Introduction: women’s international activism during the inter-war period, 1919-1939’

This article explains why women’s international activism in the inter-war period should be a subject of scholarly interest, and also discusses the myriad and vibrant forms it could take. For some women campaigners, international work – whether through .established national women’s movements or via separate, radical pacifist organisations – was crucial for the prevention of war and the maintenance of world peace. However, this was not the only motivation. Others were interested in the scientific or professional advantages of combining knowledge at international or transnational level. Others still were keen to exploit international links in order to further political objectives closer to home, such as the achievement of women’s suffrage, the encouragement of inter-cultural understanding between women from different ethnic, religious or linguistic backgrounds, or the promotion of conservative values, anti-communism or physical fitness within particular national or multi-national settings. Examples of all of these kinds of activism can be found in the individual contributions to this special issue

A biomechanical analysis of the stand-up paddle board stroke: A comparative study

Background: Stand-up paddle boarding (SUP) is a rapidly growing global aquatic sport, with increasing popularity among participants within recreation, competition and rehabilitation. To date, few scientific studies have focused on SUP. Further, there is no research examining the biomechanics of the SUP paddle stroke. The purpose of this study was to investigate whether variations in kinematics existed among experienced and inexperienced SUP participants using three-dimensional motion analysis. This data could be of significance to participants, researchers, coaches and health practitioners to improve performance and inform injury minimization strategies. Methods: A cross-sectional observational design study was performed with seven experienced and 19 inexperienced paddlers whereby whole-body kinematic data were acquired using a six-camera Vicon motion capture system. Participants paddled on a SUP ergometer while three-dimensional range of motion (ROM) and peak joint angles were calculated for the shoulders, elbows, hips and trunk. Mann-Whitney U tests were conducted on the non-normally distributed data to evaluate differences between level of expertise. Results: Significant differences in joint kinematics were found between experienced and inexperienced participants, with inexperienced participants using greater overall shoulder ROM (78.9° ± 24.9° vs 56.6° ± 17.3°, p = 0.010) and less hip ROM than the experienced participants (50.0° ± 18.5° vs 66.4° ± 11.8°, p = 0.035). Experienced participants demonstrated increased shoulder motion at the end of the paddle stoke compared to the inexperienced participants (74.9° ± 16.3° vs 35.2° ± 28.5°, p = 0.001 minimum shoulder flexion) and more extension at the elbow (6.0° ± 9.2° minimum elbow flexion vs 24.8° ± 13.5°, p = 0.000) than the inexperienced participants. Discussion: The results of this study indicate several significant kinematic differences between the experienced and inexperienced SUP participants. These variations in technique were noted in the shoulder, elbow and hip and are evident in other aquatic paddling sports where injury rates are higher in these joints. These finding may be valuable for coaches, therapists and participants needing to maximize performance and minimize injury risk during participation in SUP.Full Tex

The impact of co-located NHS walk-in centres on emergency departments

Objectives: To determine the impact of establishing walk-in centres alongside emergency departments on attendance rates, visit duration, process, costs and outcome of care. Methods: Eight hospitals with co-located emergency departments and walk-in centres were compared with eight matched emergency departments without walk-in centres. Site visits were conducted. Routine data about attendance numbers and use of resources were analysed. A random sample of records of patients attending before and after walk-in centres opened were also assessed. Patients who had not been admitted to hospital were sent a postal questionnaire. Results: In most sites, the walk-in centres did not have a distinct identity and there were few differences in the way services were provided compared with control sites. Overall, there was no evidence of an increase in attendance at sites with walk-in centres, but considerable variability across sites. The proportion of patients managed within the four-hour NHS target improved at sites both with and without walk-in centres. There was no evidence of any difference in re-consultation rates, costs of care or patient outcomes at sites with or without walk-in centres. Conclusions: Most hospitals in this study implemented the walk-in centre concept to a very limited extent. Consequently there was no evidence of any impact on attendance rates, process, costs or outcome of care

The stellar mass - size relation for cluster galaxies at z=1 with high angular resolution from the Gemini/GeMS multi-conjugate adaptive optics system

We present the stellar mass - size relation for 49 galaxies within the $z$ = 1.067 cluster SPT-CL J0546$-$5345, with FWHM $\sim$80-120 mas $K_{\mathrm s}$-band data from the Gemini multi-conjugate adaptive optics system (GeMS/GSAOI). This is the first such measurement in a cluster environment, performed at sub-kpc resolution at rest-frame wavelengths dominated by the light of the underlying old stellar populations. The observed stellar mass - size relation is offset from the local relation by 0.21 dex, corresponding to a size evolution proportional to $(1+z)^{-1.25}$, consistent with the literature. The slope of the stellar mass - size relation $\beta$ = 0.74 $\pm$ 0.06, consistent with the local relation. The absence of slope evolution indicates that the amount of size growth is constant with stellar mass. This suggests that galaxies in massive clusters such as SPT-CL J0546$-$5345 grow via processes that increase the size without significant morphological interference, such as minor mergers and/or adiabatic expansion. The slope of the cluster stellar mass - size relation is significantly shallower if measured in $HST$/ACS imaging at wavelengths blueward of the Balmer break, similar to rest-frame UV relations at $z$ = 1 in the literature. The stellar mass - size relation must be measured at redder wavelengths, which are more sensitive to the old stellar population that dominates the stellar mass of the galaxies. The slope is unchanged when GeMS $K_s$-band imaging is degraded to the resolution of $K$-band HST/NICMOS resolution but dramatically affected when degraded to $K_s$-band Magellan/FourStar resolution. Such measurements must be made with AO in order to accurately characterise the sizes of compact, $z$ = 1 galaxies.Comment: 24 pages, 13 figures, 3 tables. Accepted for publication in MNRAS. Typos corrected, DOI adde

The Federal Child Nutrition Commodity Program: A Report on Nutritional Quality

Examines the types of food California schools order through the USDA Child Nutrition Commodity Program and how they affect the nutritional value of school meals. Includes policy recommendations for ensuring that meals meet nutritional guidelines

Using Flow Regime Lightning and Sounding Climatologies to Initialize Gridded Lightning Threat Forecasts for East Central Florida

Each morning, the forecasters at the National Weather Service in Melbourne, FL (NWS MLB) produce an experimental cloud-to-ground (CG) lightning threat index map for their county warning area (CWA) that is posted to their web site (http://www.srh.weather.gov/mlb/ghwo/lightning.shtml) . Given the hazardous nature of lightning in East Central Florida, especially during the warm season months of May September, these maps help users factor the threat of lightning, relative to their location, into their daily plans. The maps are color-coded in five levels from Very Low to Extreme, with threat level definitions based on the probability of lightning occurrence and the expected amount of CG activity. On a day in which thunderstorms are expected, there are typically two or more threat levels depicted spatially across the CWA. The locations of relative lightning threat maxima and minima often depend on the position and orientation of the low-level ridge axis, forecast propagation and interaction of sea/lake/outflow boundaries, expected evolution of moisture and stability fields, and other factors that can influence the spatial distribution of thunderstorms over the CWA. The lightning threat index maps are issued for the 24-hour period beginning at 1200 UTC each day with a grid resolution of 5 km x 5 km. Product preparation is performed on the AWIPS Graphical Forecast Editor (GFE), which is the standard NWS platform for graphical editing. Currently, the forecasters create each map manually, starting with a blank map. To improve efficiency of the forecast process, NWS MLB requested that the Applied Meteorology Unit (AMU) create gridded warm season lightning climatologies that could be used as first-guess inputs to initialize lightning threat index maps. The gridded values requested included CG strike densities and frequency of occurrence stratified by synoptic-scale flow regime. The intent is to improve consistency between forecasters while allowing them to focus on the mesoscale detail of the forecast, ultimately benefiting the end-users of the product. Several studies took place at the Florida State University (FSU) and NWS Tallahassee (TAE) in which they created daily flow regimes using Florida 1200 UTC synoptic soundings and CG strike densities, or number of strikes per specified area. The soundings used to determine the flow regimes were taken at Miami (MIA), Tampa (TBW), and Jacksonville (JAX), FL, and the lightning data for the strike densities came from the National Lightning Detection Network (NLDN). The densities were created on a 2.5 km x 2.5 km grid for every hour of every day during the warm seasons in the years 1989-2004. The grids encompass an area that includes the entire state of Florida and adjacent Atlantic and Gulf of Mexico waters. Personnel at FSU and NWS TAE provided this data and supporting software for the work performed by the AMU

The Clinical Utility of a Precision Medicine Blood Test Incorporating Age, Sex, and Gene Expression for Evaluating Women with Stable Symptoms Suggestive of Obstructive Coronary Artery Disease: Analysis from the PRESET Registry.

Background: Evaluating women with symptoms suggestive of coronary artery disease (CAD) remains challenging. A blood-based precision medicine test yielding an age/sex/gene expression score (ASGES) has shown clinical validity in the diagnosis of obstructive CAD. We assessed the effect of the ASGES on the management of women with suspected obstructive CAD in a community-based registry. Materials and Methods: The prospective PRESET (A Registry to Evaluate Patterns of Care Associated with the Use of Corus® CAD in Real World Clinical Care Settings) Registry (NCT01677156) enrolled 566 patients presenting with symptoms suggestive of stable obstructive CAD from 21 United States primary care practices from 2012 to 2014. Demographics, clinical characteristics, and referrals to cardiology or further functional and/or anatomical cardiac studies after ASGES testing were collected for this subgroup analysis of women from the PRESET Registry. Patients were followed for 1-year post-ASGES testing. Results: This study cohort included 288 women with a median age 57 years. The median body mass index was 29.2, with hyperlipidemia and hypertension present in 48% and 43% of patients, respectively. Median ASGES was 8.5 (range 1-40), with 218 (76%) patients having low (≤15) ASGES. Clinicians referred 9% (20/218) low ASGES versus 44% (31/70) elevated ASGES women for further cardiac evaluation (odds ratio 0.14, p < 0.0001, adjusted for patient demographics and clinical covariates). Across the score range, higher ASGES were associated with a higher likelihood of posttest cardiac referral. At 1-year follow-up, low ASGES women experienced fewer major adverse cardiac events than elevated ASGES women (1.3% vs. 4.2% respectively, p = 0.16). Conclusions: Incorporation of ASGES into the diagnostic workup demonstrated clinical utility by helping clinicians identify women less likely to benefit from further cardiac evaluation

Convective infux/glymphatic system: tracers injected into the CSF enter and leave the brain along separate periarterial basement membrane pathways

Tracers injected into CSF pass into the brain alongside arteries and out again. This has been recently termed the "glymphatic system" that proposes tracers enter the brain along periarterial "spaces" and leave the brain along the walls of veins. The object of the present study is to test the hypothesis that: (1) tracers from the CSF enter the cerebral cortex along pial-glial basement membranes as there are no perivascular "spaces" around cortical arteries, (2) tracers leave the brain along smooth muscle cell basement membranes that form the Intramural Peri-Arterial Drainage (IPAD) pathways for the elimination of interstitial fluid and solutes from the brain. 2 μL of 100 μM soluble, fluorescent fixable amyloid β (Aβ) were injected into the CSF of the cisterna magna of 6-10 and 24-30 month-old male mice and their brains were examined 5 and 30 min later. At 5 min, immunocytochemistry and confocal microscopy revealed Aβ on the outer aspects of cortical arteries colocalized with α-2 laminin in the pial-glial basement membranes. At 30 min, Aβ was colocalised with collagen IV in smooth muscle cell basement membranes in the walls of cortical arteries corresponding to the IPAD pathways. No evidence for drainage along the walls of veins was found. Measurements of the depth of penetration of tracer were taken from 11 regions of the brain. Maximum depths of penetration of tracer into the brain were achieved in the pons and caudoputamen. Conclusions drawn from the present study are that tracers injected into the CSF enter and leave the brain along separate periarterial basement membrane pathways. The exit route is along IPAD pathways in which Aβ accumulates in cerebral amyloid angiopathy (CAA) in Alzheimer's disease. Results from this study suggest that CSF may be a suitable route for delivery of therapies for neurological diseases, including CAA

Displaying Composite and Archived Soundings in the Advanced Weather Interactive Processing System

In a previous task, the Applied Meteorology Unit (AMU) developed spatial and temporal climatologies of lightning occurrence based on eight atmospheric flow regimes. The AMU created climatological, or composite, soundings of wind speed and direction, temperature, and dew point temperature at four rawinsonde observation stations at Jacksonville, Tampa, Miami, and Cape Canaveral Air Force Station, for each of the eight flow regimes. The composite soundings were delivered to the National Weather Service (NWS) Melbourne (MLB) office for display using the National version of the Skew-T Hodograph analysis and Research Program (NSHARP) software program. The NWS MLB requested the AMU make the composite soundings available for display in the Advanced Weather Interactive Processing System (AWIPS), so they could be overlaid on current observed soundings. This will allow the forecasters to compare the current state of the atmosphere with climatology. This presentation describes how the AMU converted the composite soundings from NSHARP Archive format to Network Common Data Form (NetCDF) format, so that the soundings could be displayed in AWl PS. The NetCDF is a set of data formats, programming interfaces, and software libraries used to read and write scientific data files. In AWIPS, each meteorological data type, such as soundings or surface observations, has a unique NetCDF format. Each format is described by a NetCDF template file. Although NetCDF files are in binary format, they can be converted to a text format called network Common data form Description Language (CDL). A software utility called ncgen is used to create a NetCDF file from a CDL file, while the ncdump utility is used to create a CDL file from a NetCDF file. An AWIPS receives soundings in Binary Universal Form for the Representation of Meteorological data (BUFR) format (http://dss.ucar.edu/docs/formats/bufr/), and then decodes them into NetCDF format. Only two sounding files are generated in AWIPS per day. One file contains all of the soundings received worldwide between 0000 UTC and 1200 UTC, and the other includes all soundings between 1200 UTC and 0000 UTC. In order to add the composite soundings into AWIPS, a procedure was created to configure, or localize, AWIPS. This involved modifying and creating several configuration text files. A unique fourcharacter site identifier was created for each of the 32 soundings so each could be viewed separately. The first three characters were based on the site identifier of the observed sounding, while the last character was based on the flow regime. While researching the localization process for soundings, the AMU discovered a method of archiving soundings so old soundings would not get purged automatically by AWl PS. This method could provide an alternative way of localizing AWl PS for composite soundings. In addition, this would allow forecasters to use archived soundings in AWIPS for case studies. A test sounding file in NetCDF format was written in order to verify the correct format for soundings in AWIPS. After the file was viewed successfully in AWIPS, the AMU wrote a software program in the Tool Command Language/Tool Kit (Tcl/Tk) language to convert the 32 composite soundings from NSHARP Archive to CDL format. The ncgen utility was then used to convert the CDL file to a NetCDF file. The NetCDF file could then be read and displayed in AWIPS