Design & Manufacture Knowledge Mapping is a critical activity in medium-to-large organisations supporting many organisational activities. However, techniques for effective mapping of knowledge often employ interviews, consultations and appraisals. Although invaluable in providing expert insight, the application of such methods is inherently intrusive and resource intensive. This paper presents word co-occurrence graphs as a means to automatically generate knowledge maps from technical documents and validates against expert generated knowledge maps.

Acute change in mental status (ACMS), defined by the Confusion Assessment Method, is used to identify infections in nursing home residents. A medical record review revealed that none of 15,276 residents had an ACMS documented. Using the revised McGeer criteria with a possible ACMS definition, we identified 296 residents and 21 additional infections. The use of a possible ACMS definition should be considered for retrospective nursing home infection surveillance.

The sustainability concept seeks to balance how present and future generations of humans meet their needs. But because nature is viewed only as a resource, sustainability fails to recognize that humans and other living beings depend on each other for their well-being. We therefore argue that true sustainability can only be achieved if the interdependent needs of all species of current and future generations are met, and propose calling this ‘multispecies sustainability’. We explore the concept through visualizations and scenarios, then consider how it might be applied through case studies involving bees and healthy green spaces.

We sampled individual growth rings from three ancient remnant bald cypress (Taxodium distichum) trees from a massive buried deposit at the mouth of the Altamaha River on the Georgia Coast to determine the best technique for radiocarbon (14C) dating pretreatment. The results of our comparison of traditional ABA pretreatment and holocellulose and α-cellulose fractions show no significant differences among the pretreatments (<1 sigma) thereby suggesting that ABA pretreatment will prove sufficient for the development of a high-resolution 14C tree-ring chronology based on these ancient bald cypresses which will indicate whether the U.S. Southeast is subject to a regional radiocarbon offset.

Space Infrared Telescope for Cosmology and Astrophysics (SPICA), the cryogenic infrared space telescope recently pre-selected for a ‘Phase A’ concept study as one of the three remaining candidates for European Space Agency (ESA's) fifth medium class (M5) mission, is foreseen to include a far-infrared polarimetric imager [SPICA-POL, now called B-fields with BOlometers and Polarizers (B-BOP)], which would offer a unique opportunity to resolve major issues in our understanding of the nearby, cold magnetised Universe. This paper presents an overview of the main science drivers for B-BOP, including high dynamic range polarimetric imaging of the cold interstellar medium (ISM) in both our Milky Way and nearby galaxies. Thanks to a cooled telescope, B-BOP will deliver wide-field 100–350 $\mu$ m images of linearly polarised dust emission in Stokes Q and U with a resolution, signal-to-noise ratio, and both intensity and spatial dynamic ranges comparable to those achieved by Herschel images of the cold ISM in total intensity (Stokes I). The B-BOP 200 $\mu$ m images will also have a factor $\sim $ 30 higher resolution than Planck polarisation data. This will make B-BOP a unique tool for characterising the statistical properties of the magnetised ISM and probing the role of magnetic fields in the formation and evolution of the interstellar web of dusty molecular filaments giving birth to most stars in our Galaxy. B-BOP will also be a powerful instrument for studying the magnetism of nearby galaxies and testing Galactic dynamo models, constraining the physics of dust grain alignment, informing the problem of the interaction of cosmic rays with molecular clouds, tracing magnetic fields in the inner layers of protoplanetary disks, and monitoring accretion bursts in embedded protostars.

Introduction: Hydronephrosis is the de facto measure of obstructive uropathy (OU) and can be evaluated using renal Point of Care Ultrasound (rPOCUS). This educational initiative aimed to develop an effective one-day rPOCUS curriculum and evaluate if feedback/quality assurance (QA), leads to an improvement in image acquisition and interpretation of hydronephrosis as well as comfort with the technique. Methods: Physicians were randomized into a QA or control group (NQA) and all attended a one day training session which involved acquiring rPOCUS scans with one-on-one instruction. Participants then performed POCUS scans on all ED patients where formal renal US was deemed clinically indicated. The QA group received feedback on every scan from qualified ED physicians. Overall sensitivity and specificity were calculated compared to formal scans using a chi-square test. Written QA was reviewed for future improvements. Crossover occurred at 10 weeks to allow for equal learning opportunity but analyses focused on pre-crossover data. Participants completed surveys at study start and end focusing on initiative effectiveness and barriers/comfort with POCUS measured with a likert scale (Not at all (1)-Very (7)). Results: Fourteen ED physicians participated. The most common cited barrier to utilizing rPOCUS was lack of knowledge/training (78.6%). A total of 63 POCUS scans were reviewed. Common feedback included breath-holding (69.7%), use of color doppler (48.5%) and including a transverse sweep (36.4%). Sensitivity and specificity were better in the QA versus NQA group though the difference was not significant (Se- 75.0% vs 50.0%, 95%CI: −34.0-73.4%; Sp- 89.3% vs 73.9%, 95% CI: 8.2-39.2%). Ten physicians completed the post survey; all reported improved comfort with rPOCUS in assessment of hydronephrosis (median [IQR]: Δ+2 [1-3]). At study end, the comfort rating for using only POCUS and not formal scan remained low (median [IQR]: 3.50 [1.8-4.2]). The training initiative was rated highly with a median [IQR] rating of 5.50 [4.8-7.0]. Conclusion: Although the initiative was rated highly effective and resulted in improved comfort with renal POCUS, physicians did not feel comfortable solely using POCUS without formal scan to diagnose OU. Despite the initiative's success, further educational programs are needed before rPOCUS can be safely used as the primary investigation. In the future, a greater emphasis should be placed on the commonly noted areas of improvement.

The ventricular assist device is being increasingly used as a “bridge-to-transplant” option in children with heart failure who have failed medical management. Care for this medically complex population must be optimised, including through concomitant pharmacotherapy. Pharmacokinetic/pharmacodynamic alterations affecting pharmacotherapy are increasingly discovered in children supported with extracorporeal membrane oxygenation, another form of mechanical circulatory support. Similarities between extracorporeal membrane oxygenation and ventricular assist devices support the hypothesis that similar alterations may exist in ventricular assist device-supported patients. We conducted a literature review to assess the current data available on pharmacokinetics/pharmacodynamics in children with ventricular assist devices. We found two adult and no paediatric pharmacokinetic/pharmacodynamic studies in ventricular assist device-supported patients. While mechanisms may be partially extrapolated from children supported with extracorporeal membrane oxygenation, dedicated investigation of the paediatric ventricular assist device population is crucial given the inherent differences between the two forms of mechanical circulatory support, and pathophysiology that is unique to these patients. Commonly used drugs such as anticoagulants and antibiotics have narrow therapeutic windows with devastating consequences if under-dosed or over-dosed. Clinical studies are urgently needed to improve outcomes and maximise the potential of ventricular assist devices in this vulnerable population.

The present experimental investigation characterises the dynamic response and wake structure of a sinusoidally rotating circular cylinder with a low mass ratio (defined as the ratio of the total oscillating mass to the displaced fluid mass) undergoing cross-stream flow-induced vibration (FIV). The study covers a wide parameter space spanning the forcing rotary oscillation frequency ratio $0\leqslant f_{r}^{\ast }\leqslant 4.5$ and the forcing rotation speed ratio $0\leqslant \unicode[STIX]{x1D6FC}_{r}^{\ast }\leqslant 2.0$ , at reduced velocities associated with the vortex-induced vibration (VIV) upper and lower amplitude response branches. Here, $f_{r}^{\ast }=f_{r}/f_{nw}$ and $\unicode[STIX]{x1D6FC}_{r}^{\ast }=\unicode[STIX]{x1D6FA}_{o}D/(2U)$ , where $f_{r}$ is the forcing rotary oscillation frequency, $f_{nw}$ is the natural frequency of the system in quiescent fluid (water), $\unicode[STIX]{x1D6FA}_{o}$ is the peak angular rotation speed, $D$ is the cylinder diameter and $U$ is the free-stream velocity; the reduced velocity is defined by $U^{\ast }=U/(\,f_{nw}D)$ . The fluid–structure system was modelled using a low-friction air-bearing system in conjunction with a free-surface recirculating water channel, with axial rotary motion provided by a microstepping motor. The cylinder was allowed to vibrate with only one degree of freedom transverse to the oncoming free-stream flow. It was found that in specific ranges of $f_{r}^{\ast }$ , the body vibration frequency may deviate from that seen in the non-rotating case and lock onto the forcing rotary oscillation frequency or its one-third subharmonic. The former is referred to as the ‘rotary lock-on’ (RLO) region and the latter as the ‘tertiary lock-on’ (TLO) region. Significant increases in the vibration amplitude and suppression of VIV could both be observed in different parts of the RLO and TLO regions. The peak amplitude response in the case of $U^{\ast }=5.5$ (upper branch) was observed to be $1.2D$ , an increase of approximately $50\,\%$ over the non-rotating case, while in the case of $U^{\ast }=8.0$ (lower branch), the peak amplitude response was $2.2D$ , a remarkable increase of $270\,\%$ over the non-rotating case. Notably, the results showed that the amplitude responses at moderate Reynolds numbers ( $Re=UD/\unicode[STIX]{x1D708}=2060$ and $2940$ , where $\unicode[STIX]{x1D708}$ is the kinematic viscosity of the fluid) in the present study showed significant differences from those of a previous low-Reynolds-number ( $Re=350$ ) numerical study at similar reduced velocities by Du & Sun (Phys. Fluids, vol. 14 (8), 2015, pp. 2767–2777). Remarkably, in an additional study examining the cylinder vibration as a function of $U^{\ast }$ while the fixed forcing rotary oscillation parameters were kept constant at $(f_{r}^{\ast },\unicode[STIX]{x1D6FC}_{r}^{\ast })=(1.0,1.0)$ , the cylinder experienced substantially larger oscillations than in the non-rotating case, and a rotation-induced galloping response was observed for $U^{\ast }>12$ , where the amplitude increased monotonically to reach approximately $3.0D$ at the highest reduced velocity ( $U^{\ast }=20$ ) tested. Furthermore, new wake modes were identified in the RLO and TLO regions using particle image velocimetry measurements at selected points in the $f_{r}^{\ast }-\unicode[STIX]{x1D6FC}_{r}^{\ast }$ parameter space.

Background:ATP8A2 mutations have only recently been associated with human disease. We present the clinical features from the largest cohort of patients with this disorder reported to date. Methods: An observational study of 9 unreported and 2 previously reported patients with biallelic ATP8A2 mutations was carried out at multiple centres. Results: The mean age of the cohort was 9.4 years old (range: 2.5-28 yrs). All patients demonstrated developmental delay, severe hypotonia and movement disorders: chorea/choreoathetosis (100%), dystonia (27%) or facial dyskinesia (18%). Hypotonia was apparent at birth (70%) or before 6 months old (100%). Optic atrophy was observed in 75% of patients who had a funduscopic examination. MRI of the brain was normal for most patients with a small proportion showing mild cortical atrophy (30%), delayed myelination (20%) and/or hypoplastic optic nerves (20%). Epilepsy was seen in two older patients. Conclusions:ATP8A2 gene mutations have emerged as a cause of a novel phenotype characterized by developmental delay, severe hypotonia and hyperkinetic movement disorders. Optic atrophy is common and may only become apparent in the first few years of life, necessitating repeat ophthalmologic evaluation. Early recognition of the cardinal features of this condition will facilitate diagnosis of this disorder.

This study experimentally investigates the in-line flow-induced vibration (FIV) of an elastically mounted circular cylinder under forced axial rotation in a free stream. The present experiments characterise the structural vibration, fluid forces and wake structure of the fluid–structure system at a low mass ratio (the ratio of the total mass to the displaced fluid mass) over a wide parameter space spanning the reduced velocity range $5\leqslant U^{\ast }\leqslant 32$ and the rotation rate range $0\leqslant \unicode[STIX]{x1D6FC}\leqslant 3.5$ , where $U^{\ast }=U/(\,f_{nw}D)$ and $\unicode[STIX]{x1D6FC}=|\unicode[STIX]{x1D6FA}|D/(2U)$ , with $U$ the free-stream velocity, $D$ the cylinder outer diameter, $f_{nw}$ the natural frequency of the system in quiescent water and $|\unicode[STIX]{x1D6FA}|$ the angular velocity of the cylinder rotation. The corresponding Reynolds number (defined by $Re=UD/\unicode[STIX]{x1D708}$ , with $\unicode[STIX]{x1D708}$ the kinematic viscosity of the fluid) was varied over the interval $1349\leqslant Re\leqslant 8624$ , where it is expected that the FIV response is likely to be relatively insensitive to the Reynolds number. The fluid–structure system was modelled using a low-friction air-bearing system in conjunction with a free-surface water-channel facility. Three vibration regions that exhibited vortex-induced vibration (VIV) synchronisation, rotation-induced galloping and desynchronised responses were observed. In both the VIV synchronisation and rotation-induced galloping regions, significant cylinder vibration was found to be correlated with wake–body synchronisation within the rotation rate range $2.20\lesssim \unicode[STIX]{x1D6FC}\lesssim 3.15$ . Of significant interest, the frequency of the streamwise fluid force could be modulated by the imposed rotation to match that of the transverse lift force, resulting in harmonic synchronisation. Measurements using the particle image velocimetry (PIV) technique were performed to identify the wake structure. Interestingly, the imposed rotation can cause regular vortex shedding in in-line FIV at rotation rates that see suppression of the Bénard–von-Kármán vortex shedding in the case of a rigidly mounted cylinder ( $\unicode[STIX]{x1D6FC}\gtrsim 1.75$ ). There is a monotonic increase in the drag coefficient with rotation rate beyond $\unicode[STIX]{x1D6FC}=2$ for a non-oscillating rotating cylinder. This suggests that the mechanism for sustaining the large rotation-induced galloping oscillations at higher $\unicode[STIX]{x1D6FC}$ is due to a combination of aerodynamic forcing from the locked induced vortex shedding associated with the oscillations, assisted by aerodynamic forcing, evaluated using quasi-steady theory.

Introduction: Patients with uncomplicated biliary disease frequently present to the emergency department for assessment. To improve bedside clinical decision making many emergency medicine physicians have pursued specialized training to perform point of care biliary ultrasound in the emergency department (BUSED). The purpose of this study was to determine the usefulness of BUSED in predicting the need for surgical consultation and intervention for biliary disease. Methods: A retrospective study of 283 consecutive patients visiting the emergency department who received a BUSED scan from December 1, 2016 to July 16, 2017. Physician interpretations of the BUSED scans were collected from the electronic image storage and interpretation system. Additional data was collected from the electronic health record including lab values, the subsequent use of diagnostic imaging, and outcomes data including disposition, surgical consultation or intervention, and 28 day follow up for representation or complication. Descriptive statistics and logistic regression were performed. Results: Of the patients who received a biliary POCUS scan, 29% were referred to general surgery, and 43% of those referred proceeded to eventual cholecystectomy. Factors found to be independently predictive of surgical intervention on point of care BUSED scans included presence of gall stones (OR 13.01, 95%CI 5.02 to 27.1) and increased gallbladder wall thickness (OR 6.01, 95%CI 1.7 to 11.1). A total of 30% of patients receiving BUSED required at least one additional, radiology based imaging test (CT or diagnostic US). Average emergency department length of stay was substantially longer for those who required additional imaging as compared to those who were able to be diagnosed by BUSED alone (16.1 versus 5.2 hours, 10.9 hours 95%CI 10.6 11.2, p<0.05) . Conclusion: Point of care biliary ultrasound performed by emergency physicians provides timely access to diagnostic information. Positive findings of gall stones and increased gall bladder wall thickness are highly predictive of the need for surgical intervention. Future, prospective studies are warranted to determine if point of care sonography is sufficient to proceed to surgery in select cases of uncomplicated biliary disease.

In ewe lambs, acceleration of growth and accumulation of both muscle and fat leads to earlier sexual maturity and better reproductive performance. The next stage in the development of this theme is to test whether these aspects of growth in young ewes affect milk production in their first lactation and the growth of their first progeny. We studied 75 young Merino ewes that had known phenotypic values for depth of eye muscle (EMD) and fat (FAT), and known Australian Sheep Breeding Values for post-weaning weight (PWT) and depths of eye muscle (PEMD) and fat (PFAT). They lambed for the first time at 1 year of age. Their lambs were weighed weekly from birth to weaning at 10 weeks to determine live weight gain and weaning weight. Progeny birth weight was positively associated with live weight gain and weaning weight (P<0.001). The PWT of the mothers was positively associated with birth weight (P<0.01), live weight gain and weaning weight of the progeny (P<0.05); however, these progeny traits were not influenced by EMD, FAT, PEMD, PFAT of the mothers (P>0.05). The PWT of the sire was positively associated with live weight gain (P<0.05) and weaning weight of the progeny (P<0.01). At around day 20 postpartum, we measured milk production and milk composition (fat, protein, lactose, total solids). Milk production was influenced positively by birth type (single or twin; P<0.05) and negatively by birth weight (P<0.05), but not by mother phenotype or genotype, sire genotype of the mother or the sex of the progeny (P>0.05). The concentrations of fat, protein, lactose and total solids in the milk were not affected by the phenotype or genotype of the mothers or of the sires of the mothers, or by the sex of the progeny (P>0.05). We conclude that selection of young Merino ewes for better growth, and more rapid accumulation of muscle and fat, will lead to progeny that are heavier at birth, grow faster and are heavier at weaning. Moreover, milk production and composition do not seem to be affected by the genetic merit of the mother for post-weaning live weight or PEMD or PFAT. Therefore, Merino ewes can lamb at 1 year of age without affecting the production objectives of the Merino sheep industry.

Vortex-induced vibration (VIV) of a sphere represents one of the most generic fundamental fluid–structure interaction problems. Since vortex-induced vibration can lead to structural failure, numerous studies have focused on understanding the underlying principles of VIV and its suppression. This paper reports on an experimental investigation of the effect of imposed axial rotation on the dynamics of vortex-induced vibration of a sphere that is free to oscillate in the cross-flow direction, by employing simultaneous displacement and force measurements. The VIV response was investigated over a wide range of reduced velocities (i.e. velocity normalised by the natural frequency of the system): $3\leqslant U^{\ast }\leqslant 18$ , corresponding to a Reynolds number range of $5000<Re<30\,000$ , while the rotation ratio, defined as the ratio between the sphere surface and inflow speeds, $\unicode[STIX]{x1D6FC}=|\unicode[STIX]{x1D714}|D/(2U)$ , was varied in increments over the range of $0\leqslant \unicode[STIX]{x1D6FC}\leqslant 7.5$ . It is found that the vibration amplitude exhibits a typical inverted bell-shaped variation with reduced velocity, similar to the classic VIV response for a non-rotating sphere but without the higher reduced velocity response tail. The vibration amplitude decreases monotonically and gradually as the imposed transverse rotation rate is increased up to $\unicode[STIX]{x1D6FC}=6$ , beyond which the body vibration is significantly reduced. The synchronisation regime, defined as the reduced velocity range where large vibrations close to the natural frequency are observed, also becomes narrower as $\unicode[STIX]{x1D6FC}$ is increased, with the peak saturation amplitude observed at progressively lower reduced velocities. In addition, for small rotation rates, the peak amplitude decreases almost linearly with $\unicode[STIX]{x1D6FC}$ . The imposed rotation not only reduces vibration amplitudes, but also makes the body vibrations less periodic. The frequency spectra revealed the occurrence of a broadband spectrum with an increase in the imposed rotation rate. Recurrence analysis of the structural vibration response demonstrated a transition from periodic to chaotic in a modified recurrence map complementing the appearance of broadband spectra at the onset of bifurcation. Despite considerable changes in flow structure, the vortex phase ( $\unicode[STIX]{x1D719}_{vortex}$ ), defined as the phase between the vortex force and the body displacement, follows the same pattern as for the non-rotating case, with the $\unicode[STIX]{x1D719}_{vortex}$ increasing gradually from low values in Mode I of the sphere vibration to almost $180^{\circ }$ as the system undergoes a continuous transition to Mode II of the sphere vibration at higher reduced velocity. The total phase ( $\unicode[STIX]{x1D719}_{total}$ ), defined as the phase between the transverse lift force and the body displacement, only increases from low values after the peak amplitude response in Mode II has been reached. It reaches its maximum value ( ${\sim}165^{\circ }$ ) close to the transition from the Mode II upper plateau to the lower plateau, reminiscent of the behaviour seen for the upper to lower branch transition for cylinder VIV. Hydrogen-bubble visualisations and particle image velocimetry (PIV) performed in the equatorial plane provided further insights into the flow dynamics near the sphere surface. The mean wake is found to be deflected towards the advancing side of the sphere, associated with an increase in the Magnus force. For higher rotation ratios, the near-wake rear recirculation zone is absent and the flow is highly vectored from the retreating side to the advancing side, giving rise to large-scale shedding. For a very high rotation ratio of $\unicode[STIX]{x1D6FC}=6$ , for which vibrations are found to be suppressed, a one-sided large-scale shedding pattern is observed, similar to the shear-layer instability one-sided shedding observed previously for a rigidly mounted rotating sphere.

While flow-induced vibration of bluff bodies has been extensively studied over the last half-century, only limited attention has been given to flow-induced vibration of elastically mounted rotating cylinders. Since recent low-Reynolds-number numerical work suggests that rotation can enhance or suppress the natural oscillatory response, the former could find applications in energy harvesting and the latter in vibration control. The present experimental investigation characterises the dynamic response and wake structure of a rotating circular cylinder undergoing vortex-induced vibration at a low mass ratio ( $m^{\ast }=5.78$ ) over the reduced velocity range leading to strong oscillations. The experiments were conducted in a free-surface water channel with the cylinder vertically mounted and attached to a motor that provided constant rotation. Springs and an air-bearing system allow the cylinder to undertake low-damped transverse oscillations. Under cylinder rotation, the normalised frequency response was found to be comparable to that of a freely vibrating non-rotating cylinder. At reduced velocities consistent with the upper branch of a non-rotating transversely oscillating cylinder, the maximum oscillation amplitude increased with non-dimensional rotation rate up to $\unicode[STIX]{x1D6FC}\approx 2$ . Beyond this, there was a sharp decrease in amplitude. Notably, this critical value corresponds approximately to the rotation rate at which vortex shedding ceases for a non-oscillating rotating cylinder. Remarkably, at $\unicode[STIX]{x1D6FC}=2$ there was approximately an 80 % increase in the peak amplitude response compared to that of a non-rotating cylinder. The observed amplitude response measured over the Reynolds-number range of ( $1100\lesssim Re\lesssim 6300$ ) is significantly different from numerical predictions and other experimental results recorded at significantly lower Reynolds numbers.

Over the past 30 years, the number of US doctoral anthropology graduates has increased by about 70%, but there has not been a corresponding increase in the availability of new faculty positions. Consequently, doctoral degree-holding archaeologists face more competition than ever before when applying for faculty positions. Here we examine where US and Canadian anthropological archaeology faculty originate and where they ultimately end up teaching. Using data derived from the 2014–2015 AnthroGuide, we rank doctoral programs whose graduates in archaeology have been most successful in the academic job market; identify long-term and ongoing trends in doctoral programs; and discuss gender division in academic archaeology in the US and Canada. We conclude that success in obtaining a faculty position upon graduation is predicated in large part on where one attends graduate school.