Exploring the Archaeological and Geographical Past of Fort Spokane: A Proposal

This poster presents the project design of a student-led research project addressing the history and archaeological significance of Fort Spokane, a 19th century military fortification along Lake Roosevelt and south of Coolie Dam, Washington. Portions of the Fort were previously excavated, however, since then not much has been done in terms of archaeological research and key questions remain on the development and landscape history of the fort (Riser and DePuydt 2012). New methodologies and theoretical approaches make this an ideal time to reexamine the fort, and to address key questions on how the fort developed, why it was located where it was, and how the fort affected relationships in the region during the late 19th century. The aim of this project is to investigate the social history of the site using spatial analysis of the geographical locations of the fort’s features and its position in the wider landscape. This project will explore a number of research questions on on the significance of the Fort\u27s Location, the social status of the fort\u27s inhabitants, and how the fort structured relationships with the local indigenous communities. This research will contribute to the project design and future archaeological investigations of the site conducted by EWU and the Lake Roosevelt National Recreation Area. The hope is that by doing this research and several others that other students will take up this summer that we can collectively build a foundation of what has been done and what can be done

Water Quality Characteristics of Three Rain Gardens Located Within the Twin Cities Metropolitan Area, Minnesota

A study was conducted by the United States Geological Survey (USGS) at three locations in the Twin Cities Metropolitan Area in Minnesota to assess the effect that bioretention areas, or rain gardens, have on water quality. The rain gardens are located at the University of Minnesota Landscape Arboretum (MLA), City of Hugo, and City of Woodbury. These sites were chosen because of their similar ages, differences in design, surrounding land use, precipitation patterns, and geology. This article reports the statistical analysis of six years of data obtained from these three sites. The data characterizes the water quality of the inflow, overflow, vadose zone, and groundwater of each rain garden. Nutrients analyzed included chloride, total suspended solids, ammonia, organic nitrogen, nitrate, and phosphorus. Lysimeters and wells had significantly lower nutrient concentrations compared to inflow for most nutrients. Increased nitrate occurred in the vadose zone at Woodbury and Hugo, suggesting some production of nitrate within the soil profile; however, groundwater beneath the rain gardens contained significantly lower concentrations of nitrate compared to the inflow, providing evidence of nitrate removal at deeper depths. Phosphorus concentrations were reduced in overflow and groundwater, with the exception of dissolved phosphorus at MLA. Rain garden and background wells often contained similar nutrient concentrations, suggesting that the rain gardens had little impact on the local ground water supplies. This unique six year study provides consistent evidence of the ability of these three rain gardens to reduce nutrient concentrations from urban stormwater

Exercise prescription improves exercise tolerance in young children with CHD:a randomised clinical trial

Objective The main objective of this study was to ascertain if a structured intervention programme can improve the biophysical health of young children with congenital heart disease (CHD). The primary end point was an increase in measureable physical activity levels following the intervention.Methods Patients aged 5–10 years with CHD were identified and invited to participate. Participants completed a baseline biophysical assessment, including a formal exercise stress test and daily activity monitoring using an accelerometer. Following randomisation, the intervention group attended a 1 day education session and received an individual written exercise plan to be continued over the 4-month intervention period. The control group continued with their usual level of care. After 4 months, all participants were reassessed in the same manner as at baseline.Results One hundred and sixty-three participants (mean age 8.4 years) were recruited, 100 of whom were male (61.3%). At baseline, the majority of the children were active with good exercise tolerance. The cyanotic palliated subgroup participants, however, were found to have lower levels of daily activity and significantly limited peak exercise performance compared with the other subgroups. One hundred and fifty-two participants (93.2%) attended for reassessment. Following the intervention, there was a significant improvement in peak exercise capacity in the intervention group. There was also a trend towards increased daily activity levels.Conclusion Overall physical activity levels are well preserved in the majority of young children with CHD. A structured intervention programme significantly increased peak exercise capacity and improved attitudes towards positive lifestyle changes

Ustekinumab is associated with superior effectiveness outcomes compared to vedolizumab in Crohn's disease patients with prior failure to anti-TNF treatment

Contains fulltext : 220027.pdf (Publisher’s version ) (Open Access)BACKGROUND: Both vedolizumab and ustekinumab can be considered for the treatment of Crohn's disease (CD) when anti-TNF treatment fails. However, head-to-head trials are currently not available or planned. AIM: To compare vedolizumab and ustekinumab in Crohn´s disease patients in a prospective registry specifically developed for comparative studies with correction for confounders. METHODS: Crohn´s disease patients, who failed anti-TNF treatment and started vedolizumab or ustekinumab in standard care as second-line biological, were identified in the observational prospective Dutch Initiative on Crohn and Colitis Registry. Corticosteroid-free clinical remission (Harvey Bradshaw Index ≤4), biochemical remission (C-reactive protein ≤5 mg/L and fecal calprotectin ≤250 µg/g), combined corticosteroid-free clinical and biochemical remission, and safety outcomes were compared after 52 weeks of treatment. To adjust for confounding and selection bias, we used multiple logistic regression and propensity score matching. RESULTS: In total, 128 vedolizumab- and 85 ustekinumab-treated patients fulfilled the inclusion criteria. After adjusting for confounders, ustekinumab-treated patients were more likely to achieve corticosteroid-free clinical remission (odds ratio [OR]: 2.58, 95% CI: 1.36-4.90, P = 0.004), biochemical remission (OR: 2.34, 95% CI: 1.10-4.96, P = 0.027), and combined corticosteroid-free clinical and biochemical remission (OR: 2.74, 95% CI: 1.23-6.09, P = 0.014), while safety outcomes (infections: OR: 1.26, 95% CI: 0.63-2.54, P = 0.517; adverse events: OR: 1.33, 95% CI: 0.62-2.81, P = 0.464; hospitalisations: OR: 0.67, 95% CI: 0.32-1.39, P = 0.282) were comparable between the two groups. The propensity score matched cohort with sensitivity analyses showed comparable results. CONCLUSIONS: Ustekinumab was associated with superior effectiveness outcomes when compared to vedolizumab, while safety outcomes were comparable after 52 weeks of treatment in CD patients who have failed anti-TNF treatment

Kinetic and Kinematic Asymmetries during Unloaded and Loaded Static Jumps

Abstract available in the Annual coaches and Sport Science College

tofacitinib treatment is associated with modest and reversible increases in serum lipids in patients with ulcerative colitis

Background & Aims Tofacitinib is an oral, small-molecule Janus kinase inhibitor for the treatment of ulcerative colitis (UC). We analyzed inflammation, lipid concentrations, and incidence rates of major adverse cardiovascular (CV) events (MACEs) in patients who received tofacitinib in worldwide studies. Methods We collected data from 1157 patients who participated in 3 8-week induction studies (1 phase-2 study and 2 phase-3 studies; patients received tofacitinib 10 mg twice daily or placebo), a 52-week phase-3 maintenance study of responders (patients received tofacitinib 5 or 10 mg twice daily or placebo), and an ongoing long-term extension study of patients who did and did not respond to induction or maintenance therapy (patients received tofacitinib 5 or 10 mg twice daily). Lipid concentrations were assessed from induction baseline to week 61 (week 52 of maintenance therapy). We calculated MACE incidence rates (patients with ≥1 event per 100 patient-years of exposure) and Reynolds risk score (RRS; a composite score used to determine CV risk) for patients given tofacitinib vs placebo. Results The mean RRS was P Conclusions In an analysis of data from 5 trials of patients with UC who received tofacitinib, we found reversible increases in lipids with treatment and inverse correlations with reduced levels of high-sensitivity C-reactive protein. We did not find clinically meaningful changes in lipid ratios or RRS. MACEs were infrequent and not dose-related. Clinical trial registration Clinicaltrials.gov : A3921063 ( NCT00787202 ); OCTAVE Induction 1 ( NCT01465763 ); OCTAVE Induction 2 ( NCT01458951 ); OCTAVE Sustain ( NCT01458574 ); OCTAVE Open ( NCT01470612

Dysfunction of the Intestinal Microbiome in Inflammatory Bowel Disease and Treatment

Background: The inflammatory bowel diseases (IBD) Crohn's disease and ulcerative colitis result from alterations in intestinal microbes and the immune system. However, the precise dysfunctions of microbial metabolism in the gastrointestinal microbiome during IBD remain unclear. We analyzed the microbiota of intestinal biopsies and stool samples from 231 IBD and healthy subjects by 16S gene pyrosequencing and followed up a subset using shotgun metagenomics. Gene and pathway composition were assessed, based on 16S data from phylogenetically-related reference genomes, and associated using sparse multivariate linear modeling with medications, environmental factors, and IBD status. Results: Firmicutes and Enterobacteriaceae abundances were associated with disease status as expected, but also with treatment and subject characteristics. Microbial function, though, was more consistently perturbed than composition, with 12% of analyzed pathways changed compared with 2% of genera. We identified major shifts in oxidative stress pathways, as well as decreased carbohydrate metabolism and amino acid biosynthesis in favor of nutrient transport and uptake. The microbiome of ileal Crohn's disease was notable for increases in virulence and secretion pathways. Conclusions: This inferred functional metagenomic information provides the first insights into community-wide microbial processes and pathways that underpin IBD pathogenesis

Efficacy and safety of tofacitinib dose de‐escalation and dose escalation for patients with ulcerative colitis: results from OCTAVE Open

n/

On-sky results for the integrated microlens ring tip-tilt sensor

We present the first on-sky results of the microlens ring tip-tilt sensor. This sensor uses a 3D printed microlens ring feeding six multimode fibers to sense misaligned light, allowing centroid reconstruction. A tip-tilt mirror allows the beam to be corrected, increasing the amount of light coupled into a centrally positioned single-mode (science) fiber. The sensor was tested with the iLocater acquisition camera at the Large Binocular Telescope in Tucson, Arizona, in November 2019. The limit on the maximum achieved rms reconstruction accuracy was found to be 0.19/D in both tip and tilt, of which approximately 50% of the power originates at frequencies below 10 Hz. We show the reconstruction accuracy is highly dependent on the estimated Strehl ratio and simulations support the assumption that residual adaptive optics aberrations are the main limit to the reconstruction accuracy. We conclude that this sensor is ideally suited to remove post-adaptive optics noncommon path tip-tilt residuals. We discuss the next steps for concept development, including optimization of the lens and the fiber, tuning of the correction algorithm, and selection of optimal science cases