The Center for the Study of Terrestrial and Extraterrestrial Atmospheres (CSTEA)

The Center for the Study of Terrestrial and Extraterrestrial Atmospheres (CSTEA) was established in 1992. The center began with 14 active Principal Investigators (PI's). The research of the Center's PIs has, for the most part, continued in the same four areas as presented in the original proposal: Remote Sensing, Atmospheric Chemistry, Sensors and Detectors, and Spacecraft Dynamics

Freshman Course Credit and Unexcused Absences: An Arkansas Policy Analysis

This policy analysis examines the implementation of A.C.A. 6-18-222, a statewide policy in Arkansas that addresses unexcused absences and course credit consequences for students. Using anonymized student-level data from the 2020-21 and 2021-22 school years (N=65,651), the study explores variations in policy implementation across districts and investigates the relationship between absences and course failures for freshmen. Our results highlight the wide variability in the number of allowed unexcused absences and the language of course credit consequence among districts. Additionally, our multivariate logistic regressions reveal FRL-eligible students more likely to fail a course after reaching their district’s unexcused absence threshold. Lastly, we find once students reach their district’s unexcused absence threshold, they more likely to fail a core course compared to a non-core course. Our findings provide insights into the variations of local policy implementation for student academic outcomes

Freshman Course Credit and Unexcused Absences: An Arkansas Policy Analysis

This policy analysis examines the implementation of A.C.A. 6-18-222, a statewide policy in Arkansas that addresses unexcused absences and course credit consequences for students. Using anonymized student-level data from the 2020-21 and 2021-22 school years (N=65,651), the study explores variations in policy implementation across districts and investigates the relationship between absences and course failures for freshmen. Our results highlight the wide variability in the number of allowed unexcused absences and the language of course credit consequence among districts. Additionally, our multivariate logistic regressions reveal FRL-eligible students more likely to fail a course after reaching their district’s unexcused absence threshold. Lastly, we find once students reach their district’s unexcused absence threshold, they more likely to fail a core course compared to a non-core course. Our findings provide insights into the variations of local policy implementation for student academic outcomes

Pulmonary metastasectomy in colorectal cancer: health utility scores by EQ-5D-3L in a randomized controlled trial show no benefit from lung metastasectomy.

AIM: The aim was to assess the health utility of lung metastasectomy in the treatment of patients with colorectal cancer (CRC) using the EQ-5D-3L questionnaire. METHODS: Multidisciplinary CRC teams at 14 sites recruited patients to a two-arm randomized controlled trial-Pulmonary Metastasectomy in Colorectal Cancer (PulMiCC). Remote randomization was used, stratified by site and with minimization for seven known confounders. Participants completed the EQ-5D-3L questionnaire together with other patient reported outcome measures at randomization and then again at 3, 6, 12 and 24 months. These were returned by post to the coordinating centre. RESULTS: Between December 2010 and December 2016, 93 participants were randomized, 91 of whom returned questionnaires. Survival and patient reported quality of life have been published previously, revealing no significant differences between the trial arms. Described here are patient reported data from the five dimensions of the EQ-5D-3L and the visual analogue scale (VAS) health state. No significant difference was seen at any time point. The estimated difference between control and metastasectomy patients was -0.23 (95% CI -0.113, 0.066) for the composite 0 to 1 index scale based on the descriptive system and 0.123 (95% CI -7.24, 7.49) for the 0 to 100 VAS scale. CONCLUSIONS: Following lung metastasectomy for CRC, no benefit was demonstrated for health utility, which alongside a lack of a survival or quality of life benefit calls into question the widespread use of the procedure

Choice in the context of informal care-giving

Extending choice and control for social care service users is a central feature of current English policies. However, these have comparatively little to say about choice in relation to the informal carers of relatives, friends or older people who are disabled or sick. To explore the realities of choice as experienced by carers, the present paper reviews research published in English since 1985 about three situations in which carers are likely to face choices: receiving social services; the entry of an older person to long-term care; and combining paid work and care. Thirteen electronic databases were searched, covering both the health and social care fields. Databases included: ASSIA; IBSS; Social Care Online; ISI Web of Knowledge; Medline; HMIC Sociological Abstracts; INGENTA; ZETOC; and the National Research Register. The search strategy combined terms that: (1) identified individuals with care-giving responsibilities; (2) identified people receiving help and support; and (3) described the process of interest (e.g. choice, decision-making and self-determination). The search identified comparatively few relevant studies, and so was supplemented by the findings from another recent review of empirical research on carers' choices about combining work and care. The research evidence suggests that carers' choices are shaped by two sets of factors: one relates to the nature of the care-giving relationship; and the second consists of wider organisational factors. A number of reasons may explain the invisibility of choice for carers in current policy proposals for increasing choice. In particular, it is suggested that underpinning conceptual models of the relationship between carers and formal service providers shape the extent to which carers can be offered choice and control on similar terms to service users. In particular, the exercise of choice by carers is likely to be highly problematic if it involves relinquishing some unpaid care-giving activities

Validation of Atmospheric Profile Retrievals from the SNPP NOAA-Unique Combined Atmospheric Processing System. Part 2: Ozone

This paper continues an overview of the validation of operational profile retrievals from the Suomi National Polar-Orbiting Partnership (SNPP), with focus here given to the infrared (IR) ozone profile environmental data record (EDR) product. The SNPP IR ozone profile EDR is retrieved using the cross-track IR sounder (CrIS), a Fourier transform spectrometer that measures high-resolution IR earth radiance spectra containing atmospheric state information, namely, vertical profiles of temperature, moisture, and trace gas constituents. The SNPP CrIS serves as the U.S. low earth orbit (LEO) satellite IR sounding system and will be featured on future Joint Polar Satellite System (JPSS) LEO satellites. The operational sounding algorithm is the National Oceanic and Atmospheric Administration-Unique Combined Atmospheric Processing System (NUCAPS), a legacy sounder science team algorithm that retrieves atmospheric profile EDR products, including ozone and carbon trace gases, with optimal vertical resolution under nonprecipitating (clear to partly cloudy) conditions. The NUCAPS ozone profile product is assessed in this paper using extensive global $in\;situ$ truth data sets, namely, ozonesonde observations launched from ground-based networks and from ocean-based intensive field campaigns, along with numerical weather prediction model output. Based upon rigorous statistical analyses using these data sets, the NUCAPS ozone profile EDRs are determined to meet the JPSS Level 1 global performance requirements

The pulmonary metastasectomy in colorectal cancer (PulMiCC) burden of care study: analysis of local treatments for lung metastases and systemic chemotherapy in 220 patients in the PulMiCC cohort

Aim The aim of this work was to examine the burden of further treatments in patients with colorectal cancer following a decision about lung metastasectomy. Method Five teams participating in the Pulmonary Metastasectomy in Colorectal Cancer (PulMiCC) study provided details on subsequent local treatments for lung metastases, including the use of chemotherapy. For patients in three groups (no metastasectomy, one metastasectomy or multiple local interventions), baseline factors and selection criteria for additional treatments were examined. Results The five teams recruited 220 patients between October 2010 and January 2017. No lung metastasectomy was performed in 51 patients, 114 patients had one metastasectomy and 55 patients had multiple local interventions. Selection for initial metastasectomy was associated with nonelevated carcinoembryonic antigen, fewer metastases and no prior liver metastasectomy. These patients also had better Eastern Cooperative Oncology Group scores and lung function at baseline. Four sites provided information on chemotherapy in 139 patients: 79 (57%) had one to five courses of chemotherapy, to a total of 179 courses. The patterns of survival after one or multiple metastasectomy interventions showed evidence of guarantee-time bias contributing to an impression of benefit over no metastasectomy. After repeated metastasectomy, a significantly higher risk of death was observed, with no apparent reduction in chemotherapy usage. Conclusion Repeated metastasectomy is associated with a higher risk of death without reducing the use of chemotherapy. Continued monitoring without surgery might reassure patients with indolent disease or allow response assessment during systemic treatment. Overall, the carefully collected information from the PulMICC study provides no indication of an important survival benefit from metastasectomy

Clinical audit of core podiatry treatment in the NHS

<p>Abstract</p> <p>Background</p> <p>Core podiatry involves treatment of the nails, corns and callus and also giving footwear and foot health advice. Though it is an integral part of current podiatric practice little evidence is available to support its efficacy in terms of research and audit data. This information is important in order to support the current NHS commissioning process where services are expected to provide data on standards including outcomes. This study aimed to increase the evidence base for this area of practice by conducting a multi-centre audit in 8 NHS podiatry departments over a 1-year period.</p> <p>Methods</p> <p>The outcome measure used in this audit was the Podiatry Health Questionnaire which is a self completed short measure of foot health including a pain visual analogue scale and a section for the podiatrist to rate an individual's foot health based on their podiatric problems. The patient questionnaire was completed by individuals prior to receiving podiatry care and then 2 weeks after treatment to assess the effect of core podiatry in terms of pain and foot health.</p> <p>Results</p> <p>1047 patients completed both questionnaires, with an age range from 26–95 years and a mean age of 72.9 years. The podiatrists clinical rating at baseline showed 75% of patients had either slight or moderate podiatric problems. The differences in questionnaire and visual analogue scores before and after treatment were determined according to three categories – <it>better, same, worse </it>and 75% of patients' scores either remained the same or improved after core podiatry treatment. A student t-test showed a statistical significant difference in pre and post treatment scores where P < 0.001, though the confidence interval indicated that the improvement was relatively small.</p> <p>Conclusion</p> <p>Core podiatry has been shown to sustain or improve foot health and pain in 75% of the patients taking part in the audit. Simple outcome measures including pain scales should be used routinely in podiatric practice to assess the affect of different aspects of treatments and improve the evidence base for podiatry.</p