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This book integrates philosophy of science, data acquisition methods, and statistical modeling techniques to present readers with a forward-thinking perspective on clinical science. It reviews modern research practices in clinical psychology that support the goals of psychological science, study designs that promote good research, and quantitative methods that can test specific scientific questions. It covers new themes in research including intensive longitudinal designs, neurobiology, developmental psychopathology, and advanced computational methods such as machine learning. Core chapters examine significant statistical topics, for example missing data, causality, meta-analysis, latent variable analysis, and dyadic data analysis. A balanced overview of observational and experimental designs is also supplied, including preclinical research and intervention science. This is a foundational resource that supports the methodological training of the current and future generations of clinical psychological scientists.
This paper presents a review of the current status of photodiode array systems adapted for Energy Dispersive EXAFS (EDE) using a synchrotron radiation source. The performance of a conventional Reticon PDA is compared with that of a hybrid CCD. The specification of a new detector system for EDE is discussed in the light of experience gained with current linear detectors.
Medicine-related research includes numerous studies on the hazards of mortality and what risk factors are associated with these hazards, such as diseases and treatments. These hazards are estimated in a sample of people and summarised over the observed period. From these observations, inferences can be made about the underlying population and consequently inform medical guidelines for intervention. New health interventions are usually based on these estimated hazards obtained from clinical trials. A lengthy lead time would be needed to observe their effect on population longevity. This paper shows how estimated mortality hazards can be translated to hypothetical changes in life expectancies at the individual and population levels. For an individual, the relative hazards are translated into the number of years gained or lost in “effective age”, which is the average chronological age with the same risk profile. This translation from hazard ratio to effective age could be used to explain to individuals the consequences of various diseases and lifestyle choices and as a result persuade clients in life and health insurance to pursue a healthier lifestyle. At the population level, a period life expectancy is a weighted average of component life expectancies associated with the particular risk profiles, with the weights defined by the prevalences of the risk factor of interest and the uptake of the relevant intervention. Splitting the overall life expectancy into these components allows us to estimate hypothetical changes in life expectancy at the population level at different morbidity and uptake scenarios. These calculations are illustrated by two examples of medical interventions and their impact on life expectancy, which are beta blockers in heart attack survivors and blood pressure treatment in hypertensive patients. The second example also illustrates the dangers of applying the results from clinical trials to much wider populations.
Locally acquired hepatitis A infection is re-emerging in Australia owing to person-to-person outbreaks among men who have sex with men and imported frozen produce. This paper describes a multi-state foodborne outbreak in the first half of 2018. Enhanced human epidemiological investigation including a case–control study, as well as microbial surveillance and trace-back investigations concluded that the outbreak was caused by consumption of imported frozen pomegranate arils. A total of 30 cases of hepatitis A infection, genotype IB with identical sequences met the outbreak case definition, including 27 primary cases and three secondary cases. Twenty-five (83%) of the cases were hospitalised for their illness and there was one death. Imported frozen pomegranate arils from Egypt were strongly implicated as the source of infection through case interviews (19 of 26 primary cases) as well as from a case–control study (adjusted odds ratio 43.4, 95% confidence interval 4.2–448.8, P = 0.002). Hepatitis A virus (HAV) was subsequently detected by polymerase chain reaction in two food samples of the frozen pomegranate aril product. This outbreak was detected and responded to promptly owing to routine genetic characterisation of HAVs from all hepatitis A infections in Australia as part of a national hepatitis A enhanced surveillance project. This is now the third outbreak of hepatitis A in Australia from imported frozen fruits. A re-assessment of the risk of these types of imported foods is strongly recommended.
OBJECTIVES/SPECIFIC AIMS: Characterize the expression kinetics of HIV-1 Envelope and their relationship to virus production at the cellular level. METHODS/STUDY POPULATION: In vitro and ex vivo laboratory analyses. RESULTS/ANTICIPATED RESULTS: Initial studies addressing the kinetics of cell surface. Envelope (Env) expression reveal that Env expression to peaks on day 2 post infection. Next steps include a series of experiments to compare the kinetics of Env cell surface expression with broadly neutralizing antibody (bNAb)-mediated ADCC and the characterization of virus production kinetics in this same context. To be maximally effective, ADCC elimination of infected cells should occur before peak Env expression. DISCUSSION/SIGNIFICANCE OF IMPACT: Potent bNAbs to HIV-1 recognize vulnerable sites on the HIV-1 Envelope (Env) protein and are of great clinical interest due to their potential use in the prevention and treatment of HIV-1 infection. Their effectiveness depends not only on the neutralization of viral infectivity, but also on the elimination of productively infected cells via antibody-dependent cellular cytotoxicity (ADCC). On a cellular level, ADCC dynamics are determined by the timing and level of Env expression on the surface of HIV-infected cells. This study aims to delineate the expression kinetics of HIV-1 Envelope and their relationship to virus production. We expect that it will provide new insights into the utility of bNAb-mediated ADCC in treating and possibly curing HIV-1 infection; therefore results might have substantial impact on future HIV treatment strategies.
Concerns have been raised about the potential adverse effects on reproductive health in farm animals, humans, and wildlife species from a range of environmental chemicals that disrupt normal hormonal actions. The alkylphenol polyethoxylates are non-ionic surfactants used in the manufacture of detergents, paints and herbicides. During sewage treatment, these compounds are broken down to short chain alkylphenol polyethoxylates, alkylphenol carboxylic acids and alkylphenols which bioaccumulate in the lipid of living organisms. The estrogenic nature of one of these compounds - octylphenol has been clearly demonstrated in cell culture, in a recombinant yeast screen with human estrogen receptor?and in animal studies. It is proposed that these endocrine disrupting compounds influence male adult reproductive potential by disrupting the development of the hypothalamic-pituitary-testicular axis during fetal life. We have recently identified that exposure to octylphenol for the second half of gestation decreases circulating concentrations of FSH during fetal life and the number of Sertoli cells of the testis and testis size at birth in comparison to control animals (Sweeney et al., 2000). However, the testes size, % interstitial space, semen volume, semen concentration and % live semen was similar in both treatment groups in the adult. In contrast animals exposed to octylphenol from birth to weaning (16 weeks of age) had a significantly greater number of primary and secondary abnormalities in comparison to controls and animals exposed to octylphenol for the second half of gestation. A number of the animals exposed to octylphenol from birth to weaning exhibited augmented sexual behaviour, while those exposed to octylphenol for the second half of pregnancy showed a suppression of sexual behaviour. The current data suggests the physiological effect of exposure to octylphenol is dependant on the time and duration of exposure. This has major implications for the determination of universal end-point measurements to assess exposure to endocrine disrupting compounds.
Recent cases of acute kidney injury due to Seoul hantavirus infection from exposure to wild or pet fancy rats suggest this infection is increasing in prevalence in the UK. We conducted a seroprevalence study in England to estimate cumulative exposure in at-risk groups with contact with domesticated and wild rats to assess risk and inform public health advice. From October 2013 to June 2014, 844 individual blood samples were collected. Hantavirus seroprevalence amongst the pet fancy rat owner group was 34.1% (95% CI 23·9–45·7%) compared with 3·3% (95% CI 1·6–6·0) in a baseline control group, 2·4% in those with occupational exposure to pet fancy rats (95% CI 0·6–5·9) and 1·7% with occupational exposure to wild rats (95% CI 0·2–5·9). Variation in seroprevalence across groups with different exposure suggests that occupational exposure to pet and wild rats carries a very low risk, if any. However incidence of hantavirus infection among pet fancy rat owners/breeders, whether asymptomatic, undiagnosed mild viral illness or more severe disease may be very common and public health advice needs to be targeted to this at-risk group.
M. J. Davis, School of Mathematics and Physics, University of Queensland,
T. M. Wright, School of Mathematics and Physics, University of Queensland, St. Lucia QLD 4072, Australia,
T. Gasenzer, Universität Heidelberg,
S. A. Gardiner, Department of Physics, Durham University,
N. P. Proukakis, School of Mathematics and Statistics, Newcastle University
The problem of understanding how a coherent, macroscopic Bose- Einstein condensate (BEC) emerges from the cooling of a thermal Bose gas has attracted significant theoretical and experimental interest over several decades. The pioneering achievement of BEC in weakly interacting dilute atomic gases in 1995 was followed by a number of experimental studies examining the growth of the BEC number, as well as the development of its coherence. More recently, there has been interest in connecting such experiments to universal aspects of nonequilibrium phase transitions, in terms of both static and dynamical critical exponents. Here, the spontaneous formation of topological structures such as vortices and solitons in quenched cold-atom experiments has enabled the verification of the Kibble-Zurek mechanism predicting the density of topological defects in continuous phase transitions, first proposed in the context of the evolution of the early universe. This chapter reviews progress in the understanding of BEC formation and discusses open questions and future research directions in the dynamics of phase transitions in quantum gases.
The equilibrium phase diagram of the dilute Bose gas exhibits a continuous phase transition between condensed and noncondensed phases. The order parameter characteristic of the condensed phase vanishes above some critical temperature Tc and grows continuously with decreasing temperature below this critical point. However, the dynamical process of condensate formation has proved to be a challenging phenomenon to address both theoretically and experimentally. This formation process is a crucial aspect of Bose systems and of direct relevance to all condensates discussed in this book, despite their evident system-specific properties. Important questions leading to intense discussions in the early literature include the time scale for condensate formation and the role of inhomogeneities and finite-size effects in “closed” systems. These issues are related to the concept of spontaneous symmetry breaking, its causes, and implications for physical systems (see, for example, Chapter 5 by Snoke and Daley).
In this chapter, we give an overview of the dynamics of condensate formation and describe the present understanding provided by increasingly well-controlled cold-atom experiments and corresponding theoretical advances over the past twenty years. We focus on the growth of BECs in cooled Bose gases, which, from a theoretical standpoint, requires a suitable nonequilibrium formalism.
The materiality of ritual performance is a growing focus for archaeologists. In Europe, collective ritual performance is expected to be highly structured and to leave behind a loud archaeological signature. In Australia and Papua New Guinea, ritual is highly structured; however, material signatures for performance are not always apparent, with ritual frequently bound up in the surrounding natural and cultural landscape. One way of assessing long-term ritual in this context is by using archaeology to historicize ethno-historical and ethnographic accounts. Examples of this in the Torres Strait region, islands between Papua New Guinea and mainland Australia, suggest that ritual activities were materially inscribed at kod sites (ceremonial men's meeting places) through distribution of clan fireplaces, mounds of stone/bone and shell. This paper examines the structure of Torres Strait ritual for a site ethnographically reputed to be the ancestral kod of the Mabuyag Islanders. Intra-site partitioning of ritual performance is interpreted using ethnography, rock art and the divergent distribution of surface and sub-surface materials (including microscopic analysis of dugong bone and lithic material) across the site. Finally, it discusses the materiality of ritual at a boundary zone between mainland Australia and Papua New Guinea and the extent to which archaeology provides evidence for Islander negotiation through ceremony of external incursions.
Introduction: The suboptimal management of children’s pain in the emergency department (ED) is well described. Although surveys of physicians show improvements in providing analgesia, institutional audits suggest otherwise. One reason may be patient refusal. Our objectives were to determine the proportion of caregivers that offered analgesia prior to arrival to the ED, accept analgesia in the ED, and identify reasons for withholding analgesia. Our results will inform knowledge translation initiatives to improve analgesic provision to children. Methods: A novel survey was designed to test the hypothesis that a large proportion of caregivers withhold and refuse analgesia. Over a 16-week period across two Canadian paediatric EDs, we surveyed caregivers of children aged 4-17 years with an acutely painful condition (headache, otalgia, sore throat, abdominal pain, or musculoskeletal injury). The primary outcome was the proportion of caregivers who offered analgesia up to 24 hours prior to ED arrival and accepted analgesia in the ED. Results: The response rate was 568/707 (80.3%). The majority of caregivers were female (426/568, 75%), aged 36 years or older (434/568, 76.4%), and had a post-secondary education (448/561, 79.9%). Their children included 320 males and 248 females with a mean age of 10.6 years. Most (514/564, 91.1%) reported being “able to tell when their child was in pain”. On average, children rated their maximal pain at 7.4/10. A total of 382/561 (68.1%) caregivers did not offer any form of analgesia prior to arrival. Common reasons included lack of time (124/561, 22.1%), fear of masking signs and symptoms (74/561, 13.2%) or the seriousness of their child’s condition (72/561, 12.8%), and lack of analgesia at home (71/561, 12.7%). Analgesia was offered to 328/560 (58.6%) children in the ED and 283/328 (72.6%) caregivers accepted. The most common reason for not accepting analgesia was child refusal (20/45, 44.4%). Conclusion: Most caregivers do not offer analgesia to their child prior to arriving in the ED despite high levels of pain and an awareness of it. Despite high rates of acceptance of analgesia in the ED, misconceptions are common. Knowledge translation strategies should dispel caregiver misconceptions, and highlight the impact of pain on children and the importance of analgesia at home.
Two-thirds of the members of the Commission have replied to the request of the chairman for an expression of their opinion. Most of them are in general well satisfied with the existing system of classification and nomenclature. Lindblad reports on successful work upon the determination of absolute magnitudes of faint stars, in many ways. Adams writes: “I might suggest that attention be called in the report to the fact that the ultra-violet spectra, even of stars like β Orionis, show large numbers of lines. As you probably remember, the spectrum of Sirius resembles, at first sight, the solar spectrum. If all observatories had the facilities for getting spectra in the far ultra-violet, this region would probably furnish the best criteria for spectral type.” Merrill suggests: “The nomenclature which, upon the basis of atomic transition, assigns the adjective ‘nebular’ to lines which may not occur in nebulae, and ‘ auroral ‘ to lines which may not occur in the aurora, is surely not an ideal one.
Investigation of stellar spectra has been active during the last four years. Without attempting to make a complete survey, some important researches may be mentioned.
The theory of the intensities and contours of absorption lines has been discussed by Eddington, Milne, Pannekoek, Woolley, H. H. Plaskett, and others, and has proved to be difficult. For example, no quantitative theory has yet been developed for the residuai intensity which remains in even the strongest lines, although the physical causes underlying the formation of residual intensities are rather obvious. Study of solar lines with light which has left the surface at different angles shows that the processes which produce the wings and the centre are probably different. The most promising line of attack on this intricate problem appears to be in studies of the solar spectrum, where different regions of the disc may be separately investigated, rather than of integrated starlight. The highest dispersion available, even in solar work, will be none too great.
There has been a marked change in the past few years in the incidence of interest in stellar spectra. The great initial task of classification has attained its first objective—though the Henry Draper Extension, and other investigations are still progressing. Perhaps a million stars are still accessible to classification with existing instruments; but more and more time is being spent upon individual spectra, and upon theoretical investigations. In these fields progress has been very rapid, and only some of the more important results may be mentioned here.
Observations of the 12.8 μm [NeII] line emission, the OH absorption against Sgr A and the HCN emission were compared to determine the relationship between the ionized and neutral gas in the central 10 pc of the Galaxy. The distribution of the neutral gas is too asymmetric to be a ring or disk. Along the western arc, the ionized gas velocity is very different from that of the neutral gas, suggesting it may not be the ionized inner edge of the circum-nuclear neutral gas.
Fronto-limbic structural brain abnormalities have been reported in patients with bipolar disorder (BD), but findings in individuals at increased genetic risk of developing BD have been inconsistent. We conducted a study in adolescents and young adults (12–30 years) comparing measures of fronto-limbic cortical and subcortical brain structure between individuals at increased familial risk of BD (at risk; AR), subjects with BD and controls (CON). We separately examined cortical volume, thickness and surface area as these have distinct neurodevelopmental origins and thus may reflect differential effects of genetic risk.
We compared fronto-limbic measures of grey and white matter volume, cortical thickness and surface area in 72 unaffected-risk individuals with at least one first-degree relative with bipolar disorder (AR), 38 BD subjects and 72 participants with no family history of mental illness (CON).
The AR group had significantly reduced cortical thickness in the left pars orbitalis of the inferior frontal gyrus (IFG) compared with the CON group, and significantly increased left parahippocampal gyral volume compared with those with BD.
The finding of reduced cortical thickness of the left pars orbitalis in AR subjects is consistent with other evidence supporting the IFG as a key region associated with genetic liability for BD. The greater volume of the left parahippocampal gyrus in those at high risk is in line with some prior reports of regional increases in grey matter volume in at-risk subjects. Assessing multiple complementary morphometric measures may assist in the better understanding of abnormal developmental processes in BD.
The Cosmic Background Explorer, launched November 18, 1989, has nearly completed its first full mapping of the sky with all three of its instruments: a Far Infrared Absolute Spectrophotometer (FIRAS) covering 0.1 to 10 mm, a set of Differential Microwave Radiometers (DMR) operating at 3.3, 5.7, and 9.6 mm, and a Diffuse Infrared Background Experiment (DIRBE) spanning 1 to 300 µm in ten bands. A preliminary map of the sky derived from DIRBE data is presented. Initial cosmological implications include: a limit on the Comptonization y parameter of 10−3, on the chemical potential μ parameter of 10−2, a strong limit on the existence of a hot smooth intergalactic medium, and a confirmation that the dipole anisotropy has the spectrum expected from a Doppler shift of a blackbody. There are no significant anisotropies in the microwave sky detected, other than from our own galaxy and a cosθ dipole anisotropy whose amplitude and direction agree with previous data. At shorter wavelengths, the sky spectrum and anisotropies are dominated by emission from ‘local’ sources of emission within our Galaxy and Solar System. Preliminary comparison of IRAS and DIRBE sky brightnesses toward the ecliptic poles shows the IRAS values to be significantly higher than found by DIRBE at 100 μm. We suggest the presence of gain and zero-point errors in the IRAS total brightness data. The spacecraft, instrument designs, and data reduction methods are described.
The ESRO satellite COS-B carries one single experiment aiming at the measurement of arrival direction and energy of celestial gamma rays with energies between 25 MeV and 10 GeV. The experiment is conventional in design and consists of a veto counter, a wire spark chamber, a telescope and an energy calorimeter.
The energy measurement is obtained by a CsI scintillation crystal of 4.7 radiation length thickness. The expected energy resolution at 100 MeV is 50% FWHM. The other detector elements are designed as to cause the least possible degradation of the energy measurement.
The possibilities for the detection of a small contribution of π -origin gamma rays in the presence of a power-law type background spectrum will be discussed.
At the 69th Annual Meeting of the Studiorum Novi Testamenti Societas (SNTS), held in Szeged, Hungary, three scholars were invited to debate the theme of the Greek element in Paul's eschatology – a theme proposed by Prof Udo Schnelle, President of SNTS for 2014. The three contrasting presentations, intended primarily for oral delivery, are published here. It is intended that this ‘Quaestiones Disputatae’ format will be a regular feature of the Society's meetings, and that presentations will be published in this journal.
Dengue fever/dengue haemorrhagic fever (DF/DHF) appears to be emerging in Hanoi in recent years. A case-control study was performed to investigate risk factors for the development of DF/DHF in Hanoi. A total of 73 patients with DF/DHF and 73 control patients were included in the study. The risk factor analysis indicated that living in rented housing, living near uncovered sewers, and living in a house discharging sewage directly into to ponds were all significantly associated with DF/DHF. People living in rented houses were 2·2 times more at risk of DF/DHF than those living in their own homes [adjusted odds ratio (aOR) 2·2, 95% confidence interval (CI) 1·1–4·6]. People living in an unhygienic house, or in a house discharging sewage directly to the ponds were 3·4 times and 4·3 times, respectively, more likely to be associated with DF/DHF (aOR 3·4, 95% CI 1–11·7; aOR 4·3, 95% CI 1·1–16·9). These results contribute to the understanding of the dynamics of dengue transmission in Hanoi, which is needed to implement dengue prevention and control programmes effectively and efficiently.
To produce a high-resolution, three-dimensional temporal bone model from serial sections, using a personal computer.
Digital images were acquired from histological sections of the temporal bone. Image registration, segmentation and three-dimensional volumetric reconstruction were performed using a personal computer. The model was assessed for anatomical accuracy and interactivity by otologists.
An accurate, high-resolution, three-dimensional model of the temporal bone was produced, containing structures relevant to otological surgery. The facial nerve, labyrinth, internal carotid artery, jugular bulb and all of the ossicles were seen (including the stapes footplate), together with the internal and external auditory meati. Some projections also showed the chorda tympani nerve.
A high-resolution, three-dimensional computer model of the complete temporal bone was produced using a personal computer. Because of the increasing difficulty in procuring cadaveric bones, this model could be a useful adjunct for training.