The Evolution of Density-Driven Circulation Over Sloping Bottom Topography

The short timescale temporal evolution of buoyancy-driven coastal flow over sloping bottom topography is examined using a two-dimensional, vertically averaged numerical model. Winter shelf circulation driven by a coastal \u27\u27point source\u27\u27 buoyancy flux is modeled by initiating a coastal outflow with density anomaly epsilon into well-mixed shelf water. The nonlinear interaction between the time-varying velocity and density field is represented by an advection-diffusion equation. Three cases are discussed: that of a buoyant (epsilon \u3c 0) outflow, a neutral (epsilon = 0) outflow, and a dense (epsilon \u3e 0) outflow. Results are similar to observations from well-mixed shelf areas and show that density-topography interactions are capable of substantially influencing coastal circulation. A negative (buoyant) coastal buoyancy flux is shown to generate alongshore motion with relatively small cross-shelf transport. Conversely, positive (dense) coastal buoyancy flux is shown to generate flow that travels across isobaths to initiate an offshore cyclonic gyre, which is then advected in the direction of propagation of a right-bounded wave. A vorticity analysis shows that local circulation is controlled by the interaction of vortex stretching, JEBAR, and the time change of vorticity; the residual of which is roughly balanced by bottom dissipation

Phenome-wide association study identifies marked increased in burden of comorbidities in African Americans with systemic lupus erythematosus.

BACKGROUND: African Americans with systemic lupus erythematosus (SLE) have increased renal disease compared to Caucasians, but differences in other comorbidities have not been well-described. We used an electronic health record (EHR) technique to test for differences in comorbidities in African Americans compared to Caucasians with SLE. METHODS: We used a de-identified EHR with 2.8 million subjects to identify SLE cases using a validated algorithm. We performed phenome-wide association studies (PheWAS) comparing African American to Caucasian SLE cases and African American SLE cases to matched non-SLE controls. Controls were age, sex, and race matched to SLE cases. For multiple testing, a false discovery rate (FDR) p value of 0.05 was used. RESULTS: We identified 270 African Americans and 715 Caucasians with SLE and 1425 matched African American controls. Compared to Caucasians with SLE adjusting for age and sex, African Americans with SLE had more comorbidities in every organ system. The most striking included hypertension odds ratio (OR) = 4.25, FDR p = 5.49 × 10 CONCLUSIONS: African Americans with SLE have an increased comorbidity burden compared to Caucasians with SLE and matched controls. This increase in comorbidities in African Americans with SLE highlights the need to monitor for cardiovascular and infectious complications

The TechEdSat-N Series: A Collaborative Technology Development Platform in the Nano-Satellite Form Factor

The TechEdSat-1 (TES-1) was the first U.S. CubeSat to be deployed from the ISS (International Space Station). This permitted the initiation of a flight series that has recently de-orbited the 6th nano-satellite with subsequent numbers 7-10 under development. The nano-satellites range from 1U (1 unit) to 6U (TechEdSat-8) but have the critical ISS Safety design features standardized in order to focus on the particular experiment objectives. Incremental experimental development has included unique communication subsystems such as command/control of the nanosatellite through email commands -as well as a recent record for Wifi transmission. Also, the thermophysics of controlled drag devices (Exo-Brake) has been developed which will prelude sample return and planetary exploration applications. The successful "rapid incremental experiment" approach has also been incorporated into collaborations with academia, permitting professors/student interns to be exposed to the rigors of space mission hardware design and execution. The TechEdSat-8, a linear 6U configuration, allows for 5 different groups to contribute an "experiment, sensor, or sub-system" through a well-defined common interface. Lastly, the flying laboratory concept is helpful in developing future interplanetary nano-satellite subsystems which will advance exploration goals by allowing rapid demonstration/validation first in LEO (Low Earth Orbit)

Reducing nasal morbidity after skull base reconstruction with the nasoseptal flap: Free middle turbinate mucosal grafts

The nasoseptal flap provides hearty, vascularized tissue for reconstruction of Expanded Endonasal Approaches (EEA); however, it produces donor site morbidity due to exposed cartilage. Mucosalization of the septum requires 12 weeks, multiple debridements, and frequent saline rinses. This study addresses the reduction of nasal morbidity by grafting middle turbinate mucosa onto the exposed septum

A Multidisciplinary Breast Cancer Brain Metastases Clinic: The University of North Carolina Experience

Breast cancer brain metastasis (BCBM) confers a poor prognosis and is unusual in requiring multidisciplinary care in the metastatic setting. The University of North Carolina at Chapel Hill (UNC-CH) has created a BCBM clinic to provide medical and radiation oncology, neurosurgical, and supportive services to this complex patient population. We describe organization and design of the clinic as well as characteristics, treatments, and outcomes of the patients seen in its first 3 years

Weight trajectories in women receiving systemic adjuvant therapy for breast cancer

Background: Weight gain after breast cancer (BC) diagnosis is a well-known phenomenon; however, it is not a universal phenomenon and identification of patients at highest risk for weight gain is needed. This study investigates weight trajectories in early BC patients at 2 years post-primary treatment, examining potential contributing factors such as age, race, and receipt of chemotherapy, anti-HER-2 therapy, and endocrine treatment (ET). Methods: A single institution cohort of newly diagnosed women age 21 and older with early breast cancer patients (Stage 0–3) were identified by retrospective chart review (diagnosis year 1995 to 2016). Log-binomial regression models for net weight changes at 2 years post-primary treatment including patient demographic, clinical, and treatment characteristics. Results: The final sample of 625 patients included 29% who were non-White and 37% who were pre-menopausal at diagnosis. Body mass index (BMI) at diagnosis was calculated and found to be normal in 33% (BMI 18 to 2 kg, 34% had stable weight ± 2 kg, and 35% had gained > 2 kg. Factors associated with > 2 kg weight gain were menopausal status (pre-menopausal HR 1.65, 95% CI 1.34–2.04, p <.0001), receiving any chemotherapy (HR 1.36, 95% CI 1.04–1.77), and anthracycline-based chemotherapy followed by ET (HR 1.60, CI 1.01–2.45). Anti-HER-2 therapy and transition from pre- to post-menopausal during the 2-year study period were not significant factors in weight gain. In multivariate analysis, menopausal status remained the only significant variable related to weight gain when adjusted for treatment. For all treatment combinations, pre-menopausal women had significantly more weight gain. Conclusions and relevance: Weight gain, weight loss, and stable weight in women with early breast cancer vary greatly by treatment plan. However, pre-menopausal patients have the highest risk for weight gain

International Veterinary Epilepsy Task Force recommendations for a veterinary epilepsy-specific MRI protocol

Epilepsy is one of the most common chronic neurological diseases in veterinary practice. Magnetic resonance imaging (MRI) is regarded as an important diagnostic test to reach the diagnosis of idiopathic epilepsy. However, given that the diagnosis requires the exclusion of other differentials for seizures, the parameters for MRI examination should allow the detection of subtle lesions which may not be obvious with existing techniques. In addition, there are several differentials for idiopathic epilepsy in humans, for example some focal cortical dysplasias, which may only apparent with special sequences, imaging planes and/or particular techniques used in performing the MRI scan. As a result, there is a need to standardize MRI examination in veterinary patients with techniques that reliably diagnose subtle lesions, identify post-seizure changes, and which will allow for future identification of underlying causes of seizures not yet apparent in the veterinary literature. There is a need for a standardized veterinary epilepsy-specific MRI protocol which will facilitate more detailed examination of areas susceptible to generating and perpetuating seizures, is cost efficient, simple to perform and can be adapted for both low and high field scanners. Standardisation of imaging will improve clinical communication and uniformity of case definition between research studies. A 6–7 sequence epilepsy-specific MRI protocol for veterinary patients is proposed and further advanced MR and functional imaging is reviewed

Modulated Exo-Brake Flight Testing - Modeling and Test Results - Successes with Exo-Brake Development and Targeting for Future Sample Return Capability: TES-6,7,8 Flight Experiments

No abstract availabl