Severe impact of the 1918-19 pandemic influenza in a national military force

The impact of pandemic influenza on the New Zealand Expeditionary Force (NZEF) in 1918-19 has never been studied using modern epidemiological methods. Therefore we analysed mortality and descriptive data from various sources for these military personnel. An estimated 930 NZEF personnel deaths from pandemic influenza occurred in 1918-19, making it the main cause of disease deaths, and representing 5.1% of all NZEF deaths from World War One (WW1). The epidemic curve was much more drawn out in the Northern Hemisphere compared with the Southern Hemisphere. Mortality rates varied markedly by setting (e.g. in military camps, by country and by hemisphere). Significantly higher mortality rates were found amongst NZEF personnel: aged 30-34 years, those of Māori ethnicity, those with a rural background, and those who left New Zealand for Europe in 1918. In conclusion, this work documents the heavy mortality burden from pandemic influenza amongst this national military force and highlights the large variations in mortality rates through host and environmental factors

Database Design for the Evaluation of On-shore and Off-Shore Storm Characteristics over East Central Florida

Data from multiple sources is needed to investigate lightning characteristics over differing terrain (on-shore vs. off-shore) by comparing natural cloud-to-ground lightning behavior differences depending on the characteristics of attachment mediums. The KSC Lightning Research Database (KLRD) was created to reduce manual data entry time and aid research by combining information from various data sources into a single record for each unique lightning event of interest. The KLRD uses automatic data handling functions to import data from a lightning detection network and identify and record lighting events of interest. Additional automatic functions import data from the NASA Buoy 41009 (located approximately 20 miles off the coast) and the KSC Electric Field Mill network, then match these electric field mill values to the corresponding lightning events. The KLRD calculates distances between each lightning event and the various electric field mills, aids in identifying the location type for each stroke (i.e., on-shore vs. off-shore, etc.), provides statistics on the number of strokes per flash, and produces customizable reports for quick retrieval and logical display of data. Data from February 2014 to date covers 48 unique storm dates with 2295 flashes containing 5700 strokes, of which 2612 are off-shore and 1003 are on-shore. The number of strokes per flash ranges from 1 to 22. The ratio of single to subsequent stroke flashes is 1.29 for off-shore strokes and 2.19 for on-shore strokes

The Impact of Cloud-To-Ground Lightning Type on the Differences in Return Stroke Peak Current Over Land and Ocean

Natural cloud-to-ground (CG) lightning behaves differently over land and ocean. These differences likely reflect local variations in the speed at which storms develop over ocean, and are possibly contributed to by differences in the local aerosol composition. Earlier studies have reported statistically larger peak currents for negative CG first strokes over ocean than over land. This work focuses on differences in this relationship for first strokes, for subsequent strokes in existing channels to ground, and for subsequent strokes creating new ground contacts. This distinction will shed light on the mechanism responsible for the observed land:ocean differences, and can either support or refute the hypothesis that this difference is associated with the propagation of downward negative leaders in free space, driven by the vertical profile of electric field within and below the cloud. Results show that when compensated for detection threshold increases with increasing distance from land-based sensors, the distribution of estimated peak currents for subsequent strokes in existing (pre-ionized) channels to ground was indistinguishable from distributions for lightning that occurred inland, near shore, offshore, and in the distant ocean (similar to 200 km offshore), with median values ranging between 14.4 and 15.1 kA. Conversely, the population of first strokes over distant ocean had much higher peak currents than those that occurred inland (median values of 23.1 kA vs. 17.3 kA, respectively), when corrected for detection threshold. These findings are consistent with the field-profile hypothesis noted above since peak currents for return strokes due to downward leaders that establish new channels (first strokes) would be impacted the most by the vertical profile of electric field near the cloud base, whereas the peak current for strokes in previously-established channels should be far less dependent on the field profile.Open access journalThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]

Small Negative Cloud-to-Ground Lightning Reports at the KSC-ER

'1he NASA Kennedy Space Center (KSC) and Air Force Eastern Range (ER) use data from two cloud-to-ground (CG) lightning detection networks, the CGLSS and the NLDN, and a volumetric lightning mapping array, LDAR, to monitor and characterize lightning that is potentially hazardous to ground or launch operations. Data obtained from these systems during June-August 2006 have been examined to check the classification of small, negative CGLSS reports that have an estimated peak current, [I(sup p)] less than 7 kA, and to determine the smallest values of I(sup p), that are produced by first strokes, by subsequent strokes that create a new ground contact (NGC), and by subsequent strokes that remain in a pre-existing channel (PEC). The results show that within 20 km of the KSC-ER, 21% of the low-amplitude negative CGLSS reports were produced by first strokes, with a minimum I(sup p) of-2.9 kA; 31% were by NGCs, with a minimum I(sup p) of-2.0 kA; and 14% were by PECs, with a minimum I(sup p) of -2.2 kA. The remaining 34% were produced by cloud pulses or lightning events that we were not able to classify

Baclofen alters gustatory discrimination capabilities and induces a conditioned taste aversion (CTA)

<p>Abstract</p> <p>Background</p> <p>Studies intending to measure drug-induced changes in learning and memory are challenged to parse out the effects of drugs on sensory, motor, and associative systems in the brain. In the context of conditioned taste aversion (CTA), drugs that alter the sensorium of subjects and affect their ability to taste and/or feel malaise may limit the ability of investigators to make conclusions about associative effects of these substances. Since the GABAergic system is implicated in inhibition, the authors were hopeful to use the GABA agonist, baclofen (BAC), to enhance extinction of a CTA, but first a preliminary evaluation of BAC's peripheral effects on animals' sensorium had to be completed due to a lack of published literature in this area.</p> <p>Findings</p> <p>Our first experiment aimed to evaluate the extent to which the GABA_Bagonist, BAC, altered the ability of rats to differentiate between 0.3% and 0.6% saccharin (SAC) in a two bottle preference test. Here we report that 2 or 3 mg/kg (i.p.) BAC, but not 1 mg/kg BAC, impaired animals' gustatory discrimination abilities in this task. Furthermore, when SAC consumption was preceded by 2 or 3 mg/kg (i.p.) BAC, rats depressed their subsequent SAC drinking.</p> <p>A second experiment evaluated if the suppression of SAC and water drinking (revealed in Experiment 1) was mediated by amnesiac effects of BAC or whether BAC possessed US properties in the context of the CTA paradigm. The time necessary to reach an asymptotic level of CTA extinction was not significantly different in those animals that received the 3 mg/kg dose of BAC compared to more conventionally SAC + lithium chloride (LiCl, 81 mg/kg) conditioned animals.</p> <p>Conclusions</p> <p>Our findings were not consistent with a simple amnesia-of-neophobia explanation. Instead, results indicated that 2 and 3 mg/kg (i.p.) BAC were capable of inducing a CTA, which was extinguishable via repeated presentations of SAC only. Our data indicate that, depending on the dose, BAC can alter SAC taste discrimination and act as a potent US in the context of a CTA paradigm.</p

Right to Serve, Right to Lead: Lives and Legacies of the USCT

This is a catalog for an exhibit that follows the evolution of African-American participation in the Civil War, from slaves, to contrabands, to soldiers of the United States Colored Troops (USCT), as well as the lives of black veterans beyond the war, and their ultimate military and social legacy. Using a variety of period items, it creates a narrative that stretches from the Antebellum Period to the current day. In doing so, the exhibit shows how black sacrifice on the battlefield redefined the war\u27s purpose throughout the divided nation, how Jim Crowe suppressed the memory of black participation after Reconstruction, and how the illustrious African-American military tradition left by the USCT endures to this day in their modern heirs

In-situ Observation of AlN Formation from Ni-Al Solution Using an Electromagnetic Levitation Technique

Aluminum nitride is a promising substrate material for AlGaN-based UV-LED. In order to develop a robust growth processing route for AlN single crystals, fundamental studies of solution growth experiments using Ni-Al alloy melts as a new solution system were performed. Al can be stably kept in solution the Ni-Al liquid even at high temperature; in addition, the driving force of the AlN formation reaction from solution can be controlled by solution composition and temperature. To investigate AlN crystal growth behavior we developed an in situ observation system using an electromagnetic levitation technique. AlN formation behavior, including nucleation and growth, was quantitatively analyzed by an image processing pipeline. The nucleation rate of AlN decreased with increasing growth temperature and decreasing aluminum composition. In addition, hexagonal c-axis oriented AlN crystal successfully grew on the levitated Ni-40 mol%Al droplet reacted at low driving force (1960 K), on the other hand, AlN crystal with dendritic morphology appeared on the sample with higher driving force (Ni-50 mol%Al, 1960 K). Thus, the nucleation rate and crystal morphology were dominated by the driving force of the AlN formation reaction

Measurement of low‐density lipoprotein cholesterol levels in primary and secondary prevention patients: Insights from the PALM registry

Background The 2013 American College of Cardiology/American Heart Association Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults recommended testing low-density lipoprotein cholesterol ( LDL -C) to identify untreated patients with LDL -C ≥190 mg/dL, assess lipid-lowering therapy adherence, and consider nonstatin therapy. We sought to determine whether clinician lipid testing practices were consistent with these guidelines. Methods and Results The PALM (Patient and Provider Assessment of Lipid Management) registry enrolled primary and secondary prevention patients from 140 US cardiology, endocrinology, and primary care offices in 2015 and captured demographic data, lipid treatment history, and the highest LDL -C level in the past 2 years. Core laboratory lipid levels were drawn at enrollment. Among 7627 patients, 2787 (36.5%) had no LDL -C levels measured in the 2 years before enrollment. Patients without chart-documented LDL -C levels were more often women, nonwhite, uninsured, and non-college graduates (all P\u3c0.01). Patients without prior lipid testing were less likely to receive statin treatment (72.6% versus 76.0%; P=0.0034), a high-intensity statin (21.5% versus 24.3%; P=0.016), nonstatin lipid-lowering therapy (24.8% versus 27.3%; P=0.037), and had higher core laboratory LDL -C levels at enrollment (median 97 versus 92 mg/dL; P\u3c0.0001) than patients with prior LDL -C testing. Of 166 individuals with core laboratory LDL -C levels ≥190 mg/dL, 36.1% had no LDL -C measurement in the prior 2 years, and 57.2% were not on a statin at the time of enrollment. Conclusions In routine clinical practice, LDL -C testing is associated with higher-intensity lipid-lowering treatment and lower achieved LDL -C level

Structural barriers to HIV prevention among men who have sex with men (MSM) in Vietnam: Diversity, stigma, and healthcare access

Men who have sex with men (MSM) in Vietnam experience disproportionate rates of HIV infection. To advance understanding of how structural barriers may shape their engagement with HIV prevention services, we draw on 32 in-depth interviews and four focus groups (n = 31) conducted with MSM in Hanoi between October 2015- March 2016. Three primary factors emerged: (1) Diversity, both in relation to identity and income; Vietnamese MSM described themselves as segregated into Bóng kín (hidden, often heterosexually-identified MSM) and Bóng lộ (‘out,’ transgender, or effeminate MSM). Lower-income, ‘hidden’ MSM from rural areas were reluctant to access MSM-targeted services; (2) Stigma: MSM reported being stigmatized by the healthcare system, family, and other MSM; and (3) Healthcare access: this was limited due to economic barriers and lack of MSM-friendly services. Our research suggests the need for multiple strategies to reach diverse types of MSM as well as to address barriers in access to health services such as stigma and costs. While a great deal has been written about the diversity of MSM in relation to gender performance and sexual identities, our research points to the substantial structural-level barriers that must be addressed in order to achieve meaningful and effective HIV prevention for MSM worldwide