Single-object Imaging and Spectroscopy to Enhance Dark Energy Science from LSST

Single-object imaging and spectroscopy on telescopes with apertures ranging from ~4 m to 40 m have the potential to greatly enhance the cosmological constraints that can be obtained from LSST. Two major cosmological probes will benefit greatly from LSST follow-up: accurate spectrophotometry for nearby and distant Type Ia supernovae will expand the cosmological distance lever arm by unlocking the constraining power of high-z supernovae; and cosmology with time delays of strongly-lensed supernovae and quasars will require additional high-cadence imaging to supplement LSST, adaptive optics imaging or spectroscopy for accurate lens and source positions, and IFU or slit spectroscopy to measure detailed properties of lens systems. We highlight the scientific impact of these two science drivers, and discuss how additional resources will benefit them. For both science cases, LSST will deliver a large sample of objects over both the wide and deep fields in the LSST survey, but additional data to characterize both individual systems and overall systematics will be key to ensuring robust cosmological inference to high redshifts. Community access to large amounts of natural-seeing imaging on ~2-4 m telescopes, adaptive optics imaging and spectroscopy on 8-40 m telescopes, and high-throughput single-target spectroscopy on 4-40 m telescopes will be necessary for LSST time domain cosmology to reach its full potential. In two companion white papers we present the additional gains for LSST cosmology that will come from deep and from wide-field multi-object spectroscopy.Comment: Submitted to the call for Astro2020 science white paper

Managing terror when self-worth and worldviews collide: Evidence that mortality salience increases reluctance to self-enhance beyond authorities.

a b s t r a c t Terror management theory posits that one's self-esteem and worldview operate jointly to manage mortality concerns. Accordingly, past research shows that mortality salience (MS) increases selfenhancement and worldview defense. The current research is the first to examine MS effects when self-enhancement threatens to undermine aspects of the worldview, in this case the credibility and status of worldview-representative authorities. MS led to reluctance to self-enhance following positive personality test feedback when the test was judged negatively by institutional authorities (Study 1a), as well as unwillingness to contradict self-esteem threatening feedback sanctioned by authorities (Study 1b). Mortality salient participants also rated themselves higher on valued dimensions unless it meant viewing themselves more positively than their parents (Study 2) and admired political icons (Study 3). Taken together, these results show that MS increases self-enhancement unless doing so challenges important representatives of the worldview. Theoretical and practical implications are discussed

The critical detection distance for passively tracking tagged fish using a fixed radio telemetry station in a small stream

Background: Fixed radio telemetry stations are used to study the movement ecology of fishes in streams and rivers. A common assumption of such studies is that detection efficiency remains constant through space and time. The objective of this study was to understand how site characteristics and tag distance can influence the detection efficiency of a fixed receiver when used for fisheries research in a small stream. Field tests included a fixed receiver station on Forty Mile Creek, in Banff National Park, AB, Canada that recorded signals from radio tags over specified distances (i.e., 0 m, 27 m, 53 m, 80 m) within the expected detection range from July to October, 2016. Model selection was used to test which parameters may influence detection efficiency. Results: The fixed receiver was able to record an average of 89% of transmissions over the study period. Detection efficiency was greater or equal to 0.97 at tag di

The prognostic value of national early warning scores (NEWS) during transfer of care from community settings to hospital:a retrospective service evaluation

Background: The National Early Warning Score (NEWS) calculated from physiological observations provides a simple away to identify and respond to the deteriorating patient. There is increasing interest in the application of NEWS to facilitate referrals from the community. Aim: To establish whether elevated NEWS are associated with adverse outcomes at 5 and 30 days when obtained in a community setting at the time of transfer to an acute setting. Design & Setting: A retrospective service evaluation was undertaken using a database of emergency admissions to secondary care from two NHS district general hospitals within the South of England between January 2018 and April 2019. Method: The performance of NEWS recorded in a community setting to predict death or critical care admission at 5 and 30 days was calculated using established thresholds. Results: 2786 referrals from primary care were analysed. The 5 day and 30 day mortality was 2.2% (1.7 to 2.8) and 7.1% (6.2 to 8.1). The prevalence of the composite outcome was 3.4% (2.8 to 4.2) at 5 days and 8.5% (7.5 to 9.6) at 30 days. The risk of adverse outcomes increased incrementally with increasing NEWS. When calculated at the point of referral from primary care the positive predictive value of death at 5 and 30 days was 15% (95% confidence intervals [CI] = 12 to 19) and 23% (95% CI = 17 to 30) in the high-risk NEWS group. Conclusion: Elevated NEWS obtained in the community during the process of emergency admission are associated with adverse outcomes. Communicating NEWS may allow downstream care to be better calibrated to risk.</p

The TFOS International Workshop on Contact Lens Discomfort: Introduction

Nichols, J. J., Jones, L., Nelson, J. D., Stapleton, F., Sullivan, D. A., & Willcox, M. D. P. (2013). The TFOS International Workshop on Contact Lens Discomfort: Introduction. Investigative Opthalmology & Visual Science, 54(11), TFOS1. https://doi.org/10.1167/iovs.13-13195For many years, the contact lens field had focused on safety associated with contact lens wear—and for good reason, given the lack of understanding of the risk factors and etiology of serious complications such as microbial keratitis. However, as knowledge came to light on these complications through the 1980s and 1990s, it allowed for practitioners to become more comfortable managing these complications, along with the introduction of products that helped reduce or prevent some of these problems. It was during this time, beginning in the mid-1980s, that the field itself became cognizant of the issues associated with comfort, or discomfort, during contact lens wear. Since that time, we have witnessed the field (and industry) shift its attention toward understanding the issue of contact lens discomfort (CLD). Contact lens discomfort is a substantial and burdensome problem experienced frequently by contact lens wearers. It is well established that most contact lens wearers experience CLD, at least occasionally, although many experience CLD to such a severity that they feel compelled to alter their wearing habits. Common, although palliative at best, treatments include the periodic use of rewetting drops, contact lens removal, contact lens refitting (using different lens designs or materials or replacement schedules), and changes in the contact lens care solutions or regimens, in addition to other less commonly used approaches including topical or systemic medications, alterations in diet, and punctal plugs. Ultimately, CLD is the primary factor associated with permanent discontinuation from contact lens wear. Given the importance of the issue of CLD to both patients and practitioners alike, the time was right to move the field forward by taking steps to bring global consensus to our current understanding of this condition.Supported by unrestricted financial support from Alcon (title sponsor), Allergan, Bausch & Lomb, Santen, Menicon, Vistakon, Laboratoires Théa, Optima, Oculus, CooperVision, and Contact Lens Spectrum

Design Considerations for Wheelchairs Used in Adverse Conditions

This document was created to guide wheelchair designers, manufacturers, providers, users and their caregivers on design considerations for wheelchairs used in adverse environments, especially those encountered in less-resourced areas. The need for this document was identified as a high priority by the Standards Working Group (SWG) of the International Society for Wheelchair Professionals. The SWG noted that the WHO Guidelines on the Provision of Manual Wheelchairs for Less Resourced Settings provided the general guidance for the design and production of appropriate wheelchairs but lacked detailed information stakeholders need to avoid the common pitfalls for designing wheelchairs where resources are limited and conditions are adverse. A subcommittee of the SWG was formed to draft the document, and the SWG and external reviewers provided feedback remotely and during an in-person meeting hosted by UCP Wheels for Humanity in 2016

American Clinical Neurophysiology Society Guideline 1: Minimum Technical Requirements for Performing Clinical Electroencephalography

PublishedN/

Principles of Good Practice for Budget Impact Analysis: Report of the ISPOR Task Force on Good Research Practices—Budget Impact Analysis

AbstractObjectiveThere is growing recognition that a comprehensive economic assessment of a new health-care intervention at the time of launch requires both a cost-effectiveness analysis (CEA) and a budget impact analysis (BIA). National regulatory agencies such as the National Institute for Health and Clinical Excellence in England and Wales and the Pharmaceutical Benefits Advisory Committee in Australia, as well as managed care organizations in the United States, now require that companies submit estimates of both the cost-effectiveness and the likely impact of the new health-care interventions on national, regional, or local health plan budgets. Although standard methods for performing and presenting the results of CEAs are well accepted, the same progress has not been made for BIAs. The objective of this report is to present guidance on methodologies for those undertaking such analyses or for those reviewing the results of such analyses.MethodsThe Task Force was appointed with the advice and consent of the Board of Directors of ISPOR. Members were experienced developers or users of budget impact models, worked in academia, industry, and as advisors to governments, and came from several countries in North America, Oceana, Asia, and Europe. The Task Force met to develop core assumptions and an outline before preparing a draft report. They solicited comments on the outline and two drafts from a core group of external reviewers and more broadly from the membership of ISPOR at two ISPOR meetings and via the ISPOR web site.ResultsThe Task Force recommends that the budget impact of a new health technology should consider the perspective of the specific health-care decision-maker. As such, the BIA should be performed using data that reflect, for a specific health condition, the size and characteristics of the population, the current and new treatment mix, the efficacy and safety of the new and current treatments, and the resourceuse and costs for the treatments and symptoms as would apply to the population of interest. The Task Force recommends that budget impact analyses be generated as a series of scenario analyses in the same manner that sensitivity analyses would be provided for CEAs. In particular, the input values for the calculation and the specific cost outcomes presented (a scenario) should be specific to a particular decision-maker's population and information needs. Sensitivity analysis should also be in the form of alternative scenarios chosen from the perspective of the decision-maker. The primary data sources for estimating the budget impact should be published clinical trial estimates and comparator studies for efficacy and safety of current and new technologies as well as, where possible, the decision-maker's own population for the other parameter estimates. Suggested default data sources also are recommended. These include the use of published data, well-recognized local or national statistical information and in special circumstances, expert opinion. Finally, the Task Force recommends that the analyst use the simplest design that will generate credible and transparent estimates. If a health condition model is needed for the BIA, it should reflect health outcomes and their related costs in the total affected population for each year after the new intervention is introduced into clinical practice. The model should be consistent with that used for the CEA with regard to clinical and economic assumptions.ConclusionThe BIA is important, along with the CEA, as part of a comprehensive economic evaluation of a new health technology. We propose a framework for creating budget impact models, guidance about the acquisition and use of data to make budget projections and a common reporting format that will promote standardization and transparency. Adherence to these proposed good research practice principles would not necessarily supersede jurisdiction-specific budget impact guidelines, but may support and enhance localrecommendations or serve as a starting point for payers wishing to promulgate methodology guidelines

Wide-field Multi-object Spectroscopy to Enhance Dark Energy Science from LSST

LSST will open new vistas for cosmology in the next decade, but it cannot reach its full potential without data from other telescopes. Cosmological constraints can be greatly enhanced using wide-field ($>20$ deg$^2$ total survey area), highly-multiplexed optical and near-infrared multi-object spectroscopy (MOS) on 4-15m telescopes. This could come in the form of suitably-designed large surveys and/or community access to add new targets to existing projects. First, photometric redshifts can be calibrated with high precision using cross-correlations of photometric samples against spectroscopic samples at $0 < z < 3$ that span thousands of sq. deg. Cross-correlations of faint LSST objects and lensing maps with these spectroscopic samples can also improve weak lensing cosmology by constraining intrinsic alignment systematics, and will also provide new tests of modified gravity theories. Large samples of LSST strong lens systems and supernovae can be studied most efficiently by piggybacking on spectroscopic surveys covering as much of the LSST extragalactic footprint as possible (up to $\sim20,000$ square degrees). Finally, redshifts can be measured efficiently for a high fraction of the supernovae in the LSST Deep Drilling Fields (DDFs) by targeting their hosts with wide-field spectrographs. Targeting distant galaxies, supernovae, and strong lens systems over wide areas in extended surveys with (e.g.) DESI or MSE in the northern portion of the LSST footprint or 4MOST in the south could realize many of these gains; DESI, 4MOST, Subaru/PFS, or MSE would all be well-suited for DDF surveys. The most efficient solution would be a new wide-field, highly-multiplexed spectroscopic instrument in the southern hemisphere with $>6$m aperture. In two companion white papers we present gains from deep, small-area MOS and from single-target imaging and spectroscopy.Comment: Submitted to the call for Astro2020 science white papers; tables with estimates of telescope time needed for a supernova host survey can be seen at http://d-scholarship.pitt.edu/id/eprint/3604