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Long-stay home care clients mostly reside in private homes or retirement homes, and the type of residence may influence risk factors for long-term care placement. This multi-state analytic study uses RAI-Home Care and administrative data from the Hamilton Niagara Haldimand Brant Local Health Integration Network to model conceptualized states of risk at baseline through a 13-month follow-up period. Modifiable risk factors in these states were client loneliness or depressive symptoms, and caregiver distress. A higher adjusted likelihood of being discharged deceased was found for the lowest-risk clients in retirement homes. Adjusting for client, service, and caregiver characteristics, retirement home residency was associated with higher likelihood of placement in a long-term care home; reduced caregiver distress; and increased client loneliness/depression. As an alternative to private home settings as the location for aging in place among these long-stay home care clients, retirement home residency represents some trade-offs between client and informal caregiver.
Item 9 of the Patient Health Questionnaire-9 (PHQ-9) queries about thoughts of death and self-harm, but not suicidality. Although it is sometimes used to assess suicide risk, most positive responses are not associated with suicidality. The PHQ-8, which omits Item 9, is thus increasingly used in research. We assessed equivalency of total score correlations and the diagnostic accuracy to detect major depression of the PHQ-8 and PHQ-9.
We conducted an individual patient data meta-analysis. We fit bivariate random-effects models to assess diagnostic accuracy.
16 742 participants (2097 major depression cases) from 54 studies were included. The correlation between PHQ-8 and PHQ-9 scores was 0.996 (95% confidence interval 0.996 to 0.996). The standard cutoff score of 10 for the PHQ-9 maximized sensitivity + specificity for the PHQ-8 among studies that used a semi-structured diagnostic interview reference standard (N = 27). At cutoff 10, the PHQ-8 was less sensitive by 0.02 (−0.06 to 0.00) and more specific by 0.01 (0.00 to 0.01) among those studies (N = 27), with similar results for studies that used other types of interviews (N = 27). For all 54 primary studies combined, across all cutoffs, the PHQ-8 was less sensitive than the PHQ-9 by 0.00 to 0.05 (0.03 at cutoff 10), and specificity was within 0.01 for all cutoffs (0.00 to 0.01).
PHQ-8 and PHQ-9 total scores were similar. Sensitivity may be minimally reduced with the PHQ-8, but specificity is similar.
A 2018 workshop on the White Mountain Apache Tribe lands in Arizona examined ways to enhance investigations into cultural property crime (CPC) through applications of rapidly evolving methods from archaeological science. CPC (also looting, graverobbing) refers to unauthorized damage, removal, or trafficking in materials possessing blends of communal, aesthetic, and scientific values. The Fort Apache workshop integrated four generally partitioned domains of CPC expertise: (1) theories of perpetrators’ motivations and methods; (2) recommended practice in sustaining public and community opposition to CPC; (3) tactics and strategies for documenting, investigating, and prosecuting CPC; and (4) forensic sedimentology—uses of biophysical sciences to link sediments from implicated persons and objects to crime scenes. Forensic sedimentology served as the touchstone for dialogues among experts in criminology, archaeological sciences, law enforcement, and heritage stewardship. Field visits to CPC crime scenes and workshop deliberations identified pathways toward integrating CPC theory and practice with forensic sedimentology’s potent battery of analytic methods.
The Erasmus Plus programme ‘Innovative Education and Training in high power laser plasmas’, otherwise known as PowerLaPs, is described. The PowerLaPs programme employs an innovative paradigm in that it is a multi-centre programme where teaching takes place in five separate institutes with a range of different aims and styles of delivery. The ‘in class’ time is limited to four weeks a year, and the programme spans two years. PowerLaPs aims to train students from across Europe in theoretical, applied and laboratory skills relevant to the pursuit of research in laser–plasma interaction physics and inertial confinement fusion (ICF). Lectures are intermingled with laboratory sessions and continuous assessment activities. The programme, which is led by workers from the Technological Educational Institute (TEI) of Crete, and supported by co-workers from the Queen’s University Belfast, the University of Bordeaux, the Czech Technical University in Prague, Ecole Polytechnique, the University of Ioannina, the University of Salamanca and the University of York, has just completed its first year. Thus far three Learning Teaching Training (LTT) activities have been held, at the Queen’s University Belfast, the University of Bordeaux and the Centre for Plasma Physics and Lasers (CPPL) of TEI Crete. The last of these was a two-week long Intensive Programme (IP), while the activities at the other two universities were each five days in length. Thus far work has concentrated upon training in both theoretical and experimental work in plasma physics, high power laser–matter interactions and high energy density physics. The nature of the programme will be described in detail and some metrics relating to the activities carried out to date will be presented.
Streamwise velocity profiles and their wall-normal derivatives were used to investigate the properties of turbulent channel flow in the low polymer drag reduction
), as realized via polymer injection at the channel surface. Streamwise velocity data were obtained over a friction Reynolds number ranging from
using the single-velocity-component version of molecular tagging velocimetry (1c-MTV). This adaptation of the MTV technique has the ability to accurately capture instantaneous profiles at very high spatial resolution (
data points per wall-normal profile), and thus generate well-resolved derivative information as well. Owing to this ability, the present study is able to build upon and extend the recent numerical simulation analysis of White et al. (J. Fluid Mech., vol. 834, 2018, pp. 409–433) that examined the mean dynamical structure of polymer drag-reduced channel flow at friction Reynolds numbers up to
. Consistently, the present mean velocity profiles indicate that the extent of the logarithmic region diminishes with increasing polymer concentration, while statistically significant increases in the logarithmic profile slope begin to occur for drag reductions less than
. Profiles of the r.m.s. streamwise velocity indicate that the maximum moves farther from the wall and increases in magnitude with reductions in drag. Similarly, with increasing drag reduction, the profile of the combined Reynolds and polymer shear stress exhibits a decrease in its maximum value that also moves farther from the wall. Correlations are presented that estimate the location and value of the maximum r.m.s. streamwise velocity and combined Reynolds and polymer shear stress. Over the range of
investigated, these effects consistently exhibit approximately linear trends as a function of
. The present measurements allow reconstruction of the mean momentum balance (MMB) for channel flow, which provides further insights regarding the physics described in the study by White et al. In particular, the present findings support a physical scenario in which the self-similar properties on the inertial domain identified from the leading-order structure of the MMB begin to detectably and continuously vary for drag reductions less than
Different diagnostic interviews are used as reference standards for major depression classification in research. Semi-structured interviews involve clinical judgement, whereas fully structured interviews are completely scripted. The Mini International Neuropsychiatric Interview (MINI), a brief fully structured interview, is also sometimes used. It is not known whether interview method is associated with probability of major depression classification.
To evaluate the association between interview method and odds of major depression classification, controlling for depressive symptom scores and participant characteristics.
Data collected for an individual participant data meta-analysis of Patient Health Questionnaire-9 (PHQ-9) diagnostic accuracy were analysed and binomial generalised linear mixed models were fit.
A total of 17 158 participants (2287 with major depression) from 57 primary studies were analysed. Among fully structured interviews, odds of major depression were higher for the MINI compared with the Composite International Diagnostic Interview (CIDI) (odds ratio (OR) = 2.10; 95% CI = 1.15–3.87). Compared with semi-structured interviews, fully structured interviews (MINI excluded) were non-significantly more likely to classify participants with low-level depressive symptoms (PHQ-9 scores ≤6) as having major depression (OR = 3.13; 95% CI = 0.98–10.00), similarly likely for moderate-level symptoms (PHQ-9 scores 7–15) (OR = 0.96; 95% CI = 0.56–1.66) and significantly less likely for high-level symptoms (PHQ-9 scores ≥16) (OR = 0.50; 95% CI = 0.26–0.97).
The MINI may identify more people as depressed than the CIDI, and semi-structured and fully structured interviews may not be interchangeable methods, but these results should be replicated.
Declaration of interest
Drs Jetté and Patten declare that they received a grant, outside the submitted work, from the Hotchkiss Brain Institute, which was jointly funded by the Institute and Pfizer. Pfizer was the original sponsor of the development of the PHQ-9, which is now in the public domain. Dr Chan is a steering committee member or consultant of Astra Zeneca, Bayer, Lilly, MSD and Pfizer. She has received sponsorships and honorarium for giving lectures and providing consultancy and her affiliated institution has received research grants from these companies. Dr Hegerl declares that within the past 3 years, he was an advisory board member for Lundbeck, Servier and Otsuka Pharma; a consultant for Bayer Pharma; and a speaker for Medice Arzneimittel, Novartis, and Roche Pharma, all outside the submitted work. Dr Inagaki declares that he has received grants from Novartis Pharma, lecture fees from Pfizer, Mochida, Shionogi, Sumitomo Dainippon Pharma, Daiichi-Sankyo, Meiji Seika and Takeda, and royalties from Nippon Hyoron Sha, Nanzando, Seiwa Shoten, Igaku-shoin and Technomics, all outside of the submitted work. Dr Yamada reports personal fees from Meiji Seika Pharma Co., Ltd., MSD K.K., Asahi Kasei Pharma Corporation, Seishin Shobo, Seiwa Shoten Co., Ltd., Igaku-shoin Ltd., Chugai Igakusha and Sentan Igakusha, all outside the submitted work. All other authors declare no competing interests. No funder had any role in the design and conduct of the study; collection, management, analysis and interpretation of the data; preparation, review or approval of the manuscript; and decision to submit the manuscript for publication.
There is growing interest in linking vitamin D deficiency with autism spectrum disorders (ASDs). The association between vitamin D deficiency during gestation, a critical period in neurodevelopment, and ASD is not well understood.
To determine the association between gestational vitamin D status and ASD.
Based on a birth cohort (n=4334), we examined the association between 25-hydroxyvitamin D (25OHD), assessed from both maternal mid-gestation sera and neonatal sera, and ASD (defined by clinical records; n=68 cases).
Individuals in the 25OHD-deficient group at mid-gestation had more than twofold increased risk of ASD (odds ratio (OR)=2.42, 95% confidence interval (CI) 1.09 to 5.07, P=0.03) compared with the sufficient group. The findings persisted in analyses including children of European ethnicity only.
Mid-gestational vitamin D deficiency was associated with an increased risk of ASD. Because gestational vitamin D deficiency is readily preventable with safe, inexpensive and readily available supplementation, this risk factor warrants closer scrutiny.
The Taipan galaxy survey (hereafter simply ‘Taipan’) is a multi-object spectroscopic survey starting in 2017 that will cover 2π steradians over the southern sky (δ ≲ 10°, |b| ≳ 10°), and obtain optical spectra for about two million galaxies out to z < 0.4. Taipan will use the newly refurbished 1.2-m UK Schmidt Telescope at Siding Spring Observatory with the new TAIPAN instrument, which includes an innovative ‘Starbugs’ positioning system capable of rapidly and simultaneously deploying up to 150 spectroscopic fibres (and up to 300 with a proposed upgrade) over the 6° diameter focal plane, and a purpose-built spectrograph operating in the range from 370 to 870 nm with resolving power R ≳ 2000. The main scientific goals of Taipan are (i) to measure the distance scale of the Universe (primarily governed by the local expansion rate, H0) to 1% precision, and the growth rate of structure to 5%; (ii) to make the most extensive map yet constructed of the total mass distribution and motions in the local Universe, using peculiar velocities based on improved Fundamental Plane distances, which will enable sensitive tests of gravitational physics; and (iii) to deliver a legacy sample of low-redshift galaxies as a unique laboratory for studying galaxy evolution as a function of dark matter halo and stellar mass and environment. The final survey, which will be completed within 5 yrs, will consist of a complete magnitude-limited sample (i ⩽ 17) of about 1.2 × 106 galaxies supplemented by an extension to higher redshifts and fainter magnitudes (i ⩽ 18.1) of a luminous red galaxy sample of about 0.8 × 106 galaxies. Observations and data processing will be carried out remotely and in a fully automated way, using a purpose-built automated ‘virtual observer’ software and an automated data reduction pipeline. The Taipan survey is deliberately designed to maximise its legacy value by complementing and enhancing current and planned surveys of the southern sky at wavelengths from the optical to the radio; it will become the primary redshift and optical spectroscopic reference catalogue for the local extragalactic Universe in the southern sky for the coming decade.
The economic viability of nine representative energy conservation options for Pennsylvania greenhouse operators is examined. The analysis is done using an Internal Rate of Return procedure for four major fuels under three price escalator assumptions. The minimum energy savings per square foot per year is also calculated for each option. Wide variation is found in the economic feasibility of these options with the ones with the lowest installation costs generally providing the greatest IRR and the lowest required minimum savings per year. The results clearly indicate the need to evaluate carefully the econcmic viability of such investments beforehand.
The Westerns Budd Boetticher made in collaboration with scriptwriter Burt Kennedy in the late 1950s: Seven Men From Now (1956), The Tall T (1957), Ride Lonesome (1959) and Comanche Station (1960) demonstrate the use of classic narrative structural arcs and display considerable depth of characterization. The speech patterns employed in the script lend themselves to the creation of carefully directed dramatic performances; the tensions between characters created in the writing demand expression in the proxemics employed in shot composition; and the locations set out in the screenplay require the almost unavoidable creation of poetic sequences highlighting the relationship between man and the natural world. But what are the underpinning messages and ideologies of these Boetticher–Kennedy Westerns and how is the nature of this worldview revealed when set alongside Boetticher Westerns from the same period with screenplays by Charles Lang, Decision at Sundown (1957) and Buchanan Rides Alone (1958), and Berne Giler Westbound (1959)?
If anyone were to be in any doubt as to why Boetticher is seen by many as a high-quality Hollywood director, they would need only to study the opening five minutes of The Tall T to understand exactly how he has gained such a reputation. The first shot is of a rocky, boulder-strewn landscape that immediately presents itself as a harsh, unforgiving environment. In the distance there are two arid and dusty hills and, beyond that, there is a cloudless, grey-blue sky. The whole area from the far distance into the foreground is dry, barren and largely devoid of greenery. The static camera invites the viewer to take in this landscape as the credits fade in across the screen in a broken, jagged font and an orangey red that immediately brings to the semiotic mix the usual foreboding connotations attaching to that color. As we move toward the end of the credit sequence, a horse and rider (Randolph Scott as Pat Brennan), minute within the composition of the shot, enter the middle distance from behind a large boulder on the left of the screen and move toward a fixed camera point, weaving between rocks. The rider sways and shifts in the saddle according to the changes in terrain in a choreographed expression of a particular relationship between man and nature.
Neal White is an artist whose work is broadly concerned with the production of knowledge and the physical and immaterial spaces simultaneously occupied and generated by various forms of scientific, technological, military and artistic research. Many of his projects involve investigations of institutional spaces, including archives, laboratories and installations, and the practices and values that produce them. White's work, then, is often positioned inside, adjacent to, or even resolutely outside (in the case of projects concerned with securitised or secret sites) wider networks of scientific and technological research. Key to White's work is collaboration and experiment, practices that are fundamental to science, technology and engineering, and increasingly a dominant aspect of contemporary art. Since 2004, his collaborative practice with the Office of Experiments has led a series of projects focused on experimental forms of research. In the following discussion with John Beck, White discusses the notion of art-as-research, the importance of collaboration and site-specificity, and a number of ways in which his practice has engaged with the legacies of Cold War infrastructure in Europe and the UK.
John Beck: Could you tell me something about the Office of Experiments? What is it and what does it do?
Neal White: The Office of Experiments (OoE) is a collective that reflects the shift that some artists have made away from individual studio practice and toward collaboration, not just with other artists but with others who are often concealed in the process of art making. The OoE is a network, research structure, production space, and a site for experimental encounters. It was conceived during a project with Danish architects N55 in 2004, and then formalised as a nonlegal entity using the ideas of artist John Latham on event structures and the work of historian of science Hans-Jörg Rheinberger.
JB: Perhaps we could unpack these influences a little. First of all, could you say a little more about the influence of Latham?
NW: John Latham was a British conceptual artist (1922–2006) and I met him in 2003, after an introduction concerning my critical interest in the relationships between artists engaging with power structures in science. He was strongly taken by a book I had published with author Lawrence Norfolk that revisits the famous forty-five frames of W. K. L. Dickson's Record of a Sneeze(1894) using laser, video and computer technologies.
The Southern Hemisphere VLBI Experiment (SHEVE) program is aimed at producing high-resolution images of southern radio sources. The radio telescopes of the present SHEVE array are described below and some recent results presented.
A narrow-band translator and filter system has been constructed for the Parkes Multibeam receiver. This brief note outlines the characteristics of the system and indicates the range of new projects that will be possible in studies of the Magellanic Clouds.