Master Gardener–Led Lessons Increase Knowledge in Gardening and Environmental Science for Iowa Summer Camp Youth

Gardening and nutrition lessons for children can affect knowledge, actions, and behaviors that support more healthful lifestyles. The objective of the study described in this article was to determine the effectiveness of a master gardener–led education program for youth at a week-long summer camp in Iowa. Garden knowledge was assessed via a pretest, a posttest, and a 6-month follow-up. Campers increased their garden knowledge after the week-long camp. In addition, a 6-month follow-up questionnaire was mailed to parents to obtain information about changes in participants\u27 behaviors. More than 75% of parents noticed positive garden-related behavior changes in their children

η\eta Carinae's Dusty Homunculus Nebula from Near-Infrared to Submillimeter Wavelengths: Mass, Composition, and Evidence for Fading Opacity

Infrared observations of the dusty, massive Homunculus Nebula around the luminous blue variable $\eta$ Carinae are crucial to characterize the mass-loss history and help constrain the mechanisms leading to the Great Eruption. We present the 2.4 - 670 $\mu$m spectral energy distribution, constructed from legacy ISO observations and new spectroscopy obtained with the {\em{Herschel Space Observatory}}. Using radiative transfer modeling, we find that the two best-fit dust models yield compositions which are consistent with CNO-processed material, with iron, pyroxene and other metal-rich silicates, corundum, and magnesium-iron sulfide in common. Spherical corundum grains are supported by the good match to a narrow 20.2 $\mu$m feature. Our preferred model contains nitrides AlN and Si$_3$N$_4$ in low abundances. Dust masses range from 0.25 to 0.44 $M_\odot$ but $M_{\rm{tot}} \ge$ 45 $M_\odot$ in both cases due to an expected high Fe gas-to-dust ratio. The bulk of dust is within a 5$"$ $\times$ 7$"$ central region. An additional compact feature is detected at 390 $\mu$m. We obtain $L_{\rm{IR}}$ = 2.96 $\times$ 10$^6$ $L_\odot$, a 25\% decline from an average of mid-IR photometric levels observed in 1971-1977. This indicates a reduction in circumstellar extinction in conjunction with an increase in visual brightness, allowing 25-40\% of optical and UV radiation to escape from the central source. We also present an analysis of $^{12}$CO and $^{13}$CO $J = 5-4$ through $9-8$ lines, showing that the abundances are consistent with expectations for CNO-processed material. The [$^{12}$C~{\sc{ii}}] line is detected in absorption, which we suspect originates in foreground material at very low excitation temperatures.Comment: Accepted in Ap

Response-scale heterogeneity in the EQ-5D

This paper discusses two types of response-scale heterogeneity, which may impact upon the EQ-5D. Response-scale heterogeneity in reporting occurs when individuals systematically differ in their use of response scales when responding to self-assessments. This type of heterogeneity is widely observed in relation to other self-assessed measures but is often overlooked with regard to the EQ-5D. Analogous to this, preference elicitation involving the EQ-5D could be subject to a similar type of heterogeneity, where variations across respondents may occur in the interpretations of the levels (response categories) being valued. This response-scale heterogeneity in preference elicitation may differ from variations in preferences for health states, which have been observed in the literature. This paper explores what these forms of response-scale heterogeneity may mean for the EQ-5D and the potential implications for researchers who rely on the instrument as a measure of health and quality of life. We identify situations where they are likely to be problematic and present potential avenues for overcoming these issues

Differential item functioning in quality of life measurement:an analysis using anchoring vignettes

Systematic differences in the ways that people use and interpret response categories (differential item functioning, DIF) can introduce bias when using self-assessments to compare health or quality of life across heterogeneous groups. This paper reports on an exploratory analysis involving the use of anchoring vignettes to identify differential item functioning (DIF) in a commonly used measure for assessing health-related quality of life - namely the EQ-5D. Using data from a bespoke (i.e. custom) survey that recruited a representative sample of 4300 respondents from the general Australian population in 2014 and 2015, we find that the assumptions of response consistency (RC) and vignette equivalence (VE) hold in a sub-sample of respondents aged 55–65 years (n = 914), which demonstrates that vignettes can appropriately identify DIF in EQ-5D reporting for this age group. We find that the EQ-5D is indeed subject to DIF, and that failure to account for DIF can lead to conclusions that are misleading when using the instrument to compare health or quality of life across heterogeneous groups. We also provide several important insights in terms of the identifying assumptions of RC and VE. We conclude that the implications of DIF could be of considerable importance, not only for outcomes research, but for funding decisions in healthcare more broadly given the strong reliance on patient-reported outcome measures in economic evaluations for health technology assessment

Herds overhead: Nimbadon lavarackorum (Diprotodontidae), heavyweight marsupial herbivores in the miocene Forests of Australia

The marsupial family Diprotodontidae (Diprotodontia, Vombatiformes) is a group of extinct large-bodied (60–2500 kg) wombat-like herbivores that were common and geographically widespread in Cenozoic fossil deposits of Australia and New Guinea. Typically they are regarded to be gregarious, terrestrial quadrupeds and have been likened in body form among placental groups to sheep, rhinoceros and hippopotami. Arguably, one of the best represented species is the zygomaturine diprotodontid Nimbadon lavarackorum which is known from exceptionally well-preserved cranial and postcranial material from the middle Miocene cave deposit AL90, in the Riversleigh World Heritage Area, northwestern Queensland. Here we describe and functionally analyse the appendicular skeleton of Nimbadon lavarackorum and reveal a far more unique lifestyle for this plesiomorphic and smallest of diprotodontids. Striking similarities are evident between the skeleton of Nimbadon and that of the extant arboreal koala Phascolarctos cinereus, including the powerfully built forelimbs, highly mobile shoulder and elbow joints, proportionately large manus and pes (both with a semi-opposable digit I) and exceedingly large, recurved and laterally compressed claws. Combined with the unique (among australidelphians) proportionately shortened hindlimbs of Nimbadon, these features suggest adept climbing ability, probable suspensory behaviour, and an arboreal lifestyle. At approximately 70 kg, Nimbadon is the largest herbivorous mammal to have occupied the forest canopies of Australia - an ecological niche that is no longer occupied in any Australian ecosystem and one that further expands the already significant niche diversity displayed by marsupials during the Cenozoic.Karen H. Black, Aaron B. Camens, Michael Archer and Suzanne J. Han

Carinae's Dusty Homunculus Nebula from Near-Infrared to Submillimeter Wavelengths: Mass, Composition, and Evidence for Fading Opacity

Infrared observations of the dusty, massive Homunculus Nebula around the luminous blue variable Carinae are crucial to characterize the mass-loss history and help constrain the mechanisms leading to the great eruption. We present the 2.4-670 m spectral energy distribution, constructed from legacy Infrared Space Observatory observations and new spectroscopy obtained with the Herschel Space Observatory. Using radiative transfer modeling, we find that the two best-fit dust models yield compositions that are consistent with CNO-processed material, with iron, pyroxene and other metal-rich silicates, corundum, and magnesium-iron sulfide in common. Spherical corundum grains are supported by the good match to a narrow 20.2 m feature. Our preferred model contains nitrides AlN and Si3N4 in low abundances. Dust masses range from 0.25 to 0.44 M, but M(sub tot) 45 M in both cases, due to an expected high Fe gas-to-dust ratio. The bulk of dust is within a 5" x 7" central region. An additional compact feature is detected at 390 m. We obtain L = 2.96 x 10(exp 6) Lunar mass, a 25% decline from an average of mid-IR photometric levels observed in 1971-1977. This indicates a reduction in circumstellar extinction in conjunction with an increase in visual brightness, allowing 25%-40% of optical and UV radiation to escape from the central source. We also present an analysis of 12CO and 13CO J = 5-4 through 9-8 lines, showing that the abundances are consistent with expectations for CNO-processed material. The [12CII] line is detected in absorption, which we suspect originates in foreground material at very low excitation temperatures

Intravenous sodium nitrite in acute ST-elevation myocardial infarction: a randomized controlled trial (NIAMI).

AIM: Despite prompt revascularization of acute myocardial infarction (AMI), substantial myocardial injury may occur, in part a consequence of ischaemia reperfusion injury (IRI). There has been considerable interest in therapies that may reduce IRI. In experimental models of AMI, sodium nitrite substantially reduces IRI. In this double-blind randomized placebo controlled parallel-group trial, we investigated the effects of sodium nitrite administered immediately prior to reperfusion in patients with acute ST-elevation myocardial infarction (STEMI). METHODS AND RESULTS: A total of 229 patients presenting with acute STEMI were randomized to receive either an i.v. infusion of 70 μmol sodium nitrite (n = 118) or matching placebo (n = 111) over 5 min immediately before primary percutaneous intervention (PPCI). Patients underwent cardiac magnetic resonance imaging (CMR) at 6-8 days and at 6 months and serial blood sampling was performed over 72 h for the measurement of plasma creatine kinase (CK) and Troponin I. Myocardial infarct size (extent of late gadolinium enhancement at 6-8 days by CMR-the primary endpoint) did not differ between nitrite and placebo groups after adjustment for area at risk, diabetes status, and centre (effect size -0.7% 95% CI: -2.2%, +0.7%; P = 0.34). There were no significant differences in any of the secondary endpoints, including plasma troponin I and CK area under the curve, left ventricular volumes (LV), and ejection fraction (EF) measured at 6-8 days and at 6 months and final infarct size (FIS) measured at 6 months. CONCLUSIONS: Sodium nitrite administered intravenously immediately prior to reperfusion in patients with acute STEMI does not reduce infarct size

Identification of fetal DNA and cells in skin lesions from women with systemic sclerosis

BACKGROUND: Systemic sclerosis is a disease of unknown origin which often occurs in women after their childbearing years. It has many clinical and histopathological similarities to chronic graft-versus-host disease. Recent studies indicate that fetal stem cells can survive in the maternal circulation for many years post partum. This finding suggests that fetal cells persisting in the maternal circulation or tissues could be involved in the pathogenesis of systemic sclerosis by initiating a graft-versus-host reaction. METHODS: We used the polymerase chain reaction (PCR) to identify Y-chromosome sequences in DNA extracted from peripheral-blood cells and skin lesions from women with systemic sclerosis of recent onset. To confirm the PCR findings, we used fluorescence in situ hybridization of peripheral-blood cells and cells within chronic inflammatory-cell infiltrates in biopsy specimens of affected skin. RESULTS: Y-chromosome sequences were found in DNA from peripheral-blood cells in 32 of 69 women with systemic sclerosis (46 percent), as compared with 1 of 25 normal women (4 percent, P\u3c0.001), and in T lymphocytes from 3 women with systemic sclerosis who had male offspring. Furthermore, Y-chromosome sequences were identified in skin-biopsy specimens from 11 of 19 women with systemic sclerosis (58 percent); 9 of the 11 were known to have carried male fetuses. Nucleated cells containing Y chromosomes were detected by fluorescence in situ hybridization in paraffin-embedded sections of skin lesions from all seven women we tested whose skin-biopsy specimens contained Y-chromosome sequences. CONCLUSIONS: Fetal antimaternal graft-versus-host reactions may be involved in the pathogenesis of systemic sclerosis in some women