Testing the Feasibility of a Passive and Active Case Ascertainment System for Multiple Rare Conditions Simultaneously: The Experience in Three US States

Background: Owing to their low prevalence, single rare conditions are difficult to monitor through current state passive and active case ascertainment systems. However, such monitoring is important because, as a group, rare conditions have great impact on the health of affected individuals and the well-being of their caregivers. A viable approach could be to conduct passive and active case ascertainment of several rare conditions simultaneously. This is a report about the feasibility of such an approach. Objective: To test the feasibility of a case ascertainment system with passive and active components aimed at monitoring 3 rare conditions simultaneously in 3 states of the United States (Colorado, Kansas, and South Carolina). The 3 conditions are spina bifida, muscular dystrophy, and fragile X syndrome. Methods: Teams from each state evaluated the possibility of using current or modified versions of their local passive and active case ascertainment systems and datasets to monitor the 3 conditions. Together, these teams established the case definitions and selected the variables and the abstraction tools for the active case ascertainment approach. After testing the ability of their local passive and active case ascertainment system to capture all 3 conditions, the next steps were to report the number of cases detected actively and passively for each condition, to list the local barriers against the combined passive and active case ascertainment system, and to describe the experiences in trying to overcome these barriers. Results: During the test period, the team from South Carolina was able to collect data on all 3 conditions simultaneously for all ages. The Colorado team was also able to collect data on all 3 conditions but, because of age restrictions in its passive and active case ascertainment system, it was able to report few cases of fragile X syndrome. The team from Kansas was able to collect data only on spina bifida. For all states, the implementation of an active component of the ascertainment system was problematic. The passive component appears viable with minor modifications. Conclusions: Despite evident barriers, the joint passive and active case ascertainment of rare disorders using modified existing surveillance systems and datasets seems feasible, especially for systems that rely on passive case ascertainment

Design of a vibration isolation system for a cycle ergometer to be used onboard the Space Shuttle

Low frequency vibrations generated during exercise using the cycle ergometer onboard the Space Shuttle are disrupting sensitive microgravity experiments. The design team is asked by NASA/USRA to generate alternatives for the design of a vibration isolation system for the cycle ergometer. It is the design team's objective to present alternative designs and a problem solution for a vibration isolation system for an exercise cycle ergometer to be used onboard the Space Shuttle. In the development of alternative designs, the design team emphasizes passive systems as opposed to active control systems. This decision is made because the team feels that passive systems are less complex than active control systems, external energy sources are not required, and mass is reduced due to the lack of machinery such as servomotors or compressors typical of active control systems. Eleven alternative designs are developed by the design team. From these alternatives, three active control systems are included to compare the benefits of active and passive systems. Also included in the alternatives is an isolation system designed by an independent engineer that was acquired late in the project. The eight alternatives using passive isolation systems are narrowed down by selection criteria to four considered to be the most promising by the design team. A feasibility analysis is performed on these four passive isolation systems. Based on the feasibility analysis, a final design solution is chosen and further developed. From the development of the design, the design team has concluded that passive systems are not effective at isolating vibrations for the low frequencies considered for this project. Recommendations are made for guidelines of passive isolation design and application of such systems

Nonequilibrium dynamics of mixtures of active and passive colloidal particles

We develop a mesoscopic field theory for the collective nonequilibrium dynamics of multicomponent mixtures of interacting active (i.e., motile) and passive (i.e., nonmotile) colloidal particles with isometric shape in two spatial dimensions. By a stability analysis of the field theory, we obtain equations for the spinodal that describes the onset of a motility-induced instability leading to cluster formation in such mixtures. The prediction for the spinodal is found to be in good agreement with particle-resolved computer simulations. Furthermore, we show that in active-passive mixtures the spinodal instability can be of two different types. One type is associated with a stationary bifurcation and occurs also in one-component active systems, whereas the other type is associated with a Hopf bifurcation and can occur only in active-passive mixtures. Remarkably, the Hopf bifurcation leads to moving clusters. This explains recent results from simulations of active-passive particle mixtures, where moving clusters and interfaces that are not seen in the corresponding one-component systems have been observed.Comment: 17 pages, 3 figure

Hydrodynamic Collective Effects of Active Protein Machines in Solution and Lipid Bilayers

The cytoplasm and biomembranes in biological cells contain large numbers of proteins that cyclically change their shapes. They are molecular machines that can function as molecular motors or carry out many other tasks in the cell. We analyze the effects that hydrodynamic flows induced by active proteins have on other passive molecules in solution or membranes. We show that the diffusion constants of passive particles are enhanced substantially. Furthermore, when gradients of active proteins are present, a chemotaxis-like drift of passive particles takes place. In lipid bilayers, the effects are strongly nonlocal, so that active inclusions in the membrane contribute to diffusion enhancement and the drift. The results indicate that the transport properties of passive particles in systems containing active proteins machines operating under nonequilibrium conditions differ from their counterparts in systems at thermal equilibrium

Experimental active and passive dosimetry systems for the NASA Skylab program

Active and passive dosimetry instrumentation to measure absorbed dose, charged particle spectra, and linear energy transfer spectra inside the command module and orbital workshop on the Skylab program were developed and tested. The active dosimetry system consists of one integral unit employing both a tissue equivalent ionization chamber and silicon solid state detectors. The instrument measures dose rates from 0.2 millirad/hour to 25 rads/hour, linear energy transfer spectra from 2.8 to 42.4 Kev/micron, and the proton and alpha particle energy spectra from 0.5 to 75 Mev. The active dosimeter is equipped with a portable radiation sensor for use in astronaut on-body and spacecraft shielding surveys during passage of the Skylab through significant space radiations. Data are transmitted in real time or are recorded by onboard spacecraft tape recorder for rapid evaluation of the radiation levels. The passive dosimetry systems consist of twelve (12) hard-mounted assemblies, each containing a variety of passive radiation sensors which are recoverable at the end of the mission for analysis

Kinetic description of avalanching systems

Avalanching systems are treated analytically using the renormalization group (in the self-organized-criticality regime) or mean-field approximation, respectively. The latter describes the state in terms of the mean number of active and passive sites, without addressing the inhomogeneity in their distribution. This paper goes one step further by proposing a kinetic description of avalanching systems making use of the distribution function for clusters of active sites. We illustrate application of the kinetic formalism to a model proposed for the description of the avalanching processes in the reconnecting current sheet of the Earth magnetosphere.Comment: 9 page