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To adequately diagnosis soft tissue myelolipoma one must confirm absence of hematologic abnormalities and presence of lesion within soft tissue rather than bone marrow or adrenal
We propose the nasal administration of calcium-enriched physiological salts as a new hygienic intervention with possible therapeutic application as a response to the rapid and tenacious spread of COVID-19. We test the effectiveness of these salts against viral and bacterial pathogens in animals and humans. We find that aerosol administration of these salts to the airways diminishes the exhalation of the small particles that face masks fail to filter and, in the case of an influenza swine model, completely block airborne transmission of disease. In a study of 10 human volunteers (5 less than 65 years and 5 older than 65 years), we show that delivery of a nasal saline comprising calcium and sodium salts quickly (within 15 min) and durably (up to at least 6 h) diminishes exhaled particles from the human airways. Being predominantly smaller than 1 μm, these particles are below the size effectively filtered by conventional masks. The suppression of exhaled droplets by the nasal delivery of calcium-rich saline with aerosol droplet size of around 10 μm suggests the upper airways as a primary source of bioaerosol generation. The suppression effect is especially pronounced (99%) among those who exhale large numbers of particles. In our study, we found this high-particle exhalation group to correlate with advanced age. We argue for a new hygienic practice of nasal cleansing by a calcium-rich saline aerosol, to complement the washing of hands with ordinary soap, use of a face mask, and social distancing.
The Children of the Twins Early Development Study (CoTEDS) is a new prospective children-of-twins study in the UK, designed to investigate intergenerational associations across child developmental stages. CoTEDS will enable research on genetic and environmental factors that underpin parent–child associations, with a focus on mental health and cognitive-related traits. Through CoTEDS, we will have a new lens to examine the roles that parents play in influencing child development, as well as the genetic and environmental factors that shape parenting behavior and experiences. Recruitment is ongoing from the sample of approximately 20,000 contactable adult twins who have been enrolled in the Twins Early Development Study (TEDS) since infancy. TEDS twins are invited to register all offspring to CoTEDS at birth, with 554 children registered as of May 2019. By recruiting the second generation of TEDS participants, CoTEDS will include information on adult twins and their offspring from infancy. Parent questionnaire-based data collection is now underway for 1- and 2-year-old CoTEDS infants, with further waves of data collection planned. Current data collection includes the following primary constructs: child mental health, temperament, language and cognitive development; parent mental health and social relationships; parenting behaviors and feelings; and other socioecological factors. Measurement tools have been selected with reference to existing genetically informative cohort studies to ensure overlap in phenotypes measured at corresponding stages of development. This built-in study overlap is intended to enable replication and triangulation of future analyses across samples and research designs. Here, we summarize study protocols and measurement procedures and describe future plans.
This research investigates the self-reported perceptions, readiness and psychological wellbeing of 15 male primary school students prior to transitioning to a secondary boarding school (S1) located away from home and family. A mixed-methods approach was used (i.e., online questionnaire and focus group), and findings indicate that while participants were apprehensive about expectations, study and encountering new technology at boarding school, all viewed the impending transition to S1 as a positive opportunity in their educational journey. Participants reported academic motivation and self-regulation above the norm; however, both questionnaire and focus group data indicated their academic self-perception was low. Levels of reported psychological distress were low, with symptoms associated with emotional problems, conduct problems, hyperactivity, peer problems, prosocial behaviour and overall total difficulties all found to be within the normal range. Indicators of life satisfaction and protective factors associated with resilience were similarly found to be within the normal range. Four major themes and eight subthemes emerged from the qualitative data, including: (1) enthusiasm (i.e., confidence, sadness); (2) opportunity (i.e., new experiences and choices, friendships); (3) anchor points (i.e., older siblings, orientation); and (4) expectations (i.e., study, technology). The findings of this study add to the literature encouraging staff in boarding schools to view transition through the lens of the early to mid-adolescence developmental period and the emergence of co-occurring innate psychological needs – in particular, the desire for competence, autonomy and relatedness. Strengths and limitations of this study are presented.
The deformation of elementary fluid volumes by velocity gradients is a key process for scalar mixing, chemical reactions and biological processes in flows. Whilst fluid deformation in unsteady, turbulent flow has gained much attention over the past half-century, deformation in steady random flows with complex structure – such as flow through heterogeneous porous media – has received significantly less attention. In contrast to turbulent flow, the steady nature of these flows constrains fluid deformation to be anisotropic with respect to the fluid velocity, with significant implications for e.g. longitudinal and transverse mixing and dispersion. In this study we derive an ab initio coupled continuous-time random walk (CTRW) model of fluid deformation in random steady three-dimensional flow that is based upon a streamline coordinate transform which renders the velocity gradient and fluid deformation tensors upper triangular. We apply this coupled CTRW model to several model flows and find that these exhibit a remarkably simple deformation structure in the streamline coordinate frame, facilitating solution of the stochastic deformation tensor components. These results show that the evolution of longitudinal and transverse fluid deformation for chaotic flows is governed by both the Lyapunov exponent and power-law exponent of the velocity probability distribution function at small velocities, whereas algebraic deformation in non-chaotic flows arises from the intermittency of shear events following similar dynamics as that for steady two-dimensional flow.
We study the mixing dynamics of solute blobs in the flow through saturated heterogeneous porous media. As the solute plume is advected through a heterogeneous porous medium it suffers a series of deformations that determine its mixing with the ambient fluid through diffusion. Key questions are the relation between the spatial disorder and the mixing dynamics and the effect of the initial solute distribution. To address these questions, we formulate the advection–diffusion problem in a coordinate system that moves and rotates along streamlines of the steady flow field. The impact of the medium heterogeneity is quantified systematically within a stochastic modelling approach. For a simple shear flow, the maximum concentration of a blob decays asymptotically as
$t^{-2}$
. For heterogeneous porous media, the mixing of the solute blob is determined by the random sampling of flow and deformation heterogeneity along trajectories, a mechanism different from persistent shear. We derive explicit perturbation theory expressions for stretching-enhanced solute mixing that relate the medium structure and mixing behaviour. The solution is valid for moderate heterogeneity. The random sampling of shear along trajectories leads to a
$t^{-3/2}$
decay of the maximum concentration as opposed to an equivalent homogeneous medium, for which it decays as
$t^{-1}$
.
This study examined indicators of mental health, as well as strengths and difficulties, as reported by same-age boarding and non-boarding students spanning four time points over a 2-year period as they transitioned from primary to boarding school in Western Australia (i.e., at the end of Grade 7, beginning of Grade 8, end of Grade 8, and end of Grade 9). It presents data taken from a larger longitudinal quantitative study, which included 76 male and 74 female boarding students while they were in Grades 7 to 9. Findings indicate that boarding students and non-boarding students reported significant increases in depression, anxiety, as well as emotional symptoms and hyperactivity over time, and reported significant decreases in prosocial behaviour. However, examining the boarder × time interaction, boarding students reported significantly higher levels of anxiety and stress at the end of Grade 8 compared to non-boarding students. No significant difference over time was found in depressive symptomatology between boarding and non-boarding students, whereas at the beginning of Grade 8 and end of Grade 9, boarding students reported significantly higher emotional symptoms than non-boarding students. These findings are discussed in terms of the boarding school context and possible considerations for prevention and practice are presented.
Anxiety disorders are common, and cognitive–behavioural therapy (CBT) is a first-line treatment. Candidate gene studies have suggested a genetic basis to treatment response, but findings have been inconsistent.
Aims
To perform the first genome-wide association study (GWAS) of psychological treatment response in children with anxiety disorders (n = 980).
Method
Presence and severity of anxiety was assessed using semi-structured interview at baseline, on completion of treatment (post-treatment), and 3 to 12 months after treatment completion (follow-up). DNA was genotyped using the Illumina Human Core Exome-12v1.0 array. Linear mixed models were used to test associations between genetic variants and response (change in symptom severity) immediately post-treatment and at 6-month follow-up.
Results
No variants passed a genome-wide significance threshold (P=5×10–8) in either analysis. Four variants met criteria for suggestive significance (P<5×10–6) in association with response post-treatment, and three variants in the 6-month follow-up analysis.
Conclusions
This is the first genome-wide therapygenetic study. It suggests no common variants of very high effect underlie response to CBT. Future investigations should maximise power to detect single-variant and polygenic effects by using larger, more homogeneous cohorts.
We previously reported an association between 5HTTLPR genotype and
outcome following cognitive–behavioural therapy (CBT) in child anxiety
(Cohort 1). Children homozygous for the low-expression short-allele
showed more positive outcomes. Other similar studies have produced mixed
results, with most reporting no association between genotype and CBT
outcome.
Aims
To replicate the association between 5HTTLPR and CBT outcome in child
anxiety from the Genes for Treatment study (GxT Cohort 2,
n = 829).
Method
Logistic and linear mixed effects models were used to examine the
relationship between 5HTTLPR and CBT outcomes. Mega-analyses using both
cohorts were performed.
Results
There was no significant effect of 5HTTLPR on CBT outcomes in Cohort 2.
Mega-analyses identified a significant association between 5HTTLPR and
remission from all anxiety disorders at follow-up (odds ratio 0.45,
P = 0.014), but not primary anxiety disorder
outcomes.
Conclusions
The association between 5HTTLPR genotype and CBT outcome did not
replicate. Short-allele homozygotes showed more positive treatment
outcomes, but with small, non-significant effects. Future studies would
benefit from utilising whole genome approaches and large, homogenous
samples.
Diurnal preference is an individual's preference for daily activities and sleep timing and is strongly correlated with the underlying circadian clock and the sleep-wake cycle validating its use as an indirect circadian measure in humans. Recent research has implicated DNA methylation as a mechanism involved in the regulation of the circadian clock system in humans and other mammals. In order to evaluate the extent of epigenetic differences associated with diurnal preference, we examined genome-wide patterns of DNA methylation in DNA from monozygotic (MZ) twin-pairs discordant for diurnal preference. MZ twins were selected from a longitudinal twin study designed to investigate the interplay of genetic and environmental factors in the development of emotional and behavioral difficulties. Fifteen pairs of MZ twins were identified in which one member scored considerably higher on the Horne–Ostberg Morningness–Eveningness Questionnaire (MEQ) than the other. Genome-wide DNA methylation patterns were assessed in twins’ buccal cell DNA using the Illumina Infinium HumanMethylation450 BeadChips. Quality control and data pre-processing was undertaken using the wateRmelon package. Differentially methylated probes (DMPs) were identified using an analysis strategy taking into account both the significance and the magnitude of DNA methylation differences. Our data indicate that DNA methylation differences are detectable in MZ twins discordant for diurnal preference. Moreover, downstream gene ontology (GO) enrichment analysis on the top-ranked diurnal preference associated DMPs revealed significant enrichment of pathways that have been previously associated with circadian rhythm regulation, including cell adhesion processes and calcium ion binding.
Background: Childhood anxiety and depression frequently co-occur. Exploring specificity in cognitive processes for anxiety and depression in childhood can provide insight into cognitive vulnerabilities contributing to the development of anxiety and depressive disorders and inform targeted psychological interventions. Anxiety sensitivity and rumination are robust cognitive vulnerabilities for anxiety and depression, respectively. However, despite conceptual similarities, they are rarely considered together within a single study. Aims: The current study explored specific and shared associations between anxiety sensitivity subscales and rumination and anxiety and depressive symptoms in unselected children. Method: Multiple regression analyses explored to what extent specific self-reported anxiety sensitivity subscales (physical, social and mental concerns) and rumination predicted anxiety and depressive symptoms in 147 unselected children, aged 7–11 years. Results: Physical and social concern subscales of anxiety sensitivity were specifically associated with anxiety, whilst rumination was specifically associated with depressive symptoms. The mental concerns subscale of anxiety sensitivity was independently associated with both anxiety and depressive symptoms. These associations were only partially mediated by rumination. Conclusions: Anxiety and depression in young people are characterized by specific and shared cognitions. Evidence for shared and specific associations between the cognitive vulnerabilities of anxiety sensitivity and rumination, and anxiety and depression highlight the utility of transdiagnostic research and confirm that cognitive therapies may benefit from targeting cognitive concerns relating specifically to the patient's presenting symptoms.
Edited by
Fiona Jenkins, Australian National University, Canberra,Mark Nolan, Australian National University, Canberra,Kim Rubenstein, Australian National University, Canberra
We examined changes in a community of seedlings/saplings 10–150 cm tall associated with the presence of a widely invasive plant, Lantana camara and environmental covariates along 67 randomly located transects, in Mudumalai, India. We compared plant species assemblage and grass cover in L. camara-invaded and uninvaded plots in three habitats. Multivariate analyses revealed a significant association of all environmental covariates with plant species assemblage. Pairwise tests indicated that L. camara was significantly associated with changes in plant species assemblage and grass cover within the moist and dry deciduous forest, but not in the thorn forest. The relationship between L. camara and that of elephant browse plants varied with species. A linear regression analysis indicated that L. camara invasion was the only significant predictor of grass occupancy. Our results indicate that in addition to other factors, L. camara was associated with altering plant species assemblage, some elephant browse plants and grass cover in the moist and dry deciduous forest. It appears that L. camara can have a major effect on diversity within this reserve, but whether this effect is by L. camara driving the change or being associated with other habitat change requires further experimental evidence.
Over 30 studies in Australasia, East Asia and the Pacific Islands region have collected and analysed parasite data to determine the ranges of individual fish, many leading to conclusions about stock delineation. Parasites used as biological tags have included both those known to have long residence times in the fish and those thought to be relatively transient. In many cases the parasitological conclusions have been supported by other methods especially analysis of the chemical constituents of otoliths, and to a lesser extent, genetic data. In analysing parasite data, authors have applied multiple different statistical methodologies, including summary statistics, and univariate and multivariate approaches. Recently, a growing number of researchers have found non-parametric methods, such as analysis of similarities and cluster analysis, to be valuable. Future studies into the residence times, life cycles and geographical distributions of parasites together with more robust analytical methods will yield much important information to clarify stock structures in the area.