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Obesity is highly prevalent and disabling, especially in individuals with severe mental illness including bipolar disorders (BD). The brain is a target organ for both obesity and BD. Yet, we do not understand how cortical brain alterations in BD and obesity interact.
Methods:
We obtained body mass index (BMI) and MRI-derived regional cortical thickness, surface area from 1231 BD and 1601 control individuals from 13 countries within the ENIGMA-BD Working Group. We jointly modeled the statistical effects of BD and BMI on brain structure using mixed effects and tested for interaction and mediation. We also investigated the impact of medications on the BMI-related associations.
Results:
BMI and BD additively impacted the structure of many of the same brain regions. Both BMI and BD were negatively associated with cortical thickness, but not surface area. In most regions the number of jointly used psychiatric medication classes remained associated with lower cortical thickness when controlling for BMI. In a single region, fusiform gyrus, about a third of the negative association between number of jointly used psychiatric medications and cortical thickness was mediated by association between the number of medications and higher BMI.
Conclusions:
We confirmed consistent associations between higher BMI and lower cortical thickness, but not surface area, across the cerebral mantle, in regions which were also associated with BD. Higher BMI in people with BD indicated more pronounced brain alterations. BMI is important for understanding the neuroanatomical changes in BD and the effects of psychiatric medications on the brain.
Mammary lipid secretion is generally held to be unique and remarkably uniform between the many different orders of mammals. It produces a unit membrane-bounded milk fat globule (MFG). The unit membrane is separated from the lipoprotein boundary of what was the cytoplasmic lipid droplet (CLD) boundary by a uniform layer of cytoplasmic proteins. In 3–8% of the MFG in all species examined this cytoplasmic layer widens to include cytoplasmic organelles which are referred to as ‘crescents’. This defines the MFG secretion as apocrine indicating a closely regulated process which minimises the loss of mammary epithelial cell (MEC) cytoplasm. The apocrine nature of the secretion might be expected since the evolution of the mammary gland is considered to be from an apocrine secreting skin gland. This short Research Reflection review is designed to investigate the exact cytoplasmic interactions which allow such efficient lipid secretion. There are two main scenarios: one which assumes that the observed close association between CLD and GV results in the CLD being released as a consequence of sequential exocytosis of the content of the associated GV. The second assumes that the CLD and the MEC apical plasmalemma interact in some way which causes the CLD to rise out of the cytoplasm enveloped in the plasmalemma. Here I present the evidence for the two possibilities. The first scenario is favoured, but the second cannot be ruled out.
This study investigates the amount and valence of information selected during single item evaluation. One hundred and thirty-five participants evaluated a cell phone by reading hypothetical customers reports. Some participants were first asked to provide a preliminary rating based on a picture of the phone and some technical specifications. The participants who were given the customer reports only after they made a preliminary rating exhibited valence bias in their selection of customers reports. In contrast, the participants that did not make an initial rating sought subsequent information in a more balanced, albeit still selective, manner. The preliminary raters used the least amount of information in their final decision, resulting in faster decision times. The study appears to support the notion that selective exposure is utilized in order to develop cognitive coherence.
This discussion paper by a group of scholars across the fields of health, economics and labour relations argues that COVID-19 is an unprecedented humanitarian crisis from which there can be no return to the ‘old normal’. The pandemic’s disastrous worldwide health impacts have been exacerbated by, and have compounded, the unsustainability of economic globalisation based on the neoliberal dismantling of state capabilities in favour of markets. Flow-on economic impacts have simultaneously created major supply and demand disruptions, and highlighted the growing within-country inequalities and precarity generated by neoliberal regimes of labour market regulation. Taking an Australian and international perspective, we examine these economic and labour market impacts, paying particular attention to differential impacts on First Nations people, developing countries, women, immigrants and young people. Evaluating policy responses in a political climate of national and international leadership very different from those in which major twentieth century crises were addressed, we argue the need for a national and international conversation to develop a new pathway out of crisis.
Supply chain security presents numerous challenges to governments interested in defending against terrorist threats. While most approaches stress technological solutions, scholars and policy-makers tend to overlook economics, labour market issues, and industrial relations. Applying agency theory from behavioural economics, this article analyses threats to the US supply chain and opportunities for efficient solutions. Using data from a sophisticated web-based survey of owner-operator cost-of-operations, it shows that drayage drivers are among the lowest paid truck drivers and workers in the US. We provide evidence that low pay is associated with both safety and security risk. Low-wage labour and subcontracting present challenges to US and foreign supply-chain security because the market attracts workers who have few other employment options. In this environment, principals and agents currently make inefficient and inequitable contracts because markets do not reflect the complete costs associated with low-probability/high-impact events like cargo theft and transport security.
We examine financial challenges of purchasing items that are readily-available yet symbolic of loving relationships. Using weddings and funerals as case studies, we find that people indirectly pay to avoid taboo monetary trade-offs. When purchasing items symbolic of love, respondents chose higher price, higher quality items over equally appealing lower price, lower quality items (Study 1), searched less for lower priced items (Study 2) and were less willing to negotiate prices (Study 3). The effect was present for experienced consumers (Study 1), affectively positive and negative events (Study 2), and more routine purchase events (Study 3). Trade-off avoidance, however, was limited to monetary trade-offs associated with loved ones. When either money or love was omitted from the decision context, people were more likely to engage in trade-off reasoning. By abandoning cost-benefit reasoning in order to avoid painful monetary trade-offs, people spend more money than if they engaged in trade-off based behaviors, such as seeking lower cost options or requesting lower prices.
Exclusion of special populations (older adults; pregnant women, children, and adolescents; individuals of lower socioeconomic status and/or who live in rural communities; people from racial and ethnic minority groups; individuals from sexual or gender minority groups; and individuals with disabilities) in research is a pervasive problem, despite efforts and policy changes by the National Institutes of Health and other organizations. These populations are adversely impacted by social determinants of health (SDOH) that reduce access and ability to participate in biomedical research. In March 2020, the Northwestern University Clinical and Translational Sciences Institute hosted the “Lifespan and Life Course Research: integrating strategies” “Un-Meeting” to discuss barriers and solutions to underrepresentation of special populations in biomedical research. The COVID-19 pandemic highlighted how exclusion of representative populations in research can increase health inequities. We applied findings of this meeting to perform a literature review of barriers and solutions to recruitment and retention of representative populations in research and to discuss how findings are important to research conducted during the ongoing COVID-19 pandemic. We highlight the role of SDOH, review barriers and solutions to underrepresentation, and discuss the importance of a structural competency framework to improve research participation and retention among special populations.
We summarize what we assess as the past year's most important findings within climate change research: limits to adaptation, vulnerability hotspots, new threats coming from the climate–health nexus, climate (im)mobility and security, sustainable practices for land use and finance, losses and damages, inclusive societal climate decisions and ways to overcome structural barriers to accelerate mitigation and limit global warming to below 2°C.
Technical summary
We synthesize 10 topics within climate research where there have been significant advances or emerging scientific consensus since January 2021. The selection of these insights was based on input from an international open call with broad disciplinary scope. Findings concern: (1) new aspects of soft and hard limits to adaptation; (2) the emergence of regional vulnerability hotspots from climate impacts and human vulnerability; (3) new threats on the climate–health horizon – some involving plants and animals; (4) climate (im)mobility and the need for anticipatory action; (5) security and climate; (6) sustainable land management as a prerequisite to land-based solutions; (7) sustainable finance practices in the private sector and the need for political guidance; (8) the urgent planetary imperative for addressing losses and damages; (9) inclusive societal choices for climate-resilient development and (10) how to overcome barriers to accelerate mitigation and limit global warming to below 2°C.
Social media summary
Science has evidence on barriers to mitigation and how to overcome them to avoid limits to adaptation across multiple fields.
This article outlines an effort to gauge cross-national and intertemporal differences in law-based orders for 165 nations from 1850 to 2010. Despite the increasing importance attributed to “the rule of law,” there have been few efforts to develop objective measures of it. The conceptual foundations for this effort rest on a review of centuries of scholarship concerning the societal utility of law. Data are drawn from a variety of sources to create two composite measures. The derivation of these measures is reported and the measures are examined to determine whether they present reinforcing profiles of a country's legal order.
We present an analysis of the 20 year snowfall dataset in Taylor Valley and the results of a new snow cover monitoring study. Snowfall has been measured at four sites in Taylor Valley from 1995 to 2017. We focus on valley-floor snowfall when wind does not exceed 5 m s-1, and we exclude winter from our analysis due to poor data quality. Snowfall averaged 11 mm water equivalent (w.e.) from 1995 to 2017 across all stations and ranged from 1 to 58 mm w.e. Standard deviations ranged from 3 to 17 mm w.e., highlighting the strong interannual variability of snowfall in Taylor Valley. During spring and autumn there is a spatial gradient in snowfall such that the coast received twice as much snowfall as more central and inland stations. We identified a changepoint in 2007 from increasing snowfall (3 mm w.e. yr-1) to decreasing snowfall (1 mm w.e. yr-1), which coincides with a shift from decreasing temperature to no detectable temperature trend. Daily camera imagery from 2007 to 2017 augments the snowfall measurements. The camera imagery revealed a near tripling of the average number of days with snow cover from 37 days between 2006 and 2012 to 106 days with snow cover between 2012 and 2017.
Regional and local studies suggest that the Tufted Puffin Fratercula cirrhata in North America is declining in portions of its range. However, whether the overall population is declining, or its range is contracting with little change to the overall population size, is unknown. To examine population trends throughout its North American range, we assembled 11 datasets that spanned 115 years (1905–2019) and included at-sea density and encounter estimates and at-colony burrow and bird counts. We assessed trends for the California Current, Gulf of Alaska, and Bering Sea/Aleutian Islands large marine ecosystems (LME). We found: (1) nearly uniform and long-term declines of Puffins breeding in the California Current ecosystem, with most ecosystem colonies surveyed, (2) declining trends at two large colonies and in one at-sea dataset in the Gulf of Alaska LME, with the fourth smaller colony exhibiting no significant trend, and (3) positive trends at four out of five colonies in the Bering Sea/Aleutian Islands ecosystem complex, with no detectable trend at the fifth very large colony. The general pattern of Tufted Puffin declines across the California Current and Gulf of Alaska LMEs may be attributable to a variety of factors, but additional study is needed to evaluate the relative influence of potential population drivers both independently and synergistically. Potential mechanisms driving population increases in the Bering Sea/Aleutian Islands ecosystem include reduced depredation and bycatch, intrinsic population growth, and immigration. We found strong evidence for declines in two of the three LMEs evaluated representing approximately three quarters of the species’ North American range. This region of decline includes the Gulf of Alaska LME, which contains a significant portion of the species’ estimated total North American population. Despite data limitations, our analysis coupled with more focused and local studies indicates that the Tufted Puffin is a species of conservation concern.
We discuss (i) the measurement, (ii) interpretation and (iii) technical impact of temperature-dependent wall slip and its activation energy for polar and non-polar hydrocarbon Newtonian fluids moving relative to machined metal surfaces. A newly developed apparatus, the slip length tribometer (SLT), overcomes the drawbacks of existing measurement devices in terms of characterising relevant rough surfaces by measuring the slip length at different temperatures over a sufficiently large wetted area. The experimental data show that the bulk viscosity and slip length at the fluid–metal interface is independent of the shear rate up to $10^5\,\mathrm {s}^{-1}$, being consistent with recent results from molecular dynamics simulations by Mehrnia & Pelz (J. Mol. Liq., vol. 336, 2021, 116589). Furthermore, the activation energies for wall slip and bulk shear determined by means of the SLT differ by a factor of two, i.e. $E_{\lambda }\approx 0.5 E_\mu$ for non-polar hydrocarbon molecules sliding relative to metal walls. This difference is explained by a generalised Eyring model applied to wall slip. The paper closes with the impact of wall slip on Sommerfeld's similarity theory of tribology and the resulting Stribeck curve (Sommerfeld, Z. Math. Phys., vol. 50, 1904, pp. 97–155; Z. Tech. Phys., vol. 2. Jahrg., 1921; Mechanik der deformierbaren Medien, 1944, Akademische Verlagsgesellschaft Becker & Erler). For this purpose, Reynolds’ equation generalised for wall slip is solved in combination with the experimentally determined constitutive relations for bulk shear and wall slip to predict typical characteristics of journal bearings. The results show that, for a typical journal bearing, where the ratio of slip length to average bearing clearance is of the order of $10^{-2}$, the influence of wall slip on both load-carrying capacity and dissipation is not negligible. This work combines nanofluidics and tribology in order to provide methods and knowledge for e.g. tailor-made fluids and interfaces.
The mammalian respiratory system or lung is a tree-like branching structure, and the main site of gas exchange with the external environment. Structurally, the lung is broadly classified into the proximal (or conducting) airways and the distal alveolar region, where the gas exchange occurs. In parallel with the respiratory tree, the pulmonary vasculature starts with large pulmonary arteries that subdivide rapidly ending in capillaries adjacent to alveolar structures to enable gas exchange. The NOTCH signalling pathway plays an important role in lung development, differentiation and regeneration post-injury. Signalling via the NOTCH pathway is mediated through activation of four NOTCH receptors (NOTCH1-4), with each receptor capable of regulating unique biological processes. Dysregulation of the NOTCH pathway has been associated with development and pathophysiology of multiple adult acute and chronic lung diseases. This includes accumulating evidence that alteration of NOTCH3 signalling plays an important role in the development and pathogenesis of chronic obstructive pulmonary disease, lung cancer, asthma, idiopathic pulmonary fibrosis and pulmonary arterial hypertension. Herein, we provide a comprehensive summary of the role of NOTCH3 signalling in regulating repair/regeneration of the adult lung, its association with development of lung disease and potential therapeutic strategies to target its signalling activity.
This chapter introduces the rationale for the book and provides some context for the chapters. Chapters are not just narrative accounts of the development of psychological assessment in a particular country or region. Authors were asked to situate the chapters somewhere between narrative and historiography. Hence the chapters assume a more critical stance in reporting the history of psychological assessment that recognizes that history is never fact and always represents the subjective position of the author. Authors have drawn from existing sources and research but have simultaneously explored the social positionings of such research. We hope that this allows for a richer and perhaps even more interesting account of the international history of psychological assessment. The book begins with the chapters from Africa, followed by those from the Arab-Levant, Europe, Asia, and Oceania, and concluding with chapters from the Americas.
Working memory’s limited capacity places significant constraints on people's ability to hold information while processing. However, skilled readers are able to effectively encode important information into long-term memory during comprehension. This chapter describes the long-term working memory theory (LT-WM), originally developed to explain how experts in various domains (including reading) enhance their working memory capacity by relying on rapid, skilled use of long-term memory. We first trace the development of the theory and the reasons it took the form it did in the mid-1990s. We explain that LT-WM was not viewed as a new form of memory, but rather as highly practiced use of long-term memory to rapidly and reliably link information together using meaningful associations, retrieval structures, and preexisting knowledge. Next, we describe how the theory accounted for many central phenomena in discourse comprehension. More recent work has proposed a form of LT-WM for syntactic processing as well, and we discuss current critiques of the original evidence advanced to support LT-WM. Finally, we describe recent studies on neural activity associated with LT-WM development in reasoning skills and language comprehension.
This article is a clinical guide which discusses the “state-of-the-art” usage of the classic monoamine oxidase inhibitor (MAOI) antidepressants (phenelzine, tranylcypromine, and isocarboxazid) in modern psychiatric practice. The guide is for all clinicians, including those who may not be experienced MAOI prescribers. It discusses indications, drug-drug interactions, side-effect management, and the safety of various augmentation strategies. There is a clear and broad consensus (more than 70 international expert endorsers), based on 6 decades of experience, for the recommendations herein exposited. They are based on empirical evidence and expert opinion—this guide is presented as a new specialist-consensus standard. The guide provides practical clinical advice, and is the basis for the rational use of these drugs, particularly because it improves and updates knowledge, and corrects the various misconceptions that have hitherto been prominent in the literature, partly due to insufficient knowledge of pharmacology. The guide suggests that MAOIs should always be considered in cases of treatment-resistant depression (including those melancholic in nature), and prior to electroconvulsive therapy—while taking into account of patient preference. In selected cases, they may be considered earlier in the treatment algorithm than has previously been customary, and should not be regarded as drugs of last resort; they may prove decisively effective when many other treatments have failed. The guide clarifies key points on the concomitant use of incorrectly proscribed drugs such as methylphenidate and some tricyclic antidepressants. It also illustrates the straightforward “bridging” methods that may be used to transition simply and safely from other antidepressants to MAOIs.