Development and testing of a risk indexing framework to determine field-scale critical source areas of faecal bacteria on grassland.

This paper draws on lessons from a UK case study in the management of diffuse microbial pollution from grassland farm systems in the Taw catchment, south west England. We report on the development and preliminary testing of a field-scale faecal indicator organism risk indexing tool (FIORIT). This tool aims to prioritise those fields most vulnerable in terms of their risk of contributing FIOs to water. FIORIT risk indices were related to recorded microbial water quality parameters (faecal coliforms [FC] and intestinal enterococci [IE]) to provide a concurrent on-farm evaluation of the tool. There was a significant upward trend in Log[FC] and Log[IE] values with FIORIT risk score classification (r2 =0.87 and 0.70, respectively and P<0.01 for both FIOs). The FIORIT was then applied to 162 representative grassland fields through different seasons for ten farms in the case study catchment to determine the distribution of on-farm spatial and temporal risk. The high risk fields made up only a small proportion (1%, 2%, 2% and 3% for winter, spring, summer and autumn, respectively) of the total number of fields assessed (and less than 10% of the total area), but the likelihood of the hydrological connection of high FIO source areas to receiving watercourses makes them a priority for mitigation efforts. The FIORIT provides a preliminary and evolving mechanism through which we can combine risk assessment with risk communication to end-users and provides a framework for prioritising future empirical research. Continued testing of FIORIT across different geographical areas under both low and high flow conditions is now needed to initiate its long term development into a robust indexing tool

The Impact of Spatial Heterogeneity in Land Use Practices and Aquifer Characteristics on Groundwater Conservation Policy Cost

Estimation of agricultural policy cost for a given level of groundwater conservation requires the establishment of an accurate baseline condition. This is especially critical when the benefits and cost of any conservation program are generally estimated relative to the status quo policy or baseline situation. An inaccurate baseline estimate will lead to poor estimates of potential water conservation savings and agricultural policy cost. Over a 60-year planning horizon per acre net present value is as much as 29.8% higher for a study area when aquifer characteristics are assumed to be homogenous and set to their average area value than when the heterogeneity in aquifer characteristics is explicitly modeled.Aquifer Modeling, Economics, Resource /Energy Economics and Policy,

Persistent Asymmetric Structure of Sagittarius A^* on Event Horizon Scales

The Galactic Center black hole Sagittarius A^* (Sgr A^*) is a prime observing target for the Event Horizon Telescope (EHT), which can resolve the 1.3 mm emission from this source on angular scales comparable to that of the general relativistic shadow. Previous EHT observations have used visibility amplitudes to infer the morphology of the millimeter-wavelength emission. Potentially much richer source information is contained in the phases. We report on 1.3 mm phase information on Sgr A^* obtained with the EHT on a total of 13 observing nights over four years. Closure phases, which are the sum of visibility phases along a closed triangle of interferometer baselines, are used because they are robust against phase corruptions introduced by instrumentation and the rapidly variable atmosphere. The median closure phase on a triangle including telescopes in California, Hawaii, and Arizona is nonzero. This result conclusively demonstrates that the millimeter emission is asymmetric on scales of a few Schwarzschild radii and can be used to break 180° rotational ambiguities inherent from amplitude data alone. The stability of the sign of the closure phase over most observing nights indicates persistent asymmetry in the image of Sgr A^* that is not obscured by refraction due to interstellar electrons along the line of sight

Experimental evaluation into novel, low cost, modular PEMFC stack

Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY-NC-ND 3.0)The Polymer Electrolyte Membrane Fuel Cell (PEMFC), despite being regarded as an ideal replacement to the internal combustion engine, is still not an economically attractive pri-mover due to a number of key challenges that have yet to be fully resolved; some of which include degradation to cell components resulting in inadequate lifetimes, specialised and costly manufacturing processes and poor gravimetric/volumetric energy densities. This paper presents a novel stack concept which removes the conventional bi polar plate (BPP), a component that is responsible for up to 80% of total stack weight and 90+% of stack volume in some designs. The removal of said component not only improves the volumetric and gravimetric energy density of the PEMFC stack but drastically reduces the cost of the stack by removing all costly manufacturing processes associated with PEMFC component machining while the functionality of the traditional BPP is still retained by the unique stack design. The stack architecture is first presented and then the characterisation of the PEMFC is shown over a wide range of operating scenarios. The experimental studies suggest that the performance of the new design is comparable to that of traditional stacks but at significantly less cost price.Final Published versio

Guest editorial: Promoting cultural competency in the nursing care of LGBT patients

The file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.none- editoria

Iatrogenic Spinal Cord Injury Resulting From Cervical Spine Surgery.

STUDY DESIGN: Retrospective cohort study of prospectively collected data. OBJECTIVE: To examine the incidence of iatrogenic spinal cord injury following elective cervical spine surgery. METHODS: A retrospective multicenter case series study involving 21 high-volume surgical centers from the AOSpine North America Clinical Research Network was conducted. Medical records for 17 625 patients who received cervical spine surgery (levels from C2 to C7) between January 1, 2005, and December 31, 2011, were reviewed to identify occurrence of iatrogenic spinal cord injury. RESULTS: In total, 3 cases of iatrogenic spinal cord injury following cervical spine surgery were identified. Institutional incidence rates ranged from 0.0% to 0.24%. Of the 3 patients with quadriplegia, one underwent anterior-only surgery with 2-level cervical corpectomy, one underwent anterior surgery with corpectomy in addition to posterior surgery, and one underwent posterior decompression and fusion surgery alone. One patient had complete neurologic recovery, one partially recovered, and one did not recover motor function. CONCLUSION: Iatrogenic spinal cord injury following cervical spine surgery is a rare and devastating adverse event. No standard protocol exists that can guarantee prevention of this complication, and there is a lack of consensus regarding evaluation and treatment when it does occur. Emergent imaging with magnetic resonance imaging or computed tomography myelography to evaluate for compressive etiology or malpositioned instrumentation and avoidance of hypotension should be performed in cases of intraoperative and postoperative spinal cord injury

1.3 mm Wavelength VLBI of Sagittarius A*: Detection of Time-Variable Emission on Event Horizon Scales

Sagittarius A*, the ~4 x 10^6 solar mass black hole candidate at the Galactic Center, can be studied on Schwarzschild radius scales with (sub)millimeter wavelength Very Long Baseline Interferometry (VLBI). We report on 1.3 mm wavelength observations of Sgr A* using a VLBI array consisting of the JCMT on Mauna Kea, the ARO/SMT on Mt. Graham in Arizona, and two telescopes of the CARMA array at Cedar Flat in California. Both Sgr A* and the quasar calibrator 1924-292 were observed over three consecutive nights, and both sources were clearly detected on all baselines. For the first time, we are able to extract 1.3 mm VLBI interferometer phase information on Sgr A* through measurement of closure phase on the triangle of baselines. On the third night of observing, the correlated flux density of Sgr A* on all VLBI baselines increased relative to the first two nights, providing strong evidence for time-variable change on scales of a few Schwarzschild radii. These results suggest that future VLBI observations with greater sensitivity and additional baselines will play a valuable role in determining the structure of emission near the event horizon of Sgr A*.Comment: 8 pages, submitted to ApJ

Implementing of Phase Potentiation Program with College Triathletes

The purpose of this study is to determine the effectiveness of an in-season resistance training program on improving measures of strength in female collegiate triathletes. Nine females (age = 19.2 ± 1.1 years, height = 166.5 ± 12.5 cm, body mass = 61.1 ± 9 kg) with limited resistance training experience were examined for this study. Formal RT intervention was monitored for 7 weeks with the athletes being assigned 6 weeks of independent RT prior to the pre-test. Athletes completed a standardized athlete monitoring program pre and post resistance training intervention. Paired sample t-tests were used to determine differences between conditions with Cohen’s d effect sizes describing the magnitude of change between pre and post-intervention. No significant changes were found between the two testing sessions (p \u3e 0.05). A longer duration of utilizing resistance training adhering to a phase potentiated approach may be necessary for significant changes to occur

Evaluating a Current Athlete Assessment Program

The primary purpose of this dissertation is to evaluate the effectiveness of a questionnaire designed to assess coaches’ perceptions of an athlete monitoring program. There are four reasons for this examination of perceptions: 1) it may serve as a check for understanding of how the coach takes in the information presented to them, 2) identify any gaps in the knowledge of the coach which the sport scientist may help to fill, 3) can serve to open a dialog with the coach for ways in which the information may be better tailored to help them improve their decision-making, and 4) the feedback provided can shed insight towards the areas a sport scientist can make more robust (e.g., delivery of information or structure of a training program). Coaches participating in the athlete monitoring program at East Tennessee State University’s (ETSU) Sport Performance Enhancement Group (SPEG) were invited to participate. There were no statistically significant differences between the pre- vs post- questionnaire responses. The secondary purpose of this dissertation is to examine the outcomes from the questionnaire and develop an understanding of the present responses. Considering the range of responses submitted by coaches, this serves as an indicator for the sport scientist/Strength & Conditioning Coach to prompt a dialog with the coach of the team they work with to better understand what else they may contribute towards enhancing the coach’s experience with such services. The tertiary goal of dissertation section is to provide practitioners who are interested in developing a sport scientist program for assessment of athletes with resources to better approach the logistics for developing their own system. Considerations included applying evidence-based practice, implementing precursor methods leading up to data collection (e.g., pre-testing certifications, lab set up, data collection, and testing protocols), approaching data collection (e.g., factors related to assessments, athletes, and additional considerations cover aspects of assessment validity and reliability), and potential assessment methods to consider (e.g., hydration, body composition, vertical jump height (VJH), and maximal strength)

Epidural Hematoma Following Cervical Spine Surgery.

STUDY DESIGN: A multicentered retrospective case series. OBJECTIVE: To determine the incidence and circumstances surrounding the development of a symptomatic postoperative epidural hematoma in the cervical spine. METHODS: Patients who underwent cervical spine surgery between January 1, 2005, and December 31, 2011, at 23 institutions were reviewed, and all patients who developed an epidural hematoma were identified. RESULTS: A total of 16 582 cervical spine surgeries were identified, and 15 patients developed a postoperative epidural hematoma, for a total incidence of 0.090%. Substantial variation between institutions was noted, with 11 sites reporting no epidural hematomas, and 1 site reporting an incidence of 0.76%. All patients initially presented with a neurologic deficit. Nine patients had complete resolution of the neurologic deficit after hematoma evacuation; however 2 of the 3 patients (66%) who had a delay in the diagnosis of the epidural hematoma had residual neurologic deficits compared to only 4 of the 12 patients (33%) who had no delay in the diagnosis or treatment (P = .53). Additionally, the patients who experienced a postoperative epidural hematoma did not experience any significant improvement in health-related quality-of-life metrics as a result of the index procedure at final follow-up evaluation. CONCLUSION: This is the largest series to date to analyze the incidence of an epidural hematoma following cervical spine surgery, and this study suggest that an epidural hematoma occurs in approximately 1 out of 1000 cervical spine surgeries. Prompt diagnosis and treatment may improve the chance of making a complete neurologic recovery, but patients who develop this complication do not show improvements in the health-related quality-of-life measurements