To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Approximately, 1.7 million individuals in the United States have been infected with SARS-CoV-2, the virus responsible for the novel coronavirus disease-2019 (COVID-19). This has disproportionately impacted adults, but many children have been infected and hospitalised as well. To date, there is not much information published addressing the cardiac workup and monitoring of children with COVID-19. Here, we share the approach to the cardiac workup and monitoring utilised at a large congenital heart centre in New York City, the epicentre of the COVID-19 pandemic in the United States.
The formation of glassy (amorphous) metallic alloys by rapid quenching from the liquid state was discovered in 1960 (1), and subsequent work revealed that certain metallic glasses are ferromagnetic (2). Recently, transition metal based alloys, which possess Curie temperatures as high as 700°K and saturation magnetizations up to 15,000 Gauss, have been shown to be both mechanically very hard and magnetically quite soft (3). We have applied the SEM technique of Fathers et al. (4) as well as electron transmission Lorentz microscopy to a study of roller quenched (5) metallic glass ribbons of composition: TM0.75P.16X.06A1.03, where TM denotes Fe, Co, Ni, or an alloy of these and X denotes either B, C or Si (6).
We have recently examined the microscopic electrical inhomogeneities present in dislocation free, floating zone, Si crystals grown under various conditions by conductivity mode scanning electron microscopy. Schottky barriers produced by evaporation of thin Au-Pd (on N type) or Ti (on P type) electrodes were employed in order to eliminate possible changes in defect structure or electrical activity during production of a diffused junction.
Doped and undoped crystals, as well as crystals subjected to special treatments, such as melt quenching were examined in this study. Prior to SEM analysis, each crystal was characterized by preferential etching, Cu or Li decoration, and x-ray topography. All of the defects detected by these methods, save C impurity striations detected via their dilatation of the Si lattice in x-ray topographs, were observed in the SEM experiments. For example, “swirl” defects of both type “A” (large) and type “B” (small) were readily revealed via the enhanced recombination rate of electron beam injected carriers in their vicinity (see Figs. 1 and 2).
Memory loss is the most common early symptom of Alzheimer's disease (AD). For this study, we chose the hippocampi as regions of interest. The hippocampus, which is closely associated with memory processing, is known to be vulnerable to damage in the early stage of AD. We considered both inter-group (patients vs controls) and intra-group (right vs left hippocampus) comparisons. We examined seven patients meeting the DSM-III-R criteria of senile dementia and the National Institute of Neurological and Communicative Disorders and Stroke-Alzheimer's Disease and Related Disorders Association (NINCDS — ADRDA) criteria of probable AD, and II aged controls. This study focused on the measurement of phosphorus 31 (31P) Nuclear Magnetic Resonance (NMR) spectroscopy metabolites in each hippocampus. We found significant differences in phosphorus metabolites for both intra-group comparison (pH shifted towards relative alkalosis in the left hippocampus of patients) and inter-group consideration (reduced phosphodiesters [Pde]and elevated gamma adenosine triphosphate (ATP) in the right hippocampus, higher inorganic phosphate (pHi) in the left hippocampus for patients as compared to controls). We suggest energy failure and membrane functional breakdown in patients compared to aged controls.
Peripersonal space has been defined as the area immediately surrounding the body in which interactions with a person or an object can occur. Larger peripersonal space may reflect discomfort in close interpersonal situation or cognitive deficit. Individuals with schizophrenia are more sensitive to social stimulation. The capacity to provide accurate judgments of peripersonal space boundaries depend on the capacity to create an organized and structured mental representation that integrates signals from different sensory modalities and brain regions.
We conducted a study on personal space in patients with schizophrenia using a paradigm that was not affected by emotional and social interference.
We aimed to investigate the characteristics of personal space in patients with schizophrenia.
We recruited 20 schizophrenic patients according to DSM-V criterion and 20 healthy volunteers, matched by gender and age. Schizophrenic symptoms were assessed using the Positive and Negative Syndrome Scale (PANSS). Participants performed the peripersonal space (PPS) task. Collected data underwent statistical analyses.
Schizophrenic patients demonstrate a stronger/weaker need for personal space, than the comparison group, depending on the score of negative and positive symptom, as assessed by using the PANSS even without emotional and social interference.
Interpersonal interactions between the individual with schizophrenia and people in their immediate environment can lead to increased symptomatology. Social isolation is one of the most primary causes of poor quality of life in mental illnesses. Better understanding of the mechanisms for abnormal interactive behavior could provide significant valid guidelines for innovating intervention programs.
Disclosure of interest
The authors have not supplied their declaration of competing interest.
Heart failure (HF) is a complex clinical syndrome that represents a major cause of morbidity and mortality in Western countries. Several nutraceuticals have shown interesting clinical results in HF prevention as well as in the treatment of the early stages of the disease, alone or in combination with pharmacological therapy. The aim of the present expert opinion position paper is to summarise the available clinical evidence on the role of phytochemicals in HF prevention and/or treatment that might be considered in those patients not treated optimally as well as in those with low therapy adherence. The level of evidence and the strength of recommendation of particular HF treatment options were weighed up and graded according to predefined scales. A systematic search strategy was developed to identify trials in PubMed (January 1970 to June 2019). The terms ‘nutraceuticals’, ‘dietary supplements’, ‘herbal drug’ and ‘heart failure’ or ‘left verntricular dysfunction’ were used in the literature search. The experts discussed and agreed on the recommendation levels. Available clinical trials reported that the intake of some nutraceuticals (hawthorn, coenzyme Q10, l-carnitine, d-ribose, carnosine, vitamin D, probiotics, n-3 PUFA and beet nitrates) might be associated with improvements in self-perceived quality of life and/or functional parameters such as left ventricular ejection fraction, stroke volume and cardiac output in HF patients, with minimal or no side effects. Those benefits tended to be greater in earlier HF stages. Available clinical evidence supports the usefulness of supplementation with some nutraceuticals to improve HF management in addition to evidence-based pharmacological therapy.
Both blood- and milk-based biomarkers have been analysed for decades in research settings, although often only in one herd, and without focus on the variation in the biomarkers that are specifically related to herd or diet. Biomarkers can be used to detect physiological imbalance and disease risk and may have a role in precision livestock farming (PLF). For use in PLF, it is important to quantify normal variation in specific biomarkers and the source of this variation. The objective of this study was to estimate the between- and within-herd variation in a number of blood metabolites (β-hydroxybutyrate (BHB), non-esterified fatty acids, glucose and serum IGF-1), milk metabolites (free glucose, glucose-6-phosphate, urea, isocitrate, BHB and uric acid), milk enzymes (lactate dehydrogenase and N-acetyl-β-D-glucosaminidase (NAGase)) and composite indicators for metabolic imbalances (Physiological Imbalance-index and energy balance), to help facilitate their adoption within PLF. Blood and milk were sampled from 234 Holstein dairy cows from 6 experimental herds, each in a different European country, and offered a total of 10 different diets. Blood was sampled on 2 occasions at approximately 14 days-in-milk (DIM) and 35 DIM. Milk samples were collected twice weekly (in total 2750 samples) from DIM 1 to 50. Multilevel random regression models were used to estimate the variance components and to calculate the intraclass correlations (ICCs). The ICCs for the milk metabolites, when adjusted for parity and DIM at sampling, demonstrated that between 12% (glucose-6-phosphate) and 46% (urea) of the variation in the metabolites’ levels could be associated with the herd-diet combination. Intraclass Correlations related to the herd-diet combination were generally higher for blood metabolites, from 17% (cholesterol) to approximately 46% (BHB and urea). The high ICCs for urea suggest that this biomarker can be used for monitoring on herd level. The low variance within cow for NAGase indicates that few samples would be needed to describe the status and potentially a general reference value could be used. The low ICC for most of the biomarkers and larger within cow variation emphasises that multiple samples would be needed - most likely on the individual cows - for making the biomarkers useful for monitoring. The majority of biomarkers were influenced by parity and DIM which indicate that these should be accounted for if the biomarker should be used for monitoring.
Concentrate inclusion levels in dairy cow diets are often adjusted so that the milk yield responses remain economic. While changes in concentrate level on performance is well known, their impact on other biological parameters, including immune function, is less well understood. The objective of this study was to evaluate the effect of concentrate inclusion level in a grass silage-based mixed ration on immune function. Following calving 63 (45 multiparous and 18 primiparous) Holstein Friesian dairy cows were allocated to one of three isonitrogenous diets for the first 70 days of lactation. Diets comprised of a mixture of concentrates and grass silage, with concentrates comprising either a low (30%, LC), medium (50%, MC) or high (70%, HC) proportion of the diet on a dry matter (DM) basis. Daily DM intakes, milk yields and BW were recorded, along with weekly body condition score, milk composition and vaginal mucus scores. Blood biochemistry was measured using a chemistry analyzer, neutrophil phagocytic and oxidative burst assessed using commercial kits and flow cytometry, and interferon-γ production evaluated by ELISA after whole blood stimulation. Over the study period cows on HC had a higher total DM intake, milk yield, fat yield, protein yield, fat+protein yield, protein content, mean BW and mean daily energy balance, and a lower BW loss than cows on MC, whose respective values were higher than cows on LC. Cows on HC and MC had a lower serum non-esterified fatty acid concentration than cows on LC (0.37, 0.37 and 0.50 mmol/l, respectively, P=0.005, SED=0.032), while cows on HC had a lower serum β-hydroxybutyrate concentration than cows on MC and LC (0.42, 0.55 and 0.55 mmol/l, respectively, P=0.002, SED=0.03). Concentrate inclusion level had no effect on vaginal mucus scores. At week 3 postpartum, cows on HC tended to have a higher percentage of oxidative burst positive neutrophils than cows on LC (43.2% and 35.3%, respectively, P=0.078, SED=3.11), although at all other times concentrate inclusion level in the total mixed ration had no effect on neutrophil phagocytic or oxidative burst characteristics, or on interferon-γ production by pokeweed mitogen stimulated whole blood culture. This study demonstrates that for high yielding Holstein Friesian cows managed on a grass silage-based diet, concentrate inclusion levels in early lactation affects performance but has no effect on neutrophil or lymphocyte immune parameters.
Schizophrenia (SZ) is a severe neuropsychiatric disorder associated with disrupted connectivity within the thalamic-cortico-cerebellar network. Resting-state functional connectivity studies have reported thalamic hypoconnectivity with the cerebellum and prefrontal cortex as well as thalamic hyperconnectivity with sensory cortical regions in SZ patients compared with healthy comparison participants (HCs). However, fundamental questions remain regarding the clinical significance of these connectivity abnormalities.
Resting state seed-based functional connectivity was used to investigate thalamus to whole brain connectivity using multi-site data including 183 SZ patients and 178 matched HCs. Statistical significance was based on a voxel-level FWE-corrected height threshold of p < 0.001. The relationships between positive and negative symptoms of SZ and regions of the brain demonstrating group differences in thalamic connectivity were examined.
HC and SZ participants both demonstrated widespread positive connectivity between the thalamus and cortical regions. Compared with HCs, SZ patients had reduced thalamic connectivity with bilateral cerebellum and anterior cingulate cortex. In contrast, SZ patients had greater thalamic connectivity with multiple sensory-motor regions, including bilateral pre- and post-central gyrus, middle/inferior occipital gyrus, and middle/superior temporal gyrus. Thalamus to middle temporal gyrus connectivity was positively correlated with hallucinations and delusions, while thalamus to cerebellar connectivity was negatively correlated with delusions and bizarre behavior.
Thalamic hyperconnectivity with sensory regions and hypoconnectivity with cerebellar regions in combination with their relationship to clinical features of SZ suggest that thalamic dysconnectivity may be a core neurobiological feature of SZ that underpins positive symptoms.
Adverse psychosocial working environments characterized by job strain (the combination of high demands and low control at work) are associated with an increased risk of depressive symptoms among employees, but evidence on clinically diagnosed depression is scarce. We examined job strain as a risk factor for clinical depression.
We identified published cohort studies from a systematic literature search in PubMed and PsycNET and obtained 14 cohort studies with unpublished individual-level data from the Individual-Participant-Data Meta-analysis in Working Populations (IPD-Work) Consortium. Summary estimates of the association were obtained using random-effects models. Individual-level data analyses were based on a pre-published study protocol.
We included six published studies with a total of 27 461 individuals and 914 incident cases of clinical depression. From unpublished datasets we included 120 221 individuals and 982 first episodes of hospital-treated clinical depression. Job strain was associated with an increased risk of clinical depression in both published [relative risk (RR) = 1.77, 95% confidence interval (CI) 1.47–2.13] and unpublished datasets (RR = 1.27, 95% CI 1.04–1.55). Further individual participant analyses showed a similar association across sociodemographic subgroups and after excluding individuals with baseline somatic disease. The association was unchanged when excluding individuals with baseline depressive symptoms (RR = 1.25, 95% CI 0.94–1.65), but attenuated on adjustment for a continuous depressive symptoms score (RR = 1.03, 95% CI 0.81–1.32).
Job strain may precipitate clinical depression among employees. Future intervention studies should test whether job strain is a modifiable risk factor for depression.
The present study was undertaken to examine the effect of cow genetic merit on enteric methane (CH4) emission rate. The study used a data set from 32 respiration calorimeter studies undertaken at this Institute between 1992 and 2010, with all studies involving lactating Holstein-Friesian dairy cows. Cow genetic merit was defined as either profit index (PIN) or profitable lifetime index (PLI), with these two United Kingdom genetic indexes expressing the expected improvement in profit associated with an individual cow, compared with the population average. While PIN is based solely on milk production, PLI includes milk production and a number of other functional traits including health, fertility and longevity. The data set had a large range in PIN (n=736 records, −£30 to +£63) and PLI (n=548 records, −£131 to +£184), days in milk (18 to 354), energy corrected milk yield (16.0 to 45.6 kg/day) and CH4 emission (138 to 598 g/day). The effect of cow genetic merit (PIN or PLI) was evaluated using ANOVA and linear mixed modelling techniques after removing the effects of a number of animal and diet factors. The ANOVA was undertaken by dividing each data set of PIN and PLI into three sub-groups (PIN:<£3, £3 to £15 and >£15, PLI:<£23, £23 to £67 and >£67) with these being categorised as low, medium and high genetic merit. Within the PIN and PLI data sets there was no significant differences among the three sub-groups in terms of CH4 emission per kg feed intake or per kg energy corrected milk yield, or CH4 energy (CH4-E) output as a proportion of energy intake. Linear regression using the whole PIN and PLI data sets also demonstrated that there was no significant relationship between either PIN or PLI, and CH4 emission per kg of feed intake or CH4-E output as a proportion of energy intake. These results indicate that cow genetic merit (PIN or PLI) has little effect on enteric CH4 emissions as a proportion of feed intake. Instead enteric CH4 production may mainly relate to total feed intake and dietary nutrient composition.
Recent studies suggest that sand can serve as a vehicle for exposure of humans to pathogens at beach sites, resulting in increased health risks. Sampling for microorganisms in sand should therefore be considered for inclusion in regulatory programmes aimed at protecting recreational beach users from infectious disease. Here, we review the literature on pathogen levels in beach sand, and their potential for affecting human health. In an effort to provide specific recommendations for sand sampling programmes, we outline published guidelines for beach monitoring programmes, which are currently focused exclusively on measuring microbial levels in water. We also provide background on spatial distribution and temporal characteristics of microbes in sand, as these factors influence sampling programmes. First steps toward establishing a sand sampling programme include identifying appropriate beach sites and use of initial sanitary assessments to refine site selection. A tiered approach is recommended for monitoring. This approach would include the analysis of samples from many sites for faecal indicator organisms and other conventional analytes, while testing for specific pathogens and unconventional indicators is reserved for high-risk sites. Given the diversity of microbes found in sand, studies are urgently needed to identify the most significant aetiological agent of disease and to relate microbial measurements in sand to human health risk.
Glasses are recognized as the ideal hosts to incorporate plasmonic metal nanoparticles (NPs), semiconductor NPs, and luminescent rare-earth (RE3+) ions. This is due to their unique optical properties, stability, absence of high energy bond vibrations and inertness towards the incorporated NPs. However, conventional methods of metal-glass nanocomposite fabrication involve ion-implantation or sputtering and subsequent heat-treatment under H2, UV-light/X-ray/γ- or laser irradiation. They are (i) multi-step, (ii) require expensive set-up, (iii) bear risk of sample damage and (iv) the formation of NPs occurs only in surface layers. Here we develop two novel glass-systems K2O-B2O3-Sb2O3 and K2O-B2O3-Sb2O3-ZnO. Using the selective reducing property of the main component Sb2O3 in these hosts, here we demonstrate for the first time the strategy for single-step in-situ fabrication of metal (M0) NPs and RE3+ ions co-embedded within bulk glasses. This new series of novel composites co-embedding metal NPs (elliptical Au, elongated Ag NPs and Aucore-AuAgshell NPs) and RE3+ ions exhibit enhanced upconversion for solar panels, advanced displays and other nanophotonic applications. Metal NPs exhibit surface plasmons resonance results in concentration and enhancement of the local electromagnetic field (LFE) around them. The luminescent RE3+ ion in the vicinity experiences the local field effect. We observe that the LFE effect is stronger on electric dipole transitions of the RE3+ than the magnetic dipole ones. LFE induced by nano Au enhance the (i) 4G7/2 → 4I9/2 540 nm green and 4G7/2 → 4I15/2 650 nm red upconversion emissions of Nd3+ by 9 and 11 fold, (ii) electric dipole 4G5/2 → 6H9/2 636 nm red upconversion of Sm3+ by about 7 fold and (ii) 4S3/2 → 4I15/2 536 nm green and 4F9/2 →4I15/2 645 nm red emissions of Er3+ by 2 and 5 fold respectively. LFE induced by nano Ag enhance both the green and red upconversion emission of Er3+ by 8 fold. The Aucore-AuAgshell NPs enhance the red upconversion of Sm3+ only by 2 fold due to smaller LFE effect of bimetallic NPs. All the Au-doped antimony glasses are dichroic. They transmit the blue light and reflect the brown light, which make them very interesting material comparable to the historic Lycurgus Cup.
We have demonstrated the color conversion of blue micro-LEDs by means of QDs. In this paper, we will present characterizations that highlight this phenomenon. We already obtained conversion with a complete disappearance of the blue incident signal and a strong color saturation from deep blue (x=0,1626; y=0,0144) to deep red (x=0,6743; y=0,3244).
We propose and numerically investigate a tunable metasurface made of an array of graphene ribbons to dynamically control terahertz (THz) wavefront. The metasurface consists of graphene micro ribbons on a silver mirror with a SiO2 gap layer. The graphene ribbons are designed to exhibit localized plasmon resonances depending on their Fermi levels to introduce abrupt phase shifts along the metasurface. With interference of the Fabry-Perot resonances in the SiO2 layer, phase shift through the system is largely accumulated, covering up to 2π range for full control of the THz wavefront. Numerical simulations prove that wide-angle reflected THz beam steering from -53° to +53° with a high reflection efficiency as high as 60% is achieved at 5 THz while the propagation direction of THz beam could be switched within 0.6 ps.
Metamaterial structures composed of ordered arrays of metallic nanoparticles (NPs) and nanocavities are able to support strong plasmon and Fano resonances in the optical frequencies, where the appeared Fano dips can be utilized in bio/chemical sensing and spectroscopic purposes with a significant sensitivity. Herein, we utilize two concentric compositional Aluminum (Al) nanoshells (Al/Al2O3) to design nanomatryushka (NM) structures in periodic arrays, where each one of Al NPs is covered by a certain thickness of the oxide layer. Depositing studied Al NM arrays on metasurfaces, we determined the optical response of the metamaterial. It is shown that the proposed structure is able to support multiple strong Fano resonances in the visible spectrum. Evaluating the plasmon response of the metamaterial configuration for the presence of various semiconductor metasurfaces (Silicon and GaP), the quality of Fano dips is analyzed for different regimes. In this method, we measured the accuracy and sensitivity of the metamaterial structure by plotting the linear figure of merit (FoM) and quantifying this parameter.
In the presented work, we have developed VLSI technology processes for new prototype sensors based on the synthesis of boron doped nanocrystalline diamond (B-NCD) and silicon based commercial detectors. The process is based on commercial passivated implanted planar silicon (PIPS) devices of PD450 and CAM450 types (CANBERRA). A layer of B-NCD of several hundred nanometers thickness and boron concentration up to 1021 atoms/cm3 is grown on the SiOx passivation layer in an ellipsoidal plasma enhanced chemical vapor deposition (PECVD) reactor at temperatures from 520-750°C, in hydrogen atmosphere. . The diamond electrode is dry chemically structured and aluminum electrodes are realized before mounting in a three-fold housing for measurements in aqueous solution. The prototype sensors show an alpha spectroscopy resolution of 100 keV for 241Am electroprecipitated from liquid solution.
3D printing is a versatile fabrication method that offers the potential to realize complex 3D devices with metamaterial characteristics in a single process directly from a computer aided design. However, the range of functional devices that might be realized by 3D printing is limited by the current range of materials that are compatible with a given 3D printing process: fused deposition modelling (FDM), which is a widely used 3D printing method, typically employs only common thermoplastics. Here we describe the development of a magnetic feedstock based on polymer-ferrite composite that is compatible with FDM. The feasibility of the technique is demonstrated by the permittivity and permeability measurement of direct printed blocks and the fabrication of a complex 3D diamond-like lattice structure. The development of printable magnetic composites provides increased design freedom for direct realization of devices with graded electromagnetic properties operating at microwave frequencies.