Seeking Historical Truth: the International Commission of Inquiry into the 1932-33 Famine in Ukraine

In the 1980s the WCFU (World Congress of Free Ukrainians) undertook many initiatives to educate Western public opinion on the Ukrainian Famine of 1932- 33, claiming that the famine was a Soviet act of genocide against the Ukrainian people. The WCFU sponsored an international commission of enquiry, composed of seven eminent international jurists, and appeared before the commission as plaintiff. The Commission dealt with a number of controversial issues in international law, including the question of whether the charge of genocide could predate the 1948 convention. The Commission deliberations are examined in detail, frequently with the use of unpublished sources from the archives of one of the commissioners, John Peters Humphrey. The Final Report (1990) lacked unanimity and created very sharp divisions among the Commission\u27s members

Running mechanics adjustments to perceptually-regulated interval runs in hypoxia and normoxia

Objectives We determined whether perceptually-regulated, high-intensity intermittent runs in hypoxia and normoxia induce similar running mechanics adjustments within and between intervals. Design Within-participants repeated measures. Methods Nineteen trained runners completed a high-intensity intermittent running protocol (4×4-min intervals at a perceived rating exertion of 16 on the 6–20 Borg scale, 3-min passive recoveries) in either hypoxic (FiO2 =0.15) or normoxic (FiO2 =0.21) conditions. Running mechanics were collected over 10 consecutive steps, at constant velocity (∼15.0±2.0km.h−1), at the beginning and the end of each 4-min interval. Repeated measure ANOVA were used to assess within intervals (onset vs. end of each interval), between intervals (interval 1, 2, 3 vs. 4) and FiO2 (0.15 vs. 0.21) main effects and any potential interaction. Results Participants progressively reduced running velocity from interval 1–4, and more so in hypoxia compared to normoxia for intervals 2, 3 and 4 (P 0.298) and FiO2 (across all intervals P >0.082) main effects or any significant between intervals×within intervals×FiO2 interactions (all P >0.098) for any running mechanics variables. Irrespective of interval number or FiO2, peak loading rate (+10.6±7.7%; P <0.001) and duration of push-off phase (+2.0±3.1%; P =0.001) increased from the onset to the end of 4-min intervals, whereas peak push-off force decreased (−4.0±4.0%; P <0.001). Conclusions When carrying out perceptually-regulated interval treadmill runs, runners adjust to progressively slower velocities in hypoxia compared to normoxia. However, only subtle constant-velocity modifications of their mechanical behaviour occurred within each set, independently of FiO2 or interval number

Estimation of potential evapotranspiration from extraterrestrial radiation, air temperature and humidity to assess future climate change effects on the vegetation of the Northern Great Plains, USA

The potential evapotranspiration (PET) that would occur with unlimited plant access to water is a central driver of simulated plant growth in many ecological models. PET is influenced by solar and long wave radiation, temperature, wind speed, and humidity, but it is often modeled as a function of temperature alone. This approach can cause biases in projections of future climate impacts in part because it confounds the effects of warming due to increased greenhouse gases with that which would be caused by increased radiation from the sun. We developed an algorithm for linking PET to extraterrestrial solar radiation (incoming top-of atmosphere solar radiation), as well as temperature and atmospheric water vapor pressure, and incorporated this algorithm into the dynamic global vegetation model MC1. We tested the new algorithm for the Northern Great Plains, USA, whose remaining grasslands are threatened by continuing woody encroachment. Both the new and the standard temperature-dependent MC1 algorithm adequately simulated current PET, as compared to the more rigorous PenPan model of Rotstayn et al. (2006). However, compared to the standard algorithm, the new algorithm projected a much more gradual increase in PET over the 21st century for three contrasting future climates. This difference led to lower simulated drought effects and hence greater woody encroachment with the new algorithm, illustrating the importance of more rigorous calculations of PET in ecological models dealing with climate change

Estimation of potential evapotranspiration from extraterrestrial radiation, air temperature and humidity to assess future climate change effects on the vegetation of the Northern Great Plains, USA

The potential evapotranspiration (PET) that would occur with unlimited plant access to water is a central driver of simulated plant growth in many ecological models. PET is influenced by solar and long wave radiation, temperature, wind speed, and humidity, but it is often modeled as a function of temperature alone. This approach can cause biases in projections of future climate impacts in part because it confounds the effects of warming due to increased greenhouse gases with that which would be caused by increased radiation from the sun. We developed an algorithm for linking PET to extraterrestrial solar radiation (incoming top-of atmosphere solar radiation), as well as temperature and atmospheric water vapor pressure, and incorporated this algorithm into the dynamic global vegetation model MC1. We tested the new algorithm for the Northern Great Plains, USA, whose remaining grasslands are threatened by continuing woody encroachment. Both the new and the standard temperature-dependent MC1 algorithm adequately simulated current PET, as compared to the more rigorous PenPan model of Rotstayn et al. (2006). However, compared to the standard algorithm, the new algorithm projected a much more gradual increase in PET over the 21st century for three contrasting future climates. This difference led to lower simulated drought effects and hence greater woody encroachment with the new algorithm, illustrating the importance of more rigorous calculations of PET in ecological models dealing with climate change

Results of the PBF/LOFT Lead Rod Test Series

The PBF/LOFT Lead Rod (PBF/LLR) Test Series consisted of four sequential, nuclear blowdown experiments (Test LLR-3, LLR-5, LLR-4, and LLR-4A). The primary objective of the test series was to evaluate the extent of mechanical deformation that would be expected to occur to low pressure (0.1 MPa) light water reactor design fuel rods subjected to a series of nuclear blowdown tests, and to determine if subjecting deformed fuel rods to subsequent testing would result in rod failure. The extent of mechanical deformation (buckling, collapse, or waisting of the cladding) was evaluated by comparison of cladding temperatue versus system pressure response with out-of-pile experimental data and by posttest visual examinations and cladding diametral measurements

Triage conducted by lay-staff and emergency training reduces paediatric mortality in the emergency department of a rural hospital in Northern Mozambique

Introduction The majority of emergency paediatric death in African countries occur within the first 24 h of admission. A coloured triage system is widely implemented in high-income countries and the emergency triage and assessment treatment (ETAT) is recommended by the World Health Organization, but not put into practice in Mozambique. We implemented a three-colour triage system in a rural district hospital with lay-staff workers conducting the first triage. Methods A retrospective, before and after, mortality analysis was performed using routine patient files from the district hospital between 2014 and 2017. The triage system was implemented in August 2016. Inclusion criteria were children under 15 years of age that entered the emergency centre. Primary outcome was child mortality rate. Secondary outcomes included the percentage agreement between the clinical and non-clinical staff and the duration from triage to first treatment. We used a negative binomial model in STATA 15 to compare mortality rates, and Kappa statistics to estimate the agreement between clinical and non-clinical staff. Results 4176 admissions were included. The mortality rate ratio (MMR) was 45% lower after the start of the intervention (2016; MRR = 0.55; 0.38, 0.81; p = 0.002), compared to before. To estimate the agreement between non-clinical and clinical staff, 548 (of the 671) patient files were included. The agreement was estimated at 88.7% (Kappa = 0.644; p < 0.001). The median waiting time decreased with urgency of the triage: 2 h33 for ‘green’/least serious (IQR 1 h58-3 h30), 21 min for yellow/serious (IQR 0 h10-0 h58) and nine minutes for ‘red’/urgent (IQR 2–40 min). Conclusion In a rural setting with nurse-led clinical care and non-clinician staff working at the triage reception, implementation of a three-coloured triage system was feasible. Triage and ETAT training was associated with a decrease of 45% of paediatric deaths. The impact on mortality, low cost, and ease of the implementation supports scaling this intervention in similar settings

Estimation of potential evapotranspiration from extraterrestrial radiation, air temperature and humidity to assess future climate change effects on the vegetation of the Northern Great Plains, USA

The potential evapotranspiration (PET) that would occur with unlimited plant access to water is a central driver of simulated plant growth in many ecological models. PET is influenced by solar and longwave radiation, temperature, wind speed, and humidity, but it is often modeled as a function of temperature alone. This approach can cause biases in projections of future climate impacts in part because it confounds the effects of warming due to increased greenhouse gases with that which would be caused by increased radiation from the sun. We developed an algorithm for linking PET to extraterrestrial solar radiation (incoming top-of atmosphere solar radiation), as well as temperature and atmospheric water vapor pressure, and incorporated this algorithm into the dynamic global vegetation model MC1. We tested the new algorithm for the Northern Great Plains, USA, whose remaining grasslands are threatened by continuing woody encroachment. Both the new and the standard temperature-dependent MC1 algorithm adequately simulated current PET, as compared to the more rigorous PenPan model of Rotstayn et al. (2006). However, compared to the standard algorithm, the new algorithm projected a much more gradual increase in PET over the 21st century for three contrasting future climates. This difference led to lower simulated drought effects and hence greater woody encroachment with the new algorithm, illustrating the importance of more rigorous calculations of PET in ecological models dealing with climate change.Keywords: Potential evapotranspiration, Great Plains USA, Climate change, Vegetation dynamics, MC

Establishing Relationships between Drought Indices and Wildfire Danger Outputs: A Test Case for the California-Nevada Drought Early Warning System

Relationships between drought indices and fire danger outputs are examined to (1) incorporate fire risk information into the National Integrated Drought Information System California&ndash;Nevada Drought Early Warning System and (2) provide a baseline analysis for application of drought indices into a fire risk management framework. We analyzed four drought indices that incorporate precipitation and evaporative demand (E0) and three fire indices that reflect fuel moisture and potential fire intensity. Seasonally averaged fire danger outputs were most strongly correlated to multi-scalar drought indices that use E0 (the Evaporative Demand Drought Index (EDDI) and the Standardized Precipitation Evapotranspiration Index (SPEI)) at approximately annual time scales that reflect buildup of antecedent drought conditions. Results indicate that EDDI and SPEI can inform seasonal fire potential outlooks at the beginning of summer. An E0 decomposition case study of conditions prior to the Tubbs Fire in Northern California indicate high E0 (97th percentile) driven predominantly by low humidity signaled increased fire potential several days before the start of the fire. Initial use of EDDI by fire management groups during summer and fall 2018 highlights several value-added applications, including seasonal fire potential outlooks, funding fire severity level requests, and assessing set-up conditions prior to large, explosive fire cases.</p

Characterizing the double-sided cascade of care for adolescents living with HIV transitioning to adulthood across Southern Africa

INTRODUCTION: As adolescents and young people living with HIV (AYLH) age, they face a "transition cascade," a series of steps associated with transitions in their care as they become responsible for their own healthcare. In high-income countries, this usually includes transfer from predominantly paediatric/adolescent to adult clinics. In sub-Saharan Africa, paediatric HIV care is mostly provided in decentralized, non-specialist primary care clinics, where "transition" may not necessarily include transfer of care but entails becoming more autonomous for one's HIV care. Using different age thresholds as proxies for when "transition" to autonomy might occur, we evaluated pre- and post-transition outcomes among AYLH. METHODS: We included AYLH aged <16 years at enrolment, receiving antiretroviral therapy (ART) within International epidemiology Databases to Evaluate AIDS Southern Africa (IeDEA-SA) sites (2004 to 2017) with no history of transferring care. Using the ages of 16, 18, 20 and 22 years as proxies for "transition to autonomy," we compared the outcomes: no gap in care (≥2 clinic visits) and viral suppression (HIV-RNA <400 copies/mL) in the 12 months before and after each age threshold. Using log-binomial regression, we examined factors associated with no gap in care (retention) in the 12 months post-transition. RESULTS: A total of 5516 AYLH from 16 sites were included at "transition" age 16 (transition-16y), 3864 at 18 (transition-18y), 1463 at 20 (transition-20y) and 440 at 22 years (transition-22y). At transition-18y, in the 12 months pre- and post-transition, 83% versus 74% of AYLH had no gap in care (difference 9.3 (95% confidence interval (CI) 7.8 to 10.9)); while 65% versus 62% were virally suppressed (difference 2.7 (-1.0 to 6.5%)). The strongest predictor of being retained post-transition was having no gap in the preceding year, across all transition age thresholds (transition-16y: adjusted risk ratio (aRR) 1.72; 95% CI (1.60 to 1.86); transition-18y: aRR 1.76 (1.61 to 1.92); transition-20y: aRR 1.75 (1.53 to 2.01); transition-22y: aRR 1.47; (1.21 to 1.78)). CONCLUSIONS: AYLH with gaps in care need targeted support to prevent non-retention as they take on greater responsibility for their healthcare. Interventions to increase virologic suppression rates are necessary for all AYLH ageing to adulthood