Waiting to Vote : Racial Disparities in Election Day Experiences

For this report, we analyzed data from two nationwide election surveys regarding the 2018 election: the Cooperative Congressional Election Study, a 60,000-person survey on Election Day experiences, and the U.S. Election Assistance Commission's Election Administration and Voting Survey, which asks administrators detailed questions about how they conduct elections. We also interviewed nearly three dozen state and local election administrators. Further, we examined the electoral statutes on the books in every state in the nation to understand the sources of disparate wait times in 2018 and develop policy recommendations for lawmakers and election officials ahead of 2020. Some previous research has investigated the relationship between wait times and electoral resources — specifically polling places, voting machines, and poll workers. 8 But no prior study has examined the relationship on a nationwide scale

Using a data-driven organizational improvement model to engage an interdisciplinary team in transforming a public women’s health clinic

Gouverneur Health is the largest diagnostic and treatment center in New York State, and part of the New York City Health and Hospitals Corporation (HHC), a public benefit corporation with $6.7 billion in annual revenues. HHC is the largest municipal healthcare system in the United States serving 1.4 million patients, including more than 475,000 uninsured city residents.[1] Within Gouverneur, the Women’s Health department is committed to providing high quality services that improve patients\u27 health and wellbeing, yet patient experience, flow, clinic access and education are in need of process improvements. To enhance patient experience and identify strategies replicable for other departments, an interdisciplinary 15-member team used an organizational improvement initiative known as a Breakthrough Value Stream Analysis (VSA) to analyze and improve a series of clinical and operational processes. Breakthrough is an organizational improvement model that HHC created in 2007 in collaboration with Simpler Consulting

Using a process improvement tool to improve staff skills & enhance the urgent needs patient experience in a women’s health center

NYC Health + Hospitals / Gouverneur serves more patients than any other diagnostic and treatment center in New York State. As part of the NYC Health + Hospitals public health care system, which serves 1.4 million patients and is the largest municipal health care delivery system in the United States, Gouverneur strives to serve the needs of both scheduled and unscheduled patients. Within Gouverneur, the Women’s Health department treats approximately 1,600 patients per month through approximately 2,100 visits. In September 2014, Gouverneur’s Women’s Health department launched a weeklong process improvement initiative known as a Rapid Improvement Event (RIE). Structured through Breakthrough, the RIE focused on improving the process of serving urgent needs patients, including those that arrive without an appointment or miss their appointment time, or those who call with an urgent issue. As the team examined problems faced by urgent needs patients – including the amount of time required to complete a visit, and barriers to having an appointment scheduled the same day with a provider – they discovered that the root of many issues was simply variability in how staff members approached the unexpected patient. To solve the issues in a low-cost, sustainable way, the team set to work designing staff trainings to enhance staff skills and improve the experiences of urgent and unscheduled patients. As a result, staff members were better able to support the needs of patients with urgent needs, ultimately improving the patient experience

Late Pleistocene human genome suggests a local origin for the first farmers of central Anatolia

Anatolia was home to some of the earliest farming communities. It has been long debated whether a migration of farming groups introduced agriculture to central Anatolia. Here, we report the first genome-wide data from a 15,000-year-old Anatolian hunter-gatherer and from seven Anatolian and Levantine early farmers. We find high genetic continuity (~80–90%) between the hunter-gatherers and early farmers of Anatolia and detect two distinct incoming ancestries: an early Iranian/Caucasus related one and a later one linked to the ancient Levant. Finally, we observe a genetic link between southern Europe and the Near East predating 15,000 years ago. Our results suggest a limited role of human migration in the emergence of agriculture in central Anatolia

Stretch-induced Calcium Release in Smooth Muscle

Smooth muscle cells undergo substantial increases in length, passively stretching during increases in intraluminal pressure in vessels and hollow organs. Active contractile responses to counteract increased transmural pressure were first described almost a century ago (Bayliss, 1902) and several mechanisms have been advanced to explain this phenomenon. We report here that elongation of smooth muscle cells results in ryanodine receptor–mediated Ca2+ release in individual myocytes. Mechanical elongation of isolated, single urinary bladder myocytes to ∼120% of slack length (ΔL = 20) evoked Ca2+ release from intracellular stores in the form of single Ca2+ sparks and propagated Ca2+ waves. Ca2+ release was not due to calcium-induced calcium release, as release was observed in Ca2+-free extracellular solution and when free Ca2+ ions in the cytosol were strongly buffered to prevent increases in [Ca2+]i. Stretch-induced calcium release (SICR) was not affected by inhibition of InsP3R-mediated Ca2+ release, but was completely blocked by ryanodine. Release occurred in the absence of previously reported stretch-activated currents; however, SICR evoked calcium-activated chloride currents in the form of transient inward currents, suggesting a regulatory mechanism for the generation of spontaneous currents in smooth muscle. SICR was also observed in individual myocytes during stretch of intact urinary bladder smooth muscle segments. Thus, longitudinal stretch of smooth muscle cells induces Ca2+ release through gating of RYR. SICR may be an important component of the physiological response to increases in luminal pressure in smooth muscle tissues

Applications of advanced diffractive optical elements

Digital Optics Corporation is a UNC-Charlotte spin-off company, established to transfer technology developed at UNC-Charlotte for the design and manufacture Computer Generated Holograms (CGH's) and to market products based on CGH technology. DOC acquired core technologies from UNC-Charlotte including: (1) a CGH encoding process that can provide holograms with extremely high diffraction efficiency; (2) a low cost, high precision CGH manufacturing process; and (3) extensive holographic and refractive element design capabilities for design and evaluation of complex optical systems. These technologies have been used to design and/or manufacture optical components for a variety of applications including: (1) generation of Spot arrays; (2) fiber optic coupling elements; (3) optical interconnects between VLSI chips within and between multichip modules; and (4) imaging systems for head-mounted displays (HMD's)

Ca2+-Induced Ca2+ Release through Localized Ca2+ Uncaging in Smooth Muscle

Ca2+-induced Ca2+ release (CICR) from the sarcoplasmic reticulum (SR) occurs in smooth muscle as spontaneous SR Ca2+ release or Ca2+ sparks and, in some spiking tissues, as Ca2+ release that is triggered by the activation of sarcolemmal Ca2+ channels. Both processes display spatial localization in that release occurs at a higher frequency at specific subcellular regions. We have used two-photon flash photolysis (TPFP) of caged Ca2+ (DMNP-EDTA) in Fluo-4–loaded urinary bladder smooth muscle cells to determine the extent to which spatially localized increases in Ca2+ activate SR release and to further understand the molecular and biophysical processes underlying CICR. TPFP resulted in localized Ca2+ release in the form of Ca2+ sparks and Ca2+ waves that were distinguishable from increases in Ca2+ associated with Ca2+ uncaging, unequivocally demonstrating that Ca2+ release occurs subsequent to a localized rise in [Ca2+]i. TPFP-triggered Ca2+ release was not constrained to a few discharge regions but could be activated at all areas of the cell, with release usually occurring at or within several microns of the site of photolysis. As expected, the process of CICR was dominated by ryanodine receptor (RYR) activity, as ryanodine abolished individual Ca2+ sparks and evoked release with different threshold and kinetics in FKBP12.6-null cells. However, TPFP CICR was not completely inhibited by ryanodine; Ca2+ release with distinct kinetic features occurred with a higher TPFP threshold in the presence of ryanodine. This high threshold release was blocked by xestospongin C, and the pharmacological sensitivity and kinetics were consistent with CICR release at high local [Ca2+]i through inositol trisphosphate (InsP3) receptors (InsP3Rs). We conclude that CICR activated by localized Ca2+ release bears essential similarities to those observed by the activation of ICa (i.e., major dependence on the type 2 RYR), that the release is not spatially constrained to a few specific subcellular regions, and that Ca2+ release through InsP3R can occur at high local [Ca2+]i

SPH with the multiple boundary tangent method

In this article, we present an improved solid boundary treatment formulation for the smoothed particle hydrodynamics (SPH) method. Benchmark simulations using previously reported boundary treatments can suffer from particle penetration and may produce results that numerically blow up near solid boundaries. As well, current SPH boundary approaches do not properly treat curved boundaries in complicated flow domains. These drawbacks have been remedied in a new boundary treatment method presented in this article, called the multiple boundary tangent (MBT) approach. In this article we present two important benchmark problems to validate the developed algorithm and show that the multiple boundary tangent treatment produces results that agree with known numerical and experimental solutions. The two benchmark problems chosen are the lid-driven cavity problem, and flow over a cylinder. The SPH solutions using the MBT approach and the results from literature are in very good agreement. These solutions involved solid boundaries, but the approach presented herein should be extendable to time-evolving, free-surface boundaries

Analysis of the incompressibility constraint in the Smoothed Particle Hydrodynamics method

Smoothed particle hydrodynamics is a particle-based, fully Lagrangian, method for fluid-flow simulations. In this work, fundamental concepts of the method are first briefly recalled. Then, we present a thorough comparison of three different incompressibility treatments in SPH: the weakly compressible approach, where a suitably-chosen equation of state is used; and two truly incompressible methods, where the velocity field projection onto a divergence-free space is performed. A noteworthy aspect of the study is that, in each incompressibility treatment, the same boundary conditions are used (and further developed) which allows a direct comparison to be made. Problems associated with implementation are also discussed and an optimal choice of the computational parameters has been proposed and verified. Numerical results show that the present state-of-the-art truly incompressible method (based on a velocity correction) suffer from density accumulation errors. To address this issue, an algorithm, based on a correction for both particle velocities and positions, is presented. The usefulness of this density correction is examined and demonstrated in the last part of the paper

Must analysis of meaning follow analysis of form? A time course analysis

Many models of word recognition assume that processing proceeds sequentially from analysis of form to analysis of meaning. In the context of morphological processing, this implies that morphemes are processed as units of form prior to any influence of their meanings. Some interpret the apparent absence of differences in recognition latencies to targets (SNEAK) in form and semantically similar (sneaky-SNEAK) and in form similar and semantically dissimilar (sneaker-SNEAK) prime contexts at a stimulus onset asynchrony (SOA) of 48 ms as consistent with this claim. To determine the time course over which degree of semantic similarity between morphologically structured primes and their targets influences recognition in the forward masked priming variant of the lexical decision paradigm, we compared facilitation for the same targets after semantically similar and dissimilar primes across a range of SOAs (34–100 ms). The effect of shared semantics on recognition latency increased linearly with SOA when long SOAs were intermixed (Experiments 1A and 1B) and latencies were significantly faster after semantically similar than dissimilar primes at homogeneous SOAs of 48 ms (Experiment 2) and 34 ms (Experiment 3). Results limit the scope of form-then-semantics models of recognition and demonstrate that semantics influences even the very early stages of recognition. Finally, once general performance across trials has been accounted for, we fail to provide evidence for individual differences in morphological processing that can be linked to measures of reading proficiency