Fire Department Accreditation: A New Way of Evaluating Efficiency and Effectiveness of Fire Departments

Accreditation is a way to measure the effectiveness and efficiency of a fire department by determining community risks and fire safety needs, accurately evaluating the organization’s performance, and providing a method for continuous improvement

Ariel - Volume 6 Number 2

Editors Mark Dembert J.D. Kanofsky Frank Chervenak John Lammie Curt Cummings Entertainment Robert Breckenridge Joe Conti Gary Kaskey Photographer Larry Glazerman Overseas Editor Mike Sinason Humorist Jim McCann Staff Ken Jaffe Bob Skarloff Halley Faust Jim Burk

Chiasma

Newspaper reporting on events at the Boston University School of Medicine in the 1960s

Ex-Vivo Ureteroscopy at the Time of Live Donor Nephrectomy

Background and Purpose: Potential transplant renal allograft recipients exceed the number of donors. Our institution now considers patients with small, unilateral, nonobstructing, incidental renal calculi for possible renal donation. We adopted ex-vivo ureteroscopy (ExURS) to render these kidneys stone free at the time of renal transplantation. We examined the safety and efficacy of ExURS. Patients and Methods: After confirming a lack of significant metabolic defects on 24-hour urinalysis, 23 patients with small nonobstructing unilateral nephrolithiasis detected on preoperative CT angiography underwent donor nephrectomy. Immediately after cold perfusion, ExURS was performed with ice cold saline irrigation. Retrospective review was performed. Results: Pyeloscopy was successfully performed in all 23 patients. A total of 28 calculi, mean largest diameter 3.9-mm (range 3-6-mm), were visualized in 19 kidneys. Basket extraction and holmium laser lithotripsy was performed in 12 and 6 kidneys, respectively. Treatment rendered 17/19 stone-containing kidneys stone free with a mean treatment time of 6.2 minutes (3-10-min). There were no intraoperative complications. Median serum creatinine level of recipients at 1 month and 1 year were 1.4+/-1.8-mg/dL and 1.3+/-0.6-mg/dL, respectively. At a median follow-up of 63+/-47.2 months, there were no transplant urinary calculi among the recipients. Conclusions: ExURS safely renders live donor kidney allografts stone free with low risk of recurrence. When used appropriately, ExURS could safely increase the number of potential kidney donors and minimize the risk of adverse stone events.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/90444/1/end-2E2010-2E0627.pd

New Discoveries in Planetary Systems and Star Formation through Advances in Laboratory Astrophysics

As the panel on Planetary Systems and Star Formation (PSF) is fully aware, the next decade will see major advances in our understanding of these areas of research. To quote from their charge, these advances will occur in studies of solar system bodies (other than the Sun) and extrasolar planets, debris disks, exobiology, the formation of individual stars, protostellar and protoplanetary disks, molecular clouds and the cold ISM, dust, and astrochemistry. Central to the progress in these areas are the corresponding advances in laboratory astro- physics which are required for fully realizing the PSF scientific opportunities in the decade 2010-2020. Laboratory astrophysics comprises both theoretical and experimental studies of the underlying physics and chemistry which produce the observed spectra and describe the astrophysical processes. We discuss four areas of laboratory astrophysics relevant to the PSF panel: atomic, molecular, solid matter, and plasma physics. Section 2 describes some of the new opportunities and compelling themes which will be enabled by advances in laboratory astrophysics. Section 3 provides the scientific context for these opportunities. Section 4 discusses some experimental and theoretical advances in laboratory astrophysics required to realize the PSF scientific opportunities of the next decade. As requested in the Call for White Papers, we present in Section 5 four central questions and one area with unusual discovery potential. We give a short postlude in Section 6.Comment: White paper submitted by the AAS Working Group on Laboratory Astrophysics (WGLA) to the PSF SFP of the Astronomy and Astrophysics Decadal Survey (Astro2010

Human Systems Integration: Requirements and Functional Decomposition

This deliverable was intended as an input to the Access 5 Policy and Simulation Integrated Product Teams. This document contains high-level pilot functionality for operations in the National Airspace System above FL430. Based on the derived pilot functions the associated pilot information and control requirements are given

Laboratory Astrophysics and the State of Astronomy and Astrophysics

Laboratory astrophysics and complementary theoretical calculations are the foundations of astronomy and astrophysics and will remain so into the foreseeable future. The impact of laboratory astrophysics ranges from the scientific conception stage for ground-based, airborne, and space-based observatories, all the way through to the scientific return of these projects and missions. It is our understanding of the under-lying physical processes and the measurements of critical physical parameters that allows us to address fundamental questions in astronomy and astrophysics. In this regard, laboratory astrophysics is much like detector and instrument development at NASA, NSF, and DOE. These efforts are necessary for the success of astronomical research being funded by the agencies. Without concomitant efforts in all three directions (observational facilities, detector/instrument development, and laboratory astrophysics) the future progress of astronomy and astrophysics is imperiled. In addition, new developments in experimental technologies have allowed laboratory studies to take on a new role as some questions which previously could only be studied theoretically can now be addressed directly in the lab. With this in mind we, the members of the AAS Working Group on Laboratory Astrophysics, have prepared this State of the Profession Position Paper on the laboratory astrophysics infrastructure needed to ensure the advancement of astronomy and astrophysics in the next decade.Comment: Position paper submitted by the AAS Working Group on Laboratory Astrophysics (WGLA) to the State of the Profession (Facilities, Funding and Programs Study Group) of the Astronomy and Astrophysics Decadal Survey (Astro2010

Authors' Response to Letter to the Editor

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/98450/1/end%2E2012%2E1527.pd