Robust Institutional Support and Collaboration Between Summer Training Programs in Cancer and Biomedicine Drive the Pivot to a Virtual Format in Response to the COVID Pandemic

Summer internships serve important roles in training the next generation of biomedical researchers and healthcare providers through laboratory and clinical experiences that excite trainees about these fields and help them make informed decisions about career paths. The SARS-CoV-2 (COVID) pandemic and associated physical distancing restrictions precluded implementation of traditional in-person summer curricula and led to the cancellation of many internships across the USA. COVID-related disruptions also created opportunities for trainees to engage in remote research, become proficient in online learning platforms, and explore multidisciplinary topics. These skills are highly relevant to trainees as virtual interfaces occupy an increasingly mainstream role in their professional paths. The response to the COVID pandemic required real-time adaptations at all levels for major biomedical institutions including the University of Maryland Baltimore (UMB). Pivoting summer programs to a virtual format as part of this response provided a "teachable moment" to expose trainees to the innovation and resilience that are essential components of the biomedical profession. UMB summer programs, which span diverse biomedical disciplines from cancer research to diabetes, consolidated resources and identified mentors with online research projects to develop a robust virtual curriculum. Herein, data from a cancer-focused internship illustrate the collaborative adaptations to established components and creation of new learning modules in the transition to, and implementation of, online training. Outcomes are presented in the context of the COVID pandemic and significant societal issues that arose in the summer of 2020. The utility of virtual components and their impact on future programs is discussed.

How did we make the Interdisciplinary Generalist Curriculum Project work? School-level efforts to facilitate success

This article examines how the schools funded by the Interdisciplinary Generalist Curriculum (IGC) Project handled the process of planning and implementing their proposals; incorporated the IGC requirements as templates for changes in educational programs and organizational infrastructures; and identified key educational and management issues that emerged over time. How collaboration flourished at each IGC school was the central functional ingredient for successful implementation. Shared power and support from the dean were essential for success. The need for excellent channels of communication among all constituencies in the process of curricular change cannot be overemphasized. The most common approach was the addition of the new interdisciplinary clinical curriculum to the existing, usually discipline-based, curriculum, with attempts to establish integrative horizontal connections among concurrent courses in years one and two. The integration, sequencing, and correlating of basic science and clinical material occupied much of the IGC course directors' time in the early stages. Several approaches were used to help ensure a beneficial initial clinical experience for medical students, while accepting that a uniform experience for all students was not attainable or necessary. Encouraging active learning on the part of students was a goal of IGC schools' planning in and of itself. The splash of establishing interdisciplinary communication structures and greater melding of disciplinary cultures that occurred at and among the IGC schools appeared to lead to ripple effects that were recognized within the first year of planning and early implementation.

The Interdisciplinary Generalist Curriculum Project at Eastern Virginia Medical School

The proposed Interdisciplinary Generalist Curriculum (IGC) Project at Eastern Virginia Medical School (hereafter Eastern Virginia) intended to encourage students to select generalist disciplines by featuring generalist role models, focusing on patients' perspectives, teaching generalist skills early, providing care to indigent and other populations, and emphasizing students' personal and professional development. To do so, Eastern Virginia proposed that collaborative interdisciplinary groups of faculty plan and oversee the implementation of first- and second-year students' early clinical experiences in generalists' offices as integrated with new and revised first- and second-year courses, the coordination of generalist curricula longitudinally from year one through year four, and the provision of appropriate faculty development. With minor exceptions described, the project was implemented as proposed. The project did have desirable effects, both intended and unexpected. The curricular changes made in the project will remain.

Relationship between clinical signs and lung function in horses with recurrent airway obstruction (heaves) during a bronchodilator trial

During a trial to determine the dose response to the beta2-adrenergic agonist pirbuterol, we judged the severity of airway obstruction by use of a clinical scoring system and compared this to objective data obtained by quantitative measures of lung function. Six horses affected by recurrent airway obstruction were used in this trial. Four hundred and sixty-eight measurements of lung function and clinical scores were obtained from 13 measurement periods when horses received each of 6 doses of pirbuterol. Scores of 1-4 were assigned to degree of nasal flaring and abdominal effort and summed for a total score. The veterinarian scoring the signs did not know the dose of pirbuterol received by the horse and was unaware of the lung function data. Nasal, abdominal and total scores were significantly related to changes in lung function and changes in breathing pattern. There were significant differences between total scores greater than 5 in indices that reflected changes in breathing strategy (peak inspiratory and expiratory flow), peripheral airway obstruction (dynamic elastance), and effort of breathing (maximal change in pleural pressure). Below a total score of 5, there were fewer significant differences in lung function even though measurements of pulmonary resistance and dynamic elastance indicated considerable airway obstruction. Failure of clinical score to reflect this low-grade airway obstruction suggests that airway disease is underdiagnosed and its detection would be helped by the availability of a convenient lung function test.

Resolved object imaging and localization with the use of a backpropagation algorithm

Optical diffusion tomography is an emerging technology that generates images of objects imbedded in turbid media using scattered light. To date, however, most demonstrations of this technology use a sphere or a collection of spheres as the imbedded object. Here we use a backpropagation algorithm and a planar geometry to reconstruct images of resolved objects (airplane models) imbedded in tissue phantoms. In addition, we show that we can locate the resolved objects in three dimensions in the turbid medium using only a single planar view. The imaging system uses diffuse photon density waves produced using kilohertz modulation (that is, essentially dc illumination).

Determinants of the maximal change in pleural pressure during tidal breathing in COPD-affected horses

In six COPD-affected horses, we analysed the factors responsible for the changes in pleural pressure (delta Pplmax) that occur during tidal breathing. Four-hundred-and-sixty-eight measurements of each parameter: pulmonary resistance (RL), dynamic elastance (Edyn), air flow rates, and the timing of breathing, were gathered during a trial of the bronchodilator pirbuterol. Data were placed into seven ranks, based on the magnitude of delta Pplmax; rank 1: 5-15; rank 2: 15-25; rank 3: 25-35; rank 4: 35-45; rank 5: 45-55; rank 6: 55-65; and rank 7 > 65 cm H2O. Up to rank 4 (45 cm H2O), the increase in delta Pplmax was due to increases in RL, Edyn, and inspiratory and expiratory air flow rates. Further increases in delta Pplmax were due to continuing increases in Edyn and flow rates with little change in resistance. The increase in inspiratory flow rates was the result of a decrease in inspiratory time. The large increase in peak expiratory flow could not be explained by the small decrease in expiratory time and must therefore be due to a change in breathing strategy as delta Pplmax increased. Changes in air flow rates as well as changes in RL and Edyn must be considered as reasons for a change in delta Pplmax when evaluating horses with COPD.

Reduction of nonstationary noise in telescope imagery using a support constraint

We demonstrate the use of image support constraints in a noise-reduction algorithm. Previous work has revealed serious limits to the use of support if image noise is wide-sense stationary in the frequency domain; we use simulation and numerical calculations to show these limits are removed for nonstationary noise generated by inverse-filtering adaptive optics image spectra. To quantify the noise reduction, we plot fractional noise removed by the proposed algorithm over a range of support sizes. We repeat this calculation for other noise sources with varying degrees of stationarity.

Active Imaging through Cirrus Clouds

The presence of clouds of ice particles in the uplink and downlink path of an illumination beam can severely impede the performance of an active imaging system. Depending on the optical depth of the cloud, i.e., its density and depth, the beam can be completely scattered and extinguished, or the beam can pass through the cloud with some fraction attenuated, scattered, and depolarized. In particular, subvisual cirrus clouds, i.e., high, thin cirrus clouds that cannot be observed from the ground, can affect the properties and alignment of both uplink and downlink beams. This paper discusses the potential for active imaging in the presence of cirrus clouds. We document field data results from an active imaging experiment conducted several years ago, which the authors believe to show the effects of cirrus clouds on an active imaging system. To verify these conclusions, we include the results of a simulation of the interaction of a coherent illumination scheme with a cirrus cloud.

Introduction

Imaging through the atmosphere is an important technology area, with applications in fields such as astronomy and remote sensing. For optimal results, many facets of signal collection and recovery must be understood. These facets include understanding relevant atmospheric effects, optimizing the signal collection system, and effectively processing the collected signals to obtain the desired imagery. Many different types of radiation can be used to obtain images through the atmosphere, including microwave, infrared, and optical. This radiation can be supplied by the object or natural sources (passive illumination), or it can be provided by the user (active illumination). This focus issue contains a number of invited papers describing imaging work being accomplished in the Advanced Optics and Imaging Division of the Air Force Research Laboratory, formerly the Optical Sensing Division of the Air Force Phillips Laboratory. These papers assume that optical or infrared radiation is being used, either actively or passively.

A diffraction tomographic model of the forward problem using diffuse photon density waves

We present a model of the forward problem for diffuse photon density waves in turbid medium using a diffraction tomographic problem formulation. We consider a spatially-varying inhomogeneous structure whose absorption properties satisfy the Born approximation and whose scattering properties are identical to the homogeneous turbid media in which it is imbedded. The two-dimensional Fourier transform of the scattered field, measured in a plane, is shown to be related to the three-dimensional Fourier transform of the object evaluated on a surface which in many cases is approximately a plane.

Use of a hand-held, metered-dose aerosol delivery device to administer pirbuterol acetate to horses with 'heaves'

Aerosol administration of bronchodilators to horses is recommended for treatment of certain airway diseases such as 'heaves'. We have developed a novel, hand-held, metered-dose inhaler and we sought to determine the bronchodilator efficacy of the beta 2 adrenoceptor agonist pirbuterol delivered by this device to horses affected with 'heaves'. To induce airway obstruction, 6 heaves-susceptible horses were stabled, bedded on straw and fed hay. When the maximum change in pleural pressure during tidal breathing (delta Pplmax) was greater than 20 cmH2O on 2 consecutive days, pulmonary function was measured before and 5, 10 and 30 min, as well as 1, 2, 3, 4, 5, 6 and 7 h after administration of aerosol pirbuterol. Pirbuterol was administered using a metered canister and the hand-held delivery device that was inserted into the left nostril. Either vehicle or pirbuterol acetate (400, 600, 800, 1200 or 1600 micrograms) was administered to each horse. Relief of airway obstruction indicated by changes in pulmonary function was observed within 5 min after administration of both vehicle and pirbuterol. Significant decreases in delta Pplmax and pulmonary resistance (RL) and an increase in dynamic compliance (Cdyn) persisted for the 7 h duration of the experiment. Comparison of the effect of vehicle and pirbuterol at each time period showed that pirbuterol decreased RL and delta Pplmax significantly for up to 1 h. The optimal dose was determined to be 600 micrograms. Immediate response to treatment, magnitude of drug effect and lack of side effects indicated that aerosol pirbuterol is an effective and safe bronchodilator in horses with 'heaves'. The hand-held, metered-dose aerosol delivery device was very convenient and extremely effective and is, therefore, recommended for delivery of therapeutic aerosols to horses.

Single serum progesterone measurement in the mid-luteal phase as an index of ovulation

Plasma progesterone levels were measured in three groups of cycles during which ultrasonic monitoring of follicular growth was performed to determine the day of follicular rupture and, thus, the mid-luteal phase when sample timing was optimal. This was in an attempt to fix accurately the lower limit of plasma progesterone in the mid-luteal phase that is associated with ovulation. Plasma progesterone levels were determined in fifteen normal cycles (group I), seventeen Clomid-treated cycles (group II) and seven conceptional cycles (group III), during which ultrasonic monitoring of follicular growth was performed. The day of sampling was also compared with the peak values of pregnanediol-3 alpha-glucuronide relative to the day of follicular rupture in corresponding cycles. This was to ascertain if sample timing was optimal. Progesterone levels in the treated cycles were generally higher than in spontaneous cycles. Results show that the mean value is statistically lower in groups I and II (t = -2.65 with 30 degrees of freedom), whereas there is no statistical difference between groups II and III or I and III. A level of 29.0 nmol/l (the lower value within 95% confidence interval in the conceptional group) is an appropriate lower index of ovulation.

Spatial distributions of potassium, solutes, and their deposition rates in the growth zone of the primary corn root

Densities of osmoticum and potassium were measured as a function of distance from the tip of the primary root of Zea mays L. (cv WF9 x mo17). Millimeter segments were excised and analyzed for osmotic potential by a miniaturized freezing point depression technique, and for potassium by flame spectrophotometry. Local deposition rates were estimated from the continuity equation with values for density and growth velocity. Osmotic potential was uniform, -0.73 +/- 0.05 megapascals, throughout the growth zone of well-watered roots. Osmoticum deposition rate was 260 muosmoles per gram fresh weight per hour. Potassium density fell from 117 micromoles per gram in the first mm region to 48 micromoles per gram at the base of the growth zone. Potassium deposition rates had a maximum of 29 micromoles per gram per hour at 3.5 millimeters from the tip and were positive (i.e. potassium was being added to the tissue) until 8 millimeters from the tip. The results are discussed in terms of ion relations of the growing zone and growth physics.

Absorption and metabolism of oral progesterone when administered twice daily

The absorption, metabolism, and clearance of progesterone (P) from the peripheral circulation were investigated in five postmenopausal women after oral administration of 100 mg at 9:00 A.M. and 200 mg at 9:00 P.M. for 5 consecutive days. Mean peak plasma concentrations of P were observed 2 hours after ingestion of both the 100 and 200 mg doses and were 22.7 and 47.7 nmol/l, respectively. Of the three metabolites studied, the plasma concentrations of pregnanediol-3 alpha-glucuronide were most raised by treatment; those of 17-hydroxyprogesterone were least raised. Increases in the plasma levels of 20 alpha-dihydroprogesterone were more sustained than those of P, and the plasma concentrations remained elevated at approximately 20 nmol/l for at least 12 hours after P administration. We conclude that administration of oral P 100 mg in the morning and 200 mg at night increases the circulating concentrations of P and the biologically active metabolite 20 alpha-dihydroprogesterone, and that the duration of these increases is sufficient to evoke progestational responses in responsive end-organs.

Acute effects of GnRF-induced gonadotrophin secretion upon ovarian steroid secretion in the ferret

The effects of an increase in endogenous gonadotrophin secretion on the production of oestradiol, progesterone, androstenedione and testosterone by the ovaries of anaesthetized anoestrous and oestrous ferrets were followed. Gonadotrophin secretion was enhanced by the injection of gonadotrophin releasing factor (GnRF), and serial blood samples were collected over 9 h for hormone assay. Thyrotrophic hormone releasing factor (TRF) or acetic acid were injected for control purposes. The plasma content of oestradiol in oestrous females was significantly higher than during anoestrus, but secretion of this steroid was not increased by any means. The plasma concentration of progesterone in anoestrous females was significantly higher than during oestrus. It was increased by GnRF in anoestrous ferrets and less markedly in oestrous females. The plasma concentration of androstenedione was raised by GnRF to a greater extent during anoestrus than during oestrus. Testosterone was present in higher concentration in the plasma during anoestrus than during oestrus, and the level was increased by GnRF administration. These findings indicate that the ovaries of the anoestrous ferret secrete significant quantities of steroid hormones, and that they respond readily to gonadotrophic hormone.

Fate and distribution of 3H-labeled T-2 mycotoxin in guinea pigs

T-2 toxin is a potent cytotoxic metabolite produced by the Fusarium species. The fate and distribution of 3H-labeled T-2 toxin were examined in male guinea pigs. Radioactivity was detected in all body tissues within 30 min after an im injection of an LD50 dose (1.04 mg/kg) of T-2 toxin. The plasma concentration of trichothecene molar equivalents versus time was multiphasic, with an initial absorption half-life equal to or less than 30 min. Bile contained a large amount of radioactivity which was identified as HT-2, 4-deacetylneosolaniol, 3'-hydroxy HT-2, 3'-hydroxy T-2 triol, and several more-polar unknowns. These T-2 metabolites are excreted from liver via bile into the intestine. Within 5 days, 75% of the total radioactivity was excreted in urine and feces at a ratio of 4 to 1. The appearance of radioactivity in the excreta was biphasic. Metabolic derivatives of T-2 excreted in urine were T-2 tetraol, 4-deacetylneosolaniol, 3'-hydroxy HT-2, and several unknowns. These studies showed a rapid appearance in and subsequent loss of radioactivity from tissues and body fluids. Only 0.01% of the total administered radioactivity was still detectable in tissues at 28 days. The distribution patterns and excretion rates suggest that liver and kidney are the principal organs of detoxication and excretion of T-2 toxin and its metabolites.

Effect of exposure to long days on the secretion of oestradiol, oestrone, progesterone, testosterone, androstenedione, cortisol and follicle-stimulating hormone in intact and spayed ferrets

The changes in concentration of plasma oestradiol, oestrone, progesterone, androstenedione, testosterone, cortisol and FSH were followed in intact female ferrets brought into oestrus by extension of the photoperiod from 8 to 16 h daily. An additional group of spayed females was similarly exposed to the extended photoperiod. There was no change in the blood oestrone, androstenedione and testosterone levels in the spayed females; the concentration of oestradiol, progesterone and FSH fell, while that of cortisol rose after 6 weeks. The intact females showed no change in plasma oestrone and cortisol concentrations, a rise in plasma oestradiol associated with the onset of oestrus, and falls in the blood levels of testosterone, androstenedione, progesterone and FSH. These results indicate that the changes in plasma gonadal steroid levels after extension of the photoperiod differ markedly from those in rodents or ruminants.