Long-Term Acute Care Hospitals and Georgia Medicaid: Utilization, Outcomes, and Cost

Because most research on long-term acute care hospitals has focused on Medicare, the objective of this research is to describe the Georgia Medicaid population who received care at a long-term acute care hospital, the type and volume of services provided by these long-term acute care hospitals, and the costs and outcomes of these services. For those with select respiratory conditions, we descriptively compare costs and outcomes to those of patients who received care for the same services in acute care hospitals

BOSS-LDG: A Novel Computational Framework that Brings Together Blue Waters, Open Science Grid, Shifter and the LIGO Data Grid to Accelerate Gravitational Wave Discovery

We present a novel computational framework that connects Blue Waters, the NSF-supported, leadership-class supercomputer operated by NCSA, to the Laser Interferometer Gravitational-Wave Observatory (LIGO) Data Grid via Open Science Grid technology. To enable this computational infrastructure, we configured, for the first time, a LIGO Data Grid Tier-1 Center that can submit heterogeneous LIGO workflows using Open Science Grid facilities. In order to enable a seamless connection between the LIGO Data Grid and Blue Waters via Open Science Grid, we utilize Shifter to containerize LIGO's workflow software. This work represents the first time Open Science Grid, Shifter, and Blue Waters are unified to tackle a scientific problem and, in particular, it is the first time a framework of this nature is used in the context of large scale gravitational wave data analysis. This new framework has been used in the last several weeks of LIGO's second discovery campaign to run the most computationally demanding gravitational wave search workflows on Blue Waters, and accelerate discovery in the emergent field of gravitational wave astrophysics. We discuss the implications of this novel framework for a wider ecosystem of Higher Performance Computing users.Comment: 10 pages, 10 figures. Accepted as a Full Research Paper to the 13th IEEE International Conference on eScienc

Pain-related synaptic plasticity in spinal dorsal horn neurons: role of CGRP

BACKGROUND: The synaptic and cellular mechanisms of pain-related central sensitization in the spinal cord are not fully understood yet. Calcitonin gene-related peptide (CGRP) has been identified as an important molecule in spinal nociceptive processing and ensuing behavioral responses, but its contribution to synaptic plasticity, cellular mechanisms and site of action in the spinal cord remain to be determined. Here we address the role of CGRP in synaptic plasticity in the spinal dorsal horn in a model of arthritic pain. RESULTS: Whole-cell current- and voltage-clamp recordings were made from substantia gelatinosa (SG) neurons in spinal cord slices from control rats and arthritic rats (> 6 h postinjection of kaolin/carrageenan into the knee). Monosynaptic excitatory postsynaptic currents (EPSCs) were evoked by electrical stimulation of afferents in the dorsal root near the dorsal root entry zone. Neurons in slices from arthritic rats showed increased synaptic transmission and excitability compared to controls. A selective CGRP1 receptor antagonist (CGRP8-37) reversed synaptic plasticity in neurons from arthritic rats but had no significant effect on normal transmission. CGRP facilitated synaptic transmission in the arthritis pain model more strongly than under normal conditions where both facilitatory and inhibitory effects were observed. CGRP also increased neuronal excitability. Miniature EPSC analysis suggested a post- rather than pre-synaptic mechanism of CGRP action. CONCLUSION: This study is the first to show synaptic plasticity in the spinal dorsal horn in a model of arthritic pain that involves a postsynaptic action of CGRP on SG neurons

Changes in extreme, cold-season synoptic precipitation events under global warming

We analyze regional climate model (RCM) simulations of daily, spatially distributed extreme precipitation events, using co-operative network observations and output from 10-year RCM simulations of present and future-scenario climates. We examine an Upper Mississippi River Basin region during October–March for daily amounts that exceed the 99.95th percentile and that occur simultaneously at several observation sites or model grid points. For the observations and each simulation, nearly all such extreme regional events occur when a slow moving, cut-off-low system develops over the Rockies and Great Plains and steadily pumps moisture into the Upper Mississippi region from the Gulf of Mexico. The threshold for the extreme events increases in the future scenario by an amount similar to the increase in saturation specific humidity. The results suggest robust circulation behavior for such extremes in the face of climate change

Triggered Star Formation in a Massive Galaxy at z=3.8: 4C41.17

Spectropolarimetric observations obtained with the W. M. Keck Telescope of the z=3.8 radio galaxy 4C41.17 show that the UV continuum emission from this galaxy, which is aligned with the radio axis, is unpolarized (P[2sigma] < 2.4%). This implies that scattered AGN light, which is generally the dominant contributor to the rest-frame UV emission in z~1 radio galaxies, is unlikely to be a major component of the UV flux from 4C41.17. The spectrum shows absorption lines that are similar to those detected in the spectra of the recently discovered population of star forming galaxies at z~2-3. A galaxian outflow may contribute partially to the low ionization absorption lines; however, the high velocity wings of the high ionization lines are unlikely to be dominated by a galaxian wind since the implied outflow mass is very large. The detection of stellar absorption lines, the shape of the SiIV profile, the unpolarized continuum, the inability of any AGN-related processes to account for the UV flux, and the similarity of the UV continuum spectra of 4C41.17 and the nearby starburst region NGC 1741B1 suggest that the UV light in 4C41.17 is dominated by young stars. If so, the implied star-formation rate is roughly 140-1100Msun/yr. We discuss the possibility that star formation in 4C41.17 was triggered by the radio source. Our data are consistent with the hypothesis that 4C41.17 is undergoing its major epoch of star formation at z~4, and that by z~1 it will have evolved to have spectral and morphological properties similar to those observed in known z~1 powerful radio galaxies.Comment: 28 pages (Latex text + figures); Accepted for publication in The Astrophysical Journal (Dec 1, 1997 issue

Cessation of biomechanical stretch model of C2C12 cells models myocyte atrophy and anaplerotic changes in metabolism using non-targeted metabolomics analysis

Studies of skeletal muscle disuse, either in patients on bed rest or experimentally in animals (immobilization), have demonstrated that decreased protein synthesis is common, with transient parallel increases in protein degradation. Muscle disuse atrophy involves a process of transition from slow to fast myosin fiber types. A shift toward glycolysis, decreased capacity for fat oxidation, and substrate accumulation in atrophied muscles have been reported, as has accommodation of the liver with an increased gluconeogenic capacity. Recent studies have modeled skeletal muscle disuse by using cyclic stretch of differentiated myotubes (C2C12), which mimics the loading pattern of mature skeletal muscle, followed by cessation of stretch. We utilized this model to determine the metabolic changes using non-targeted metabolomics analysis of the media. We identified increases in amino acids resulting from protein degradation (largely sarcomere) that occurs with muscle atrophy that are involved in feeding the Kreb’s cycle through anaplerosis. Specifically, we identified increased alanine/proline metabolism (significantly elevated proline, alanine, glutamine, and asparagine) and increased α-ketoglutaric acid, the proposed Kreb’s cycle intermediate being fed by the alanine/proline metabolic anaplerotic mechanism. Additionally, several unique pathways not clearly delineated in previous studies of muscle unloading were seen, including: 1) elevated keto-acids derived from branched chain amino aicds (i.e. 2-ketoleucine and 2-keovaline), which feed into a metabolic pathway supplying acetyl-CoA and 2-hydroxybutyrate (also significantly increased); and 2) elevated guanine, an intermediate of purine metabolism, was seen at 12 hours unloading. Given the interest in targeting different aspects of the ubiquitin proteasome system to inhibit protein degradation, this C2C12 system may allow the identification of direct and indirect alterations in metabolism due to anaplerosis or through other yet to be identified mechanisms using a non-targeted metabolomics approach

Correspondence to William Barrett Taylor, date unknown or unclear

Correspondence to William Barrett Taylor, date unknown or unclear. Box 3, folder 7.https://digitalcommons.wofford.edu/littlejohnboggs/1022/thumbnail.jp

Reduction of Healthcare-Associated Infections by Exceeding High Compliance with Hand Hygiene Practices

Improving hand hygiene from high to very high compliance has not been documented to decrease healthcare-associated infections. We conducted longitudinal analyses during 2013–2015 in an 853-bed hospital and observed a significantly increased hand hygiene compliance rate (p<0.001) and a significantly decreased healthcare-associated infection rate (p = 0.0066)