Complementary Medicine: A One Day Course

A one-day 2003 Interclerkship course introduced Complementary and Alternative Medicine (CAM) and was designed to enhance the knowledge, attitude, and skills of third year medical students. Students experienced a wide array of CAM modalities, interacted with CAM practitioners and learned the state of the art of evidence based CAM. Presented at the AAMC (Association of American Colleges) Annual Meeting, RIME (Research in Medical Education) Program, November 2004

Plant Survival in the Floodplain Restoration of Crabtree Swamp, Horry County, SC

2012 S.C. Water Resources Conference - Exploring Opportunities for Collaborative Water Research, Policy and Managemen

Mechanisms of explosive volcanism on Mercury: implications from its global distribution and morphology

The identification of widespread pyroclastic vents and deposits on Mercury has important implications for the planet's bulk volatile content and thermal evolution. However, the significance of pyroclastic volcanism for Mercury depends on the mechanisms by which the eruptions occurred. Using images acquired by the MErcury Surface, Space ENvironment, GEochemistry, and Ranging spacecraft, we have identified 150 sites where endogenic pits are surrounded by a relatively bright and red diffuse-edged spectral anomaly, a configuration previously used to identify sites of explosive volcanism. We find that these sites cluster at the margins of impact basins and along regional tectonic structural trends. Locally, pits and deposits are usually associated with zones of weakness within impact craters and/or with the surface expressions of individual thrust faults. Additionally, we use images and stereo-derived topographic data to show that pyroclastic deposits are dispersed up to 130 km from their source vent and commonly have either no relief or low circumpit relief within a wider, thinner deposit. These eruptions were therefore likely driven by a relatively high concentration of volatiles, consistent with volatile concentration in a shallow magma chamber prior to eruption. The colocation of sites of explosive volcanism with near-surface faults and crater-related fractures is likely a result of such structures acting as conduits for volatile and/or magma release from shallow reservoirs, with volatile overpressure in these reservoirs a key trigger for eruption in at least some cases. Our findings suggest that widespread, long-lived explosive volcanism on Mercury has been facilitated by the interplay between impact cratering, tectonic structures, and magmatic fractionation

Hollows on Mercury: materials and mechanisms involved in their formation

Recent images of the surface of Mercury have revealed an unusual and intriguing landform: sub-kilometre scale, shallow, flat-floored, steep-sided rimless depressions typically surrounded by bright deposits and generally occurring in impact craters. These ‘hollows’ appear to form by the loss of a moderately-volatile substance from the planet’s surface and their fresh morphology and lack of superposed craters suggest that this process has continued until relatively recently (and may be on-going). Hypotheses to explain the volatile-loss have included sublimation and space weathering, and it has been suggested that hollow-forming volatiles are endogenic and are exposed at the surface during impact cratering. However, detailed verification of these hypotheses has hitherto been lacking. In this study, we have conducted a comprehensive survey of all MESSENGER images obtained up to the end of its fourth solar day in orbit in order to identify hollowed areas. We have studied how their location relates to both exogenic processes (insolation, impact cratering, and solar wind) and endogenic processes (explosive volcanism and flood lavas) on local and regional scales. We find that there is a weak correlation between hollow formation and insolation intensity, suggesting formation may occur by an insolation-related process such as sublimation. The vast majority of hollow formation is in localised or regional low-reflectance material within impact craters, suggesting that this low-reflectance material is a volatile-bearing unit present below the surface that becomes exposed as a result of impacts. In many cases hollow occurrence is consistent with formation in volatile-bearing material exhumed and exposed during crater formation, while in other cases volatiles may have accessed the surface later through re-exposure and possibly in association with explosive volcanism. Hollows occur at the surface of thick flood lavas only where a lower-reflectance substrate has been exhumed from beneath them, indicating that this form of flood volcanism on Mercury lacks significant concentrations of hollow-forming volatiles

Adaptive Global Carbon Monoxide Kinetic Mechanism over Platinum/Alumina Catalysts

Carbon monoxide (CO) oxidation is one of the more widely researched mechanisms given its pertinence across many industrial platforms. Because of this, ample information exists as to the detailed reaction steps in its mechanism. While detailed kinetic mechanisms are more accurate and can be written as a function of catalytic material on the surface, global mechanisms are more widely used because of their computational efficiency advantage. This paper merges the theory behind detailed kinetics into a global kinetic model for the singular CO oxidation reaction while formulating expressions that adapt to catalyst properties on the surface such as dispersion and precious metal loading. Results illustrate that the model is able to predict the light-off and extinction temperatures during a hysteresis experiment as a function of different inlet CO concentrations and precious metal dispersion

Evolution of allostery in the cyclic nucleotide binding module

Analysis of cyclic nucleotide binding (CNB) domains shows that they have evolved to sense a wide variety of second messenger signals; a mechanism for allosteric regulation by CNB domains is proposed

Delirium is under-reported in discharge summaries and in hospital administrative systems: a systematic review

Background Accurate recording of delirium in discharge summaries (DS) and hospital administrative systems (HAS) is critical for patient care. Objective To systematically review studies reporting the frequency of delirium documentation and coding in DS and HAS, respectively. Method We searched Medline, Embase, PsycINFO and Web of Science databases from inception to 23 June 2021. Eligibility criteria included requiring the term delirium in DS or HAS. Screening and full-text reviews were performed independently by two reviewers. Risk of bias (RoB) was assessed using the Effective Public Health Practice Project tool. Results The search yielded 7,910 results; 24 studies were included. The studies were heterogeneous in design and size (N=25 to 809,512). Mean age ranged from 57 to 84 years. Four studies reported only overall DS documentation and HAS coding in whole hospital or healthcare databases. Twenty studies used additional delirium ascertainment methods (e.g. chart review) in smaller patient subsets. Studies reported either DS figures only (N=8), HAS figures only (N=11), or both (N=5). Documentation rates in DS ranged from 0.1% to 64%. Coding rates in HAS ranged from 1.5% to 49%. Some studies explored the impact of race, and nurse versus physician practice. No significant differences were reported for race; one study reported that nurses showed higher documentation rates in DS relative to physicians. Most studies (N=22) had medium to high RoB. Conclusion Delirium is a common and serious medical emergency, yet studies show considerable under-documentation and under-coding in healthcare systems. This has important implications for patient care and service planning. Healthcare systems need to take action to reach satisfactory delirium documentation and coding rates