An intermediate-depth (1751 m) ice core was drilled at the South Pole between 2014 and 2016 using the newly designed US Intermediate Depth Drill. The South Pole ice core is the highest-resolution interior East Antarctic ice core record that extends into the glacial period. The methods used at the South Pole to handle and log the drilled ice, the procedures used to safely retrograde the ice back to the National Science Foundation Ice Core Facility (NSF-ICF), and the methods used to process and sample the ice at the NSF-ICF are described. The South Pole ice core exhibited minimal brittle ice, which was likely due to site characteristics and, to a lesser extent, to drill technology and core handling procedures.

Background: Chlorhexidine bathing reduces bacterial skin colonization and prevents infections in specific patient populations. As chlorhexidine use becomes more widespread, concerns about bacterial tolerance to chlorhexidine have increased; however, testing for chlorhexidine minimum inhibitory concentrations (MICs) is challenging. We adapted a broth microdilution (BMD) method to determine whether chlorhexidine MICs changed over time among 4 important healthcare-associated pathogens. Methods: Antibiotic-resistant bacterial isolates (Staphylococcus aureus from 2005 to 2019 and Escherichia coli, Klebsiella pneumoniae, and Enterobacter cloacae complex from 2011 to 2019) were collected through Emerging Infections Program surveillance in 2 sites (Georgia and Tennessee) or through public health reporting in 1 site (Orange County, California). A convenience sample of isolates were collected from facilities with varying amounts of chlorhexidine use. We performed BMD testing using laboratory-developed panels with chlorhexidine digluconate concentrations ranging from 0.125 to 64 μg/mL. After successfully establishing reproducibility with quality control organisms, 3 laboratories performed MIC testing. For each organism, epidemiological cutoff values (ECVs) were established using ECOFFinder. Results: Among 538 isolates tested (129 S. aureus, 158 E. coli, 142 K. pneumoniae, and 109 E. cloacae complex), S. aureus, E. coli, K. pneumoniae, and E. cloacae complex ECVs were 8, 4, 64, and 64 µg/mL, respectively (Table 1). Moreover, 14 isolates had an MIC above the ECV (12 E. coli and 2 E. cloacae complex). The MIC50 of each species is reported over time (Table 2). Conclusions: Using an adapted BMD method, we found that chlorhexidine MICs did not increase over time among a limited sample of S. aureus, E. coli, K. pneumoniae, and E. cloacae complex isolates. Although these results are reassuring, continued surveillance for elevated chlorhexidine MICs in isolates from patients with well-characterized chlorhexidine exposure is needed as chlorhexidine use increases.

Funding: None

Disclosures: None

In response to the International Liaison Committee on Resuscitation (ILCOR; Niel, Belgium) release of an updated recommendation related to out-of-hospital spinal immobilization (SI) practice in 2015, a systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist of English-language studies published from January 2000 through July 2019 on the use of SI in resource-scarce environments (RSEs). Studies meeting the following criteria were included in the analysis: peer-reviewed statistical studies or reports detailing management of potential traumatic spinal injury in RSE, civilian, and military environments; as well as consensus clinical guidelines, academic center, or professional association protocols or policy statements detailing management of potential traumatic spinal injury in RSE, civilian, and military environments; statistical analysis; and subsequent management of spinal injuries after mass-casualty incidents, in complex humanitarian events or conflict zones, low-to middle-income countries, or prolonged transport times published by government and non-government organizations. Studies excluded from consideration were those not related to a patient with a potential traumatic spinal injury after a mass-casualty incident, in complex humanitarian event or conflict zones, in low-to middle-income countries, or with prolonged transport times.

There were one thousand twenty-nine (1029) studies initially identified. After removal of duplicates, nine hundred-nineteen (919) were screened with eight hundred sixty-three (863) excluded. The remaining fifty-six (56) received further review with fourteen (14) selected studies achieving inclusion. The reviewed articles comprised six (6) types of studies and represented research from institutions in seven (7) different countries (Israel, United States, Haiti, Wales, Pakistan, China, and Iran). Thirteen (13) references were case reports/narrative reviews, policy statements, retrospective observational studies, narrative literature reviews, scoping reviews, and one systematic review. The majority of literature describing spinal cord injury was predominantly associated with earthquakes and blast-related disasters. There were no SI evidence-based clinical guidelines (EBG) in RSE. Information was obtained that could be used to formulate statements in a modified Delphi study to present to experts to obtain consensus SI EBG in RSE.

Many formerly glaciated valleys in the western United States preserve detailed glacial features that span the penultimate glaciation through the last deglaciation; however, numerical age control is limited in many of these systems. We report 35 new cosmogenic 10Be surface exposure ages of moraine boulders in the Sawatch Range, Colorado. Eight ages suggest Bull Lake moraines in Lake Creek (range: 132–120 ka, n = 4) and Clear Creek (range: 187–133 ka, n = 4) valleys may correlate with Marine Isotope Stage 6. In Lake Creek valley, 22 10Be ages from Pinedale end moraines average 20.6 ± 0.6 ka, and 5 10Be ages from a recessional moraine average 15.6 ± 0.7 ka, indicating that glaciers occupied two extended positions at ~21–20 and ~16 ka. The glacial extent dated to ~16 ka was nearly as great as that of the earlier glacial phase, suggesting that climate conditions in the Colorado Rocky Mountains at this time were similar to those of the last glacial maximum. Combining these moraine ages with seven previously published 10Be ages from cirque and valley-bottom bedrock reveals that the Lake Creek paleoglacier lost 82% of its full glacial length in ~1.5 ka and was completely deglaciated by ~14 ka.

The ice-cored Galena Creek Rock Glacier, Wyoming, USA, has been the subject of a number of studies that sought to determine the origin of its ice. We present new observations of the rock glacier's internal structure from ground-penetrating radar to constrain ice and debris distribution and accumulation. We imaged dipping reflectors in the center of the glacier that are weak and discontinuous, in contrast to strong reflectors toward the edge of the cirque beneath large debris-avalanche chutes. These reflectors form a network of concave-up, up-glacier dipping layers. We interpret these as englacial debris bands formed by large debris falls buried by subsequent ice and snow accumulation. They are discontinuous where ice outpaces debris accumulation, but with sufficient debris accumulation an interleaved pattern of ice and debris layers can form. We propose a model in which the ice in these interleaved layers is snowfall preserved by debris-facilitated accumulation. Large debris falls that occur in early spring bury sections of the snowpack, which are then preserved through summer and incorporated into the rock glacier body over time. This study highlights the importance of sequential accumulation of ice and debris for understanding the dynamics of rock glaciers and debris-covered glaciers.

The relative velocity and extra pressure drop of a single vesicle flowing through a square microchannel are quantified via boundary element simulations, lubrication theory and microfluidic experiments. The vesicle is modelled as a fluid sac enclosed by an inextensible, fluidic membrane with a negligible bending stiffness. All results are parametrized in terms of the vesicle sphericity (i.e. the reduced volume) and flow confinement (i.e. the ratio of the vesicle radius to the channel hydraulic radius). Direct comparison is made to previous studies of vesicle flow through circular tubes, revealing several distinct features of the square-channel geometry. Firstly, fluid in the suspending medium bypasses the vesicle through the corners of the channel, which in turn reduces the dissipation created by the vesicle. Secondly, the absence of rotational symmetry about the channel axis permits surface circulation in the membrane (tank treading), which in turn reduces the vesicle’s speed. At very high confinement, both theory and experiment indicate that the vesicle’s speed can be reduced below the mean speed of the suspending fluid through this mechanism. Finally, the contact area for lubrication is greatly reduced in the square-duct geometry, which in turn weakens the stress singularity predicted by lubrication theory. This fact directly leads to a breakdown of the lubrication approximation at low flow confinement, as verified by comparison to boundary element simulations. Since the only distinct property assumed of the membrane is its ability to preserve surface area locally, it is expected that the results of this study are applicable to other types of soft particles with immobilized surfaces (e.g. Pickering droplets, gel beads and biological cells).

The Turkana Basin of northwestern Kenya is well known for its rich Neogene–Quaternary vertebrate fossil record; however, it also represents one of the few locations in sub-Saharan Africa where Cretaceous vertebrate fossils, including dinosaurs and other archosaurs, are preserved. These Cretaceous deposits are colloquially referred to as the ‘Turkana Grits’, and assumed to be Cretaceous in age based on their limited biostratigraphy. The ‘Turkana Grits’ are overlain by Palaeogene volcanic rocks (<35 Ma), which are widely considered to record the earliest evidence of plume-related volcanism in the East African Rift System. In this study, we present the results of an integrated sedimentary provenance investigation of two units within the ‘Turkana Grits’ called the Lapur and Muruanachok sandstones. Analysis of U–Pb ages and Lu–Hf initial ɛHf(t) values from 1106 detrital zircons demonstrate that sediments are primarily derived from Neoarchaean and Neoproterozoic basement sources, except for six Palaeogene grains from the upper Lapur Sandstone, which are of unknown provenance. Considered together, these data point to the Mozambique Belt, which makes up the nearby rift flanks, as the primary provenance source. This is consistent with palaeocurrent data, and suggests localized sediment input by alluvial fans, which fed into NNW-directed fluvial systems. Perhaps the most surprising finding is the identification of the late Paleocene detrital zircons, which not only demonstrate that the depositional age for the top of the formation is Paleocene rather than Cretaceous, but also provides possible evidence for the oldest Palaeogene volcanic activity within the East African Rift System.

The inertialess motion of lipid-bilayer vesicles flowing through a circular tube is investigated via direct numerical simulation and lubrication theory. A fully three-dimensional boundary integral equation method, previously used to study unbounded and wall-bounded Stokes flows around freely suspended vesicles, is extended to study the hindered mobility of vesicles through conduits of arbitrary cross-section. This study focuses on the motion of a periodic train of vesicles positioned concentrically inside a circular tube, with particular attention given to the effects of tube confinement, vesicle deformation and membrane bending elasticity. When the tube diameter is comparable to the transverse dimension of the vesicle, axisymmetric lubrication theory provides an approximate solution to the full Stokes-flow problem. By combining the present numerical results with a previously reported asymptotic theory (Barakat & Shaqfeh, J. Fluid Mech., vol. 835, 2018, pp. 721–761), useful correlations are developed for the vesicle velocity $U$ and extra pressure drop $\unicode[STIX]{x0394}p^{+}$ . When bending elasticity is relatively weak, these correlations are solely functions of the geometry of the system (independent of the imposed flow rate). The prediction of Barakat & Shaqfeh (2018) supplies the correct limiting behaviour of $U$ and $\unicode[STIX]{x0394}p^{+}$ near maximal confinement, whereas the present study extends this result to all regimes of confinement. Vesicle–vesicle interactions, shape transitions induced by symmetry breaking, and unsteadiness introduce quantitative changes to $U$ and $\unicode[STIX]{x0394}p^{+}$ . By contrast, membrane bending elasticity can qualitatively affect the hydrodynamics at sufficiently low flow rates. The dependence of $U$ and $\unicode[STIX]{x0394}p^{+}$ on the membrane bending stiffness (relative to a characteristic viscous stress scale) is found to be rather complex. In particular, the competition between viscous forces and bending forces can hinder or enhance the vesicle’s mobility, depending on the geometry and flow conditions.

OBJECTIVES/SPECIFIC AIMS: The objective of this study is to determine the degree to which the use of a contralesionally-controlled brain-computer interface for stroke rehabilitation drives change in interhemispheric motor cortical activity. METHODS/STUDY POPULATION: Ten chronic stroke patients were trained in the use of a brain-computer interface device for stroke recovery. Patients perform motor imagery to control the opening and closing of a motorized hand orthosis. This device was sent home with patients for 12 weeks, and patients were asked to use the device 1 hour per day, 5 days per week. The Action Research Arm Test (ARAT) was performed at 2-week intervals to assess motor function improvement. Before the active motor imagery task, patients were asked to quietly rest for 90 seconds before the task to calibrate recording equipment. EEG signals were acquired from 2 electrodes—one each centered over left and right primary motor cortex. Signals were preprocessed with a 60 Hz notch filter for environmental noise and referenced to the common average. Power envelopes for 1 Hz frequency bands (1–30 Hz) were calculated through Gabor wavelet convolution. Correlations between electrodes were then calculated for each frequency envelope on the first and last 5 runs, thus generating one correlation value per subject, per run. The chosen runs approximately correspond to the first and last week of device usage. These correlations were Fisher Z-transformed for comparison. The first and last 5 run correlations were averaged separately to estimate baseline and final correlation values. A difference was then calculated between these averages to determine correlation change for each frequency. The relationship between beta-band correlation changes (13–30 Hz) and the change in ARAT score was determined by calculating a Pearson correlation. RESULTS/ANTICIPATED RESULTS: Beta-band inter-electrode correlations tended to decrease more in patients achieving greater motor recovery (Pearson’s r=−0.68, p=0.031). A similar but less dramatic effect was observed with alpha-band (8–12 Hz) correlation changes (Pearson’s r=−0.42, p=0.22). DISCUSSION/SIGNIFICANCE OF IMPACT: The negative correlation between inter-electrode power envelope correlations in the beta frequency band and motor recovery indicates that activity in the motor cortex on each hemisphere may become more independent during recovery. The role of the unaffected hemisphere in stroke recovery is currently under debate; there is conflicting evidence regarding whether it supports or inhibits the lesioned hemisphere. These findings may support the notion of interhemispheric inhibition, as we observe less in common between activity in the 2 hemispheres in patients successfully achieving recovery. Future neuroimaging studies with greater spatial resolution than available with EEG will shed further light on changes in interhemispheric communication that occur during stroke rehabilitation.

Dissecting Bioethics, edited by Tuija Takala and Matti Hayry, welcomes contributions on the conceptual and theoretical dimensions of bioethics. The department is dedicated to the idea that words defined by bioethicists and others should not be allowed to imprison people’s actual concerns, emotions, and thoughts. Papers that expose the many meanings of a concept, describe the different readings of a moral doctrine, or provide an alternative angle to seemingly self-evident issues are particularly appreciated. To submit a paper or to discuss a suitable topic, contact Tuija Takala at tuija.takala@helsinki.fi.

A singular perturbation theory is developed for the steady, inertialess motion of a lipid-bilayer vesicle flowing through a narrow tube. The vesicle is treated as a sac of fluid enclosed by an inextensible membrane that admits a bending stiffness. Matched asymptotic expansions are developed in terms of a clearance parameter $\unicode[STIX]{x1D716}\ll 1$ in order to calculate the flow field and vesicle shape. Mild restrictions are applied to the ratio of viscosities $\unicode[STIX]{x1D705}$ and the ratio of bending stresses to viscous stresses $\unicode[STIX]{x1D6FD}$ ; in particular, the theory holds for $\unicode[STIX]{x1D705}=o(\unicode[STIX]{x1D716}^{-1/2})$ and $\unicode[STIX]{x1D6FD}=O(\unicode[STIX]{x1D716}^{-1})$ . The ratio of the vesicle length to the tube radius $\ell$ is included as a parameter and asymptotic solutions in the limit of negligible bending stiffness are developed for long, cylindrical vesicles and short, spherical vesicles. The main result of the theory is a prediction for the vesicle speed and extra pressure drop due to the presence of the vesicle in the tube. The effects of confinement, vesicle length, and membrane bending elasticity are examined. The theoretical predictions show good agreement with experimental measurements reported for vesicles and red blood cells in highly confined channel flow. Previously reported models for red blood cells (Secomb et al., J. Fluid Mech., vol. 163, 1986, pp. 405–423; Halpern & Secomb, J. Fluid Mech., vol. 203, 1989, pp. 381–400) are clarified and extended in light of the new theory.