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This study aims to determine the performance of the Traffic Enforcer In Almar, Camarin Caloocan City. Many governments around the world rely heavily on traffic law enforcement programs to modify driver behaviour and enhance road safety to avoid road accidents and traffic violations and to make pedestrians much safer.“The automobile has brought death, injury and the most inestimable sorrow and deprivation to millions of people”, said by Ralph Nader. Traffic enforcers are trained, sworn-in members of the Police, but instead of dealing with crime, they are focused specifically on roads and people on those roads. The traffic enforcers' duties are to keep the road running. It’s an important job; we use them to maintain road safety and efficiency, which is important to our daily lives. In the essence of road safety, the traffic enforcers serve as a main character to ensure that all motorists' safety will be served and exercised. The traffic enforcers in Almar, Camarin Caloocan City consist of 10 enforcers, 5 in the morning and 5 in the afternoon.   The researchers used a descriptive method with a phenomenological approach. The descriptive method is the design used by the researchers to obtain and gather information to find the solution to the problem. The goal of the researchers is to voice out the needs of the traffic enforcers for them to perform their duties and responsibilities well.   The researchers conducted a survey and interviewed the traffic enforcers. Although the traffic enforcers have experience in being traffic enforcers, their performance is sometimes poor because of the risk they encounter when performing their duties and responsibilities—the main instrument used to gather information to answer the specific risk they encountered raised in the questionnaire. The researchers elaborated on the items to the respondents if they did not know the meaning of some questions to ensure that the respondents' responses were valid so that the correct interpret

Determining which microorganisms are active within soil communities remains a major technical endeavor in microbial ecology research. One promising method to accomplish this is coupling bioorthogonal non-canonical amino acid tagging (BONCAT) with fluorescence activated cell sorting (FACS) which sorts cells based on whether or not they are producing new proteins. Combined with shotgun metagenomic sequencing (Seq), we apply this method to profile the diversity and potential functional capabilities of both active and inactive microorganisms in a biocrust community after being resuscitated by a simulated rain event. We find that BONCAT-FACS-Seq is capable of discerning the pools of active and inactive microorganisms, especially within hours of applying the BONCAT probe. The active and inactive components of the biocrust community differed in species richness and composition at both 4 and 21 h after the wetting event. The active fraction of the biocrust community is marked by taxa commonly observed in other biocrust communities, many of which play important roles in species interactions and nutrient transformations. Among these, 11 families within the Firmicutes are enriched in the active fraction, supporting previous reports indicating that the Firmicutes are key early responders to biocrust wetting. We highlight the apparent inactivity of many Actinobacteria and Proteobacteria through 21 h after wetting, and note that members of the Chitinophagaceae, enriched in the active fraction, may play important ecological roles following wetting. Based on the enrichment of COGs in the active fraction, predation by phage and other bacterial members, as well as scavenging and recycling of labile nutrients, appear to be important ecological processes soon after wetting. To our knowledge, this is the first time BONCAT-FACS-Seq has been applied to biocrust samples, and therefore we discuss the potential advantages and shortcomings of coupling metagenomics to BONCAT to intact soil com

The discovery of governing differential equations from data is an open frontier in machine learning. The sparse identification of nonlinear dynamics (SINDy) \citep{brunton_discovering_2016} framework enables data-driven discovery of interpretable models in the form of sparse, deterministic governing laws. Recent works have sought to adapt this approach to the stochastic setting, though these adaptations are severely hampered by the curse of dimensionality. On the other hand, Bayesian-inspired deep learning methods have achieved widespread success in high-dimensional probabilistic modeling via computationally efficient approximate inference techniques, suggesting the use of these techniques for efficient stochastic equation discovery. Here, we introduce HyperSINDy, a framework for modeling stochastic dynamics via a deep generative model of sparse governing equations whose parametric form is discovered from data. HyperSINDy employs a variational encoder to approximate the distribution of observed states and derivatives. A hypernetwork \citep{ha_hypernetworks_2016} transforms samples from this distribution into the coefficients of a differential equation whose sparse form is learned simultaneously using a trainable binary mask \citep{louizos_learning_2018}. Once trained, HyperSINDy generates stochastic dynamics via a differential equation whose coefficients are driven by a Gaussian white noise. In experiments, HyperSINDy accurately recovers ground truth stochastic governing equations, with learned stochasticity scaling to match that of the data. Finally, HyperSINDy provides uncertainty quantification that scales to high-dimensional systems. Taken together, HyperSINDy offers a promising framework for model discovery and uncertainty quantification in real-world systems, integrating sparse equation discovery methods with advances in statistical machine learning and deep generative modeling., Comment: 19 pages, 4 figures (main text), 4 figures (appendix)

Koopman operators linearize nonlinear dynamical systems, making their spectral information of crucial interest. Numerous algorithms have been developed to approximate these spectral properties, and Dynamic Mode Decomposition (DMD) stands out as the poster child of projection-based methods. Although the Koopman operator itself is linear, the fact that it acts in an infinite-dimensional space of observables poses challenges. These include spurious modes, essential spectra, and the verification of Koopman mode decompositions. While recent work has addressed these challenges for deterministic systems, there remains a notable gap in verified DMD methods for stochastic systems, where the Koopman operator measures the expectation of observables. We show that it is necessary to go beyond expectations to address these issues. By incorporating variance into the Koopman framework, we address these challenges. Through an additional DMD-type matrix, we approximate the sum of a squared residual and a variance term, each of which can be approximated individually using batched snapshot data. This allows verified computation of the spectral properties of stochastic Koopman operators, controlling the projection error. We also introduce the concept of variance-pseudospectra to gauge statistical coherency. Finally, we present a suite of convergence results for the spectral information of stochastic Koopman operators. Our study concludes with practical applications using both simulated and experimental data. In neural recordings from awake mice, we demonstrate how variance-pseudospectra can reveal physiologically significant information unavailable to standard expectation-based dynamical models.

Sampling from complicated probability distributions is a hard computational problem arising in many fields, including statistical physics, optimization, and machine learning. Quantum computers have recently been used to sample from complicated distributions that are hard to sample from classically, but which seldom arise in applications. Here we introduce a quantum algorithm to sample from distributions that pose a bottleneck in several applications, which we implement on a superconducting quantum processor. The algorithm performs Markov chain Monte Carlo (MCMC), a popular iterative sampling technique, to sample from the Boltzmann distribution of classical Ising models. In each step, the quantum processor explores the model in superposition to propose a random move, which is then accepted or rejected by a classical computer and returned to the quantum processor, ensuring convergence to the desired Boltzmann distribution. We find that this quantum algorithm converges in fewer iterations than common classical MCMC alternatives on relevant problem instances, both in simulations and experiments. It therefore opens a new path for quantum computers to solve useful--not merely difficult--problems in the near term.

The geochronology and geochemistry of a terrestrial carbonate near the base of the terrestrial Lower Cretaceous Cedar Mountain Formation in Utah, which potentially records the Ap7 global carbon isotope excursion, is studied here., Citation: Gulbranson, E.L.; Rasbury, E.T.; Ludvigson, G.A.; Möller, A.; Henkes, G.A.; Suarez, M.B.; Northrup, P.; Tappero, R.V.; Maxson, J.A.; Shapiro, R.S.; et al. U–Pb Geochronology and Stable Isotope Geochemistry of Terrestrial Carbonates, Lower Cretaceous Cedar Mountain Formation, Utah: Implications for Synchronicity of Terrestrial and Marine Carbon Isotope Excursions. Geosciences 2022, 12, 346. https://doi.org/10.3390/ geosciences12090346 Academic Editors: Jesus Martinez-Frias and José Manuel Castro Received: 23 June 2022 Accepted: 14 September 2022 Published: 17 September 2022 Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affil-iations. Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/). geosciences Article U–Pb Geochronology and Stable Isotope Geochemistry of Terrestrial Carbonates, Lower Cretaceous Cedar Mountain Formation, Utah: Implications for Synchronicity of Terrestrial and Marine Carbon Isotope Excursions Erik L. Gulbranson 1,* , E. Troy Rasbury 2, Greg A. Ludvigson 3, Andreas Möller 4 , Gregory A. Henkes 2, Marina B. Suarez 4, Paul Northrup 2 , Ryan V. Tappero 5, Julie A. Maxson 6, Russell S. Shapiro 7 and Kathleen M. Wooton 2 1 Department of Geology, Gustavus Adolphus College, St. Peter, MN 56082, USA 2 Department of Geosciences, Stony Brook University, Stony Brook, NY 11794, USA 3 Kansas Geological Survey, University of Kansas, Lawrence, KS 66045, USA 4 Department of Geology, University of Kansas, Lawrence, KS 66045, USA 5 National Synchrotron Light Source-II, Brookhaven National Laboratory, Upton, NY 11973, USA 6 Natural Sciences Department, Metropolitan State University, St. Paul, MN 55106, USA 7 Earth and Environmental Sciences Department, California State University Chico, Chico, CA 95

The National Voter Registration Act ("NVRA") requires states that have not adopted automatic voter registration to designate certain public offices as "Voter Registration Agencies." These Voter Registration Agencies are required to offer voter registration to the public in certain specific ways. In 1995, after passage of the NVRA, Texas designated public libraries as one category of publicly funded offices that must serve as Voter Registration Agencies if they meet certain funding and hours-of-operation requirements.Beginning in 2020, the Texas Civil Rights Project learned that of the more than 500 independent public library systems in Texas—comprised of thousands of local branches—not a single public library was in full compliance with its obligations under the Texas Election Code.This initial finding raised serious questions as to whether libraries were providing the voter registration opportunities guaranteed to Texans by the NVRA and the Texas Election Code. After TCRP sent thousands of letters to library directors, discussed requirements with hundreds of librarians and county election officials, and issued public records requests to various election authorities, more than 290 different library systems have now submitted an NVRA Implementation Plan as of January 1, 2022 and about 70 others are in the process of doing so.While this is significant progress, there is much work left to do to guarantee that every Texan in every community across the State has access to the voter registration opportunities guaranteed to them by law. TCRP continues to offer assistance to libraries and has developed educational materials to help libraries more easily train staff and volunteers. Nevertheless, TCRP calls on the Texas Secretary of State to fulfill his duties to protect Texans' voting rights, and calls on our communities to assist us in ensuring that every public library is conforming to the law.

Soil surface consortia are easily observed and sampled, allowing examination of their interactions with soil microbiomes. Here, we present metatranscriptomic sequences from Dark Green 1 (DG1), a cyanobacterium-based soil surface consortium, in the presence and absence of an underlying soil microbiome and/or urea.

Introduction: The coronavirus disease 2019 (COVID-19) pandemic presents unique challenges to frontline healthcare workers. In order to safely care for patients new processes, such as a plan for the airway management of a patient with COVID-19, must be implemented and disseminated in a rapid fashion. The use of in-situ simulation has been used to assist in latent problem identification as part of a Plan-Do-Study-Act cycle. Additionally, simulation is an effective means for training teams to perform high-risk procedures before engaging in the actual procedure. This educational advance seeks to use and study in-situ simulation as a means to rapidly implement a process for airway management in patients with COVID-19.Methods: Using an airway algorithm developed by the authors, we designed an in-situ simulation scenario to train physicians, nurses, and respiratory therapists in best practices for airway management of patients with COVID-19. Physician participants were surveyed using a five-point Likert scale with regard to their comfort level with various aspects of the airway algorithm both before and after the simulation in a retrospective fashion. Additionally, we obtained feedback from all participants and used it to refine the airway algorithm.Results: Over a two-week period, 93 physicians participated in the simulation. We received 81 responses to the survey (87%), which showed that the average level of comfort with personal protective equipment procedures increased significantly from 2.94 (95% confidence interval, 2.71-3.17) to 4.36 (4.24-4.48), a difference of 1.42 (1.20-1.63, p < 0.001). There was a significant increase in average comfort level in understanding the physician role with scores increasing from 3.51 (3.26-3.77) to 4.55 (2.71-3.17), a difference of 1.04 (0.82-1.25, p < 0.001). There was also increased comfort in performing procedural tasks such as intubation, from 3.08 (2.80-3.35) to 4.38 (4.23-4.52) after the simulation, a difference of 1.30 po

In the visual system, retinal axons convey visual information from the outside world to dozens of distinct retinorecipient brain regions and organize that information at several levels, including either at the level of retinal afferents, cytoarchitecture of intrinsic retinorecipient neurons, or a combination of the two. Two major retinorecipient nuclei which are densely innervated by retinal axons are the dorsal lateral geniculate nucleus, which is important for classical image-forming vision, and ventral LGN (vLGN), which is associated with non-image-forming vision. The neurochemistry, cytoarchitecture, and retinothalamic connectivity in vLGN remain unresolved, raising fundamental questions of how it receives and processes visual information. To shed light on these important questions, used in situ hybridization, immunohistochemistry, and genetic reporter lines to identify and characterize novel neuronal cell types in mouse vLGN. Not only were a high percentage of these cells GABAergic, we discovered transcriptomically distinct GABAergic cell types reside in the two major laminae of vLGN, the retinorecipient, external vLGN (vLGNe) and the non-retinorecipient, internal vLGN (vLGNi). Furthermore, within vLGNe, we identified transcriptionally distinct subtypes of GABAergic cells that are distributed into four adjacent sublaminae. Using trans-synaptic viral tracing and in vitro electrophysiology, we found cells in each these vLGNe sublaminae receive monosynaptic inputs from retina. These results not only identify novel subtypes of GABAergic cells in vLGN, they suggest the subtype-specific laminar distribution of retinorecipient cells in vLGNe may be important for receiving, processing, and transmitting light-derived signals in parallel channels of the subcortical visual system.

In the visual system, retinal axons convey visual information from the outside world to dozens of distinct retinorecipient brain regions and organize that information at several levels, including either at the level of retinal afferents, cytoarchitecture of intrinsic retinorecipient neurons, or a combination of the two. Two major retinorecipient nuclei which are densely innervated by retinal axons are the dorsal lateral geniculate nucleus, which is important for classical image-forming vision, and ventral LGN (vLGN), which is associated with non-image-forming vision. The neurochemistry, cytoarchitecture, and retinothalamic connectivity in vLGN remain unresolved, raising fundamental questions of how it receives and processes visual information. To shed light on these important questions, used in situ hybridization, immunohistochemistry, and genetic reporter lines to identify and characterize novel neuronal cell types in mouse vLGN. Not only were a high percentage of these cells GABAergic, we discovered transcriptomically distinct GABAergic cell types reside in the two major laminae of vLGN, the retinorecipient, external vLGN (vLGNe) and the non-retinorecipient, internal vLGN (vLGNi). Furthermore, within vLGNe, we identified transcriptionally distinct subtypes of GABAergic cells that are distributed into four adjacent sublaminae. Using trans-synaptic viral tracing and in vitro electrophysiology, we found cells in each these vLGNe sublaminae receive monosynaptic inputs from retina. These results not only identify novel subtypes of GABAergic cells in vLGN, they suggest the subtype-specific laminar distribution of retinorecipient cells in vLGNe may be important for receiving, processing, and transmitting light-derived signals in parallel channels of the subcortical visual system.

BackgroundThis first mixed-methods UK trial examined the feasibility and acceptability of a future definitive randomised controlled trial (RCT) to evaluate whether Family Focussed Treatment for Adolescents with Bipolar Disorder (FFT-A) UK version can improve family functioning and well-being as part of the management of Paediatric Bipolar Disorder (PBD).MethodThe trial used a randomised, parallel group, non-blinded design where participants received FFT-A UK (16 sessions over 6 months) immediately or after 12 months (delayed arm). Measures of family functioning, well-being and quality of life of the young person and the main carer (most commonly a parent) were completed at baseline, 6 and 12-months in both arms. Primary outcome measures included rates of eligibility, consent and retention along with estimates of variability in the measures and assessment of the intervention delivery. Qualitative interviews allowed assessment of participants' views about FFT-A and the trial processes.ResultsTwenty-seven of 36 young persons with PBD and their families consented; of these, 14 families were randomised to the immediate and 13 to the delayed arm. Two families from the immediate arm withdrew consent and discontinued participation. Quantitative measures were completed by 22 families (88%) at 6-months and 21 families (84%) at 12-months. Qualitative interviews were conducted with 30 participants (9 young people, 15 parents and 6 other family members). Nine families attended 3 post-trial focus groups.ConclusionIt was feasible to recruit and retain to this trial. The results highlighted that trial design and measures were acceptable to participants. A benefit in family relationships was reported by participants which they attributed to the intervention in qualitative interviews. Families recommended that future modifications include definitive trial(s) recruiting participants in the age range 15-25 years as it felt this was the age range with maximum need. Trial

Allopolyploidy generates diversity by increasing the number of copies and sources of chromosomes. Many of the best-known evolutionary radiations, crops, and industrial organisms are ancient or recent allopolyploids. Allopolyploidy promotes differentiation and facilitates adaptation to new environments, but the tools to test its limits are lacking. Here we develop an iterative method of Hybrid Production (iHyPr) to combine the genomes of multiple budding yeast species, generating Saccharomyces allopolyploids of at least six species. When making synthetic hybrids, chromosomal instability and cell size increase dramatically as additional copies of the genome are added. The six-species hybrids initially grow slowly, but they rapidly regain fitness and adapt, even as they retain traits from multiple species. These new synthetic yeast hybrids and the iHyPr method have potential applications for the study of polyploidy, genome stability, chromosome segregation, and bioenergy.

Two feeding trials were conducted to investigate the effects of dietary pH (pH 2.5, 3.7, 4.6, 5.7-control, pH 7.0, and pH 8.0) and dietary acid source (acetic acid, citric acid, hydrochloric acid and control-no acid) on growth rate and feed utilization efficiency of the Nile tilapia fry. In addition, attractability of the diets at different pH and dietary acid sources were determined. Results of the first feeding trial showed that the feed with pH adjusted to 4.6 resulted in significantly highest final average body weight (FABW), weight gain (WG), specific growth rate (SGR), protein efficiency ratio (PER) and most efficient food conversion ratio (FCR) in the Nile tilapia fry. Survival was 100% in diets with pH 3.7 up to 7.0; the diet with pH 2.5 exhibited significantly lowest survival followed by the pH 8.0 diet. In the second feeding trial, diets that contained hydrochloric, citric or acetic acids that were used to adjust the pH to the optimal 4.6 resulted in higher FABW, WG, SGR, and PER values but lower FCR values than did the control diet; these parameters were not significantly different among the dietary groups. This study demonstrated that the dietary pH promoted growth and efficiency in the Nile tilapia fry and that the three acids that were used were similar in their effects on growth and efficiency. Furthermore, it was demonstrated that either acidifying the diet to pH 4.6 by an inorganic acid such as HCl or the provision of a dietary acidifier such as citric acid or acetic acid could enhance growth, feed efficiency and survival of the Nile tilapia.

A growing body of research suggests that the mitochondrial genome (mtDNA) is important for temperature adaptation. In the yeast genus Saccharomyces, species have diverged in temperature tolerance, driving their use in high- or low-temperature fermentations. Here, we experimentally test the role of mtDNA in temperature tolerance in synthetic and industrial hybrids (Saccharomyces cerevisiae × Saccharomyces eubayanus or Saccharomyces pastorianus), which cold-brew lager beer. We find that the relative temperature tolerances of hybrids correspond to the parent donating mtDNA, allowing us to modulate lager strain temperature preferences. The strong influence of mitotype on the temperature tolerance of otherwise identical hybrid strains provides support for the mitochondrial climactic adaptation hypothesis in yeasts and demonstrates how mitotype has influenced the world’s most commonly fermented beverage.

Understanding the distribution of elements within plant tissues is important across a range of fields in plant science. In this review, we examine synchrotron-based x-ray fluorescence microscopy (XFM) as an elemental imaging technique in plant sciences, considering both its historical and current uses as well as discussing emerging approaches. XFM offers several unique capabilities of interest to plant scientists, including in vivo analyses at room temperature and pressure, good detection limits (approximately 1–100 mg kg−1), and excellent resolution (down to 50 nm). This has permitted its use in a range of studies, including for functional characterization in molecular biology, examining the distribution of nutrients in food products, understanding the movement of foliar fertilizers, investigating the behavior of engineered nanoparticles, elucidating the toxic effects of metal(loid)s in agronomic plant species, and studying the unique properties of hyperaccumulating plants. We anticipate that continuing technological advances at XFM beamlines also will provide new opportunities moving into the future, such as for high-throughput screening in molecular biology, the use of exotic metal tags for protein localization, and enabling time-resolved, in vivo analyses of living plants. By examining current and potential future applications, we hope to encourage further XFM studies in plant sciences by highlighting the versatility of this approach.

Quel che traspare dalle opere di Virginia Ryan realizzate durante il periodo trascorso in Ghana e Costa d’Avorio, è l’immagine di un’Africa post-esotica e post-nostalgica, urbana e contemporanea, che non attende di essere scoperta per essere rappresentata (l’immaginario coloniale della conquista) ma che ha già sempre provveduto a dare una rappresentazione di sé. L’opera di Virginia Ryan si muove così nello spazio di dialogo e dissidio fra le retoriche occidentali alimentate dalla letteratura e dal cinema e le immagini che di sé stessi danno i diversi e molteplici attori africani: un grande archivio di memorie e di visioni, discrepanti e condivise, in cui gli uni si definiscono in rapporto agli altri. Per questo anche la sua opera, non meno della sua biografia, è plurale, What emerges from the work created by Virginia Ryan during her time in Ghana and Ivory Coast is an image of Africa that is post-exotic and postnostalgic. It is contemporary and urban; not waiting to be discovered to be represented as in the colonial imagination of conquest; rather it has always provided self-representations. Virginia Ryan’s work operates in that place of dialogue and disagreement that lies between Western rhetoric, fuelled by literature, cinema, and the many and varied African players presentinging themselves: it is a vast archive of memory and of visions, both unique and shared, in which individuals represent themselves in relation to others. For this reason her work, and not less her story, is plural

Background: Lung cancer treatment has become increasingly dependent upon invasive biopsies to profile tumors for personalized therapy. Recently, tumor expression of programmed death-ligand 1 (PD-L1) has gained interest as a potential predictor of response to immunotherapy. Circulating biomarkers present an opportunity for tumor profiling without the risks of invasive procedures. We characterized PD-L1 expression within populations of nucleated cells in the peripheral blood of lung cancer patients in hopes of expanding the role of liquid biopsy in this setting.Methods: Peripheral blood samples from a multi-institutional prospective study of patients with clinical diagnosis of lung cancer were subjected to cytomorphometric and immunohistochemical evaluation using single-cell, automated slide-based, digital pathology. PD-L1 expression was determined by immunofluorescence.Results: PD-L1 expression was detected within peripheral circulating cells associated with malignancy (CCAM) in 26 of 112 (23%) non-small cell lung cancer patients. Two distinct populations of nucleated, nonhematolymphoid, PD-L1-expressing cells were identified; cytokeratin positive (CK+, PD-L1+, CD45-) and cytokeratin negative (CK-, PD-L1+, CD45-) cells, both with cytomorphometric features (size, nuclear-to-cytoplasm ratio) consistent with tumor cells. Patients with >1.1 PD-L1(+) cell/mL (n = 14/112) experienced worse overall survival than patients with ≤1.1 PD-L1(+) cell/mL (2-year OS: 31.2% vs. 78.8%, P = 0.00159). In a Cox model adjusting for stage, high PD-L1(+) cell burden remained a significant predictor of mortality (HR = 3.85; 95% confidence interval, 1.64-9.09; P = 0.002).Conclusions: PD-L1 expression is detectable in two distinct cell populations in the peripheral blood of lung cancer patients and is associated with worse survival.Impact: These findings could represent a step forward in the development of minimally invasive liquid biopsies for the profiling of tumors. Cancer Epidemiol Bio

Disability or death due to intracerebral hemorrhage (ICH) is attributed to blood lysis, liberation of iron, and consequent oxidative stress. Iron chelators bind to free iron and prevent neuronal death induced by oxidative stress and disability due to ICH, but the mechanisms for this effect remain unclear. We show that the hypoxia-inducible factor prolyl hydroxylase domain (HIF-PHD) family of iron-dependent, oxygen-sensing enzymes are effectors of iron chelation. Molecular reduction of the three HIF-PHD enzyme isoforms in the mouse striatum improved functional recovery after ICH. A low-molecular-weight hydroxyquinoline inhibitor of the HIF-PHD enzymes, adaptaquin, reduced neuronal death and behavioral deficits after ICH in several rodent models without affecting total iron or zinc distribution in the brain. Unexpectedly, protection from oxidative death in vitro or from ICH in vivo by adaptaquin was associated with suppression of activity of the prodeath factor ATF4 rather than activation of an HIF-dependent prosurvival pathway. Together, these findings demonstrate that brain-specific inactivation of the HIF-PHD metalloenzymes with the blood-brain barrier-permeable inhibitor adaptaquin can improve functional outcomes after ICH in several rodent models.

We introduce a scheme for preparation, manipulation, and readout of Majorana zero modes in semiconducting wires with mesoscopic superconducting islands. Our approach synthesizes recent advances in materials growth with tools commonly used in quantum-dot experiments, including gate-control of tunnel barriers and Coulomb effects, charge sensing, and charge pumping. We outline a sequence of milestones interpolating between zero-mode detection and quantum computing that includes (1) detection of fusion rules for non-Abelian anyons using either proximal charge sensors or pumped current; (2) validation of a prototype topological qubit; and (3) demonstration of non-Abelian statistics by braiding in a branched geometry. The first two milestones require only a single wire with two islands, and additionally enable sensitive measurements of the system’s excitation gap, quasiparticle poisoning rates, residual Majorana zero-mode splittings, and topological-qubit coherence times. These pre-braiding experiments can be adapted to other manipulation and readout schemes as well.

Background Ankle-foot orthoses (AFOs) are commonly prescribed during rehabilitation after limb salvage. AFO stiffness is selected to help mitigate gait deficiencies. A new custom dynamic AFO, the Intrepid Dynamic Exoskeletal Orthosis (IDEO), is available to injured service members but prescription guidelines are limited. Questions/purposes In this study we ask (1) does dynamic AFO stiffness affect gait parameters such as joint angles, moments, and powers; and (2) can a given dynamic AFO stiffness normalize gait mechanics to noninjured control subjects? Methods Thirteen patients with lower limb salvage (ankle arthrodesis, neuropathy, foot/ankle reconstruction, etc) after major lower extremity trauma and 13 control subjects who had no lower extremity trauma and wore no orthosis underwent gait analysis at a standardized speed. Patients wore their custom IDEO with posterior struts of three different stiffnesses: nominal (clinically prescribed stiffness), compliant (20% less stiff), and stiff (20% stiffer). Joint angles, moments, powers, and ground reaction forces were compared across the varying stiffnesses of the orthoses tested and between the patient and control groups. Results An increase in AFO compliance resulted in 20% to 26% less knee flexion relative to the nominal (p = 0.003) and stiff (p = 0.001) conditions, respectively. Ankle range of motion and power generation were, on average, 56% (p \ 0.001) and 63% (p \ 0.001), respectively, less than controls as a result of the relatively fixed ankle position. Conclusions Patients with limb salvage readily adapted to different dynamic AFO stiffnesses and demonstrated few biomechanical differences among conditions during walking. None of the stiffness conditions normalized gait to controls., Published in Clinical Orthopaedics and Related Research, v472 p3026-3035, 10 May 2014. Prepared in collaboration with Hanger, Inc, Tacoma, WA, and the Department of Mechanical Engineering, Cockrell School of Engineering, University of Texas, Austin.

Background: Many wounded warriors experienced high-energy lower-extremity trauma (HELET) that may be limb threatening. Volumetric muscle loss, post-traumatic osteoarthritis, nerve injuries, and pain may severely limit physical function. Several wounded warriors express a strong desire to return to their units and be deployed in their original military occupational specialty. We began the return-to-run (RTR) clinical pathway at our institution 2 years ago to facilitate high-performance goals such as these. It involves an energy storing ankle foot orthosis, the intrepid dynamic exoskeletal orthosis in combination with high-intensity, progression oriented rehabilitation. We sought to determine the rate of deployment or predeployment training after participation in this noninvasive intervention. METHODS: A retrospective analysis of the RTR databasewas performed to determine the rate of deployment or predeployment training among those servicemembers who began participation in the RTR between November of 2009 and March of 2011. Medical records were reviewed for demographics, injury, surgical data, and major complications. Requests for delayed amputation were recorded, and charts were reviewed to determine if patients eventually elected to proceed with amputation or if they chose to continue with limb salvage. RESULTS: Between November 2009 and March 2011, 87 service members completed the RTR. Of these, 17 (19.5%) have been deployed to combat or are in predeployment training. Sixteen serve in combat arms (nine Special Forces, four infantry/ranger, two combat engineers, and one gunner), and one is amember of the military intelligence community. Fifteen patients sustained their injuries as a result of HELET (four gunshot, five motor vehicle collisions, four explosions, one parachute injury, and one fall from height), one had idiopathic avascular necrosis of the talus, and one had an iatrogenic nerve injury after pelvic surgery., Published in the Journal of Trauma and Acute Care Surgery v73 n2 Supplement 1, pS112-S115, 2012. This study was presented at the Advanced Technology Applications for Combat Casualty Care Conference Held in Fort Lauderdale, Florida on August 15-18, 2011. This study was conducted under a protocol reviewed and approved by the US Army

Posttraumatic osteoarthritis affects approximately 5.6 million Americans annually. Those affected are typically younger and more active than persons with primary osteoarthritis. Arthrodesis is the typical management option for persons with end-stage ankle and subtalar posttraumatic arthritis. Arthroplasty is typically reserved for elderly persons. The functional limitations resulting from any of these strategies make treatment of this young population challenging. Combat wounds frequently lead to severe lower extremity injuries. We present a series of patients with severe posttraumatic osteoarthritis of the ankle and subtalar joint after combat trauma. They were treated at our institution with an integrated orthotic and rehabilitation initiative called the Return To Run clinical pathway. This clinical pathway may serve as an alternative or adjunct to arthrodesis and arthroplasty for young patients with severe posttraumatic osteoarthritis of the ankle and subtalar joint., Journal of the American Academy of Orthopaedic Surgeons, August 2012 vol. 20 no. suppl S48-S53. The original document contains color images.

Chip-package interaction has become a major concern due to increasingly porous low-K dielectrics. During the packaging process, shear stresses are exerted on fragile interconnect structures. We use a microprobe metrology system to experimentally measure how interconnect stacks with different dielectric porosities behave under various shear loading conditions and a wide range of temperatures. © 2012 IEEE.

The current military conflicts of Operation Enduring Freedom and Operation Iraqi Freedom have been characterized by high-energy explosive wounding patterns, with the majority affecting the extremities. While many injuries have resulted in amputation, surgical advances have allowed the orthopaedic surgeon to pursue limb salvage in the face of injuries once considered unsalvageable. The military limb salvage patient is frequently highly active and motivated and expresses significant frustration with the slow nature of limb salvage rehabilitation and continued functional deficits. Inspired by these patients, efforts at this institution began to provide them with a more dynamic orthosis. Utilizing techniques and technology resulting from cerebral palsy, stroke, and amputation research, the Intrepid Dynamic Exoskeletal Orthosis was created. To date, this device has significantly improved the functional capabilities of the limb salvage wounded warrior population when combined with a high-intensity rehabilitation program. Clinical and biomechanical research is currently underway at this institution in order to fully characterize the device, its effect on patients, and what can be done to modify future generations of the device to best serve the combat-wounded limb salvage population., Published in the Journal of Surgical Orthopaedic Advances, v20 n1 p8-18, Spring 2011.

The ability to return to running and sports participation after lower extremity limb salvage has not been well documented previously. Although the ability to ambulate without pain or assistive devices is generally a criteria for a good limb salvage outcome, many patients at our institution have expressed a desire to return to a more athletic lifestyle to include running and sports participation. The purpose of this study was to investigate the types of athletic endeavors our high-energy lower extremity trauma patients were able to pursue after limb salvage. We retrospectively analyzed lower extremity limb salvage patients who were at least 12 weeks status after external fixation removal and participated in our limb salvage return-to-running clinical pathway. Patients were rehabilitated to their highest functional level through a sports medicine-based approach. A custom energy-storing ankle-foot orthosis was implemented to help augment plantarflexion strength in conjunction with running gait retraining. The first 10 patients to complete the clinical pathway were identified. All patients were treated at the same institution by the same orthopedic surgeon and physical therapist. Eight patients have returned to running, and 10 patients have returned to weight-lifting. Seven patients have returned to cycling, three have returned to golf, three to basketball, and two to softball. Two patients have completed a mini-triathlon. Aggressive rehabilitation, an energy-storing ankle-foot orthosis, and running gait retraining can restore an active recreational lifestyle to patients who have undergone lower extremity limb salvage., The Journal of TRAUMA, Injury, Infection, and Critical Care, v71, number 1, July Supplement 2011, Government or Federal Purpose Rights License. The original document contains color images.

ObjectivesTo examine whether demographic characteristics, health care access, and acute health care utilization differ by age among homeless adults.MethodsWe interviewed all 2,175 adult attendees of a citywide homeless outreach event.ResultsOlder participants were more likely than younger participants to have a regular place for health care (59.8% vs. 44.3%, p<.01), a regular health care provider (53.6% vs. 35.6%, p<.01), and health insurance (45.5% vs. 32.1%, p<.01). Older participants were less likely to be unable to obtain needed health care (15.6% vs. 20.9%, p=.05). In a multivariate analysis, only lack of health insurance predicted inability to obtain needed care (AOR 2.9, CI 1.76-4.8).ConclusionsOlder and younger homeless adults have similarly high rates of acute health care utilization. The better access to care among older homeless adults speaks to the importance of insurance in determining access to care among homeless adults.

The aim of this research was to investigate the activity of a commercial extract derived from the leaves of Olea europaea (olive) against a wide range of microorganisms (n = 122). Using agar dilution and broth microdilution techniques, olive leaf extract was found to be most active against Campylobacter jejuni, Helicobacter pylori and Staphylococcus aureus [including meticillin-resistant S. aureus (MRSA)], with minimum inhibitory concentrations (MICs) as low as 0.31-0.78% (v/v). In contrast, the extract showed little activity against all other test organisms (n = 79), with MICs for most ranging from 6.25% to 50% (v/v). In conclusion, olive leaf extract was not broad-spectrum in action, showing appreciable activity only against H. pylori, C. jejuni, S. aureus and MRSA. Given this specific activity, olive leaf extract may have a role in regulating the composition of the gastric flora by selectively reducing levels of H. pylori and C. jejuni.