Hep C care booklet 2 - Living with hepatitis C and treatment options.

This booklet is about hepatitis C (hep C). It contains information about living with hep C, managing common hep C symptoms, your rights to treatment and treatment choices. [For booklet 1 - see related URL link below

MSFC Robotic Lunar Lander Testbed and Current Status of the International Lunar Network (ILN) Anchor Nodes Mission

The lunar lander robotic exploration testbed at Marshall Spaceflight Center provides a test environment for robotic lander test articles, components and algorithms to reduce the risk on the airless body designs during lunar landing. Also included is a chart comparing the two different types of Anchor nodes for the International Lunar Network (ILN): Solar/Battery and the Advanced Stirling Radioisotope generator (ARSG.

editorial

This is the peer reviewed version of the following article: Harris, P. & Moss, D. (2020) Editorial: Reflections on the Impact of Coronavirus on Public Affairs. Journal of Public Affairs, 20(2), which has been published in final form at https://doi.org/10.1002/pa.2205. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.As the editorial team considered how we might best mark the 20th anniversary year of the publication of the Journal of Public Affairs and reflected on what significant developments have occurred in the world of public affairs over the past two decades, none of us around that table could have possibly imagined how the world of politics and society as a whole could and would change in just a few short months. Yes we all witnessed the horrible effects of Ebola in Africa, and of SARS in the Far East and in the UK we experienced the nationwide lockdown of countryside during the infamous foot and mouth disease that ravaged the countryside in 2001. However devastating each of these disease outbreaks that we might think of as contagions have been, none can really compare or have prepared us fully for a the rapidity and impact that the recent coronavirus pandemic has had across the world, not only in terms of the scale of the infection rising death rate, but in the profound impact it has had on the economy and on people's lives and livelihood

SNAP-2 EPICCS: the second Sprint National Anaesthesia Project-EPIdemiology of Critical Care after Surgery: protocol for an international observational cohort study.

INTRODUCTION: The admission of high-risk patients to critical care after surgery is a recommended standard of care. Nevertheless, poor compliance against this recommendation has been repeatedly demonstrated in large epidemiological studies. It is unclear whether this is due to reasons of capacity, equipoise, poor quality clinical care or because hospitals are working creatively to create capacity for augmented care on normal surgical wards. The EPIdemiology of Critical Care after Surgery study aims to address these uncertainties. METHODS AND ANALYSIS: One-week observational cohort study in the UK and Australasia. All patients undergoing inpatient (overnight stay) surgery will be included. All will have prospective data collection on risk factors, surgical procedure and postoperative outcomes including the primary outcome of morbidity (measured using the Postoperative Morbidity Survey on day 7 after surgery) and secondary outcomes including length of stay and mortality. Data will also be collected on critical care referral and admission, surgical cancellations and critical care occupancy. The epidemiology of patient characteristics, processes and outcomes will be described. Inferential techniques (multilevel multivariable regression, propensity score matching and instrumental variable analysis) will be used to evaluate the relationship between critical care admission and postoperative outcome. ETHICS AND DISSEMINATION: The study has received ethical approval from the National Research Ethics Service in the UK and equivalent in Australasia. The collection of patient identifiable data without prior consent has been approved by the Confidentiality Advisory Group (England and Wales) and the Public Privacy and Patient Benefit Panel (Scotland). In these countries, patient identifiable data will be used to link prospectively collected data with national registers of death and inpatient administrative data. The study findings will be disseminated using a multimedia approach with the support of our lay collaborators, to patients, public, policy-makers, clinical and academic audiences

Dysfunctional regulation of ocular blood flow: A risk factor for glaucoma?

Primary open angle glaucoma (OAG) is a multifactorial optic neuropathy characterized by progressive retinal ganglion cell death and associated visual field loss. OAG is an emerging disease with increasing costs and negative outcomes, yet its fundamental pathophysiology remains largely undetermined. A major treatable risk factor for glaucoma is elevated intraocular pressure (IOP). Despite the medical lowering of IOP, however, some glaucoma patients continue to experience disease progression and subsequent irreversible vision loss. The scientific community continues to accrue evidence suggesting that alterations in ocular blood flow play a prominent role in OAG disease processes. This article develops the thesis that dysfunctional regulation of ocular blood flow may contribute to glaucomatous optic neuropathy. Evidence suggests that impaired vascular autoregulation renders the optic nerve head susceptible to decreases in ocular perfusion pressure, increases in IOP, and/or increased local metabolic demands. Ischemic damage, which likely contributes to further impairment in autoregulation, results in changes to the optic nerve head consistent with glaucoma. Included in this review are discussions of conditions thought to contribute to vascular regulatory dysfunction in OAG, including atherosclerosis, vasospasm, and endothelial dysfunction

NASA's Robotic Lunar Lander Development Program

NASA Marshall Space Flight Center and the Johns Hopkins University Applied Physics Laboratory have developed several mission concepts to place scientific and exploration payloads ranging from 10 kg to more than 200 kg on the surface of the moon. The mission concepts all use a small versatile lander that is capable of precision landing. The results to date of the lunar lander development risk reduction activities including high pressure propulsion system testing, structure and mechanism development and testing, and long cycle time battery testing will be addressed. The most visible elements of the risk reduction program are two fully autonomous lander flight test vehicles. The first utilized a high pressure cold gas system (Cold Gas Test Article) with limited flight durations while the subsequent test vehicle, known as the Warm Gas Test Article, utilizes hydrogen peroxide propellant resulting in significantly longer flight times and the ability to more fully exercise flight sensors and algorithms. The development of the Warm Gas Test Article is a system demonstration and was designed with similarity to an actual lunar lander including energy absorbing landing legs, pulsing thrusters, and flight-like software implementation. A set of outdoor flight tests to demonstrate the initial objectives of the WGTA program was completed in Nov. 2011, and will be discussed

Editorial: Managing through the Covid second wave: Public affairs and the challenge of Covid vaccination

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