University of Hawaii at Manoa

About: University of Hawaii at Manoa is a education organization based out in Honolulu, Hawaii, United States. It is known for research contribution in the topics: Population & Poison control. The organization has 13693 authors who have published 25161 publications receiving 1023924 citations.

Solar flares and avalanches in driven dissipative systems

Abstract: The contention of Lu and Hamilton (1991) that the energy release process in solar flares can be understood as avalanches of many small reconnection events is further developed. The dynamics of the complex magnetized plasma of solar active regions is modeled with a simple driven dissipative system, consisting of a vector field with local instabilities that cause rapid diffusion of the field. It is argued that the avalanches in this model are analogous to solar flares. The distributions of avalanches in this model are compared with the solar flare frequency distributions obtained from ISEE 3/ICE satellite observations. Quantitative agreement is found with the energy, peak luminosity, and duration distributions over four orders of magnitude in flare energy, from the largest flares down to the completeness limit of the observations. It is predicted that the power-law solar flare frequency distributions will be found to continue downward with the same logarithmic slopes to an energy of about 3 x 10 exp 25 ergs and duration of about 0.3 s, with deviations from power-law behavior below these values.

2016 WSES guidelines on acute calculous cholecystitis

Abstract: Acute calculus cholecystitis is a very common disease with several area of uncertainty. The World Society of Emergency Surgery developed extensive guidelines in order to cover grey areas. The diagnostic criteria, the antimicrobial therapy, the evaluation of associated common bile duct stones, the identification of “high risk” patients, the surgical timing, the type of surgery, and the alternatives to surgery are discussed. Moreover the algorithm is proposed: as soon as diagnosis is made and after the evaluation of choledocholitiasis risk, laparoscopic cholecystectomy should be offered to all patients exception of those with high risk of morbidity or mortality. These Guidelines must be considered as an adjunctive tool for decision but they are not substitute of the clinical judgement for the individual patient.

Darwin's naturalization hypothesis revisited.

Abstract: In The Origin of Species, Darwin (1859) drew attention to observations by Alphonse de Candolle (1855) that floras gain by naturalization far more species belonging to new genera than species belonging to native genera. Darwin (1859, p. 86) goes on to give a specific example: “In the last edition of Dr. Asa Gray’s ‘Manual of the Flora of the United States’ ... out of the 162 naturalised genera, no less than 100 genera are not there indigenous.” Darwin used these data to support his theory of intense competition between congeners, described only a few pages earlier: “As the species of the same genus usually have, though by no means invariably, much similarity in habits and constitution, and always in structure, the struggle will generally be more severe between them” (1859, p. 60). Darwin’s intriguing observations have recently attracted renewed interest, as comprehensive lists of naturalized plants have become available for various regions of the world. Two studies (Mack 1996; Rejmanek 1996, 1998) have concluded that naturalized floras provide some support for Darwin’s hypothesis, but only one of these studies used statistical tests. Analyses of additional floras are needed to test the generality of Darwin’s naturalization hypothesis. Mack (1996) tabulated data from six regional floras within the United States and noted that naturalized species more often belong to alien genera than native genera, with the curious exception of one region (New York). In addition to the possibility of strong competition between native and introduced congeners, Mack (1996) proposed that specialist native herbivores, or pathogens, may be

The burden and determinants of neck pain in whiplash-associated disorders after traffic collisions: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders.

Abstract: Study design Best evidence synthesis. Objective To undertake a best evidence synthesis on the burden and determinants of whiplash-associated disorders (WAD) after traffic collisions. Summary of background data Previous best evidence synthesis on WAD has noted a lack of evidence regarding incidence of and risk factors for WAD. Therefore there was a warrant of a reanalyze of this body of research. Methods A systematic search of Medline was conducted. The reviewers looked for studies on neck pain and its associated disorders published 1980-2006. Each relevant study was independently and critically reviewed by rotating pairs of reviewers. Data from studies judged to have acceptable internal validity (scientifically admissible) were abstracted into evidence tables, and provide the body of the best evidence synthesis. Results The authors found 32 scientifically admissible studies related to the burden and determinants of WAD. In the Western world, visits to emergency rooms due to WAD have increased over the past 30 years. The annual cumulative incidence of WAD differed substantially between countries. They found that occupant seat position and collision impact direction were associated with WAD in one study. Eliminating insurance payments for pain and suffering were associated with a lower incidence of WAD injury claims in one study. Younger ages and being a female were both associated with filing claims or seeking care for WAD, although the evidence is not consistent. Preliminary evidence suggested that headrests/car seats, aimed to limiting head extension during rear-end collisions had a preventive effect on reporting WAD, especially in females. Conclusion WAD after traffic collisions affects many people. Despite many years of research, the evidence regarding risk factors for WAD is sparse but seems to include personal, societal, and environmental factors. More research including, well-defined studies with accurate denominators for calculating risk, and better consideration of confounding factors, are needed.

TIGIT Marks Exhausted T Cells, Correlates with Disease Progression, and Serves as a Target for Immune Restoration in HIV and SIV Infection.

Abstract: HIV infection induces phenotypic and functional changes to CD8+ T cells defined by the coordinated upregulation of a series of negative checkpoint receptors that eventually result in T cell exhaustion and failure to control viral replication. We report that effector CD8+ T cells during HIV infection in blood and SIV infection in lymphoid tissue exhibit higher levels of the negative checkpoint receptor TIGIT. Increased frequencies of TIGIT+ and TIGIT+ PD-1+ CD8+ T cells correlated with parameters of HIV and SIV disease progression. TIGIT remained elevated despite viral suppression in those with either pharmacological antiretroviral control or immunologically in elite controllers. HIV and SIV-specific CD8+ T cells were dysfunctional and expressed high levels of TIGIT and PD-1. Ex-vivo single or combinational antibody blockade of TIGIT and/or PD-L1 restored viral-specific CD8+ T cell effector responses. The frequency of TIGIT+ CD4+ T cells correlated with the CD4+ T cell total HIV DNA. These findings identify TIGIT as a novel marker of dysfunctional HIV-specific T cells and suggest TIGIT along with other checkpoint receptors may be novel curative HIV targets to reverse T cell exhaustion.