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We examined the prevalence and correlates of Helicobacter pylori (H. pylori) infection according to cytotoxin-associated gene A (CagA) phenotype, a main virulence antigen, among the ethnically diverse population groups of Jerusalem. A cross-sectional study was undertaken in Arab (N = 959) and Jewish (N = 692) adults, randomly selected from Israel's national population registry in age-sex and population strata. Sera were tested for H. pylori immunoglobulin G (IgG) antibodies. Positive samples were tested for virulence IgG antibodies to recombinant CagA protein, by enzyme-linked immunosorbent assay. Multinomial regression models were fitted to examine associations of sociodemographic factors with H. pylori phenotypes. H. pylori IgG antibody sero-prevalence was 83.3% (95% confidence interval (CI) 80.0%–85.5%) and 61.4% (95% CI 57.7%–65.0%) among Arabs and Jews, respectively. Among H. pylori positives, the respective CagA IgG antibody sero-positivity was 42.3% (95% CI 38.9%–45.8%) and 32.5% (95% CI 28.2%–37.1%). Among Jews, being born in the Former Soviet Union, the Middle East and North Africa, vs. Israel and the Americas, was positively associated with CagA sero-positivity. In both populations, sibship size was positively associated with both CagA positive and negative phenotypes; and education was inversely associated. In conclusion, CagA positive and negative infection had similar correlates, suggesting shared sources of these two H. pylori phenotypes.
The search for life in the Universe is a fundamental problem of astrobiology and modern science. The current progress in the detection of terrestrial-type exoplanets has opened a new avenue in the characterization of exoplanetary atmospheres and in the search for biosignatures of life with the upcoming ground-based and space missions. To specify the conditions favourable for the origin, development and sustainment of life as we know it in other worlds, we need to understand the nature of global (astrospheric), and local (atmospheric and surface) environments of exoplanets in the habitable zones (HZs) around G-K-M dwarf stars including our young Sun. Global environment is formed by propagated disturbances from the planet-hosting stars in the form of stellar flares, coronal mass ejections, energetic particles and winds collectively known as astrospheric space weather. Its characterization will help in understanding how an exoplanetary ecosystem interacts with its host star, as well as in the specification of the physical, chemical and biochemical conditions that can create favourable and/or detrimental conditions for planetary climate and habitability along with evolution of planetary internal dynamics over geological timescales. A key linkage of (astro)physical, chemical and geological processes can only be understood in the framework of interdisciplinary studies with the incorporation of progress in heliophysics, astrophysics, planetary and Earth sciences. The assessment of the impacts of host stars on the climate and habitability of terrestrial (exo)planets will significantly expand the current definition of the HZ to the biogenic zone and provide new observational strategies for searching for signatures of life. The major goal of this paper is to describe and discuss the current status and recent progress in this interdisciplinary field in light of presentations and discussions during the NASA Nexus for Exoplanetary System Science funded workshop ‘Exoplanetary Space Weather, Climate and Habitability’ and to provide a new roadmap for the future development of the emerging field of exoplanetary science and astrobiology.
A national need is to prepare for and respond to accidental or intentional disasters categorized as chemical, biological, radiological, nuclear, or explosive (CBRNE). These incidents require specific subject-matter expertise, yet have commonalities. We identify 7 core elements comprising CBRNE science that require integration for effective preparedness planning and public health and medical response and recovery. These core elements are (1) basic and clinical sciences, (2) modeling and systems management, (3) planning, (4) response and incident management, (5) recovery and resilience, (6) lessons learned, and (7) continuous improvement. A key feature is the ability of relevant subject matter experts to integrate information into response operations. We propose the CBRNE medical operations science support expert as a professional who (1) understands that CBRNE incidents require an integrated systems approach, (2) understands the key functions and contributions of CBRNE science practitioners, (3) helps direct strategic and tactical CBRNE planning and responses through first-hand experience, and (4) provides advice to senior decision-makers managing response activities. Recognition of both CBRNE science as a distinct competency and the establishment of the CBRNE medical operations science support expert informs the public of the enormous progress made, broadcasts opportunities for new talent, and enhances the sophistication and analytic expertise of senior managers planning for and responding to CBRNE incidents.
What is political knowledge? We argue that the traditional measure of political knowledge is limited, as it represents one domain of facts that people should know about American politics. This domain of knowledge is rooted in the liberal-democratic face of the state and neglects other political knowledge generated from the carceral face of the state. We argue that knowledge of carceral violence, especially against African Americans, represents a separate domain of knowledge that is particularly relevant to marginalized communities, especially black youth. Once we include carceral violence in our measures of political knowledge, established patterns of whites having more political knowledge than Blacks are reversed. Using a novel measurement strategy and based on a nationally representative survey of over 2,000 young people, we find that knowledge of carceral violence is distinct from measures of what has been called general political knowledge. Finally, we find that knowledge of carceral violence has distinct correlates from the standard knowledge battery and its relationship to political participation varies by racial group but tends to depress the political participation of African Americans. Our findings raise the question of what comprises relevant and important political knowledge today and for which communities.
The diffraction elastic constants have been measured for the 211 and 310 peaks of a high-strength, low-alloy ferritic steel using X-rays and neutrons. The X-ray measurements were performed using both a uniaxial tension and a bending device. The neutron measurements were performed using a uniaxial tensile device. Ten X-ray and four neutron measurements were made for each case. Statistical errors were calculated and compared with the standard deviations of the average values. In addition, neutron measurements were made for the 310 peak utilizing an interior probe volume.
The results indicate that the calculated statistical errors and the observed standard deviations were almost the same for each radiation. The X-ray and neutron tensile device measurements yielded similar results within experimental error. Furthermore, the X-ray tensile and bending results were similar as were the neutron internal volume measurements. These results suggest that near-surface X-ray measurements adequately sample the bulk material in the case of steel, and that different measurement techniques can be used to obtain reliable diffraction elastic constants.
We have investigated the stresses existing before and during fatigue crack growth in a 1080 spheroidized steel. The total stress state, which consists of triaxial macro- and microstress components, has been measured around the fatigue crack tip using x-ray microbeam diffraction. A tapered glass capillary of 210μm diameter has been developed to provide increased intensity, smooth diffraction peaks and good spatial resolution. Findings indicate that stresses generated by the growing crack are mainly macro stresses, and dominate over pre-existing residual stresses around the tip.
Major depressive disorder (MDD) is a highly heterogeneous condition in terms of symptom presentation and, likely, underlying pathophysiology. Accordingly, it is possible that only certain individuals with MDD are well-suited to antidepressants. A potentially fruitful approach to parsing this heterogeneity is to focus on promising endophenotypes of depression, such as neuroticism, anhedonia, and cognitive control deficits.
Within an 8-week multisite trial of sertraline v. placebo for depressed adults (n = 216), we examined whether the combination of machine learning with a Personalized Advantage Index (PAI) can generate individualized treatment recommendations on the basis of endophenotype profiles coupled with clinical and demographic characteristics.
Five pre-treatment variables moderated treatment response. Higher depression severity and neuroticism, older age, less impairment in cognitive control, and being employed were each associated with better outcomes to sertraline than placebo. Across 1000 iterations of a 10-fold cross-validation, the PAI model predicted that 31% of the sample would exhibit a clinically meaningful advantage [post-treatment Hamilton Rating Scale for Depression (HRSD) difference ⩾3] with sertraline relative to placebo. Although there were no overall outcome differences between treatment groups (d = 0.15), those identified as optimally suited to sertraline at pre-treatment had better week 8 HRSD scores if randomized to sertraline (10.7) than placebo (14.7) (d = 0.58).
A subset of MDD patients optimally suited to sertraline can be identified on the basis of pre-treatment characteristics. This model must be tested prospectively before it can be used to inform treatment selection. However, findings demonstrate the potential to improve individual outcomes through algorithm-guided treatment recommendations.
An internationally approved and globally used classification scheme for the diagnosis of CHD has long been sought. The International Paediatric and Congenital Cardiac Code (IPCCC), which was produced and has been maintained by the International Society for Nomenclature of Paediatric and Congenital Heart Disease (the International Nomenclature Society), is used widely, but has spawned many “short list” versions that differ in content depending on the user. Thus, efforts to have a uniform identification of patients with CHD using a single up-to-date and coordinated nomenclature system continue to be thwarted, even if a common nomenclature has been used as a basis for composing various “short lists”. In an attempt to solve this problem, the International Nomenclature Society has linked its efforts with those of the World Health Organization to obtain a globally accepted nomenclature tree for CHD within the 11th iteration of the International Classification of Diseases (ICD-11). The International Nomenclature Society has submitted a hierarchical nomenclature tree for CHD to the World Health Organization that is expected to serve increasingly as the “short list” for all communities interested in coding for congenital cardiology. This article reviews the history of the International Classification of Diseases and of the IPCCC, and outlines the process used in developing the ICD-11 congenital cardiac disease diagnostic list and the definitions for each term on the list. An overview of the content of the congenital heart anomaly section of the Foundation Component of ICD-11, published herein in its entirety, is also included. Future plans for the International Nomenclature Society include linking again with the World Health Organization to tackle procedural nomenclature as it relates to cardiac malformations. By doing so, the Society will continue its role in standardising nomenclature for CHD across the globe, thereby promoting research and better outcomes for fetuses, children, and adults with congenital heart anomalies.
We present an indentation-scope that interfaces with confocal microscopy, enabling direct observation of the three-dimensional (3D) microstructural response of coatings on substrates. Using this method, we compared microns-thick polymer coatings on glass with and without silica nanoparticle filler. Bulk force data confirmed the >30% modulus difference, while microstructural data further revealed slip at the glass-coating interface. Filled coatings slipped more and about two times faster, as reflected in 3D displacement and von Mises strain fields. Overall, these data indicate that silica-doping of coatings can dramatically alter adhesion. Moreover, this method compliments existing theoretical and modeling approaches for studying indentation in layered systems.
We have previously shown that the minor alleles of vascular endothelial growth factor A (VEGFA) single-nucleotide polymorphism rs833069 and superoxide dismutase 2 (SOD2) single-nucleotide polymorphism rs2758331 are both associated with improved transplant-free survival after surgery for CHD in infants, but the underlying mechanisms are unknown. We hypothesised that one or both of these minor alleles are associated with better systemic ventricular function, resulting in improved survival.
This study is a follow-up analysis of 422 non-syndromic CHD patients who underwent neonatal cardiac surgery with cardiopulmonary bypass. Echocardiographic reports were reviewed. Systemic ventricular function was subjectively categorised as normal, or as mildly, moderately, or severely depressed. The change in function was calculated as the change from the preoperative study to the last available study. Stepwise linear regression, adjusting for covariates, was performed for the outcome of change in ventricular function. Model comparison was performed using Akaike’s information criterion. Only variables that improved the model prediction of change in systemic ventricular function were retained in the final model.
Genetic and echocardiographic data were available for 335/422 subjects (79%). Of them, 33 (9.9%) developed worse systemic ventricular function during a mean follow-up period of 13.5 years. After covariate adjustment, the presence of the VEGFA minor allele was associated with preserved ventricular function (p=0.011).
These data support the hypothesis that the mechanism by which the VEGFA single-nucleotide polymorphism rs833069 minor allele improves survival may be the preservation of ventricular function. Further studies are needed to validate this genotype–phenotype association and to determine whether this mechanism is related to increased vascular endothelial growth factor production.
To avoid some of the limitations of studying soft-bed processes through boreholes, a prism of simulated till (1.8 m × 1.6 m × 0.45 m) with extensive instrumentation was constructed in a trough blasted in the rock bed of Engabreen, a temperate glacier in Norway. Tunnels there provide access to the bed beneath 213 m of ice. Pore-water pressure was regulated in the prism by pumping water to it. During experiments lasting 7–12 days, the glacier regelated downward into the prism to depths of 50–80 mm, accreting ice-infiltrated till at rates predicted by theory. During periods of sustained high pore-water pressure (70–100% of overburden), ice commonly slipped over the prism, due to a water layer at the prism surface. Deformation of the prism was activated when this layer thinned to a sub-millimeter thickness. Shear strain in the till was pervasive and decreased with depth. A model of slip by ploughing of ice-infiltrated till across the prism surface accounts for the slip that occurred when effective pressure was sufficiently low or high. Slip at low effective pressures resulted from water-layer thickening that increased non-linearly with decreasing effective pressure. If sufficiently widespread, such slip over soft glacier beds, which involves no viscous deformation resistance, may instigate abrupt increases in glacier velocity.
Because of the metastability of the 23S level of He I, a variety of effects can change the line strengths from pure recombination values in Seyfert galaxies (see Feldman and MacAlpine 1978). This occurs because the population which builds up in the 23S level can be collisionally excited to the 23P level, enhancing λ10830. The expected ratios of λ10830/λ5876 can be altered by internal or external reddening and vary with temperature, density and optical depth.
The strong self-damped Lyman α absorption systems present in the spectra of high redshift QSOs represent a unique population of absorber which has recently been associated with the precursors of current disk galaxies. In a low resolution survey for what we have come to call “Lyman α disk systems” performed at Lick Observatory (Wolfe, et al. 1986, Ap. J. Suppl. 61, 249) approximately 18 systems with confirmed damped Lyman α profiles and rest frame equivalent widths greater than 5 Å were detected in a sample of 68 high redshift QSOs (Smith, Cohen and Bradley 1986, Ap. J. 310, 583). Subsequent higher resolution study has shown these systems to have the following properties (Turnshek, et al. 1988, Ap. J., in press):
2.Low-mixed ionization state. Typically the low ionization states dominate the high ionization states (e.g. CII ≫ CIV). Some enrichment has occurred, −2≲[X/H]⊙ ≲0.
3.Gas density, n ≲ 1 cm−3.
4.The gas shows two components, a quiescent (disk) component, σν ≲ 10 km s−1, and a turbulent (halo) component, σν ≲ 20 km s−1. Some systems show only the low velocity dispersion component.
5.At least one system intervening toward a radio QSO (Pks 0458-020) shows 21-cm absorption. The system shows multiple cloud structure with σν ≈ 6 km s−1, Ts ≈ 100 K, and structure extended over several kpc on the sky.
6.There is evidence that these systems may be self gravitating with scale height of the order of 300 pc.
7.These systems represent a unique population of absorber (distinct from the ‘Lyman a forest’ and heavy element systems) covering approximately 20% of the sky to z ≈ 3 and accounting for all of the baryonic matter at that redshift.
During the red supergiant (RSG) stage of massive star evolution, emission from dust and molecules allows the copious stellar winds to be studied in great detail. This help us understand not only the evolutionary stages of the star (which are highly dependent on mass loss rates), but also the morphology of the eventual supernova remnant. Maser emission from OH and H2O has been mapped with milli-arcsec resolution (using MERLIN and the EVN/global VLBI) around RSG including VY CMa, S Per and VX Sgr. The H2O masers originate in clouds accelerating away from the star and OH mainlines masers interleave the outer parts of the H2O maser shell. Zeeman splitting of OH maser lines reveals the orientation and strength of stellar-centred magnetic fields.
The μ–z diagram (Figure 1) plots the observed internal proper motion μ versus redshift z for 32 extragalactic radio sources associated with active galactic nuclei. The observed points fall below an upper bound which decreases with redshift; there is a statistically significant anticorrelation between redshift and internal proper motion.
Schizotypal traits are considered a phenotypic-indicator of schizotypy, a latent personality organization reflecting a putative liability for psychosis. To date, no previous study has examined the comparability of factorial structures across samples originating from different countries and cultures. The main goal was to evaluate the factorial structure and reliability of the Schizotypal Personality Questionnaire (SPQ) scores by amalgamating data from studies conducted in 12 countries and across 21 sites.
The overall sample consisted of 27 001 participants (37.5% males, n = 4251 drawn from the general population). The mean age was 22.12 years (s.d. = 6.28, range 16–55 years). The SPQ was used. Confirmatory factor analysis (CFA) and Multilevel CFA (ML-CFA) were used to evaluate the factor structure underlying the SPQ scores.
At the SPQ item level, the nine factor and second-order factor models showed adequate goodness-of-fit. At the SPQ subscale level, three- and four-factor models displayed better goodness-of-fit indices than other CFA models. ML-CFA showed that the intraclass correlation coefficients values were lower than 0.106. The three-factor model showed adequate goodness of fit indices in multilevel analysis. The ordinal α coefficients were high, ranging from 0.73 to 0.94 across individual samples, and from 0.84 to 0.91 for the combined sample.
The results are consistent with the conceptual notion that schizotypal personality is a multifaceted construct and support the validity and utility of SPQ in cross-cultural research. We discuss theoretical and clinical implications of our results for diagnostic systems, psychosis models and cross-national mental health strategies.
One view of major Solar Energetic Particle (SEP) events is that these (proton-dominated) fluxes are accelerated in heliospheric shock sources created by Interplanetary Coronal Mass Ejections (ICMEs), and then travel mainly along interplanetary magnetic field lines connecting the shock(s) to the observer(s). This places a particular emphasis on the role of the heliospheric conditions during the event, requiring a realistic description of the latter to interpret and/or model SEP events. The well-known ENLIL heliospheric simulation with cone model generated ICME shocks is used together with the SEPMOD particle event modeling scheme to demonstrate the value of applying these concepts at multiple inner heliosphere sites.
Anomalous aortic origin of the coronary arteries is associated with exercise-induced ischaemia, leading some physicians to restrict exercise in patients with this condition. We sought to determine whether exercise restriction was associated with increasing body mass index over time. From 1998 to 2015, 440 patients ⩽30 years old were enrolled into an inception cohort. Exercise-restriction status was documented in 143 patients. Using linear mixed model repeated-measures regression, factors associated with increasing body mass index z-score over time, including exercise restriction and surgical intervention as time-varying covariates, were investigated. The 143 patients attended 558 clinic visits for which exercise-restriction status was recorded. The mean number of clinic visits per patient was 4, and the median duration of follow-up was 1.7 years (interquartile range (IQR) 0.5–4.4). The median age at first clinic visit was 10.3 years (IQR 7.1–13.9), and 71% (101/143) were males. All patients were alive at their most recent follow-up. At the first clinic visit, 54% (78/143) were exercise restricted, and restriction status changed in 34% (48/143) during follow-up. The median baseline body mass index z-score was 0.2 (IQR 0.3–0.9). In repeated-measures analysis, neither time-related exercise restriction nor its interaction with time was associated with increasing body mass index z-score. Surgical intervention and its interaction with time were associated with decreasing body mass index z-score. Although exercise restriction was not associated with increasing body mass index over time, surgical intervention was associated with decreasing body mass index z-score over time in patients with anomalous aortic origin of the coronary arteries.