Metamorphosis of human lumbar vertebrae induced by VEPTR growth modulation and stress shielding

INTRODUCTION Distraction-based spinal growth modulation by growing rods or vertical expandable prosthetic titanium ribs (VEPTRs) is the mainstay of instrumented operative strategies to correct early onset spinal deformities. In order to objectify the benefits, it has become common sense to measure the gain in spine height by assessing T1-S1 distance on anteroposterior (AP) radiographs. However, by ignoring growth changes on vertebral levels and by limiting measurement to one plane, valuable data is missed regarding the three-dimensional (3D) effects of growth modulation. This information might be interesting when it comes to final fusion or, even more so, when the protective growing implants are removed and the spine re-exposed to physiologic forces at the end of growth. METHODS The goal of this retrospective radiographic study was to assess the growth modulating impact of year-long, distraction-based VEPTR treatment on the morphology of single vertebral bodies. We digitally measured lumbar vertebral body height (VBH) and upper endplate depth (VBD) at the time of the index procedure and at follow-up in nine patients with rib-to-ileum constructs (G1) spanning an anatomically normal lumbar spine. Nine patients with congenital thoracic scoliosis and VEPTR rib-to-rib constructs, but uninstrumented lumbar spines, served as controls (G2). All had undergone more than eight half-yearly VEPTR expansions. A Wilcoxon signed-rank test was used for statistical comparison of initial and follow-up VBH, VBD and height/depth (H/D) ratio (significance level 0.05). RESULTS The average age was 7.1 years (G1) and 5.2 year (G2, p > 0.05) at initial surgery; the average overall follow-up time was 5.5 years (p = 1). In both groups, VBH increased significantly without a significant intergroup difference. Group 1 did not show significant growth in depth, whereas VBD increased significantly in the control group. As a consequence, the H/D ratio increased significantly in group 1 whereas it remained unchanged in group 2. The growth rate for height in mm/year was 1.4 (group 1) and 1.1 (group 2, p = 0.45), and for depth, it was -0.3 and 1.1 (p < 0.05), respectively. CONCLUSIONS VEPTR growth modulating treatment alters the geometry of vertebral bodies by increasing the H/D ratio. We hypothesize that the implant-related deprivation from axial loads (stress-shielding) impairs anteroposterior growth. The biomechanical consequence of such slender vertebrae when exposed to unprotected loads in case of definitive VEPTR removal at the end of growth is uncertain.

Preparatory studies for a high-precision Penning-trap measurement of the 163Ho electron capture Q-value

The ECHo Collaboration (Electron Capture 163Ho aims to investigate the calorimetric spectrum following the electron capture decay of 163Ho to determine the mass of the electron neutrino. The size of the neutrino mass is reflected in the endpoint region of the spectrum, i.e., the last few eV below the transition energy. To check for systematic uncertainties, an independent determination of this transition energy, the Q-value, is mandatory. Using the TRIGA-TRAP setup, we demonstrate the feasibility of performing this measurement by Penning-trap mass spectrometry. With the currently available, purified 163Ho sample and an improved laser ablation mini-RFQ ion source, we were able to perform direct mass measurements of 163Ho and 163Dy with a sample size of less than 1017 atoms. The measurements were carried out by determining the ratio of the cyclotron frequencies of the two isotopes to those of carbon cluster ions using the time-of-flight ion cyclotron resonance method. The obtained mass excess values are ME(163Ho)= −66379.3(9) keV and ME(163Dy)= −66381.7(8) keV. In addition, the Q-value was measured for the first time by Penning-trap mass spectrometry to be Q = 2.5(7) keV.

Planning and reporting of quality-of-life outcomes in cancer trials.

BACKGROUND Information about the impact of cancer treatments on patients' quality of life (QoL) is of paramount importance to patients and treating oncologists. Cancer trials that do not specify QoL as an outcome or fail to report collected QoL data, omit crucial information for decision making. To estimate the magnitude of these problems, we investigated how frequently QoL outcomes were specified in protocols of cancer trials and subsequently reported. DESIGN Retrospective cohort study of RCT protocols approved by six research ethics committees in Switzerland, Germany, and Canada between 2000 and 2003. We compared protocols to corresponding publications, which were identified through literature searches and investigator surveys. RESULTS Of the 173 cancer trials, 90 (52%) specified QoL outcomes in their protocol, 2 (1%) as primary and 88 (51%) as secondary outcome. Of the 173 trials, 35 (20%) reported QoL outcomes in a corresponding publication (4 modified from the protocol), 18 (10%) were published but failed to report QoL outcomes in the primary or a secondary publication, and 37 (21%) were not published at all. Of the 83 (48%) trials that did not specify QoL outcomes in their protocol, none subsequently reported QoL outcomes. Failure to report pre-specified QoL outcomes was not associated with industry sponsorship (versus non-industry), sample size, and multicentre (versus single centre) status but possibly with trial discontinuation. CONCLUSIONS About half of cancer trials specified QoL outcomes in their protocols. However, only 20% reported any QoL data in associated publications. Highly relevant information for decision making is often unavailable to patients, oncologists, and health policymakers.

Hepatitis B Infection, Viral Load and Resistance in HIV-Infected Patients in Mozambique and Zambia.

BACKGROUND Few data on the virological determinants of hepatitis B virus (HBV) infection are available from southern Africa. METHODS We enrolled consecutive HIV-infected adult patients initiating antiretroviral therapy (ART) at two urban clinics in Zambia and four rural clinics in Northern Mozambique between May 2013 and August 2014. HBsAg screening was performed using the Determine® rapid test. Quantitative real-time PCR and HBV sequencing were performed in HBsAg-positive patients. Risk factors for HBV infection were evaluated using Chi-square and Mann-Whitney tests and associations between baseline characteristics and high level HBV replication explored in multivariable logistic regression. RESULTS Seventy-eight of 1,032 participants in Mozambique (7.6%, 95% confidence interval [CI]: 6.1-9.3) and 90 of 797 in Zambia (11.3%, 95% CI: 9.3-13.4) were HBsAg-positive. HBsAg-positive individuals were less likely to be female compared to HBsAg-negative ones (52.3% vs. 66.1%, p<0.001). Among 156 (92.9%) HBsAg-positive patients with an available measurement, median HBV viral load was 13,645 IU/mL (interquartile range: 192-8,617,488 IU/mL) and 77 (49.4%) had high values (>20,000 UI/mL). HBsAg-positive individuals had higher levels of ALT and AST compared to HBsAg-negative ones (both p<0.001). In multivariable analyses, male sex (adjusted odds ratio: 2.59, 95% CI: 1.22-5.53) and CD4 cell count below 200/μl (2.58, 1.20-5.54) were associated with high HBV DNA. HBV genotypes A1 (58.8%) and E (38.2%) were most prevalent. Four patients had probable resistance to lamivudine and/or entecavir. CONCLUSION One half of HBsAg-positive patients demonstrated high HBV viremia, supporting the early initiation of tenofovir-containing ART in HIV/HBV-coinfected adults.

Interrelationships between the structural and functional aspects of social relationships, comorbidity and health related quality of life in breast cancer survivors

It is widely acknowledged in theoretical and empirical literature that social relationships, comprising of structural measures (social networks) and functional measures (perceived social support) have an undeniable effect on health outcomes. However, the actual mechanism of this effect has yet to be clearly understood or explicated. In addition, comorbidity is found to adversely affect social relationships and health related quality of life (a valued outcome measure in cancer patients and survivors). ^ This cross sectional study uses selected baseline data (N=3088) from the Women's Healthy Eating and Living (WHEL) study. Lisrel 8.72 was used for the latent variable structural equation modeling. Due to the ordinal nature of the data, Weighted Least Squares (WLS) method of estimation using Asymptotic Distribution Free covariance matrices was chosen for this analysis. The primary exogenous predictor variables are Social Networks and Comorbidity; Perceived Social Support is the endogenous predictor variable. Three dimensions of HRQoL, physical, mental and satisfaction with current quality of life were the outcome variables. ^ This study hypothesizes and tests the mechanism and pathways between comorbidity, social relationships and HRQoL using latent variable structural equation modeling. After testing the measurement models of social networks and perceived social support, a structural model hypothesizing associations between the latent exogenous and endogenous variables was tested. The results of the study after listwise deletion (N=2131) mostly confirmed the hypothesized relationships (TLI, CFI >0.95, RMSEA = 0.05, p=0.15). Comorbidity was adversely associated with all three HRQoL outcomes. Strong ties were negatively associated with perceived social support; social network had a strong positive association with perceived social support, which served as a mediator between social networks and HRQoL. Mental health quality of life was the most adversely affected by the predictor variables. ^ This study is a preliminary look at the integration of structural and functional measures of social relationships, comorbidity and three HRQoL indicators using LVSEM. Developing stronger social networks and forming supportive relationships is beneficial for health outcomes such as HRQoL of cancer survivors. Thus, the medical community treating cancer survivors as well as the survivor's social networks need to be informed and cognizant of these possible relationships. ^

Factors contributing to the attrition of women in the African-American Nutrition for Life study

Background. There is currently a push to increase the number of minorities in cancer clinical trials in an effort to reduce cancer health disparities. Overcoming barriers to clinical trial research for minorities is necessary if we are to achieve the goals of Healthy People 2010. To understand the unexpectedly high rate of attrition in the A NULIFE study, the research team examined the perceived barriers to participation among minority women. The purpose of this study was to determine if either personal or study-related factors influenced healthy pre-menopausal women aged 25-45 years to terminate their participation in the A NULIFE Study. We hypothesized that personal factors were the driving forces for attrition rates in the prevention trial.^ Methods. The target population consisted of eligible women who consented to the A NULIFE study but withdrew prior to being randomized (N= 46), as well as eligible women who completed the informed consent process for the A NULIFE study and withdrew after randomization (N= 42). Examination of attrition rates in this study occurred at a time point when 10 out of 12 participant groups had completed the A NULIFE study. Data involving the 2 groups that were actively engaged in study activities were not used in this analysis. A survey instrument was designed to query the personal and study-related factors that were believed to have contributed to the decision to terminate participation in the A NULIFE study.^ Results. Overall, the highest ranked personal reason that influenced withdrawal from the study was being “too busy” with other obligations. The second highest ranked factor for withdrawal was work obligations. Whereas, more than half of all participants agreed that they were well-informed about the study and considered the study personnel to be approachable, 54% of participants would have been inclined to remain in the study if it were located at a local community center.^ Conclusions. Time commitment was likely a major factor for withdrawal from the A NULIFE study. Future investigators should implement trials within participant communities where possible. Also, focus group settings may provide detailed insight into factors that contribute to the attrition of minorities in cancer clinical trials.^

Cataract surgery in cancer patients and its impact on quality of life as measured by the National Eye Institute Visual Functioning Questionnaire - 25 (NEI-VFQ-25)

Purpose. The measurement of quality of life has become an important topic in healthcare and in the allocation of limited healthcare resources. Improving the quality of life (QOL) in cancer patients is paramount. Cataract removal and lens implantation appears to improve patient well-being of cancer patients, though a formal measurement has never been published in the US literature. In this current study, National Eye Institute Visual Functioning Questionnaire (NEI-VFQ-25), a validated vision quality of life metric, was used to study the change in vision-related quality of life in cancer patients who underwent cataract extraction with intraocular lens implantation. ^ Methods. Under an IRB approved protocol, cancer patients who underwent cataract surgery with intraocular lens implantation (by a single surgeon) from December 2008 to March 2011, and who had completed a pre- and postoperative NEI-VFQ-25 were retrospectively reviewed. Post-operative data was collected at their routine 4-6 week post-op visit. Patients' demographics, cancer history, their pre and postoperative ocular examinations, visual acuities, and NEI-VFQ-25 with twelve components were included in the evaluation. The responses were evaluated using the Student t test, Spearman correlation and Wilcoxon signed rank test. ^ Results. 63 cases of cataract surgery (from 54 patients) from the MD Anderson Cancer Center were included in the study. Cancer patients had a significant improvement in the visual acuity (P<0.0001) postoperatively, along with a significant increase in vision-related quality of life (P<0.0001). Patients also had a statistically significant improvement in ten of the twelve subcategories which are addressed in the NEI-VFQ-25. ^ Conclusions. In our study, cataract extraction and intraocular implantation showed a significant impact on the vision-related quality of life in cancer patients. Although this study includes a small sample size, it serves as a positive pilot study to evaluate and quantify the impact of a surgical intervention on QOL in cancer patients and may help to design a larger study to measure vision related QOL per dollar spent for health care cost in cancer patients.^

Atmospheric electric measurement in the troposphere and stratosphere on the Atlantic Ocean during 1965 and 1969

One main point of the air electric investigations at the atlantic 1965 and 1969 was the record of the potential gradient in the troposphere with free and captive balloon ascents. The course of the field vs. altitude above the sea differs from that over land. A remarkable enlargement of the field strength occurs at the altitude of the passat inversion. The electric voltage between ionosphere and earth could be obtained by integrating the potential gradient over the altitude. Such computations have been made by balloon ascents simultaneous over the ocean and at Weissenau (South Germany), From 15 simultaneous measurements the average value of the potential of the ionosphere over the ocean is 214 kV and over South Germany 216 kV, that means very close together. Because of the small differences also between the single values it can be concluded that in generally the ionosphere potential has an equal value over these both places at one moment. From the potential of the ionosphere VI, the field strength E0 and the conductivity lamda o, both measured at the sea surface, the columnar resistance R could be derived to 2.4 x 10**17 Ohm x m**2. By correlation of the single values of the ionosphere potential with the potential gradient measured simultaneously at the surface of the sea a linear proportional relationship exists; it follows from this result, that R is nearly constant. The mean value of the air-earth current density over the ocean could be calculated by using the measured values of the small ion density with respect to the electrode effect prooved at the equator station. The current density was only 0.9 x 10**-12 A/m**2, which means, a three and a half times smaller value than estimated by Carnegie and accepted up to now. Therefore it seems to be necessary to correct the former calculations of the global current balance.

Evaluación del comportamiento mecánico, estructural y frente a la corrosión, de una nueva armadura de acero inoxidable dúplex bajo en níquel

La durabilidad de las estructuras de hormigón armado no es ilimitada, en especial en determinados ambientes. El ingreso de agentes agresivos en el hormigón, fundamentalmente dióxido de carbono e iones cloruros, rebasando el espesor del recubrimiento y alcanzando las armaduras, reducen el alto pH del hormigón hasta alcanzar un umbral crítico, por debajo del cual, el acero queda despasivado. Posteriormente, si existe el suficiente aporte de humedad y oxígeno, el acero se corroe, lo que supone drásticas reducciones de la vida de servicio de estas estructuras y su inevitable reparación. La utilización de armaduras de acero inoxidable es una alternativa que está recibiendo cada vez más consideración. Su resistencia a la corrosión en los ambientes más agresivos, incluso con ataque de cloruros, lo convierte en el material idóneo para prolongar de forma muy considerable la vida útil de la estructura. En este trabajo se ha evaluado el comportamiento mecánico y estructural, y de resistencia a la corrosión, de un nuevo acero inoxidable dúplex de bajo contenido en níquel, el EN 1.4482 (AISI 2001), y se ha comparado con el inoxidable austenítico más utilizado, el EN 1.4301 (AISI 304), con el dúplex EN 1.4362 (AISI 2304) y con el tradicional acero al carbono B-500-SD. El estudio mecánico y estructural se ha realizado en tres niveles diferentes: a nivel de barra, estudiando las propiedades mecánicas y de ductilidad de los cuatro aceros citados; a nivel de sección, estudiando su comportamiento a flexión con diferentes cuantías de armado por medio de los diagramas momento-curvatura; y a nivel de pieza, ensayando una serie de vigas armadas con diferentes aceros y cuantías, y comprobando su comportamiento a desplazamiento y resistencia por medio de los diagramas carga-desplazamiento. El estudio de resistencia a la corrosión se ha realizado embebiendo barras corrugadas, de los tres aceros inoxidables mencionados, en probetas de mortero contaminadas con diferentes cantidades de cloruros, y realizando mediciones electroquímicas durante un periodo de al menos un año. Se han preparado probetas de mortero para dos comparativas diferentes. La primera, manteniendo las probetas en un desecador con el 95 % de humedad relativa durante todo el periodo de mediciones. La segunda, sumergiendo parcialmente las probetas en una solución tampón para carbonatar el mortero. Los resultados de los ensayos mecánicos han demostrado dos aspectos diferentes. Uno, que las armaduras de acero inoxidable tienen un comportamiento muy similar a las de acero al carbono en lo referente a las resistencias alcanzadas, en el límite elástico y en rotura, pero distinto en cuanto al módulo de deformación longitudinal, cuyo valor es claramente inferior al del acero al carbono, por lo que su utilización en las estructuras de hormigón necesita tener en cuenta ese dato en los análisis lineales de cálculo. El segundo aspecto es que las armaduras de acero inoxidable laminadas en caliente presentan una ductilidad muy superior a las de acero al carbono, por lo que ofrecen una mayor seguridad frente a su rotura o al colapso de la estructura, lo que se debe tener en cuenta en el análisis de cálculo plástico. En cambio, las armaduras de acero inoxidable laminadas en frío sólo cumplen con los límites mínimos de ductilidad establecidos en la instrucción EHE-08 para los aceros soldables, y no para los aceros con características especiales de ductilidad. El estudio a nivel de sección refleja la paradoja de obtener secciones menos dúctiles con las armaduras de acero inoxidable laminadas en caliente que con las armaduras de acero al carbono. Para subsanarlo, se definen los conceptos de curvatura última de rotura y ductilidad de la sección en rotura, que tienen en cuenta las altas deformaciones alcanzadas por las armaduras de acero inoxidable. Los resultados a nivel de pieza permiten identificar el comportamiento estructural del hormigón armado con barras corrugadas de acero inoxidable y compararlo con el de las estructuras de hormigón armado convencionales, verificando los resultados experimentales con los teóricos obtenidos con la formulación recogida en la instrucción EHE- 08. Los ensayos de resistencia a la corrosión por cloruros demuestran, durante el primer año y medio de vida de las probetas, un comportamiento muy similar entre el nuevo acero inoxidable dúplex bajo en níquel y el austenítico y el dúplex utilizados para la comparación, incluso para las probetas carbonatadas. Por último, se añade una comparativa económica, realizada sobre dos edificaciones tipo, para cuantificar el sobrecoste que supone la utilización de armaduras de acero inoxidable respecto a las de acero al carbono. El alto coste inicial de las armaduras de acero inoxidable se ve compensado en el coste final de la estructura de muy diferentes formas, principalmente dependiendo del grado de acero elegido y de si se emplean en el total de la estructura o solamente en los elementos más expuestos. The durability of the concrete structures is limited, especially in certain environments. The attack of aggressive agents in the concrete, mainly carbon dioxide and chloride ions, penetrating the thickness of concrete cover and reaching the reinforcements, reduce the high pH of concrete to the point of reaching a critical threshold, under which, the steel despasivates. Therefore, if there is enough humidity and oxygen, the steel corroes, causing drastic reductions in the service life of these structures and its inevitable repair. Despite the high initial cost compared to carbon steel, the usage of stainless steel reinforcements is an alternative with a major consideration nowadays. Its resistance to corrosion in the most aggressive atmospheres, including chlorides attack, makes the stainless steel a suitable material to extend considerably its lifetime. In this study, it’s been evaluated the mechanical and structural behaviour, and the corrosion resistance, of a new low-nickel duplex stainless steel EN 1.4482 (AISI 2001), and it has been compared with the most widely used austenitic type EN 1.4301 (AISI 304), with duplex steel EN 1.4362 (AISI 2304) and with the traditional carbon steel B-500-SD. The mechanical and structural study has been carried out in three different levels: bar level, studying mechanical properties and ductility of the four steels; section level, studying its behaviour when blending with different amounts of reinforcement through the moment-curvature diagrams; and structural element level, testing a series of reinforced beams with different steels and amounts, and checking its sag and resistance through the load-deflection diagrams. The corrosion resistance study was performed by embedding ribbed bars, using the three stainless steel listed, on mortar specimens contaminated with different amounts of chlorides, and taking electrochemical measurements over a period of at least one year. Mortar specimens have been prepared for two different comparisons. The first, keeping the specimens at 95% of relative humidity during the measurement period. The second, immersing the specimens partially in a carbonate buffer solution. The results of those tests have proved two different aspects. Firstly, that stainless steel reinforcements show a very similar behaviour to carbon steel, according to the reached levels of mechanical resistance, yield stress and steel strength, but a different behaviour in Young’s modulus, which value is clearly lower than the carbon steel. Therefore, when using in concrete structures it is need to consider on that point the existing calculus of linear analysis. The second aspect is that stainless steel reinforcement manufactured by hot-rolling process show a very higher ductility than carbon steel, offering a better security on cracks or structure collapse, which it has to be taken into account on plastic calculus analysis. However, the stainless steel reinfor9 cement cold-rolled bars only meet the minimum thresholds of ductility established by EHE-08 for welded steel, and not for steels with special ductility. The results at the section level reflect the paradox of getting less ductile sections with hot rolled stainless steel reinforcement than with carbon steel reinforcements. To overcome that, the concepts of last break curvature and break ductility section have been defined, which take into account the high deformation value achieved by stainless steel reinforcements. The results at the structural element level allow to identify the structural behaviour of reinforced concrete with stainless steel reinforcements and compared with that of conventional steel reinforcement, contrasting the experimental with the theoretical results obtained from the formulation contained in the instruction EHE-08. Tests on resistance of chloride corrosion show during the first year and a half of specimens life, a similar behaviour between the new low nickel duplex stainless steel and austenitic and duplex used for comparison, even for carbonated specimens. Finally, it has been included an economic comparison on two differents building types, to quantify the additional cost involved on the use of stainless steel reinforcement compared to that of carbon steel. The high initial cost of stainless steel reinforcements is offset in the final cost of the structure in many different ways, mainly depending on the chosen steel grade and whether the reinforcement is used in the total structure or only in risky structural elements.

Direct measurement of salt-bridge solvation energies using a peptide model system: implications for protein stability.

The solvation energies of salt bridges formed between the terminal carboxyl of the host pentapeptide AcWL- X-LL and the side chains of Arg or Lys in the guest (X) position have been measured. The energies were derived from octanol-to-buffer transfer free energies determined between pH 1 and pH 9. 13C NMR measurements show that the salt bridges form in the octanol phase, but not in the buffer phase, when the side chains and the terminal carboxyl group are charged. The free energy of salt-bridge formation in octanol is approximately -4 kcal/mol (1 cal = 4.184 J), which is equal to or slightly larger than the sum of the solvation energies of noninteracting pairs of charged side chains. This is about one-half the free energy that would result from replacing a charge pair in octanol with a pair of hydrophobic residues of moderate size. Therefore, salt bridging in octanol can change the favorable aqueous solvation energy of a pair of oppositely charged residues to neutral or slightly unfavorable but cannot provide the same free energy decrease as hydrophobic residues. This is consistent with recent computational and experimental studies of protein stability.

Comprehensive Validation Of A Measure Of Student School Engagement: A Pilot Study Of Middle School Students

Although it may sound reasonable that American education continues to be more effective at sending high school students to college, in a study conducted in 2009, The Council of the Great City Schools states that "slightly more than half of entering ninth grade students arrive performing below grade level in reading and math, while one in five entering ninth grade students is more than two years behind grade level...[and] 25% received support in the form of remedial literacy instruction or interventions" (Council of the Great City Schools, 2009). Students are distracted with technology (Lei & Zhao, 2005), family (Xu & Corno, 2003), medical illnesses (Nielson, 2009), learning disabilities and perhaps the most detrimental to academic success, the very lack of interest in school (Ruch, 1963). In a Johns Hopkins research study, Building a Graduation Nation - Colorado (Balfanz, 2008), warning signs were apparent years before the student dropped out of high school. The ninth grade was often referenced as a critical point that indicated success or failure to graduate high school. The research conducted by Johns Hopkins illustrates the problem: students who become disengaged from school have a much greater chance of dropping out of high school and not graduating. The first purpose of this study was to compare different measurement models of the Student School Engagement (SSE) using Factor Analysis to verify model fit with student engagement. The second purpose was to determine the extent to which the SSE instrument measures student school engagement by investigating convergent validity (via the SSE and Appleton, Christenson, Kim and Reschly's instrument and Fredricks, Blumenfeld, Friedel and Paris's instrument), discriminant validity (via Huebner's Student Life Satisfaction Survey) and criterion-related validity (via the sub-latent variables of Aspirations, Belonging and Productivity and student outcome measures such as achievement, attendance and discipline). Discriminant validity was established between the SSE and the Appleton, Christenson, Kim and Reschly's model and Fredricks, Blumenfeld, Friedel and Paris's (2005) Student Engagement Instruments (SEI). When confirming discriminant validity, the SSE's correlations were weak and statistically not significant, thus establishing discriminant validity with the SLSS. Criterion-related validity was established through structural equation modeling when the SSE was found to be a significant predictor of student outcome measures when both risk score and CSAP scores were used. The third purpose of this study was to assess the factorial invariance of the SSE instrument across gender to ensure the instrument is measuring the intended construct across different groups. Conclusively, configural, weak and metric invariances were established for the SSE as a non-significant change in chi-square indicating that all parameters including the error variances were invariant across groups of gender. Engagement is not a clearly defined psychological construct; it requires more research in order to fully comprehend its complexity. Hopefully, with parental and teacher involvement and a sense of community, student engagement can be nurtured to result in a meaningful attachment to school and academic success.

Fossil and Nonfossil Sources of Organic and Elemental Carbon Aerosols in the Outflow from Northeast China

Source quantification of carbonaceous aerosols in the Chinese outflow regions still remains uncertain despite their high mass concentrations. Here, we unambiguously quantified fossil and nonfossil contributions to elemental carbon (EC) and organic carbon (OC) of total suspended particles (TSP) from a regional receptor site in the outflow of Northeast China using radiocarbon measurement. OC and EC concentrations were lower in summer, representing mainly marine air, than in other seasons, when air masses mostly traveled over continental regions in Mongolia and northeast China. The annual-mean contribution from fossil-fuel combustion to EC was 76 ± 11% (0.1−1.3 μg m−3). The remaining 24 ± 11% (0.03−0.42 μg m−3) was attributed to biomass burning, with slightly higher contribution in the cold period (∼31%) compared to the warm period (∼21%) because of enhanced emissions from regional biomass combustion sources in China. OC was generally dominated by nonfossil sources, with an annual average of 66 ± 11% (0.5−2.8 μg m−3), approximately half of which was apportioned to primary biomass burning sources (34 ± 6%). In winter, OC almost equally originated from primary OC (POC) emissions and secondary OC (SOC) formation from fossil fuel and biomass-burning sources. In contrast, summertime OC was dominated by primary biogenic emissions as well as secondary production from biogenic and biomass-burning sources, but fossil-derived SOC was the smallest contributor. Distinction of POC and SOC was performed using primary POC-to-EC emission ratios separated for fossil and nonfossil emissions.

The story of my life and work : an autobiography /

Salesman's sample for edition that was never published?

The new purchase: or, Seven and a half years in the far West.

Names of persons and places are fictitious.