Large emergency-response exercises: qualitative characteristics - a survey

Exercises, drills, or simulations are widely used, by governments, agencies and commercial organizations, to simulate serious incidents and train staff how to respond to them. International cooperation has led to increasingly large-scale exercises, often involving hundreds or even thousands of participants in many locations. The difference between ‘large’ and ‘small’ exercises is more than one of size: (a) Large exercises are more ‘experiential’ and more likely to undermine any model of reality that single organizations may create; (b) they create a ‘play space’ in which organizations and individuals act out their own needs and identifications, and a ritual with strong social implications; (c) group-analytic psychotherapy suggests that the emotions aroused in a large group may be stronger and more difficult to control. Feelings are an unacknowledged major factor in the success or failure of exercises; (d) successful large exercises help improve the nature of trust between individuals and the organizations they represent, changing it from a situational trust to a personal trust; (e) it is more difficult to learn from large exercises or to apply the lessons identified; (f) however, large exercises can help develop organizations and individuals. Exercises (and simulation in general) need to be approached from a broader multidisciplinary direction if their full potential is to be realized

Hydraulic testing around Room Q: Evaluation of the effects of mining on the hydraulic properties of Salado Evaporites

Room Q is a 109-m-long cylindrical excavation in the Salado Formation at the Waste Isolation Pilot Plant (WIPP) site. Fifteen boreholes were drilled and instrumented around Room Q so that tests could be conducted to determine the effects of room excavation on the hydraulic properties of the surrounding evaporate rocks. Pressure-buildup and pressure-pulse tests were conducted in all of the boreholes before Room Q was mined. The data sets from only eight of the boreholes are adequate for parameter estimation, and five of those are of poor quality. Constant-pressure flow tests and pressure-buildup tests were conducted after Room Q was mined, producing eleven interpretable data sets, including two of poor quality. Pre-mining transmissivities interpreted from the three good-quality data sets ranged from 1 x 10{sup -15} to 5 x 10{sup -14} m{sup 2}/s (permeability-thickness products of 2 x 10{sup -22} to 9 x 10{sup -21} m{sup 3}) for test intervals ranging in length from 0.85 to 1.37 m. Pre-mining average permeabilities, which can be considered representative of undisturbed, far-field conditions, were 6 x 10{sup -20} and 8 x 10{sup -20} m{sup 2} for anhydrite, and 3 x 10{sup -22} m{sup 2} for halite. Post-mining transmissivities interpreted from the good-quality data sets ranged from 1 x 10{sup -16} to 3 x 10{sup -13} m{sup 2}/s (permeability-thickness products of 2 x 10{sup -23} to 5 x 10{sup -20} m{sup 3}). Post-mining average permeabilities for anhydrite ranged from 8 x 10{sup -20} to 1 x 10{sup -19} m{sup 2}. The changes in hydraulic properties and pore pressures that were observed can be attributed to one or a combination of three processes: stress reduction, changes in pore connectivity, and flow towards Room Q. The effects of the three processes cannot be individually quantified with the available data

Repeated administration of the noradrenergic neurotoxin N-(2-chloroethyl)-N-ethyl-2-bromobenzylamine (DSP-4) modulates neuroinflammation and amyloid plaque load in mice bearing amyloid precursor protein and presenilin-1 mutant transgenes

BACKGROUND: Data indicates anti-oxidant, anti-inflammatory and pro-cognitive properties of noradrenaline and analyses of post-mortem brain of Alzheimer's disease (AD) patients reveal major neuronal loss in the noradrenergic locus coeruleus (LC), the main source of CNS noradrenaline (NA). The LC has projections to brain regions vulnerable to amyloid deposition and lack of LC derived NA could play a role in the progression of neuroinflammation in AD. Previous studies reveal that intraperitoneal (IP) injection of the noradrenergic neurotoxin N-(2-chloroethyl)-N-ethyl-2-bromobenzylamine (DSP-4) can modulate neuroinflammation in amyloid over-expressing mice and in one study, DSP-4 exacerbated existing neurodegeneration. METHODS: TASTPM mice over-express human APP and beta amyloid protein and show age related cognitive decline and neuroinflammation. In the present studies, 5 month old C57/BL6 and TASTPM mice were injected once monthly for 6 months with a low dose of DSP-4 (5 mg kg(-1)) or vehicle. At 8 and 11 months of age, mice were tested for cognitive ability and brains were examined for amyloid load and neuroinflammation. RESULTS: At 8 months of age there was no difference in LC tyrosine hydroxylase (TH) across all groups and cortical NA levels of TASTPM/DSP-4, WT/Vehicle and WT/DSP-4 were similar. NA levels were lowest in TASTPM/Vehicle. Messenger ribonucleic acid (mRNA) for various inflammatory markers were significantly increased in TASTPM/Vehicle compared with WT/Vehicle and by 8 months of age DSP-4 treatment modified this by reducing the levels of some of these markers in TASTPM. TASTPM/Vehicle showed increased astrocytosis and a significantly larger area of cortical amyloid plaque compared with TASTPM/DSP-4. However, by 11 months, NA levels were lowest in TASTPM/DSP-4 and there was a significant reduction in LC TH of TASTPM/DSP-4 only. Both TASTPM groups had comparable levels of amyloid, microglial activation and astrocytosis and mRNA for inflammatory markers was similar except for interleukin-1 beta which was increased by DSP-4. TASTPM mice were cognitively impaired at 8 and 11 months but DSP-4 did not modify this. CONCLUSION: These data reveal that a low dose of DSP-4 can have varied effects on the modulation of amyloid plaque deposition and neuroinflammation in TASTPM mice dependent on the duration of dosing

Wireless Sensor Network for Radiometric Detection and Assessment of Partial Discharge in HV Equipment

Monitoring of partial discharge (PD) activity within high voltage electrical environments is frequently used for the assessment of insulation condition. Traditional measurement techniques employ technologies that require either offline installation or high power consumption and cost. A wireless sensor network is proposed that utilizes only received signal strength to locate partial discharge within a high-voltage electricity Substation. The network comprises low-power and lowcost radiometric sensor nodes which receive the radiation propagated from a source of partial discharge. Results are reported from a test performed within a large indoor environment with a network of nine sensor nodes. An emulated PD source was placed at multiple locations within the network. Signal strength measured by the nodes is reported via WirelessHART to a data collection hub where it is processed using a location algorithm. The results obtained place the measured location within 2 m of the actual source location

Low power radiometric partial discharge sensor using composite transistor-reset integrator

The measurement of partial discharge provides a means of monitoring insulation health in high-voltage equipment. Traditional partial discharge measurements require separate installation for each item of plant to physically connect sensors with specific items. Wireless measurement methods provide an attractive and scalable alternative. Existing wireless monitoring technologies which use time-difference-of-arrival of a partial discharge signal at multiple, spatially separated, sensors place high demands on power consumption and cost due to a requirement for rapid sampling. A recently proposed partial discharge monitoring system using a wireless sensor network and measuring received signal strength only, has potential cost and scalability advantages. An incoherent wireless sensor incorporating a transistor-reset integrator has been developed that reduces the measurement bandwidth of the PD events and alleviates the need for high-speed sampling. It is based on composite amplifier techniques to reduce the power requirements by a factor of approximately four without compromising precision. The accuracy of the proposed sensor is compared to that obtained using a high-speed digital sampling oscilloscope. Received energies were measured over a 10 m distance in 1 m increments and produced an error within 1 dB beyond 4 m and 3.2 dB at shorter distances, resulting in a measurement accuracy within 1 m

BMP9 Mutations Cause a Vascular-Anomaly Syndrome with Phenotypic Overlap with Hereditary Hemorrhagic Telangiectasia

Hereditary hemorrhagic telangiectasia (HHT), the most common inherited vascular disorder, is caused by mutations in genes involved in the transforming growth factor beta (TGF-β) signaling pathway (ENG, ACVRL1, and SMAD4). Yet, approximately 15% of individuals with clinical features of HHT do not have mutations in these genes, suggesting that there are undiscovered mutations in other genes for HHT and possibly vascular disorders with overlapping phenotypes. The genetic etiology for 191 unrelated individuals clinically suspected to have HHT was investigated with the use of exome and Sanger sequencing; these individuals had no mutations in ENG, ACVRL1, and SMAD4. Mutations in BMP9 (also known as GDF2) were identified in three unrelated probands. These three individuals had epistaxis and dermal lesions that were described as telangiectases but whose location and appearance resembled lesions described in some individuals with RASA1-related disorders (capillary malformation-arteriovenous malformation syndrome). Analyses of the variant proteins suggested that mutations negatively affect protein processing and/or function, and a bmp9-deficient zebrafish model demonstrated that BMP9 is involved in angiogenesis. These data confirm a genetic cause of a vascular-anomaly syndrome that has phenotypic overlap with HHT

Identification and Specification of the Mouse Skeletal Stem Cell

SummaryHow are skeletal tissues derived from skeletal stem cells? Here, we map bone, cartilage, and stromal development from a population of highly pure, postnatal skeletal stem cells (mouse skeletal stem cells, mSSCs) to their downstream progenitors of bone, cartilage, and stromal tissue. We then investigated the transcriptome of the stem/progenitor cells for unique gene-expression patterns that would indicate potential regulators of mSSC lineage commitment. We demonstrate that mSSC niche factors can be potent inducers of osteogenesis, and several specific combinations of recombinant mSSC niche factors can activate mSSC genetic programs in situ, even in nonskeletal tissues, resulting in de novo formation of cartilage or bone and bone marrow stroma. Inducing mSSC formation with soluble factors and subsequently regulating the mSSC niche to specify its differentiation toward bone, cartilage, or stromal cells could represent a paradigm shift in the therapeutic regeneration of skeletal tissues

Genomic Profiling of Childhood Tumor Patient-Derived Xenograft Models to Enable Rational Clinical Trial Design.

Accelerating cures for children with cancer remains an immediate challenge as a result of extensive oncogenic heterogeneity between and within histologies, distinct molecular mechanisms evolving between diagnosis and relapsed disease, and limited therapeutic options. To systematically prioritize and rationally test novel agents in preclinical murine models, researchers within the Pediatric Preclinical Testing Consortium are continuously developing patient-derived xenografts (PDXs)-many of which are refractory to current standard-of-care treatments-from high-risk childhood cancers. Here, we genomically characterize 261 PDX models from 37 unique pediatric cancers; demonstrate faithful recapitulation of histologies and subtypes; and refine our understanding of relapsed disease. In addition, we use expression signatures to classify tumors for TP53 and NF1 pathway inactivation. We anticipate that these data will serve as a resource for pediatric oncology drug development and will guide rational clinical trial design for children with cancer

What evidence is there to support skill mix changes between GPs, pharmacists and practice nurses in the care of elderly people living in the community?

Background: Workforce shortages in Australia are occurring across a range of health disciplines but are most acute in general practice. Skill mix change such as task substitution is one solution to workforce shortages. The aim of this systematic review was to explore the evidence for the effectiveness of task substitution between GPs and pharmacists and GPs and nurses for the care of older people with chronic disease. Published, peer reviewed (black) and non-peer reviewed (grey) literature were included in the review if they met the inclusion criteria. Results: Forty-six articles were included in the review. Task substitution between pharmacists and GPs and nurses and GPs resulted in an improved process of care and patient outcomes, such as improved disease control. The interventions were either health promotion or disease management according to guidelines or use of protocols, or a mixture of both. The results of this review indicate that pharmacists and nurses can effectively provide disease management and/or health promotion for older people with chronic disease in primary care. While there were improvements in patient outcomes no reduction in health service use was evident. Conclusion: When implementing skill mix changes such as task substitution it is important that the health professionals' roles are complementary otherwise they may simply duplicate the task performed by other health professionals. This has implications for the way in which multidisciplinary teams are organised in initiatives such as the GP Super Clinics