On the Frontlines of Todays Cities: Trauma, Challenges and Solutions

Local officials work at the level of government closest to the people, and with that comes great responsibility and great challenge. While public officials at the state and federal level have faced harassment and threats for decades, this trend has now made its way to cities, with local leaders on the frontlines of these challenges. Driven by increasing polarization, the spread of mis- and disinformation and the growing influence and power of social media, local officials face everything from racist, homophobic attacks online to city council meetings that devolve into screaming matches. The COVID-19 pandemic, racial reckoning and other recent national crises pushed many things to the extreme and threats and harassment against local leaders are no exception. While a certain amount of disagreement is a healthy part of a functioning democracy, civil discourse in America has been increasingly in decline. Eighty-seven percent of surveyed local officials have noticed an increase in levels of harassment, threats and violence during their time in office.While more than 8 in 10 surveyed local officials have experienced some form of harassment, threats and violence, fewer than half work in an office with a strategy to handle these incidents. This report sheds light on the impact felt by local officials and their communities across the country and offers a three-pronged approach to help keep them safe from threats, while maintaining their mental and physical wellbeing

Development and evaluation of an interactive multimedia clinical skills teaching program designed for the pediatric clerkship.

Background and Purpose: The physical examination section of a multimedia program developed to teach infant history and physical examination skills was evaluated. Methods: 71 students participated: one group viewed only the physical examination section (PX), one the history section (HX), one none of the program (CX). Physical examination skills were assessed by direct observation of medical students performing an abdominal exam and scored using a checklist at baseline, immediately after intervention and at the end of the pediatric clerkship. Results were analyzed using ANOVA with repeated measures. Results: Baseline scores were: PX 2.5; HX 2.8. The PX group scored significantly higher immediately post intervention at 6.8 compared to the HX group 3.1. At the end of the clerkship significant differences between the groups remained. Final group mean scores were: PX 5.5, HX 4.4 and CX 2.7. Conclusion: The program improved examination skills with attenuation over 6 weeks

Relations between heart failure, ejection fraction, arrhythmia suppression and mortality: Analysis of the Cardiac Arrhythmia Suppression Trial

Objectives.We studied the relations between heart failure, ejection fraction, arrhythmia suppression and mortality.Background.Both left ventricular ejection fraction and functional class of heart failure are strongly associated with mortality after acute myocardial infarction. Both are also related to the presence of ventricular arrhythmias and have been identified as factors related to the ability to suppress ventricular arrhythmias. Little has been reported about the relations between these two factors and arrhythmia suppression or mortality.Methods.Baseline data from the Cardiac Arrhythmia Suppression Trial were used to define several categories of heart failure and to relate both the resulting categories and ejection fraction to arrhythmia suppression and mortality using logistic and survival regression analytic methodologies.Results.Regardless of the prospective baseline definition of heart failure used, the data consistently showed that heart failure was a more powerful predictor of subsequent congestive heart failure events and arrhythmia suppression and was equally powerful in predicting death. However, each variable provided incremental information when included in the prediction model. Heart failure and ejection fraction appeared to be independent predictors of death. Interactions were observed: A low ejection fraction was more predictive of failure of arrhythmia suppression in patients with than without evidence of heart failure before or at baseline; a low ejection fraction was more predictive of subsequent congestive heart failure events in patients without than with evidence of heart failure before or at baseline.Conclusions.Although heart failure as a prognostic feature appears to be somewhat superior to ejection fraction, both are powerful predictors of arrhythmia suppression and cardiac events in patients with ventricular arrhythmia after myocardial infarction. Each provides incremental prediction

The future of human nature: a symposium on the promises and challenges of the revolutions in genomics and computer science, April 10, 11, and 12, 2003

This repository item contains a single issue of the Pardee Conference Series, a publication series that began publishing in 2006 by the Boston University Frederick S. Pardee Center for the Study of the Longer-Range Future. This was the Center's Symposium on the Promises and Challenges of the Revolutions in Genomics and Computer Science took place during April 10, 11, and 12, 2003. Co-organized by Charles DeLisi and Kenneth Lewes; sponsored by Boston University, the Frederick S. Pardee Center for the Study of the Longer-Range Future.This conference focused on scientific and technological advances in genetics, computer science, and their convergence during the next 35 to 250 years. In particular, it focused on directed evolution, the futures it allows, the shape of society in those futures, and the robustness of human nature against technological change at the level of individuals, groups, and societies. It is taken as a premise that biotechnology and computer science will mature and will reinforce one another. During the period of interest, human cloning, germ-line genetic engineering, and an array of reproductive technologies will become feasible and safe. Early in this period, we can reasonably expect the processing power of a laptop computer to exceed the collective processing power of every human brain on the planet; later in the period human/machine interfaces will begin to emerge. Whether such technologies will take hold is not known. But if they do, human evolution is likely to proceed at a greatly accelerated rate; human nature as we know it may change markedly, if it does not disappear altogether, and new intelligent species may well be created

The future of human nature: a symposium on the promises and challenges of the revolutions in genomics and computer science, April 10, 11, and 12, 2003

This repository item contains a single issue of the Pardee Conference Series, a publication series that began publishing in 2006 by the Boston University Frederick S. Pardee Center for the Study of the Longer-Range Future. This was the Center's Symposium on the Promises and Challenges of the Revolutions in Genomics and Computer Science took place during April 10, 11, and 12, 2003. Co-organized by Charles DeLisi and Kenneth Lewes; sponsored by Boston University, the Frederick S. Pardee Center for the Study of the Longer-Range Future.This conference focused on scientific and technological advances in genetics, computer science, and their convergence during the next 35 to 250 years. In particular, it focused on directed evolution, the futures it allows, the shape of society in those futures, and the robustness of human nature against technological change at the level of individuals, groups, and societies. It is taken as a premise that biotechnology and computer science will mature and will reinforce one another. During the period of interest, human cloning, germ-line genetic engineering, and an array of reproductive technologies will become feasible and safe. Early in this period, we can reasonably expect the processing power of a laptop computer to exceed the collective processing power of every human brain on the planet; later in the period human/machine interfaces will begin to emerge. Whether such technologies will take hold is not known. But if they do, human evolution is likely to proceed at a greatly accelerated rate; human nature as we know it may change markedly, if it does not disappear altogether, and new intelligent species may well be created

A Lattice QCD Analysis of the Strangeness Magnetic Moment of the Nucleon

The outcome of the SAMPLE Experiment suggests that the strange-quark contribution to the nucleon magnetic moment, G_M^s(0), may be greater than zero. This result is very difficult to reconcile with expectations based on the successful baryon magnetic-moment phenomenology of the constituent quark model. We show that careful consideration of chiral symmetry reveals some rather unexpected properties of QCD. In particular, it is found that the valence u-quark contribution to the magnetic moment of the neutron can differ by more than 50% from its contribution to the Xi^0 magnetic moment. This hitherto unforeseen result leads to the value G_M^s(0) = -0.16 +/- 0.18 with a systematic error, arising from the relatively large strange quark mass used in existing lattice calculations, that would tend to shift G_M^s(0) towards small positive values.Comment: RevTeX, 20 pages, 12 figure

Rare-metal granites as a potential source of critical metals: A geometallurgical case study

This is the author accepted manuscript. The final version is available from Elsevier via the DOI in this recordBecause of their low grades in critical metals such as Light Rare Earth Elements (LREE) or Sn, rare-metal granites are not considered as economic for metal recovery but, when altered, they are often exploited for their industrial minerals. The St Austell rare-metal granite is well known for its world-class kaolin deposits which formed as a result of the extensive weathering and alteration of the underlying granite. The St Austell granite body is composed of several granite components, each having its own accessory minerals assemblage. As a result of the kaolinisation process, some metal-bearing accessory minerals of the granite, such as monazite (LREE) or cassiterite (Sn), are partially liberated from the gangue which allow their pre-concentration in the micaceous residue which is considered as a potential source for critical metals recovery. Similarities with other similar rare-metal granites suggest that topaz granite is the most prospective for disseminated magmatic Sn-Nb-Ta-REE mineralization. However, comparison of the potentiality of 3 granite types i.e., biotite, topaz and tourmaline granites suggest that biotite granites is actually the most prospective due to higher degree of kaolinisation of the biotite granite which favour pre-concentration of its accessory mineral in the micaceous residue. In order to develop a geometallurgical framework for extraction of kaolin and metals from the selected granite component, a field sampling campaign is performed. Core samples are processed in the laboratory using a characterisation program that mimics the full-scale kaolin refining route. Two main products are recovered through this program, viz. MR180 (−180 +53 µm) and P5 (−5 µm), which correspond to a fine micaceous residue and a fine kaolin product respectively. These products are both analysed routinely for major and minor trace elements by XRF and yields are recorded to indicate process performance. A selected number of MR180 samples are also being characterised in terms of particle size by laser light scattering, geochemistry by ICP-MS, and mineralogy by QEMSCAN®. Comparison of characterisation results of MR180 samples and corresponding industrial residue samples shows a good correlation, suggesting that sample analyses are representative for the in-situ deposit and the processing behaviour. Monazite is found to be either fully liberated or fully locked from one sample to the other. Next, pilot-scale gravity concentration tests are performed on micaceous residue samples. Characterisation of the processing products shows that monazite lost in the tailings is mostly locked within tourmaline or micas and is fine grained. Then, predictive regression models for spiral separation performance in terms of recovery, product grade and enrichment as a function of the feed grade are developed for MR180 LREE grade data. Finally, kaolin resources can be classified using quantitative indicators such as yield of the P5 product and the iron oxides content which provides insight into the kaolin quality in terms of whiteness. This geometallurgical classification can be used to delineate zones of interest within the deposit. Although kaolin quality and recovery primarily inform extraction planning, zones which are also of interest for metal recovery can be identified. The proposed model predicts whether the expected LREE grade and recovery satisfy the by-product requirements.European CommissionNatural Environment Research Council (NERC)French National Research Agenc

Acute Flaccid Paralysis and West Nile Virus Infection

Acute weakness associated with West Nile virus (WNV) infection has previously been attributed to a peripheral demyelinating process (Guillain-Barré syndrome); however, the exact etiology of this acute flaccid paralysis has not been systematically assessed. To thoroughly describe the clinical, laboratory, and electrodiagnostic features of this paralysis syndrome, we evaluated acute flaccid paralysis that developed in seven patients in the setting of acute WNV infection, consecutively identified in four hospitals in St. Tammany Parish and New Orleans, Louisiana, and Jackson, Mississippi. All patients had acute onset of asymmetric weakness and areflexia but no sensory abnormalities. Clinical and electrodiagnostic data suggested the involvement of spinal anterior horn cells, resulting in a poliomyelitis-like syndrome. In areas in which transmission is occurring, WNV infection should be considered in patients with acute flaccid paralysis. Recognition that such weakness may be of spinal origin may prevent inappropriate treatment and diagnostic testing

The long path to pregnancy: early experience with dual anonymous gamete donation in a European in vitro fertilisation referral centre

<p>Abstract</p> <p>Background</p> <p>This investigation describes features of patients undergoing in vitro fertilisation (IVF) and embryo transfer (ET) where both gametes were obtained from anonymous donors.</p> <p>Methods</p> <p>Gamete unsuitability or loss was confirmed in both members of seven otherwise healthy couples presenting for reproductive endocrinology consultation over a 12-month interval in Ireland. IVF was undertaken with fresh oocytes provided by anonymous donors in Ukraine; frozen sperm (anonymous donor) was obtained from a licensed tissue establishment. For recipients, saline-enhanced sonography was used to assess intrauterine contour with endometrial preparation via transdermal estrogen.</p> <p>Results</p> <p>Among commissioning couples, mean±SD female and male age was 41.9 ± 3.7 and 44.6 ± 3.5 yrs, respectively. During this period, female age for non dual anonymous gamete donation IVF patients was 37.9 ± 3 yrs (<it>p </it>< 0.001). Infertility duration was ≥3 yrs for couples enrolling in dual gamete donation, and each had ≥2 prior failed fertility treatments using native oocytes. All seven recipient couples proceeded to embryo transfer, although one patient had two transfers. Clinical pregnancy was achieved for 5/7 (71.4%) patients. Non-transferred cryopreserved embryos were available for all seven couples.</p> <p>Conclusions</p> <p>Mean age of females undergoing dual anonymous donor gamete donation with IVF is significantly higher than the background IVF patient population. Even when neither partner is able to contribute any gametes for IVF, the clinical pregnancy rate per transfer can be satisfactory if both anonymous egg and sperm donation are used concurrently. Our report emphasises the role of pre-treatment counselling in dual anonymous gamete donation, and presents a coordinated screening and treatment approach in IVF where this option may be contemplated.</p

Carbon budget and carbon chemistry in Photon Dominated Regions

We present a study of small carbon chains and rings in Photon Dominated Regions (PDRs) performed at millimetre wavelengths. Our sample consists of the Horsehead nebula (B33), the rho,Oph L1688 cloud interface, and the cometary-shaped cloud IC63. Using the IRAM 30-m telescope, the SEST and the Effelsberg 100-m teles cope at Effelsberg., we mapped the emission of \cch, c-C3H2 and C4H, and searched for heavy hydrocarbons such as c-C3H, l-C3H, l-C3H2, l-C4H2 and C6H. The large scale maps show that small hydrocarbons are present until the edge of all PDRs, which is surprising as they are expected to be easily destroyed by UV radiation. Their spatial distribution reasonably agrees with the aromatic emission mapped in mid-IR wavelength bands. Their abundances relative to H2 are relatively high and comparable to the ones derived in dark clouds such as L134N or TMC-1, known as efficient carbon factories. In particular, we report the first detection of C6H in a PDR. We have run steady-state PDR models using several gas-phase chemical networks (UMIST95 and the New Standard Model) and conclude that both networks fail in reproducing the high abundances of some of these hydrocarbons by an order of magnitude. The high abundance of hydrocarbons in the PDR may suggest that the photo-erosion of UV-irradiated large carbonaceous compounds could efficiently feed the ISM with small carbon clusters or molecules. This new production mechanism of carbon chains and rings could overcome their destruction by the UV radiation field. Dedicated theoretical and laboratory measurements are required in order to understand and implement these additional chemical routes.Comment: 18 pages, 12 figure