Coalition capacity assessment of Columbia coalitions for a healthier Columbia (a qualitative assessment) [abstract]

Obesity is one of the leading public health concerns in the United States in adults and children. This qualitative study focused on five coalitions involved in addressing this issue in Columbia, MO. The coalitions are Playgrounds Without Borders Community Steering Committee, Columbia Action Network, Healthy Environment Policy Initiative, Grow Healthy Columbia/Boone County Partnership, and Move More Eat Smart

The efficacy of saline washout technique in the management of exfoliant and vesicant chemotherapy extravasation: a historical case series report

This report presents the results from a historical case series of cytotoxic drug extravasations managed by saline washout; its purpose is to assess the efficacy of the procedure based on patient outcome. Eighty-nine patients were identified as having experienced a vesicant or exfoliant extravasation from incident reports filed over a 10-year period, from 1 April 2001 to 31 March 2011. Outcome was measured against the need for further surgical treatment being required. Of the 89 cases assessed for efficacy of saline washout one patient experienced a wound infection, which was treated effectively with oral antibiotics. There were no other complications reported and no patients required further treatment with surgical debridement. The majority of patients had no deferral of treatment as chemotherapy could be continued in their unaffected arm immediately following saline washout procedure. For patients where cannulation in their opposite arm for continuation of treatment was not advisable chemotherapy was delayed between 3 and 7 days. Hospitalisation as a result of the extravasation or subsequent treatment was not required in any of the 89 cases. Results indicate that saline washout technique is a safe and effective management strategy for the treatment of both vesicant and exfoliant chemotherapy extravasation

Discovery of an ultramassive pulsating white dwarf

We announce the discovery of the most massive pulsating hydrogen-atmosphere (DA) white dwarf (WD) ever discovered, GD 518. Model atmosphere fits to the optical spectrum of this star show it is a 12,030 +/- 210 K WD with a log(g) = 9.08 +/- 0.06, which corresponds to a mass of 1.20 +/- 0.03 Msun. Stellar evolution models indicate that the progenitor of such a high-mass WD endured a stable carbon-burning phase, producing an oxygen-neon-core WD. The discovery of pulsations in GD 518 thus offers the first opportunity to probe the interior of a WD with a possible oxygen-neon core. Such a massive WD should also be significantly crystallized at this temperature. The star exhibits multi-periodic luminosity variations at timescales ranging from roughly 425-595 s and amplitudes up to 0.7%, consistent in period and amplitude with the observed variability of typical ZZ Ceti stars, which exhibit non-radial g-mode pulsations driven by a hydrogen partial ionization zone. Successfully unraveling both the total mass and core composition of GD 518 provides a unique opportunity to investigate intermediate-mass stellar evolution, and can possibly place an upper limit to the mass of a carbon-oxygen-core WD, which in turn constrains SNe Ia progenitor systems.Comment: 5 pages, 3 figures, Astrophysical Journal Letters, 771, L2 (2013

Discovery of pulsations, including possible pressure modes, in two new extremely low mass, He-core white dwarfs

We report the discovery of the second and third pulsating extremely low mass white dwarfs (WDs), SDSS J111215.82+111745.0 (hereafter J1112) and SDSS J151826.68+065813.2 (hereafter J1518). Both have masses < 0.25 Msun and effective temperatures below 10,000 K, establishing these putatively He-core WDs as a cooler class of pulsating hydrogen-atmosphere WDs (DAVs, or ZZ Ceti stars). The short-period pulsations evidenced in the light curve of J1112 may also represent the first observation of acoustic (p-mode) pulsations in any WD, which provide an exciting opportunity to probe this WD in a complimentary way compared to the long-period g-modes also present. J1112 is a Teff = 9590 +/- 140 K and log(g) = 6.36 +/- 0.06 WD. The star displays sinusoidal variability at five distinct periodicities between 1792-2855 s. In this star we also see short-period variability, strongest at 134.3 s, well short of expected g-modes for such a low-mass WD. The other new pulsating WD, J1518, is a Teff = 9900 +/- 140 K and log(g) = 6.80 +/- 0.05 WD. The light curve of J1518 is highly non-sinusoidal, with at least seven significant periods between 1335-3848 s. Consistent with the expectation that ELM WDs must be formed in binaries, these two new pulsating He-core WDs, in addition to the prototype SDSS J184037.78+642312.3, have close companions. However, the observed variability is inconsistent with tidally induced pulsations and is so far best explained by the same hydrogen partial-ionization driving mechanism at work in classic C/O-core ZZ Ceti stars.Comment: 9 pages, 5 figures, accepted to The Astrophysical Journa

Radius constraints from high-speed photometry of 20 low-mass white dwarf binaries

We carry out high-speed photometry on 20 of the shortest-period, detached white dwarf binaries known and discover systems with eclipses, ellipsoidal variations (due to tidal deformations of the visible white dwarf), and Doppler beaming. All of the binaries contain low-mass white dwarfs with orbital periods less than 4 hr. Our observations identify the first eight tidally distorted white dwarfs, four of which are reported for the first time here, which we use to put empirical constraints on the mass-radius relationship for extremely low-mass (<0.30 Msun) white dwarfs. We also detect Doppler beaming in several of these binaries, which confirms the high-amplitude radial-velocity variability. All of these systems are strong sources of gravitational radiation, and long-term monitoring of those that display ellipsoidal variations can be used to detect spin-up of the tidal bulge due to orbital decay.Comment: 14 pages, 5 figures, accepted for publication in The Astrophysical Journa

Probing the Dust and Gas in the Transitional Disk of CS Cha with Spitzer

Here we present the Spitzer IRS spectrum of CS Cha, a member of the ~2 Myr old Chamaeleon star-forming region, which reveals an optically thick circumstellar disk truncated at ~43 AU, the largest hole modeled in a transitional disk to date. Within this inner hole, ~5x10^-5 lunar masses of dust are located in a small optically thin inner region which extends from 0.1 to 1 AU. In addition, the disk of CS Cha has bigger grain sizes and more settling than the previously modeled transitional disks DM Tau, GM Aur, and CoKu Tau/4, suggesting that CS Cha is in a more advanced state of dust evolution. The Spitzer IRS spectrum also shows [Ne II] 12.81 micron fine-structure emission with a luminosity of 1.3x10^29 ergs s^-1, indicating that optically thin gas is present in this ~43 AU hole, in agreement with H_alpha measurements and a UV excess which indicate that CS Cha is still accreting 1.2x10^-8 M_sun yr^-1. We do not find a correlation of the [Ne II] flux with L_X, however, there is a possible correlation with mass accretion rate, which if confirmed would suggest that EUV fluxes due to accretion are the main agent for formation of the [Ne II] line.Comment: accepted to ApJ Letter

Construction and Calibration of Optically Efficient LCD-based Multi-Layer Light Field Displays

Near-term commercial multi-view displays currently employ ray-based 3D or 4D light field techniques. Conventional approaches to ray-based display typically include lens arrays or heuristic barrier patterns combined with integral interlaced views on a display screen such as an LCD panel. Recent work has placed an emphasis on the co-design of optics and image formation algorithms to achieve increased frame rates, brighter images, and wider fields-of-view using optimization-in-the-loop and novel arrangements of commodity LCD panels. In this paper we examine the construction and calibration methods of computational, multi-layer LCD light field displays. We present several experimental configurations that are simple to build and can be tuned to sufficient precision to achieve a research quality light field display. We also present an analysis of moiré interference in these displays, and guidelines for diffuser placement and display alignment to reduce the effects of moiré. We describe a technique using the moiré magnifier to fine-tune the alignment of the LCD layers

Patterns of analgesic use, pain and self-efficacy: a cross-sectional study of patients attending a hospital rheumatology clinic

Background: Many people attending rheumatology clinics use analgesics and non-steroidal anti-inflammatories for persistent musculoskeletal pain. Guidelines for pain management recommend regular and pre-emptive use of analgesics to reduce the impact of pain. Clinical experience indicates that analgesics are often not used in this way. Studies exploring use of analgesics in arthritis have historically measured adherence to such medication. Here we examine patterns of analgesic use and their relationships to pain, self-efficacy and demographic factors. Methods: Consecutive patients were approached in a hospital rheumatology out-patient clinic. Pattern of analgesic use was assessed by response to statements such as 'I always take my tablets every day.' Pain and self-efficacy (SE) were measured using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Arthritis Self-Efficacy Scale (ASES). Influence of factors on pain level and regularity of analgesic use were investigated using linear regression. Differences in pain between those agreeing and disagreeing with statements regarding analgesic use were assessed using t-tests. Results: 218 patients (85% of attendees) completed the study. Six (2.8%) patients reported no current pain, 26 (12.3%) slight, 100 (47.4%) moderate, 62 (29.4%) severe and 17 (8.1%) extreme pain. In multiple linear regression self efficacy and regularity of analgesic use were significant (p < 0.01) with lower self efficacy and more regular use of analgesics associated with more pain. Low SE was associated with greater pain: 40 (41.7%) people with low SE reported severe pain versus 22 (18.3%) people with high SE, p < 0.001. Patients in greater pain were significantly more likely to take analgesics regularly; 13 (77%) of those in extreme pain reported always taking their analgesics every day, versus 9 (35%) in slight pain. Many patients, including 46% of those in severe pain, adjusted analgesic use to current pain level. In simple linear regression, pain was the only variable significantly associated with regularity of analgesic use: higher levels of pain corresponded to more regular analgesic use (p = 0.003). Conclusion: Our study confirms that there is a strong inverse relationship between self-efficacy and pain severity. Analgesics are often used irregularly by people with arthritis, including some reporting severe pain

Ozone production chemistry in the presence of urban plumes

Ozone pollution affects human health, especially in urban areas on hot sunny days. Its basic photochemistry has been known for decades and yet it is still not possible to correctly predict the high ozone levels that are the greatest threat. The CalNex_SJV study in Bakersfield CA in May/June 2010 provided an opportunity to examine ozone photochemistry in an urban area surrounded by agriculture. The measurement suite included hydroxyl (OH), hydroperoxyl (HO_2), and OH reactivity, which are compared with the output of a photochemical box model. While the agreement is generally within combined uncertainties, measured HO2 far exceeds modeled HO_2 in NO_x-rich plumes. OH production and loss do not balance as they should in the morning, and the ozone production calculated with measured HO_2 is a decade greater than that calculated with modeled HO_2 when NO levels are high. Calculated ozone production using measured HO2 is twice that using modeled HO_2, but this difference in calculated ozone production has minimal impact on the assessment of NOx-sensitivity or VOC-sensitivity for midday ozone production. Evidence from this study indicates that this important discrepancy is not due to the HO_2 measurement or to the sampling of transported plumes but instead to either emissions of unknown organic species that accompany the NO emissions or unknown photochemistry involving nitrogen oxides and hydrogen oxides, possibly the hypothesized reaction OH + NO + O_2 → HO_2 + NO_2