Space Station Technology, 1983

This publication is a compilation of the panel summaries presented in the following areas: systems/operations technology; crew and life support; EVA; crew and life support: ECLSS; attitude, control, and stabilization; human capabilities; auxillary propulsion; fluid management; communications; structures and mechanisms; data management; power; and thermal control. The objective of the workshop was to aid the Space Station Technology Steering Committee in defining and implementing a technology development program to support the establishment of a permanent human presence in space. This compilation will provide the participants and their organizations with the information presented at this workshop in a referenceable format. This information will establish a stepping stone for users of space station technology to develop new technology and plan future tasks

Convergence Analysis of a Fully Discrete Family of Iterated Deconvolution Methods for Turbulence Modeling with Time Relaxation

We present a general theory for regularization models of the Navier-Stokes equations based on the Leray deconvolution model with a general deconvolution operator designed to fit a few important key properties. We provide examples of this type of operator, such as the (modified) Tikhonov-Lavrentiev and (modified) Iterated Tikhonov-Lavrentiev operators, and study their mathematical properties. An existence theory is derived for the family of models and a rigorous convergence theory is derived for the resulting algorithms. Our theoretical results are supported by numerical testing with the Taylor-Green vortex problem, presented for the special operator cases mentioned above

Antibody-Based Ticagrelor Reversal Agent in Healthy Volunteers.

BACKGROUND: Ticagrelor is an oral P2Y12 inhibitor that is used with aspirin to reduce the risk of ischemic events among patients with acute coronary syndromes or previous myocardial infarction. Spontaneous major bleeding and bleeding associated with urgent invasive procedures are concerns with ticagrelor, as with other antiplatelet drugs. The antiplatelet effects of ticagrelor cannot be reversed with platelet transfusion. A rapid-acting reversal agent would be useful. METHODS: In this randomized, double-blind, placebo-controlled, phase 1 trial, we evaluated intravenous PB2452, a monoclonal antibody fragment that binds ticagrelor with high affinity, as a ticagrelor reversal agent. We assessed platelet function in healthy volunteers before and after 48 hours of ticagrelor pretreatment and again after the administration of PB2452 or placebo. Platelet function was assessed with the use of light transmission aggregometry, a point-of-care P2Y12 platelet-reactivity test, and a vasodilator-stimulated phosphoprotein assay. RESULTS: Of the 64 volunteers who underwent randomization, 48 were assigned to receive PB2452 and 16 to receive placebo. After 48 hours of ticagrelor pretreatment, platelet aggregation was suppressed by approximately 80%. PB2452 administered as an initial intravenous bolus followed by a prolonged infusion (8, 12, or 16 hours) was associated with a significantly greater increase in platelet function than placebo, as measured by multiple assays. Ticagrelor reversal occurred within 5 minutes after the initiation of PB2452 and was sustained for more than 20 hours (P\u3c0.001 after Bonferroni adjustment across all time points for all assays). There was no evidence of a rebound in platelet activity after drug cessation. Adverse events related to the trial drug were limited mainly to issues involving the infusion site. CONCLUSIONS: In healthy volunteers, the administration of PB2452, a specific reversal agent for ticagrelor, provided immediate and sustained reversal of the antiplatelet effects of ticagrelor, as measured by multiple assays. (Funded by PhaseBio Pharmaceuticals; ClinicalTrials.gov number, NCT03492385.)

The organisational and human resource challenges facing primary care trusts : protocol of a multiple case study

BACKGROUND: The study is designed to assess the organisational and human resource challenges faced by Primary Care Trusts (PCTs). Its objectives are to: specify the organisational and human resources challenges faced by PCTs in fulfilling the roles envisaged in government and local policy; examine how PCTs are addressing these challenges, in particular, to describe the organisational forms they have adopted, and the OD/HR strategies and initiatives they have planned or in place; assess how effective these structures, strategies and initiatives have been in enabling the PCTs to meet the organisational and human resources challenges they face; identify the factors, both internal to the PCT and in the wider health community, which have contributed to the success or failure of different structures, strategies and initiatives. METHODS: The study will be undertaken in three stages. In Stage 1 the key literature on public sector and NHS organisational development and human resources management will be reviewed, and discussions will be held with key researchers and policy makers working in this area. Stage 2 will focus on detailed case studies in six PCTs designed to examine the organisational and human resources challenges they face. Data will be collected using semi-structured interviews, group discussion, site visits, observation of key meetings and examination of local documentation. The findings from the case study PCTs will be cross checked with a Reference Group of up to 20 other PCG/Ts, and key officers working in organisational development or primary care at local, regional and national level. In Stage 3 analysis of findings from the preparatory work, the case studies and the feedback from the Reference Group will be used to identify practical lessons for PCTs, key messages for policy makers, and contributions to further theoretical development

Energy Release from Impacting Prominence Material Following the 2011 June 7 Eruption

Solar filaments exhibit a range of eruptive-like dynamic activity, ranging from the full or partial eruption of the filament mass and surrounding magnetic structure as a coronal mass ejection to a fully confined or failed eruption. On 2011 June 7, a dramatic partial eruption of a filament was observed by multiple instruments on board the Solar Dynamics Observatory (SDO) and Solar-Terrestrial Relations Observatory. One of the interesting aspects of this event is the response of the solar atmosphere as non-escaping material falls inward under the influence of gravity. The impact sites show clear evidence of brightening in the observed extreme ultraviolet wavelengths due to energy release. Two plausible physical mechanisms for explaining the brightening are considered: heating of the plasma due to the kinetic energy of impacting material compressing the plasma, or reconnection between the magnetic field of low-lying loops and the field carried by the impacting material. By analyzing the emission of the brightenings in several SDO/Atmospheric Imaging Assembly wavelengths, and comparing the kinetic energy of the impacting material (7.6 10(exp 26) - 5.8 10(exp 27) erg) to the radiative energy (approx. 1.9 10(exp 25) - 2.5 10(exp 26) erg), we find the dominant mechanism of energy release involved in the observed brightening is plasma compression

Healthcare choice: Discourses, perceptions, experiences and practices

Policy discourse shaped by neoliberal ideology, with its emphasis on marketisation and competition, has highlighted the importance of choice in the context of healthcare and health systems globally. Yet, evidence about how so-called consumers perceive and experience healthcare choice is in short supply and limited to specific healthcare systems, primarily in the Global North. This special issue aims to explore how choice is perceived and utilised in the context of different systems of healthcare throughout the world, where choice, at least in policy and organisational terms, has been embedded for some time. The articles are divided into those emphasising: embodiment and the meaning of choice; social processes associated with choice; the uncertainties, risks and trust involved in making choices; and issues of access and inequality associated with enacting choice. These sociological studies reveal complexities not always captured in policy discourse and suggest that the commodification of healthcare is particularly problematic

The “New” Student-Athlete: An Exploratory Examination of Scholarship eSports Players

The growth and popularity of eSports cannot be understated. The domain has become so mainstream that colleges and universities are rapidly beginning to launch eSports programs within their athletics departments. In this study, the authors interviewed 33 student-athletes receiving scholarships for participating in eSports at one institution. In all, the identity and social capital of athletes in this “new” athletic arena were explored and compared with previous studies examining “traditional” athletes. The implications of the similarities and differences are discussed and ideas for future research into this emerging field are presented