Twelve loci provide insights into the genetic basis of lacunar stroke and small vessel disease: a meta-analysis of genome-wide association studies

We did a pooled analysis of data from newly recruited patients with an MRI-confirmed diagnosis of lacunar stroke and existing genome-wide association studies (GWAS). Patients were recruited from hospitals in the UK as part of the UK DNA Lacunar Stroke studies 1 and 2 and from collaborators within the International Stroke Genetics Consortium. Cases and controls were stratified by ancestry and two meta-analyses were done: a European ancestry analysis, and a transethnic analysis that included all ancestry groups. We also did a multi-trait analysis of GWAS, in a joint analysis with a study of cerebral white matter hyperintensities (an aetiologically related radiological trait), to find additional genetic associations. We did a transcriptome-wide association study (TWAS) to detect genes for which expression is associated with lacunar stroke; identified significantly enriched pathways using multi-marker analysis of genomic annotation; and evaluated cardiovascular risk factors causally associated with the disease using mendelian randomisation

Adherence to Cardiovascular Disease Medications: Does Patient-Provider Race/Ethnicity and Language Concordance Matter?

BACKGROUND: Patient–physician race/ethnicity and language concordance may improve medication adherence and reduce disparities in cardiovascular disease (CVD) by fostering trust and improved patient–physician communication. OBJECTIVE: To examine the association of patient race/ethnicity and language and patient–physician race/ethnicity and language concordance on medication adherence rates for a large cohort of diabetes patients in an integrated delivery system. DESIGN: We studied 131,277 adult diabetes patients in Kaiser Permanente Northern California in 2005. Probit models assessed the effect of patient and physician race/ethnicity and language on adherence to CVD medications, after controlling for patient and physician characteristics. RESULTS: Ten percent of African American, 11 % of Hispanic, 63% of Asian, and 47% of white patients had same race/ethnicity physicians.24% of Spanish-speaking patients were linguistically concordant with their physicians. African American (46%), Hispanic (49%) and Asian (52%) patients were significantly less likely than white patients (58%) to be in good adherence to all of their CVD medications (p<0.001). Spanish-speaking patients were less likely than English speaking patients to be in good adherence (51%versus 57%, p<0.001). Race concordance for African American patients was associated with adherence to all their CVD medications (53% vs. 50%, p<0.05). Language concordance was associated with medication adherence for Spanish-speaking patients (51% vs. 45%, p<0.05). CONCLUSION: Increasing opportunities for patient– physician race/ethnicity and language concordance may improve medication adherence for African American and Spanish-speaking patients, though a similar effect was not observed for Asian patients or Englishproficient Hispanic patients

An investigation of wing buffeting response at subsonic and transonic speeds. Phase 2: F-111A flight data analysis. Volume 1: Summary of technical approach, results and conclusions

A detailed investigation of the flight buffeting response of the F-111A was performed in two phases. In Phase 1 stochastic analysis techniques were applied to wing and fuselage responses for maneuvers flown at subsonic speeds and wing leading edge sweep of 26 degrees. Power spectra and rms values were obtained. This report gives results of Phase 2 where the analyses were extended to include maneuvers flown at wing leading edge sweep values of 50 and 75.5 degrees at subsonic and supersonic speeds and the responses examined were expanded to include vertical shear, bending moment, and hingeline torque of the left and right horizontal tails. Power spectra, response time histories, variations of rms response with angle of attack and effects of wing sweep and Mach number are presented and discussed. Some Phase 1 results are given for comparison purposes

First-Generation Students in Law School: A Proven Success Model

High school graduates whose parents did not themselves graduate from college are now entering undergraduate institutions in overwhelming numbers. They represent a significant constituency on college campuses across the country and undergraduate programs are investing resources to study and facilitate the academic success of these students as they work towards an undergraduate degree. Those students have been graduating in greater numbers and many are now pursuing graduate degrees, including law degrees. To grow student retention and graduation rates, law schools should be proactive in addressing the needs of this growing body of students. For over two decades, the University of Memphis Cecil C. Humphreys School of Law has offered an alternative admissions program, called the Tennessee Institute for Pre-Law (“TIP”). This program aims to facilitate the admission, academic success, and graduation of diverse law school applicants who are denied admission through the regular application process. Among the diverse students TIP serves are first-generation college students. Over the years TIP has guided numerous first-generation college students to achieve law school admission, succeed academically, graduate, and ultimately pass the bar exam. TIP implements many strategies that benefit first-generation college students and should serve as a model for law schools interested in investing in the success of this growing population

Groundwater Availability of the Northern High Plains Aquifer in Colorado, Kansas, Nebraska, South Dakota, and Wyoming

The Northern High Plains aquifer underlies about 93,000 square miles of Colorado, Kansas, Nebraska, South Dakota, and Wyoming and is the largest subregion of the nationally important High Plains aquifer. Irrigation, primarily using groundwater, has supported agricultural production since before 1940, resulting in nearly $50 billion in sales in 2012. In 2010, the High Plains aquifer had the largest groundwater withdrawals of any major aquifer system in the United States.Nearly one-half of those withdrawals were from the Northern High Plains aquifer, which has little hydrologic interaction with parts of the aquifer farther south. Land-surface elevation ranges from more than 7,400 feet (ft) near the western edge to less than 1,100 ft near the eastern edge. Major streams primarily flow west to east and include the Big Blue River, Elkhorn River, Loup River, Niobrara River, Republican Riverand Platte River with its two forks—the North Platte River and South Platte River. Population in the Northern High Plains aquifer area is sparse with only 2 cities having a population greater than 30,000.Droughts across much of the area from 2001 to 2007, combined with recent (2004–18) legislation, have heightened concerns regarding future groundwater availability and highlighted the need for science-based water-resource management. Groundwater models with the capability to provide forecasts of groundwater availability and related stream base flows from the Northern High Plains aquifer were published recently (2016) and were used to analyze groundwater avail-ability. Stream base flows are generally the dominant component of total streamflow in the Northern High Plains aquifer, and total streamflows or shortages thereof define conjunctive management triggers, at least in Nebraska. Groundwater availability was evaluated through comparison of aquifer-scale water budgets compared for periods before and after major groundwater development and across selected future fore-casts. Groundwater-level declines and the forecast amount of groundwater in storage in the aquifer also were examined

Initial Acoustoelastic Measurements in Olivine: Investigating the Effect of Stress on P- and S-Wave Velocities

It is well known that elasticity is a key physical property in the determination of the structure and composition of the Earth and provides critical information for the interpretation of seismic data. This study investigates the stress-induced variation in elastic wave velocities, known as the acoustoelastic effect, in San Carlos olivine. A recently developed experimental ultrasonic acoustic system, the Directly Integrated Acoustic System Combined with Pressure Experiments (DIASCoPE), was used with the D-DIA multi-anvil apparatus to transmit ultrasonic sound waves and collect the reflections. We use the DIASCoPE to obtain longitudinal (P) and shear (S) elastic wave velocities from San Carlos olivine at pressures ranging from 3.2–10.5 GPa and temperatures from 450–950°C which we compare to the stress state in the D-DIA derived from synchrotron X-ray diffraction. We use elastic-plastic self-consistent (EPSC) numerical modeling to forward model X-ray diffraction data collected in D-DIA experiments to obtain the macroscopic stress on our sample. We can observe the relationship between the relative elastic wave velocity change (ΔV/V) and macroscopic stress to determine the acoustoelastic constants, and interpret our observations using the linearized first-order equation based on the model proposed by Hughes and Kelly (1953), https://doi.org/10.1103/physrev.92.1145. This work supports the presence of the acoustoelastic effect in San Carlos olivine, which can be measured as a function of pressure and temperature. This study will aid in our understanding of the acoustoelastic effect and provide a new experimental technique to measure the stress state in elastically deformed geologic materials at high pressure conditions

Direct imaging of short-range order and its impact on deformation in Ti-6Al.

Chemical short-range order (SRO) within a nominally single-phase solid solution is known to affect the mechanical properties of alloys. While SRO has been indirectly related to deformation, direct observation of the SRO domain structure, and its effects on deformation mechanisms at the nanoscale, has remained elusive. Here, we report the direct observation of SRO in relation to deformation using energy-filtered imaging in a transmission electron microscope (TEM). The diffraction contrast is enhanced by reducing the inelastically scattered electrons, revealing subnanometer SRO-enhanced domains. The destruction of these domains by dislocation planar slip is observed after ex situ and in situ TEM mechanical testing. These results confirm the impact of SRO in Ti-Al alloys on the scale of angstroms. The direct confirmation of SRO in relationship to dislocation plasticity in metals can provide insight into how the mechanical behavior of concentrated solid solutions by the material's thermal history

Genomic survey of candidate stress-response genes in the estuarine anemone Nematostella vectensis

Author Posting. © Marine Biological Laboratory, 2008. This article is posted here by permission of Marine Biological Laboratory for personal use, not for redistribution. The definitive version was published in Biological Bulletin 214 (2008): 233-254.Salt marshes are challenging habitats due to natural variability in key environmental parameters including temperature, salinity, ultraviolet light, oxygen, sulfides, and reactive oxygen species. Compounding this natural variation, salt marshes are often heavily impacted by anthropogenic insults including eutrophication, toxic contamination, and coastal development that alter tidal and freshwater inputs. Commensurate with this environmental variability, estuarine animals generally exhibit broader physiological tolerances than freshwater, marine, or terrestrial species. One factor that determines an organism's physiological tolerance is its ability to upregulate "stress-response genes" in reaction to particular stressors. Comparative studies on diverse organisms have identified a number of evolutionarily conserved genes involved in responding to abiotic and biotic stressors. We used homology-based scans to survey the sequenced genome of Nematostella vectensis, the starlet sea anemone, an estuarine specialist, to identify genes involved in the response to three kinds of insult—physiochemical insults, pathogens, and injury. Many components of the stress-response networks identified in triploblastic animals have clear orthologs in the sea anemone, meaning that they must predate the cnidarian-triploblast split (e.g., xenobiotic receptors, biotransformative genes, ATP-dependent transporters, and genes involved in responding to reactive oxygen species, toxic metals, osmotic shock, thermal stress, pathogen exposure, and wounding). However, in some instances, stress-response genes known from triploblasts appear to be absent from the Nematostella genome (e.g., many metal-complexing genes). This is the first comprehensive examination of the genomic stress-response repertoire of an estuarine animal and a member of the phylum Cnidaria. The molecular markers of stress response identified in Nematostella may prove useful in monitoring estuary health and evaluating coastal conservation efforts. These data may also inform conservation efforts on other cnidarians, such as the reef-building corals.AMR was supported by a Postdoctoral Scholar Program at the Woods Hole Oceanographic Institution, with funding provided by The Beacon Institute for Rivers and Estuaries, and the J. Seward Johnson Fund. NTK was supported by a graduate research training grant from the National Institutes of Health. This research was also supported by NSF grant FP-91656101-0 to JCS and JRF, EPA grant F5E11155 to AMR and JRF, and a grant from the Conservation International Marine Management Area Science Program to JRF