TY - JOUR A1 - Mattern, Maximilian A1 - Pudell, Jan-Etienne A1 - Laskin, Gennadii A1 - Reppert, Alexander von A1 - Bargheer, Matias T1 - Analysis of the temperature- and fluence-dependent magnetic stress in laser-excited SrRuO3 JF - Structural dynamics N2 - We use ultrafast x-ray diffraction to investigate the effect of expansive phononic and contractive magnetic stress driving the picosecond strain response of a metallic perovskite SrRuO3 thin film upon femtosecond laser excitation. We exemplify how the anisotropic bulk equilibrium thermal expansion can be used to predict the response of the thin film to ultrafast deposition of energy. It is key to consider that the laterally homogeneous laser excitation changes the strain response compared to the near-equilibrium thermal expansion because the balanced in-plane stresses suppress the Poisson stress on the picosecond timescale. We find a very large negative Grüneisen constant describing the large contractive stress imposed by a small amount of energy in the spin system. The temperature and fluence dependence of the strain response for a double-pulse excitation scheme demonstrates the saturation of the magnetic stress in the high-fluence regime. KW - Thin films KW - Thermodynamic properties KW - Bragg peak KW - Ultrafast X-ray diffraction KW - Thermal effects KW - Phonons KW - Magnetism KW - Lattice dynamics KW - Lasers KW - Perovskites Y1 - 2020 U6 - https://doi.org/10.1063/4.0000072 SN - 2329-7778 VL - 8 IS - 2 PB - AIP Publishing LLC CY - Melville, NY ER - TY - JOUR A1 - Koc, Gamze A1 - Petrow, Theresia A1 - Thieken, Annegret T1 - Analysis of the most severe flood events in Turkey (1960-2014) BT - which triggering mechanisms and aggravating pathways can be identified? JF - Water / Molecular Diversity Preservation International (MDPI) N2 - The most severe flood events in Turkey were determined for the period 1960-2014 by considering the number of fatalities, the number of affected people, and the total economic losses as indicators. The potential triggering mechanisms (i.e., atmospheric circulations and precipitation amounts) and aggravating pathways (i.e., topographic features, catchment size, land use types, and soil properties) of these 25 events were analyzed. On this basis, a new approach was developed to identify the main influencing factor per event and to provide additional information for determining the dominant flood occurrence pathways for severe floods. The events were then classified through hierarchical cluster analysis. As a result, six different clusters were found and characterized. Cluster 1 comprised flood events that were mainly influenced by drainage characteristics (e.g., catchment size and shape); Cluster 2 comprised events aggravated predominantly by urbanization; steep topography was identified to be the dominant factor for Cluster 3; extreme rainfall was determined as the main triggering factor for Cluster 4; saturated soil conditions were found to be the dominant factor for Cluster 5; and orographic effects of mountain ranges characterized Cluster 6. This study determined pathway patterns of the severe floods in Turkey with regard to their main causal or aggravating mechanisms. Accordingly, geomorphological properties are of major importance in large catchments in eastern and northeastern Anatolia. In addition, in small catchments, the share of urbanized area seems to be an important factor for the extent of flood impacts. This paper presents an outcome that could be used for future urban planning and flood risk prevention studies to understand the flood mechanisms in different regions of Turkey. KW - hierarchical clustering KW - Hess-Brezowsky Grosswetterlagen classification KW - ERA5 KW - flood hazards KW - pathway KW - Turkey Y1 - 2020 U6 - https://doi.org/10.3390/w12061562 SN - 2073-4441 VL - 12 IS - 6 PB - MDPI CY - Basel ER - TY - JOUR A1 - Arkes, Hal R. A1 - Aberegg, Scott K. A1 - Arpin, Kevin A. T1 - Analysis of physicians' probability estimates of a medical outcome based on a sequence of events JF - JAMA network open / American Medical Association N2 - IMPORTANCE The probability of a conjunction of 2 independent events is the product of the probabilities of the 2 components and therefore cannot exceed the probability of either component; violation of this basic law is called the conjunction fallacy. A common medical decision-making scenario involves estimating the probability of a final outcome resulting from a sequence of independent events; however, little is known about physicians' ability to accurately estimate the overall probability of success in these situations. OBJECTIVE To ascertain whether physicians are able to correctly estimate the overall probability of a medical outcome resulting from 2 independent events. DESIGN, SETTING, AND PARTICIPANTS This survey study consisted of 3 separate substudies, in which 215 physicians were asked via internet-based survey to estimate the probability of success of each of 2 components of a diagnostic or prognostic sequence as well as the overall probability of success of the 2-step sequence. Substudy 1 was performed from April 2 to 4, 2021, substudy 2 from November 2 toll, 2021, and substudy 3 from May 13 to 19, 2021. All physicians were board certified or board eligible in the primary specialty germane to the substudy (ie, obstetrics and gynecology for substudies land 3 and pulmonology for substudy 2), were recruited from a commercial survey service, and volunteered to participate in the study. EXPOSURES Case scenarios presented in an online survey. MAIN OUTCOMES AND MEASURES Respondents were asked to provide their demographic information in addition to 3 probability estimates. The first substudy included a scenario describing a brow presentation discovered during labor; the 2 conjuncts were the probabilities that the brow presentation would resolve and that the delivery would be vaginal. The second substudy involved a diagnostic evaluation of an incidentally discovered pulmonary nodule; the 2 conjuncts were the probabilities that the patient had a malignant condition and that a technically successful transthoracic needle biopsy would reveal a malignant condition. The third substudy included a modification of the first substudy in an attempt to debias the conjunction fallacy prevalent in the first substudy. Respondents' own probability estimates of the individual events were used to calculate the mathematically correct conjunctive probability. RESULTS Among 215 respondents, the mean (SD) age was 54.0 (9.5) years; 142 respondents (66.0%) were male. Data on race and ethnicity were not collected. A total of 168 physicians (78.1%) estimated the probability of the 2-step sequence to be greater than the probability of at least 1 of the 2 component events. Compared with the product of their 2 estimated components, respondents overestimated the combined probability by 12.8% (95% CI, 9.6%-16.1%; P < .001) in substudy 1, 19.8% (95% Cl, 16.6%-23.0%; P < .001) in substudy 2, and 18.0% (95% CI, 13.4%-22.5%; P < .001) in substudy 3, results that were mathematically incoherent (ie, formally illogical and mathematically incorrect). CONCLUSIONS AND RELEVANCE In this survey study of 215 physicians, respondents consistently overestimated the combined probability of 2 events compared with the probability calculated from their own estimates of the individual events. This biased estimation, consistent with the conjunction fallacy, may have substantial implications for diagnostic and prognostic decision-making. Y1 - 2022 U6 - https://doi.org/10.1001/jamanetworkopen.2022.18804 SN - 2574-3805 VL - 5 IS - 6 PB - American Veterinary Medical Association CY - Chicago ER - TY - JOUR A1 - Schenke, Maren A1 - Schjeide, Brit-Maren A1 - Püschel, Gerhard Paul A1 - Seeger, Bettina T1 - Analysis of motor neurons differentiated from human induced pluripotent stem cells for the use in cell-based Botulinum neurotoxin activity assays JF - Toxins N2 - Botulinum neurotoxins (BoNTs) are potent neurotoxins produced by bacteria, which inhibit neurotransmitter release, specifically in their physiological target known as motor neurons (MNs). For the potency assessment of BoNTs produced for treatment in traditional and aesthetic medicine, the mouse lethality assay is still used by the majority of manufacturers, which is ethically questionable in terms of the 3Rs principle. In this study, MNs were differentiated from human induced pluripotent stem cells based on three published protocols. The resulting cell populations were analyzed for their MN yield and their suitability for the potency assessment of BoNTs. MNs produce specific gangliosides and synaptic proteins, which are bound by BoNTs in order to be taken up by receptor-mediated endocytosis, which is followed by cleavage of specific soluble N-ethylmaleimide-sensitive-factor attachment receptor (SNARE) proteins required for neurotransmitter release. The presence of receptors and substrates for all BoNT serotypes was demonstrated in MNs generated in vitro. In particular, the MN differentiation protocol based on Du et al. yielded high numbers of MNs in a short amount of time with high expression of BoNT receptors and targets. The resulting cells are more sensitive to BoNT/A1 than the commonly used neuroblastoma cell line SiMa. MNs are, therefore, an ideal tool for being combined with already established detection methods. KW - Botulinum neurotoxin KW - motor neurons KW - cell-based in vitro assay KW - potency KW - assessment KW - induced pluripotent stem cells Y1 - 2020 U6 - https://doi.org/10.3390/toxins12050276 SN - 2072-6651 VL - 12 IS - 5 PB - MDPI CY - Basel ER - TY - GEN A1 - Degen, Andreas T1 - Analyse visueller Wahrnehmungsqualitäten von Lyrik T2 - Textpraxis : digitales Journal für Philologie / Sonderausgabe N2 - Das Projekt beschäftigt sich mit der visuellen Wirkungsdimension von Lyrik und der Möglichkeit ihrer analytischen Beschreibung. Dafür werden die Anordnung von Versen und Wörtern, Auszeichnungen und andere typographische Strukturen von nicht experimentellen Gedichten seit Ende des 18. Jahrhunderts im Rahmen von Modellanalysen untersucht. Y1 - 2023 UR - https://www.textpraxis.net/andreas-degen-visuelle-wahrnehmungsqualitaeten U6 - https://doi.org/10.17879/19958489288 SN - 2191-8236 VL - 7 IS - 2 PB - Westfälische Wilhelms-Universität CY - Münster ER - TY - JOUR A1 - Vorogushyn, Sergiy A1 - Apel, Heiko A1 - Kemter, Matthias A1 - Thieken, Annegret T1 - Analyse der Hochwassergefährdung im Ahrtal unter Berücksichtigung historischer Hochwasser T1 - Analysis of flood hazard in the Ahr Valley considering historical floods JF - Hydrologie und Wasserbewirtschaftung N2 - The flood disaster in July 2021 in western Germany calls for a critical discussion on flood hazard assessment, revision of flood hazard maps and communication of extreme flood scenarios. In the presented work, extreme value analysis was carried out for annual maximum peak flow series at the Altenahr gauge on the river Ahr. We compared flood statistics with and without considering historical flood events. An estimate for the return period of the recent flood based on the Generalized Extreme Value (GEV) distribution considering historical floods ranges between about 2600 and above 58700 years (90% confidence interval) with a median of approximately 8600 years, whereas an estimate based on the 74-year long systematically recorded flow series would theoretically exceed 100 million years. Consideration of historical floods dramatically changes the flood quantiles that are used for the generation of official flood hazard maps. The fitting of the GEV to the time series with historical floods reveals, however, that the model potentially inadequately reflects the flood population. In this case, we might face a mixed sample, in which extreme floods result from very different processes compared to smaller floods. Hence, the probabilities of extreme floods could be much larger than those resulting from a single GEV model. The application of a process-based mixed flood distribution should be explored in future work.
The comparison of the official HQextrem flood maps for the AhrValley with the inundation areas from July 2021 shows a striking discrepancy in the affected areas and calls for revision of design values used to define extreme flood scenarios. The hydrodynamic simulations of a 1000-year return period flood considering historical events and of the 1804 flood scenario compare much better to the flooded areas from July 2021, though both scenarios still underestimated the flood extent.
Particular effects such as clogging of bridges and geomorphological changes of the river channel led to considerably larger flooded areas in July 2021 compared to the simulation results. Based on this analysis, we call for a consistent definition of HQextrem for flood hazard mapping in Germany, and suggest using high flood quantiles in the range of a 1,000-year flood. Flood maps should additionally include model-based reconstructions of the largest, reliably documented historical floods and/or synthetic worst-case scenarios. This would be an important step towards protecting potentially affected population and disaster management from surprises due to very rare and extreme flood events in future. N2 - Die Hochwasserkatastrophe im Juli 2021 in Westdeutschland erfordert eine kritische Diskussion über die Abschätzung der Hochwassergefährdung, Aktualisierung von Hochwassergefahrenkarten und Kommunikation von extremen Hochwasserszenarien. In der vorliegenden Arbeit wurde die Extremwertstatistik für die jährlichen maximalen Spitzenabflüsse am Pegel Altenahr im Ahrtal mit und ohne Berücksichtigung historischer Hochwasser berechnet und verglichen. Die Schätzung der Wiederkehrperiode für das aktuelle Hochwasser mittels Generalisierter Extremwertverteilung (GEV) unter Berücksichtigung historischer Hochwasser schwankt zwischen etwa 2.600 und über 58.700 Jahren (90%-Konfidenzintervall) mit einem Median bei etwa 8.600 Jahren, wogegen die Schätzung, die nur auf der systematisch gemessenen Abflusszeitreihe von 74 Jahren basiert, theoretisch eine Wiederkehrperiode von über 100 Millionen Jahren ergeben würde. Die Berücksichtigung der historischen Hochwasser führt zu einer dramatischen Änderung der Hochwasserquan- tile, die für eine Gefahrenkartierung zugrunde gelegt werden. Die Anpassung der GEV an die Zeitreihe mit historischen Hochwassern zeigt dennoch, dass das GEV-Modell möglicherweise die Grundgesamtheit der Hochwasser im Ahrtal nicht adäquat abbilden kann. Es könnte sich im vorliegenden Fall um eine gemischte Stichprobe handeln, in der die extremen Hochwasser im Vergleich zu kleineren Ereignissen durch besondere Prozesse hervorgerufen werden. Somit könnten die Wahrscheinlichkeiten von extremen Hochwassern deutlich größer sein, als aus dem GEV-Modell hervorgeht. Hier sollte in Zukunft die Anwendung einer prozessbasierten Mischverteilung untersucht werden. Der Vergleich von amtlichen Gefahrenkarten zu Extremhochwassern (HQextrem) im Ahrtal mit den Überflutungsflächen vom Juli 2021 zeigt eine deutliche Diskrepanz in den betroffenen Gebieten und die Notwendigkeit, die Grundlagen zur Erstellung der Extremszenarien zu überdenken. Die hydrodynamisch-numerischen Simulationen von 1.000-jährlichen Hochwassern (HQ1000) unter Berücksichtigung historischer Ereignisse und des größten historischen Hochwassers 1804 können die Gefährdung des Juli-Hochwassers 2021 deutlich besser widerspiegeln, wenngleich auch diese beiden Szenarien die Überflutungsflächen unterschätzen. Besondere Effekte wie die Verklausung von Brücken und die geomorphologischen Änderungen im Flussschlauch führten zu noch größeren Überflutungs- flächen im Juli 2021, als die Simulationsergebnisse zeigten. Basierend auf dieser Analyse wird eine einheitliche Festlegung von HQextrem bei Hochwassergefahrenkartierungen in Deutschland vorgeschlagen, die sich an höheren Hochwasserquantilen im Bereich von HQ1000 orientiert. Zusätzlich sollen simulationsbasierte Rekonstruktionen von den größten verlässlich dokumentierten historischen Hochwassern und/oder synthetische Worst-Case-Szenarien in den Hochwassergefahrenkarten gesondert dargestellt werden. Damit wird ein wichtiger Beitrag geleistet, um die potenziell betroffene Bevölkerung und das Katastrophenmanagement vor Überraschungen durch sehr seltene und extreme Hochwasser in Zukunft besser zu schützen. KW - Extreme value statistics KW - historical floods KW - flood hazard mapping; KW - inundation simulation KW - Ahr River KW - Extremwertstatistik KW - historische Hochwasser KW - Gefahrenkarten KW - Überflutungssimulation KW - Ahr Y1 - 2022 U6 - https://doi.org/10.5675/HyWa_2022.5_2 SN - 1439-1783 VL - 66 IS - 5 SP - 244 EP - 254 PB - Bundesanst. für Gewässerkunde CY - Koblenz ER - TY - JOUR A1 - Thomas, Jessica E. A1 - Carvalho, Gary R. A1 - Haile, James A1 - Martin, Michael D. A1 - Castruita, Jose A. Samaniego A1 - Niemann, Jonas A1 - Sinding, Mikkel-Holger S. A1 - Sandoval-Velasco, Marcela A1 - Rawlence, Nicolas J. A1 - Fuller, Errol A1 - Fjeldsa, Jon A1 - Hofreiter, Michael A1 - Stewart, John R. A1 - Gilbert, M. Thomas P. A1 - Knapp, Michael T1 - An ‛Aukward’ tale BT - a genetic approach to discover the whereabouts of the Last Great Auks JF - Genes N2 - One hundred and seventy-three years ago, the last two Great Auks, Pinguinus impennis, ever reliably seen were killed. Their internal organs can be found in the collections of the Natural History Museum of Denmark, but the location of their skins has remained a mystery. In 1999, Great Auk expert Errol Fuller proposed a list of five potential candidate skins in museums around the world. Here we take a palaeogenomic approach to test which—if any—of Fuller’s candidate skins likely belong to either of the two birds. Using mitochondrial genomes from the five candidate birds (housed in museums in Bremen, Brussels, Kiel, Los Angeles, and Oldenburg) and the organs of the last two known individuals, we partially solve the mystery that has been on Great Auk scholars’ minds for generations and make new suggestions as to the whereabouts of the still-missing skin from these two birds. KW - ancient DNA KW - extinct birds KW - mitochondrial genome KW - museum specimens KW - palaeogenomics Y1 - 2017 U6 - https://doi.org/10.3390/genes8060164 SN - 2073-4425 VL - 8 IS - 6 SP - 164 PB - MDPI CY - Basel ER - TY - JOUR A1 - Vences, Miguel A1 - Köhler, Jörn A1 - Crottini, Angelica A1 - Hofreiter, Michael A1 - Hutter, Carl R. A1 - du Preez, Louis A1 - Preick, Michaela A1 - Rakotoarison, Andolalao A1 - Rancilhac, Loïs A1 - Raselimanana, Achille P. A1 - Rosa, Gonçalo M. A1 - Scherz, Mark D. A1 - Glaw, Frank T1 - An integrative taxonomic revision and redefinition of Gephyromantis (Laurentomantis) malagasius based on archival DNA analysis reveals four new mantellid frog species from Madagascar JF - Vertebrate zoology N2 - The subgenus Laurentomantis in the genus Gephyromantis contains some of the least known amphibian species of Madagascar. The six currently valid nominal species are rainforest frogs known from few individuals, hampering a full understanding of the species diversity of the clade. We assembled data on specimens collected during field surveys over the past 30 years and integrated analysis of mitochondrial and nuclear-encoded genes of 88 individuals, a comprehensive bioacoustic analysis, and morphological comparisons to delimit a minimum of nine species-level lineages in the subgenus. To clarify the identity of the species Gephyromantis malagasius, we applied a target-enrichment approach to a sample of the 110 year old holotype of Microphryne malagasia Methuen and Hewitt, 1913 to assign this specimen to a lineage based on a mitochondrial DNA barcode. The holotype clustered unambiguously with specimens previously named G. ventrimaculatus. Consequently we propose to consider Trachymantis malagasia ventrimaculatus Angel, 1935 as a junior synonym of Gephyromantis malagasius. Due to this redefinition of G. malagasius, no scientific name is available for any of the four deep lineages of frogs previously subsumed under this name, all characterized by red color ventrally on the hindlimbs. These are here formally named as Gephyromantis fiharimpe sp. nov., G. matsilo sp. nov., G. oelkrugi sp. nov., and G. portonae sp. nov. The new species are distinguishable from each other by genetic divergences of >4% uncorrected pairwise distance in a fragment of the 16S rRNA marker and a combination of morphological and bioacoustic characters. Gephyromantis fiharimpe and G. matsilo occur, respectively, at mid-elevations and lower elevations along a wide stretch of Madagascar's eastern rainforest band, while G. oelkrugi and G. portonae appear to be more range-restricted in parts of Madagascar's North East and Northern Central East regions. Open taxonomic questions surround G. horridus, to which we here assign specimens from Montagne d'Ambre and the type locality Nosy Be; and G. ranjomavo, which contains genetically divergent populations from Marojejy, Tsaratanana, and Ampotsidy. KW - Amphibia KW - Anura KW - archival DNA KW - Mantellidae KW - new species KW - phylogeography Y1 - 2022 U6 - https://doi.org/10.3897/vz.72.e78830 SN - 1864-5755 SN - 2625-8498 VL - 72 SP - 271 EP - 309 PB - Senckenberg Gesellschaft für Naturforschung CY - Frankfurt am Main ER - TY - JOUR A1 - Hoan, Tran Viet A1 - Richter, Karl-Gerd A1 - Borsig, Nicolas A1 - Bauer, Jonas A1 - Ha, Nguyen Thi A1 - Norra, Stefan T1 - An improved groundwater model framework for aquifer structures of the quaternary-formed sediment body in the southernmost parts of the Mekong Delta, Vietnam JF - Hydrology : open access journal N2 - The Ca Mau peninsula (CMP) is a key economic region in southern Vietnam. In recent decades, the high demand for water has increased the exploitation of groundwater, thus lowering the groundwater level and leading to risks of degradation, depletion, and land subsidence, as well as salinity intrusion in the groundwater of the whole Mekong Delta region. By using a finite element groundwater model with boundary expansion to the sea, we updated the latest data on hydrogeological profiles, groundwater levels, and exploitation. The basic model setup covers seven aquifers and seven aquitards. It is determined that the inflow along the coastline to the mainland is 39% of the total inflow. The exploitation of the study area in 2019 was 567,364 m(3)/day. The most exploited aquifers are the upper-middle Pleistocene (qp(2-3)) and the middle Pliocene (n(2)(2)), accounting for 63.7% and 24.6%, respectively; the least exploited aquifers are the upper Pleistocene and the upper Miocene, accounting for 0.35% and 0.02%, respectively. In the deeper aquifers, qp(2-3) and n(2)(2), the change in storage is negative due to the high exploitation rate, leading to a decline in the reserves of these aquifers. These groundwater model results are the calculations of groundwater reserves from the coast to the mainland in the entire system of aquifers in the CMP. This makes groundwater decision managers, stakeholders, and others more efficient in sustainable water resources planning in the CMP and Mekong Delta (MKD). KW - groundwater modeling KW - hydrogeology KW - aquifers system KW - water balance; KW - validation of model KW - Ca Mau peninsula KW - Kien Giang KW - Soc Trang KW - Hau Giang KW - Bac Lieu Y1 - 2022 U6 - https://doi.org/10.3390/hydrology9040061 SN - 2306-5338 VL - 9 IS - 4 PB - MDPI CY - Basel ER - TY - JOUR A1 - Nakoudi, Konstantina A1 - Stachlewska, Iwona S. A1 - Ritter, Christoph T1 - An extended lidar-based cirrus cloud retrieval scheme BT - first application over an Arctic site JF - Optics express : the international electronic journal of optics / Optica N2 - Accurate and precise characterization of cirrus cloud geometrical and optical properties is essential for better constraining their radiative footprint. A lidar-based retrieval scheme is proposed here, with its performance assessed on fine spatio-temporal observations over the Arctic site of Ny-Alesund, Svalbard. Two contributions related to cirrus geometrical (dynamic Wavelet Covariance Transform (WCT)) and optical properties (constrained Klett) are reported. The dynamic WCT rendered cirrus detection more robust, especially for thin cirrus layers that frequently remained undetected by the classical WCT method. Regarding optical characterization, we developed an iterative scheme for determining the cirrus lidar ratio (LRci) that is a crucial parameter for aerosol - cloud discrimination. Building upon the Klett-Fernald method, the LRci was constrained by an additional reference value. In established methods, such as the double-ended Klett, an aerosol-free reference value is applied. In the proposed constrained Klett, however, the reference value was approximated from cloud-free or low cloud optical depth (COD up to 0.2) profiles and proved to agree with independent Raman estimates. For optically thin cirrus, the constrained Klett inherent uncertainties reached 50% (60-74%) in terms of COD (LRci). However, for opaque cirrus COD (LRci) uncertainties were lower than 10% (15%). The detection method discrepancies (dynamic versus static WCT) had a higher impact on the optical properties of low COD layers (up to 90%) compared to optically thicker ones (less than 10%). The constrained Klett presented high agreement with two established retrievals. For an exemplary cirrus cloud, the constrained Klett estimated the COD355 (LRci355) at 0.28 +/- 0.17 (29 +/- 4 sr), the double-ended Klett at 0.27 +/- 0.15 (32 +/- 4 sr) and the Raman retrievals at 0.22 +/- 0.12 (26 +/- 11 sr). Our approach to determine the necessary reference value can also be applied in established methods and increase their accuracy. In contrast, the classical aerosol-free assumption led to 44 sr LRci overestimation in optically thin layers and 2-8 sr in thicker ones. The multiple scattering effect was corrected using Eloranta (1998) and accounted for 50-60% extinction underestimation near the cloud base and 20-30% within the cirrus layers. Y1 - 2021 U6 - https://doi.org/10.1364/OE.414770 SN - 1094-4087 VL - 29 IS - 6 SP - 8553 EP - 8580 PB - Optical Society of America CY - Washington ER -