Humanism in the Age of COVID-19: Renewing Focus on Communication and Compassion

The global COVID-19 pandemic has become one of the largest clinical and operational challenges faced by emergency medicine, and our EDs continue to see increased volumes of infected patients, many of whom are not only ill, but acutely aware and fearful of their circumstances and potential mortality. Given this, there may be no more important time to focus on staff-patient communication and expression of compassion.However, many of the techniques usually employed by emergency clinicians to provide comfort to patients and their families are made more challenging or impossible by the current circumstances. Geriatric ED patients, who are at increased risk of severe disease, are particularly vulnerable to the effects of isolation.Despite many challenges, emergency clinicians have at their disposal a myriad of tools that can still be used to express compassion and empathy to their patients. Placing emphasis on using these techniques to maximize humanism in the care of COVID-19 patients during this crisis has the potential to bring improvements to ED patient care well after this pandemic has passed

Liquid general anesthetics lower critical temperatures in plasma membrane vesicles

A large and diverse array of small hydrophobic molecules induce general anesthesia. Their efficacy as anesthetics has been shown to correlate both with their affinity for a hydrophobic environment and with their potency in inhibiting certain ligand gated ion channels. Here we explore the effects that n-alcohols and other liquid anesthetics have on the two-dimensional miscibility critical point observed in cell derived giant plasma membrane vesicles (GPMVs). We show that anesthetics depress the critical temperature (Tc) of these GPMVs without strongly altering the ratio of the two liquid phases found below Tc. The magnitude of this affect is consistent across n-alcohols when their concentration is rescaled by the median anesthetic concentration (AC50) for tadpole anesthesia, but not when plotted against the overall concentration in solution. At AC50 we see a 4{\deg}C downward shift in Tc, much larger than is typically seen in the main chain transition at these anesthetic concentrations. GPMV miscibility critical temperatures are also lowered to a similar extent by propofol, phenylethanol, and isopropanol when added at anesthetic concentrations, but not by tetradecanol or 2,6 diterbutylphenol, two structural analogs of general anesthetics that are hydrophobic but have no anesthetic potency. We propose that liquid general anesthetics provide an experimental tool for lowering critical temperatures in plasma membranes of intact cells, which we predict will reduce lipid-mediated heterogeneity in a way that is complimentary to increasing or decreasing cholesterol. Also, several possible implications of our results are discussed in the context of current models of anesthetic action on ligand gated ion channels.Comment: 16 pages, 6 figure

A Hybrid Beam Steering Free-Space and Fiber Based Optical Data Center Network

Wireless data center networks (DCNs) are promising solutions to mitigate the cabling complexity in traditional wired DCNs and potentially reduce the end-to-end latency with faster propagation speed in free space. Yet, physical architectures in wireless DCNs must be carefully designed regarding wireless link blockage, obstacle bypassing, path loss, interference and spatial efficiency in a dense deployment. This paper presents the physical layer design of a hybrid FSO/in-fiber DCN while guaranteeing an all-optical, single hop, non-oversubscribed and full-bisection bandwidth network. We propose two layouts and analyze their scalability: (1) A static network utilizing only tunable sources which can scale up to 43 racks, 15,609 nodes and 15,609 channels; and (2) a re-configurable network with both tunable sources and piezoelectric actuator (PZT) based beam-steering which can scale up to 8 racks, 2,904 nodes and 185,856 channels at millisecond PZT switching time. Based on a traffic generation framework and a dynamic wavelength-timeslot scheduling algorithm, the system-level network performance is simulated for a 363-node subnet, reaching >99% throughput and 1.23 μ s average scheduler latency at 90% load

Compositional Constraints for Lucy Mission Trojan Asteroids via Near-Infrared Spectroscopy

We report near-infrared (0.7-2.5 micron) reflectance spectra for each of the six target asteroids of the forthcoming NASA Discovery-class mission Lucy. Five Jupiter Trojans (the binary (617) Patroclus system, (3548) Eurybates, (21900) Orus, (11351) Leucus, and (15094) Polymele) are well-characterized, with measurable spectral differences. We also report a survey-quality spectrum for main belt asteroid (52246) Donaldjohanson. We measured a continuum of spectral slopes including "red" (Orus, Leucus), "less red" (Eurybates, Patroclus-Menoetius) and intermediate (Polymele), indicating a range of compositional end-members or geological histories. We perform radiative transfer modeling of several possible surface compositions. We find that the mild-sloped spectra and low albedo of Patroclus and Eurybates imply similar compositions. Eurybates (~7 wt.% water ice) and Patroclus (~4 wt.% water ice) are consistent with a hydrated surface. Models for Orus and Leucus are consistent with each other and require a significantly more reddening agent (e.g. iron-rich silicates or tholin-like organics). Polymele has a linear spectrum like Patroclus, but a higher albedo more closely aligned with Orus/Leucus, defying simple grouping. Solar system formation models generally predict that the Jovian Trojans accreted in the outer solar system. Our observations and analysis are generally consistent with this expectation, although not uniquely so.Comment: Accepted by AJ. 10 Figures, 5 Table