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New dietary-based concepts are needed for treatment and effective prevention of overweight and obesity. The primary objective was to investigate if reduction in appetite is associated with improved weight loss maintenance. This cohort study was nested within the European Commission project Satiety Innovation (SATIN). Participants achieving ≥8% weight loss during an initial 8-week low-energy formula diet were included in a 12-week randomised double-blind parallel weight loss maintenance intervention. The intervention included food products designed to reduce appetite or matching controls along with instructions to follow national dietary guidelines. Appetite was assessed by ad libitum energy intake and self-reported appetite evaluations using visual analogue scales during standardised appetite probe days. These were evaluated at the first day of the maintenance period compared with baseline (acute effects after a single exposure of intervention products) and post-maintenance compared with baseline (sustained effects after repeated exposures of intervention products) regardless of randomisation. A total of 181 participants (forty-seven men and 134 women) completed the study. Sustained reduction in 24-h energy intake was associated with improved weight loss maintenance (R 0·37; P = 0·001), whereas the association was not found acutely (P = 0·91). Suppression in self-reported appetite was associated with improved weight loss maintenance both acutely (R −0·32; P = 0·033) and sustained (R −0·33; P = 0·042). Reduction in appetite seems to be associated with improved body weight management, making appetite-reducing food products an interesting strategy for dietary-based concepts.
Getting a better understanding of the evolution and nucleosynthetic yields of the most metal-poor stars (Z ≲ 10−5) is critical because they are part of the big picture of the history of the primitive universe. Yet many of the remaining unknowns of stellar evolution lie in the birth, life, and death of these objects. We review stellar evolution of intermediate-mass Z ≤ 10−5 models existing in the literature, with a particular focus on the problem of their final fates. We emphasise the importance of the mixing episodes between the stellar envelope and the nuclearly processed core, which occur after stars exhaust their central He (second dredge-up and dredge-out episodes). The depth and efficiency of these episodes are critical to determine the mass limits for the formation of electron-capture SNe. Our knowledge of these phenomena is not complete because they are strongly affected by the choice of input physics. These uncertainties affect stars in all mass and metallicity ranges. However, difficulties in calibration pose additional challenges in the case of the most metal-poor stars. We also consider the alternative SN I1/2 channel to form SNe out of the most metal-poor intermediate-mass objects. In this case, it is critical to understand the thermally pulsing Asymptotic Giant Branch evolution until the late stages. Efficient second dredge-up and, later, third dredge-up episodes could be able to pollute stellar envelopes enough for the stars to undergo thermal pulses in a way very similar to that of higher initial Z objects. Inefficient second and/or third dredge-up may leave an almost pristine envelope, unable to sustain strong stellar winds. This may allow the H-exhausted core to grow to the Chandrasekhar mass before the envelope is completely lost, and thus let the star explode as an SN I1/2. After reviewing the information available on these two possible channels for the formation of SNe, we discuss existing nucleosynthetic yields of stars of metallicity Z ≤ 10−5 and present an example of nucleosynthetic calculations for a thermally pulsing Super-Asymptotic Giant Branch star of Z = 10−5. We compare theoretical predictions with observations of the lowest [Fe/H] objects detected. The review closes by discussing current open questions as well as possible fruitful avenues for future research.
Recent open-label trials show that psychedelics, such as ayahuasca, hold promise as fast-onset antidepressants in treatment-resistant depression.
To test the antidepressant effects of ayahuasca, we conducted a parallel-arm, double-blind randomized placebo-controlled trial in 29 patients with treatment-resistant depression. Patients received a single dose of either ayahuasca or placebo. We assessed changes in depression severity with the Montgomery-Åsberg Depression Rating Scale (MADRS) and the Hamilton Depression Rating scale at baseline, and at 1 (D1), 2 (D2), and 7 (D7) days after dosing.
We observed significant antidepressant effects of ayahuasca when compared with placebo at all-time points. MADRS scores were significantly lower in the ayahuasca group compared with placebo at D1 and D2 (p = 0.04), and at D7 (p < 0.0001). Between-group effect sizes increased from D1 to D7 (D1: Cohen's d = 0.84; D2: Cohen's d = 0.84; D7: Cohen's d = 1.49). Response rates were high for both groups at D1 and D2, and significantly higher in the ayahuasca group at D7 (64% v. 27%; p = 0.04). Remission rate showed a trend toward significance at D7 (36% v. 7%, p = 0.054).
To our knowledge, this is the first controlled trial to test a psychedelic substance in treatment-resistant depression. Overall, this study brings new evidence supporting the safety and therapeutic value of ayahuasca, dosed within an appropriate setting, to help treat depression. This study is registered at http://clinicaltrials.gov (NCT02914769).
Previous work has identified associations between psychotic experiences (PEs) and general medical conditions (GMCs), but their temporal direction remains unclear as does the extent to which they are independent of comorbid mental disorders.
In total, 28 002 adults in 16 countries from the WHO World Mental Health (WMH) Surveys were assessed for PEs, GMCs and 21 Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) mental disorders. Discrete-time survival analyses were used to estimate the associations between PEs and GMCs with various adjustments.
After adjustment for comorbid mental disorders, temporally prior PEs were significantly associated with subsequent onset of 8/12 GMCs (arthritis, back or neck pain, frequent or severe headache, other chronic pain, heart disease, high blood pressure, diabetes and peptic ulcer) with odds ratios (ORs) ranging from 1.3 [95% confidence interval (CI) 1.1–1.5] to 1.9 (95% CI 1.4–2.4). In contrast, only three GMCs (frequent or severe headache, other chronic pain and asthma) were significantly associated with subsequent onset of PEs after adjustment for comorbid GMCs and mental disorders, with ORs ranging from 1.5 (95% CI 1.2–1.9) to 1.7 (95% CI 1.2–2.4).
PEs were associated with the subsequent onset of a wide range of GMCs, independent of comorbid mental disorders. There were also associations between some medical conditions (particularly those involving chronic pain) and subsequent PEs. Although these findings will need to be confirmed in prospective studies, clinicians should be aware that psychotic symptoms may be risk markers for a wide range of adverse health outcomes. Whether PEs are causal risk factors will require further research.
One important aspect of the societal burden of mental disorders is the extent to which these problems cause disability.
To assess days out of role associated with commonly occurring mental disorders in comparison with physical disorders in Portugal.
National cross-sectional survey, with home interviews carried out with 3849 adult (aged 18+) respondents (57.3% response rate).
Twelve-month prevalence for any mental disorder was 21.8%, any physical disorder 55.1% and any disorder 63.1%, with an average of 2.3 disorders per respondent with a disorder. Close to one out of every 10 respondents (9.2%) reported at least one day totally out of role in the past month (median of 6.4 days/any). The 18 conditions accounted for 78.2% of all days out of role, with 20.2% because of mental disorders and 59.2% because of physical disorders.
Mental disorders account for a substantial proportion of all role disability in the Portuguese population. Early detection and intervention would have a positive societal effect. Owing to highly frequent comorbidity, simultaneous management of mental and physical disorder comorbidities is advised for greater effect.
The patterns of comorbidity among mental disorders have led researchers to model the underlying structure of psychopathology. While studies have suggested a structure including internalizing and externalizing disorders, less is known with regard to the cross-national stability of this model. Moreover, little data are available on the placement of eating disorders, bipolar disorder and psychotic experiences (PEs) in this structure.
We evaluated the structure of mental disorders with data from the World Health Organization Composite International Diagnostic Interview, including 15 lifetime mental disorders and six PEs. Respondents (n = 5478–15 499) were included from 10 high-, middle- and lower middle-income countries across the world aged 18 years or older. Confirmatory factor analyses (CFAs) were used to evaluate and compare the fit of different factor structures to the lifetime disorder data. Measurement invariance was evaluated with multigroup CFA (MG-CFA).
A second-order model with internalizing and externalizing factors and fear and distress subfactors best described the structure of common mental disorders. MG-CFA showed that this model was stable across countries. Of the uncommon disorders, bipolar disorder and eating disorder were best grouped with the internalizing factor, and PEs with a separate factor.
These results indicate that cross-national patterns of lifetime common mental-disorder comorbidity can be explained with a second-order underlying structure that is stable across countries and can be extended to also cover less common mental disorders.
Traumatic events are associated with increased risk of psychotic experiences, but it is unclear whether this association is explained by mental disorders prior to psychotic experience onset.
To investigate the associations between traumatic events and subsequent psychotic experience onset after adjusting for post-traumatic stress disorder and other mental disorders.
We assessed 29 traumatic event types and psychotic experiences from the World Mental Health surveys and examined the associations of traumatic events with subsequent psychotic experience onset with and without adjustments for mental disorders.
Respondents with any traumatic events had three times the odds of other respondents of subsequently developing psychotic experiences (OR=3.1, 95% CI 2.7–3.7), with variability in strength of association across traumatic event types. These associations persisted after adjustment for mental disorders.
Exposure to traumatic events predicts subsequent onset of psychotic experiences even after adjusting for comorbid mental disorders.
Although childhood adversities are known to predict increased risk of post-traumatic stress disorder (PTSD) after traumatic experiences, it is unclear whether this association varies by childhood adversity or traumatic experience types or by age.
To examine variation in associations of childhood adversities with PTSD according to childhood adversity types, traumatic experience types and life-course stage.
Epidemiological data were analysed from the World Mental Health Surveys (n = 27017).
Four childhood adversities (physical and sexual abuse, neglect, parent psychopathology) were associated with similarly increased odds of PTSD following traumatic experiences (odds ratio (OR)=1.8), whereas the other eight childhood adversities assessed did not predict PTSD. Childhood adversity–PTSD associations did not vary across traumatic experience types, but were stronger in childhood-adolescence and early-middle adulthood than later adulthood.
Childhood adversities are differentially associated with PTSD, with the strongest associations in childhood-adolescence and early-middle adulthood. Consistency of associations across traumatic experience types suggests that childhood adversities are associated with generalised vulnerability to PTSD following traumatic experiences.
CCD-shutters take some time to open and close. This results in a difference between the recorded and real exposure times. The pixel-to-pixel pattern δ(x, y) in which this difference varies depends on the characteristics of the device. These timing errors affect photometric measurements in two ways: directly, since the recorded exposure time is not the real one, and indirectly, via the flatfielding process, because the shutter effect is mixed up with the flatfield pattern. The direct effect may be negligible when exposure times are long. The indirect effect is present irrespective of the exposure times of the frames, if flatfield exposure times are short.
Johnson UBVRI CCD-photometry was performed for 18 fields (3′×4.4′) in the association Cepheus OB3 using the 1.23m telescope of CAHA at Calar Alto (Almería, Spain). A total of 1055 stars was detected and the sample is complete down to V ≈ 19mag, although only 130 stars were measured with the five filters.
Major depressive disorder (MDD) is a leading cause of disability worldwide.
To examine the: (a) 12-month prevalence of DSM-IV MDD; (b) proportion aware that they have a problem needing treatment and who want care; (c) proportion of the latter receiving treatment; and (d) proportion of such treatment meeting minimal standards.
Representative community household surveys from 21 countries as part of the World Health Organization World Mental Health Surveys.
Of 51 547 respondents, 4.6% met 12-month criteria for DSM-IV MDD and of these 56.7% reported needing treatment. Among those who recognised their need for treatment, most (71.1%) made at least one visit to a service provider. Among those who received treatment, only 41.0% received treatment that met minimal standards. This resulted in only 16.5% of all individuals with 12-month MDD receiving minimally adequate treatment.
Only a minority of participants with MDD received minimally adequate treatment: 1 in 5 people in high-income and 1 in 27 in low-/lower-middle-income countries. Scaling up care for MDD requires fundamental transformations in community education and outreach, supply of treatment and quality of services.
Observations of lunar occultations made between 1800 and 1955 are analyzed in order to determine the fluctuations of the Earth's rotation before the International Atomic Time was established. The reduction is made on the basis of the DE200/LE200 ephemeris and the FK5 system. The analysis of the fluctuations shows a main period of 11.7 lunations caused by the error in the stars places.
The Be massive X-ray binary LSI+61°303 is a 26.5 days periodic radiosource (Taylor & Gregory, 1984), exhibiting radio outbursts maxima between phases 0.6–0.8. Evidence of a photometric period of similar value has also been reported (Paredes & Figueras, 1986; Mendelson & Mazeh, 1989). The previous spectroscopic radial velocity observations of Hutchings & Crampton (1981) are in agreement with the radio period, and give support to the presence of a companion. We present new optical and infrared photometric observations and high resolution Hα spectra of LSI+61°303.
A powerful moving group-finding algorithm has been developed and applied to a large sample of B, A and F main sequence stars from the Hipparcos Input Catalogue. Four moving groups near the Sun (Pleiades, Sirius, IC2391 and Hyades) have been identified without assuming any a priori knowledge of the properties of moving groups. This is the most convincing objective evidence for their existence. After the members of the moving groups are removed from the sample, we investigate the disk heating problem. The results show that the velocity dispersion of the local disk stars increases with age, roughly as ≃ ∞ τ1/5.
From uvby and Hβ photometry, individual stellar ages for A type stars have been derived using three different evolutionary models. In this paper we evaluate the corrections for metallicity and rotation to be applied to the physical parameters of Am and their influence on the determined ages. A test based on the Hyades open cluster is also presented.
The ESA HIPPARCOS satellite has provided astrometry of unprecedented accuracy, allowing us to reassess, improve and refine the pre-Hipparcos luminosity calibrations. We review the “classical” absolute magnitude calibrations with the Strömgren-Crawford intermediate-band photometric system. A small zero point correction of about 2-4% seems necessary, as well as to refine the dependences on metallicity and projected rotational velocity. The need of a rigorous statistical treatment of the extremely precise Hipparcos data to derive definitive dependences of the luminosity on physical parameters is emphasized.
Commission 35 (C35), “Stellar Constitution”, consists of members of the International Astronomical Union whose research spans many aspects of theoretical and observational stellar physics and it is mainly focused on the comprehension of the properties of stars, stellar populations and galaxies. The number of members of C35 increased progressively over the last ten years and currently C35 comprises about 400 members. C35 was part of Division IV (Stars) until 2014 and then became part of Division G (Stars and Stellar Physics), after the main IAU reorganisation in 2015. Four Working Groups have been created over the years under Division IV, initially, and Division G later: WG on Active B Stars, WG on Massive Stars, WG on Abundances in Red Giant and WG on Chemically Peculiar and Related Stars. In the last decade the Commission had 4 presidents, Wojciech Dziembowski (2003-2006), Francesca D'Antona (2006-2009), Corinne Charbonnel (2009-2012) and Marco Limongi (2012-2015), who were assisted by an Organizing Committee (OC), usually composed of about 10 members, all of them elected by the C35 members and holding their positions for three years. The C35 webpage (http://iau-c35.stsci.edu) has been designed and continuously maintained by Claus Leitherer from the Space Telescope Institute, who deserves our special thanks. In addition to the various general information on the Commission structure and activities, it contains links to various resources, of interest for the members, such as stellar models, evolutionary tracks and isochrones, synthetic stellar populations, stellar yields and input physics (equation of state, nuclear cross sections, opacity tables), provided by various groups. The main activity of the C35 OC is that of evaluating, ranking and eventually supporting the proposals for IAU sponsored meetings. In the last decade the Commission has supported several meetings focused on topics more or less relevant to C35. Since the primary aim of this document is to present the main activity of C35 over the last ten years, in the following we present some scientific highlights that emerged from the most relevant IAU Symposia and meetings supported and organized by C35 in the last decade.