Do it Right or Not at All: A Longitudinal Evaluation of a Conflict Managment System Implementation

We analyzed an eight-year multi-source longitudinal data set that followed a healthcare system in the Eastern United States as it implemented a major conflict management initiative to encourage line managers to consistently perform Personal Management Interviews (or PMIs) with their employees. PMIs are interviews held between two individuals, designed to prevent or quickly resolve interpersonal problems before they escalate to formal grievances. This initiative provided us a unique opportunity to empirically test key predictions of Integrated Conflict Management System (or ICMS) theory. Analyzing survey and personnel file data from 5,449 individuals from 2003 to 2010, we found that employees whose managers provided high-quality interviews perceived significantly higher participative work climates and had lower turnover rates. However, retention was worse when managers provided poor-quality interviews than when they conducted no interviews at all. Together these findings highlight the critical role that line mangers play in the success of conflict management systems

Immunogenicity of a 24-Valent Klebsiella Capsular Polysaccharide Vaccine and an Eight-Valent Pseudomonas O-Polysaccharide Conjugate Vaccine Administered to Victims of Acute Trauma

We measured the antibody response in 10 victims of acute blunt trauma and penetrating trauma who were immunized against Klebsiella pneumoniae and Pseudomonas species within 72 hours of injury. The two vaccines, which were previously shown to be safe and immunogenic in uninjured humans, were a 24-valent K. pneumoniae capsular polysaccharide vaccine and an eight-valent Pseudomonas a-polysaccharide-toxin A conjugate vaccine. The patients were between 18 and 44 years of age, had Injury Severity Scores that ranged between 9 and 34, and did not have chronic infections or malignancies. On days 14 and 28 after immunization, all patients had a response of greater than fourfold to at least six of the nine Pseudomonas vaccine antigens. Half of the patients responded to eight of the nine antigens. Nine patients responded to at least 18 of 24 Klebsiella antigens, and seven patients responded to 22 of the 24 antigens. No important side effects were attributed to the vaccines. The results of this preliminary study indicate that active immunization against potential pathogens is possible in victims of acute traum

Mitigating cyanobacterial harmful algal blooms in aquatic ecosystems impacted by climate change and anthropogenic nutrients

Mitigating the global expansion of cyanobacterial harmful blooms (CyanoHABs) is a major challenge facing researchers and resource managers. A variety of traditional (e.g., nutrient load reduction) and experimental (e.g., artificial mixing and flushing, omnivorous fish removal) approaches have been used to reduce bloom occurrences. Managers now face the additional effects of climate change on watershed hydrologic and nutrient loading dynamics, lake and estuary temperature, mixing regime, internal nutrient dynamics, and other factors. Those changes favor CyanoHABs over other phytoplankton and could influence the efficacy of control measures. Virtually all mitigation strategies are influenced by climate changes, which may require setting new nutrient input reduction targets and establishing nutrient-bloom thresholds for impacted waters. Physical-forcing mitigation techniques, such as flushing and artificial mixing, will need adjustments to deal with the ramifications of climate change. Here, we examine the suite of current mitigation strategies and the potential options for adapting and optimizing them in a world facing increasing human population pressure and climate change

Proceedings from the National Cancer Institute’s Second International Workshop on the Biology, Prevention, and Treatment of Relapse after Hematopoietic Stem Cell Transplantation: Part III. Prevention and treatment of relapse after allogeneic transplantation

AbstractIn the Second Annual National Cancer Institute’s Workshop on the Biology, Prevention, and Treatment of Relapse after Hematopoietic Stem Cell Transplantation, the Scientific/Educational Session on the Prevention and Treatment of Relapse after Allogeneic Transplantation highlighted progress in developing new therapeutic approaches since the first relapse workshop. Recent insights that might provide a basis for the development of novel, practical clinical trials were emphasized, including utilization of newer agents, optimization of donor lymphocyte infusion (DLI), and investigation of novel cellular therapies. Dr. de Lima discussed pre-emptive and maintenance strategies to prevent relapse after transplantation, for example, recent promising results suggestive of enhanced graft-versus-tumor activity with hypomethylating agents. Dr. Schmid provided an overview of adjunctive strategies to improve cell therapy for relapse, including cytoreduction before DLI, combination of targeted agents with DLI, and considerations in use of second transplantations. Dr. Porter addressed strategies to enhance T cell function, including ex vivo activated T cells and T cell engineering, and immunomodulatory approaches to enhance T cell function in vivo, including exogenous cytokines and modulation of costimulatory pathways

Incident Heart Failure and Cognitive Decline: The Atherosclerosis Risk in Communities Study

Cognitive impairment is found in a significant proportion of patients with heart failure (HF). While cognitive impairment may be a consequence of HF, early signs of cognitive impairment may also indicate subclinical vascular disease, and thus a risk factor for future cardiovascular events

Constraints on Pluto’s H and CH₄ profiles from New Horizons Alice Lyα observations

The Alice spectrograph on New Horizons performed several far-ultraviolet (FUV) airglow observations during the July 2015 flyby of Pluto. One of these observations, named PColor2, was a short (226 s) scan across the dayside disk of Pluto from a range of ∼34,000 km, at about 40 minutes prior to closest approach. The brightest observed FUV airglow signal at Pluto is the Lyman alpha (Lyα) emission line of atomic hydrogen, which arises primarily through the resonant scattering of solar Lyα by H atoms in the upper atmosphere, with a brightness of about 30 Rayleighs. Pluto appears dark against the much brighter (∼100 Rayleigh) sky background; this sky background is likewise the result of resonantly scattered solar Lyα, in this case by H atoms in the interplanetary medium (IPM). Here we use an updated photochemical model and a resonance line radiative transfer model to perform detailed simulations of the Lyα emissions observed in the Alice PColor2 scan. The photochemical models show that H and CH₄ abundances in Pluto’s upper atmosphere are a very strong function of the near-surface mixing ratio of CH₄, and could provide a useful way to remotely monitor seasonal climate variations in Pluto’s lower atmosphere. The morphology of the PColor2 Lyα emissions provides constraints on the current abundance profiles of H atoms and CH₄ molecules in Pluto’s atmosphere, and indicate that the globally averaged near-surface mixing ratio of CH₄ is currently close to 0.4%. This new result thus provides independent confirmation of one of the primary results from the solar occultation, also observed with the New Horizons Alice ultraviolet spectrograph

Constraints on Pluto’s H and CH₄ profiles from New Horizons Alice Lyα observations

The Alice spectrograph on New Horizons performed several far-ultraviolet (FUV) airglow observations during the July 2015 flyby of Pluto. One of these observations, named PColor2, was a short (226 s) scan across the dayside disk of Pluto from a range of ∼34,000 km, at about 40 minutes prior to closest approach. The brightest observed FUV airglow signal at Pluto is the Lyman alpha (Lyα) emission line of atomic hydrogen, which arises primarily through the resonant scattering of solar Lyα by H atoms in the upper atmosphere, with a brightness of about 30 Rayleighs. Pluto appears dark against the much brighter (∼100 Rayleigh) sky background; this sky background is likewise the result of resonantly scattered solar Lyα, in this case by H atoms in the interplanetary medium (IPM). Here we use an updated photochemical model and a resonance line radiative transfer model to perform detailed simulations of the Lyα emissions observed in the Alice PColor2 scan. The photochemical models show that H and CH₄ abundances in Pluto’s upper atmosphere are a very strong function of the near-surface mixing ratio of CH₄, and could provide a useful way to remotely monitor seasonal climate variations in Pluto’s lower atmosphere. The morphology of the PColor2 Lyα emissions provides constraints on the current abundance profiles of H atoms and CH₄ molecules in Pluto’s atmosphere, and indicate that the globally averaged near-surface mixing ratio of CH₄ is currently close to 0.4%. This new result thus provides independent confirmation of one of the primary results from the solar occultation, also observed with the New Horizons Alice ultraviolet spectrograph

Genetic basis and detection of unintended effects in genetically modified crop plants

In January 2014, an international meeting sponsored by the International Life Sciences Institute/Health and Environmental Sciences Institute and the Canadian Food Inspection Agency titled “Genetic Basis of Unintended Effects in Modified Plants” was held in Ottawa, Canada, bringing together over 75 scientists from academia, government, and the agro-biotech industry. The objectives of the meeting were to explore current knowledge and identify areas requiring further study on unintended effects in plants and to discuss how this information can inform and improve genetically modified (GM) crop risk assessments. The meeting featured presentations on the molecular basis of plant genome variability in general, unintended changes at the molecular and phenotypic levels, and the development and use of hypothesis-driven evaluations of unintended effects in assessing conventional and GM crops. The development and role of emerging “omics” technologies in the assessment of unintended effects was also discussed. Several themes recurred in a number of talks; for example, a common observation was that no system for genetic modification, including conventional methods of plant breeding, is without unintended effects. Another common observation was that “unintended” does not necessarily mean “harmful”. This paper summarizes key points from the information presented at the meeting to provide readers with current viewpoints on these topics