Dr. Jessie Wright: Breaking New Ground in Pediatric Physical Medicine and Rehabilitation

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/146886/1/pmr2739.pd

COVID-19 and Pneumonia: Increased Risk for Individuals with Intellectual and Developmental Disabilities during the Pandemic

Adults with intellectual and developmental disabilities (IDD) are more likely to develop pneumonia than adults without IDD. This brief describes the implications of higher rates of pneumonia among individuals with IDD for increased risk of serious complications (including death) from COVID-19

COVID-19 Trends Among Adults with Intellectual and Developmental Disabilities (IDD) Living in Residential Group Homes in New York State through July 10, 2020

While COVID-19 case rates increased between April 10, 2020 and July 10, 2020 for both groups, from April 10 to May 1, the case rate increased by 2.5 times for people with IDD, from 2,225 to 5,544 cases per 100,000, but only increased by 1.6 times for New York State, from 886 to 1,584 cases per 100,000

Less Worthy Lives? We Must Prioritize People with Intellectual and Developmental Disabilities in COVID-19 Vaccine Allocation

Individuals with developmental and intellectual disability should prioritized during COVID-19 vaccination allocation

In vivo proton magnetic resonance spectroscopy reveals region specific metabolic responses to SIV infection in the macaque brain

<p>Abstract</p> <p>Background</p> <p><it>In vivo </it>proton magnetic resonance spectroscopy (¹H-MRS) studies of HIV-infected humans have demonstrated significant metabolic abnormalities that vary by brain region, but the causes are poorly understood. Metabolic changes in the frontal cortex, basal ganglia and white matter in 18 SIV-infected macaques were investigated using MRS during the first month of infection.</p> <p>Results</p> <p>Changes in the N-acetylaspartate (NAA), choline (Cho), <it>myo</it>-inositol (MI), creatine (Cr) and glutamine/glutamate (Glx) resonances were quantified both in absolute terms and relative to the creatine resonance. Most abnormalities were observed at the time of peak viremia, 2 weeks post infection (wpi). At that time point, significant decreases in NAA and NAA/Cr, reflecting neuronal injury, were observed only in the frontal cortex. Cr was significantly elevated only in the white matter. Changes in Cho and Cho/Cr were similar across the brain regions, increasing at 2 wpi, and falling below baseline levels at 4 wpi. MI and MI/Cr levels were increased across all brain regions.</p> <p>Conclusion</p> <p>These data best support the hypothesis that different brain regions have variable intrinsic vulnerabilities to neuronal injury caused by the AIDS virus.</p

Carbon Dioxide Capture from Flue Gas Using Dry Regenerable Sorbents

Laboratory studies were conducted to investigate dry, regenerable, alkali carbonate-based sorbents for the capture of CO{sub 2} from power plant flue gas. Electrobalance, fixed-bed and fluid-bed reactors were used to examine both the CO{sub 2} capture and sorbent regeneration phases of the process. Sodium carbonate-based sorbents (calcined sodium bicarbonate and calcined trona) were the primary focus of the testing. Supported sodium carbonate and potassium carbonate sorbents were also tested. Sodium carbonate reacts with CO{sub 2} and water vapor contained in flue gas at temperatures between 60 and 80 C to form sodium bicarbonate, or an intermediate salt (Wegscheider's salt). Thermal regeneration of this sorbent produces an off-gas containing equal molar quantities of CO{sub 2} and H{sub 2}O. The low temperature range in which the carbonation reaction takes place is suited to treatment of coal-derived flue gases following wet flue gas desulfurization processes, but limits the concentration of water vapor which is an essential reactant in the carbonation reaction. Sorbent regeneration in an atmosphere of CO{sub 2} and water vapor can be carried out at a temperature of 160 C or higher. Pure CO{sub 2} suitable for use or sequestration is available after condensation of the H{sub 2}O. Flue gas contaminants such as SO{sub 2} react irreversibly with the sorbent so that upstream desulfurization will be required when sulfur-containing fossil fuels are used. Approximately 90% CO{sub 2} capture from a simulated flue gas was achieved during the early stages of fixed-bed reactor tests using a nominal carbonation temperature of 60 C. Effectively complete sorbent carbonation is possible when the fixed-bed test is carried out to completion. No decrease in sorbent activity was noted in a 15-cycle test using the above carbonation conditions coupled with regeneration in pure CO{sub 2} at 160 C. Fluidized-bed reactor tests of up to five cycles were conducted. Carbonation of sodium carbonate in these tests is initially very rapid and high degrees of removal are possible. The exothermic nature of the carbonation reaction resulted in a rise in bed temperature and subsequent decline in removal rate. Good temperature control, possibly through addition of supplemental water and evaporative cooling, appears to be the key to getting consistent carbon dioxide removal in a full-scale reactor system. The tendency of the alkali carbonate sorbents to cake on contact with liquid water complicates laboratory investigations as well as the design of larger scale systems. Also their low attrition resistance appears unsuitable for their use in dilute-phase transport reactor systems. Sodium and potassium carbonate have been incorporated in ceramic supports to obtain greater surface area and attrition resistance, using a laboratory spray dryer. The caking tendency is reduced and attrition resistance increased by supporting the sorbent. Supported sorbents with loading of up to 40 wt% sodium and potassium carbonate have been prepared and tested. These materials may improve the feasibility of large-scale CO{sub 2} capture systems based on short residence time dilute-phase transport reactor systems

SMART trial: A randomized clinical trial of self-monitoring in behavioral weight management-design and baseline findings.

BACKGROUND: The primary form of treatment for obesity today is behavioral therapy. Self-monitoring diet and physical activity plays an important role in interventions targeting behavior and weight change. The SMART weight loss trial examined the impact of replacing the standard paper record used for self-monitoring with a personal digital assistant (PDA). This paper describes the design, methods, intervention, and baseline sample characteristics of the SMART trial. METHODS: The SMART trial used a 3-group design to determine the effects of different modes of self-monitoring on short- and long-term weight loss and on adherence to self-monitoring in a 24-month intervention. Participants were randomized to one of three conditions (1) use of a standard paper record (PR); (2) use of a PDA with dietary and physical activity software (PDA); or (3), use of a PDA with the same software plus a customized feedback program (PDA + FB). RESULTS: We screened 704 individuals and randomized 210. There were statistically but not clinically significant differences among the three cohorts in age, education, HDL cholesterol, blood glucose and systolic blood pressure. At 24 months, retention rate for the first of three cohorts was 90%. CONCLUSIONS: To the best of our knowledge, the SMART trial is the first large study to compare different methods of self-monitoring in a behavioral weight loss intervention and to compare the use of PDAs to conventional paper records. This study has the potential to reveal significant details about self-monitoring patterns and whether technology can improve adherence to this vital intervention component