSM-5 zeolite catalysts of differing Si/Al ratios (15 and 140) was probed using quasi-elastic neutron scattering, to understand molecular shape and Brønsted acid site density effects on the behaviour of common species in the fluid catalytic cracking (FCC) process, where H-ZSM-5 is an additive catalyst. Between 300 and 400 K, n-octane displayed uniaxial rotation around its long axis. However, the population of mobile molecules was larger in H-ZSM-5(140), suggesting that the lower acid site concentration allows for more molecules to undergo rotation. The rotational diffusion coefficients were higher in H-ZSM-5(140), reflecting this increase in freedom. 2,5-dimethylhexane showed qualitative differences in behaviour to n-octane, with no full molecule rotation, probably due to steric hindrance in the constrictive channels. However, methyl group rotation in the static 2,5-dimethylhexane molecules was observed, with lower mobile fractions in H-ZSM-5(15), suggesting that this rotation is less hindered when fewer Brønsted sites are present. This was further illustrated by the lower activation barrier calculated for methyl rotation in H-ZSM-5(140). We highlight the significant immobilizing effect of isomeric branching in this important industrial catalyst and show how compositional changes of the zeolite can affect a range of dynamical behaviours of common FCC species upon adsorption