Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, 3901 Rainbow Blvd, Mail Stop 2002, Kansas City, KS 66160-7601, USA
Dr. Wen Liu
Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, 3901 Rainbow Blvd, Mail Stop 2002, Kansas City, KS 66160-7601, USA
In recent years, building resilient communities to disasters has become one of the core objectives in the field of disaster management globally. Despite being frequently targeted and severely impacted by disasters, the geographical extent in studying disaster resilience of the coastal communities of the United States (US) has been limited. In this study, we developed a composite community disaster resilience index (CCDRI) for the coastal communities of the conterminous US that considers different dimensions of disaster resilience. The resilience variables used to construct the CCDRI were justified by examining their influence on disaster losses using ordinary least squares (OLS) and geographically weighted regression (GWR) models. Results suggest that the CCDRI score ranges from −12.73 (least resilient) to 8.69 (most resilient), and northeastern communities are comparatively more resilient than southeastern communities in the study area. Additionally, resilience components used in this study have statistically significant impact on minimizing disaster losses. The GWR model performs much better in explaining the variances while regressing the disaster property damage against the resilience components (explains 72% variance) than the OLS (explains 32% variance) suggesting that spatial variations of resilience components should be accounted for an effective disaster management program. Moreover, findings from this study could provide local emergency managers and decision-makers with unique insights for enhancing overall community resilience to disasters and minimizing disaster impacts in the study area.
This paper presents the bed topography of Jakobshavn Isbræ, Greenland, and Byrd Glacier, Antarctica, derived from sounding these glaciers with high-sensitivity radars. To understand the processes causing the speed-up and retreat of outlet glaciers, and to enable the development of next-generation ice-sheet models, we need information on bed topography and basal conditions. To this end, we performed measurements with the progressively improved Multichannel Coherent Radar Depth Sounder/Imager (MCoRDS/I). We processed the data from each antenna-array element using synthetic aperture radar algorithms to improve radar sensitivity and reduce along-track surface clutter. We then applied array and image-processing algorithms to extract the weak bed echoes buried in off-vertical scatter (cross-track surface clutter). At Jakobshavn Isbræ, we observed 2.7 km thick ice ~30 km upstream of the calving front and ~850 m thick ice at the calving front. We also observed echoes from multiple interfaces near the bed. We applied the MUSIC algorithm to the data to derive the direction of arrival of the signals. This analysis revealed that clutter is dominated by the ice surface at Jakobshavn Isbræ. At Byrd Glacier, we found ~3.62 km thick ice, as well as a subglacial trench ~3.05 km below sea level. We used ice thickness information derived from radar data in conjunction with surface elevation data to generate bed maps for these two critical glaciers. The performance of current radars must be improved further by ~15 dB to fully sound the deepest part of Byrd Glacier. Unmanned aerial systems equipped with radars that can be flown over lines spaced as close as 5 m apart in the cross-track direction to synthesize a two-dimensional aperture would be ideal for collecting fine-resolution data over glaciers like Jakobshavn near their grounding lines.
Background: Emerging evidence suggests that gut microbiota influences the clinical response to immunotherapy. This review of clinical studies examines the relationship between gut microbiota and immunotherapy outcomes. Method: A literature search was conducted in electronic databases Medline, PubMed and ScienceDirect, with searches for “cancer” and “immunotherapy/immune checkpoint inhibitor” and “microbiome/microbiota” and/or “fecal microbiome transplant FMT”. The relevant literature was selected for this article. Results: Ten studies examined patients diagnosed with advanced metastatic melanoma (n = 6), hepatocellular carcinoma (HCC) (n = 2), non-small cell lung carcinoma (NSCLC) (n = 1) and one study examined combination both NSCLC and renal cell carcinoma (RCC) (n = 1). These studies consistently reported that the gut microbiome profile prior to administering immune checkpoint inhibitors (ICIs) was related to clinical response as measured by progression-free survival (PFS) and overall survival (OS). Two studies reported that a low abundance of Bacteroidetes was associated with colitis. Two studies showed that patients with anti-PD-1 refractory metastatic melanoma experienced improved response rates and no added toxicity when receiving fecal microbiota transplant (FMT) from patients with anti-PD-1 responsive disease. Conclusions: Overall, significant differences in the diversity and composition of the gut microbiome were identified in ICIs responders and non-responders. Our findings provide new insights into the value of assessing the gut microbiome in immunotherapy. Further robust randomized controlled trials (RCTs) examining the modulatory effects of the gut microbiome and FMT on ICIs in patients not responding to immunotherapy are warranted.
2 April 2020 in Complementary Therapies in Clinical Practice