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To describe multivariate base rates (MBRs) of low scores and reliable change (decline) scores on Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) in college athletes at baseline, as well as to assess MBR differences among demographic and medical history subpopulations.
Data were reported on 15,909 participants (46.5% female) from the NCAA/DoD CARE Consortium. MBRs of ImPACT composite scores were derived using published CARE normative data and reliability metrics. MBRs of sex-corrected low scores were reported at <25th percentile (Low Average), <10th percentile (Borderline), and ≤2nd percentile (Impaired). MBRs of reliable decline scores were reported at the 75%, 90%, 95%, and 99% confidence intervals. We analyzed subgroups by sex, race, attention-deficit/hyperactivity disorder and/or learning disability (ADHD/LD), anxiety/depression, and concussion history using chi-square analyses.
Base rates of low scores and reliable decline scores on individual composites approximated the normative distribution. Athletes obtained ≥1 low score with frequencies of 63.4% (Low Average), 32.0% (Borderline), and 9.1% (Impaired). Athletes obtained ≥1 reliable decline score with frequencies of 66.8%, 32.2%, 18%, and 3.8%, respectively. Comparatively few athletes had low scores or reliable decline on ≥2 composite scores. Black/African American athletes and athletes with ADHD/LD had higher rates of low scores, while greater concussion history was associated with lower MBRs (p < .01). MBRs of reliable decline were not associated with demographic or medical factors.
Clinical interpretation of low scores and reliable decline on ImPACT depends on the strictness of the low score cutoff, the reliable change criterion, and the number of scores exceeding these cutoffs. Race and ADHD influence the frequency of low scores at all cutoffs cross-sectionally.
Although accumulating evidence supports the hypothesis that immune/inflammatory mechanisms are associated with the pathophysiology of bipolar disorder (BD), data about the profile of chemokines (chemotactic cytokines) and chemokine receptors are still scarce. The current study was designed to evaluate the expression of chemokine receptors on lymphocytes of patients with BD in comparison with controls.
Thirty-three patients with type I BD (N = 21 in euthymia; N = 6 in mania/hypomania; N = 6 in depression) and 22 age- and sex-matched controls were subjected to clinical evaluation and peripheral blood draw. The expression of chemokine receptors CCR3, CCR5, CXCR4, and CXCR3 on CD4+ and CD8+ lymphocytes was assessed by flow cytometry.
Patients with BD had decreased percentage of CD4+CXCR3+ (p = 0.024), CD4+CCR3+ (p = 0.042), and CD4+CCR5+ (0.013) lymphocytes in comparison with controls. The percentage of both CD4+ and CD8+ lymphocytes expressing the chemokine receptor CXCR4 was similar in patients with BD and controls. Likewise, the percentages of CD8+CXCR3+, CD8+CCR3+, and CD8+CCR5+ lymphocytes were similar in patients with BD and controls.
Our findings reinforce the hypothesis that immune pathways, especially involving CD4+ lymphocytes, are involved in the physiopathology of BD.
Total Reflection X-ray Fluorescence Analysis (TXRF) has been proved to be well suited for the energy dispersive analysis of light elements, as B, C, N, O, F, Na, Mg,.,. using a special spectrometer. It is equipped with a Ge(HP) detector offering a sufficient detection efficiency from 180 eV upwards. The obtainable detection limits especially of the light elements are mainly influenced by the excitation source, which should provide a large number of photons with an energy near the K-absorption edge of these elements (from 200 eV upwards). Commercially available X-ray tubes do not offer characteristic X-rays in that range. In former experiments a windowless X-ray tube was built to prevent the low energy X-rays from being attenuated in the Be window. Experiments have been performed using Cu as anode material.
A core question in the debate about how to organise mental healthcare is whether in- and out-patient treatment should be provided by the same (personal continuity) or different psychiatrists (specialisation). The controversial debate drives costly organisational changes in several European countries, which have gone in opposing directions. The existing evidence is based on small and low-quality studies which tend to favour whatever the new experimental organisation is.
We compared 1-year clinical outcomes of personal continuity and specialisation in routine care in a large scale study across five European countries.
This is a 1-year prospective natural experiment conducted in Belgium, England, Germany, Italy and Poland. In all these countries, both personal continuity and specialisation exist in routine care. Eligible patients were admitted for psychiatric in-patient treatment (18 years of age), and clinically diagnosed with a psychotic, mood or anxiety/somatisation disorder.
Outcomes were assessed 1 year after the index admission. The primary outcome was re-hospitalisation and analysed for the full sample and subgroups defined by country, and different socio-demographic and clinical criteria. Secondary outcomes were total number of inpatient days, involuntary re-admissions, adverse events and patients’ social situation. Outcomes were compared through mixed regression models in intention-to-treat analyses. The study is registered (ISRCTN40256812).
We consecutively recruited 7302 patients; 6369 (87.2%) were followed-up. No statistically significant differences were found in re-hospitalisation, neither overall (adjusted percentages: 38.9% in personal continuity, 37.1% in specialisation; odds ratio = 1.08; confidence interval 0.94–1.25; p = 0.28) nor for any of the considered subgroups. There were no significant differences in any of the secondary outcomes.
Whether the same or different psychiatrists provide in- and out-patient treatment appears to have no substantial impact on patient outcomes over a 1-year period. Initiatives to improve long-term outcomes of psychiatric patients may focus on aspects other than the organisation of personal continuity v. specialisation.
Douglas Nakashima, United Nations Educational, Scientific and Cultural Organization (UNESCO), France,Igor Krupnik, Smithsonian Institution, Washington DC,Jennifer T. Rubis, United Nations Educational, Scientific and Cultural Organization (UNESCO), France
Using a combination of satellite sensors, field measurements and satellite-uplinked in situ observing stations, we examine the evolution of several large icebergs drifting east of the Antarctic Peninsula towards South Georgia Island. Three styles of calving are observed during drift: ‘rift calvings’, ‘edge wasting’ and ‘rapid disintegration’. Rift calvings exploit large pre-existing fractures generated in the shelf environment and can occur at any stage of drift. Edge wasting is calving of the iceberg perimeter by numerous small edge-parallel, sliver-shaped icebergs, preserving the general shape of the main iceberg as it shrinks. This process is observed only in areas north of the sea-ice edge. Rapid disintegration, where numerous small calvings occur in rapid succession, is consistently associated with indications of surface melt saturation (surface lakes, firn-pit ponding). Freeboard measurements by ICESat indicate substantial increases in ice-thinning rates north of the sea-ice edge (from <10 m a−1 to >30 m a−1), but surface densification is shown to be an important correction (>2 m freeboard loss before the firn saturates). Edge wasting of icebergs in ‘warm’ surface water (sea-ice-free, >−1.8°C) implies a mechanism based on waterline erosion. Rapid disintegration (‘Larsen B-style’ break-up) is likely due to the effects of surface or saturated-firn water acting on pre-existing crevasses, or on wave- or tidally induced fractures. Changes in microwave backscatter of iceberg firn as icebergs drift into warmer climate and experience increased surface melt suggest a means of predicting when floating ice plates are evolving towards disintegration.
Hundreds of thousands of archaeological investigations in the United States conducted over the last several decades have documented a large portion of the recovered archaeological record in the United States. However, if we are to use this enormous corpus to achieve richer understandings of the past, it is essential that both CRM and academic archaeologists change how they manage their digital documents and data over the course of a project and how this information is preserved for future use. We explore the nature and scope of the problem and describe how it can be addressed. In particular, we argue that project workflows must ensure that the documents and data are fully documented and deposited in a publicly accessible, digital repository where they can be discovered, accessed, and reused to enable new insights and build cumulative knowledge.
The results of extensive experimental testing of an aero-engine air-oil separator are presented and discussed. The study focuses on the pressure loss of the system. Oil enters the device in the form of dispersed droplets. Subsequently, separation occurs by centrifuging larger droplets towards the outer walls and by film formation at the inner surface of a rotating porous material, namely an open-cell metal foam. The work described here is part of a study led jointly by the Karlsruhe Institute of Technology (KIT) and the University of Nottingham (UNott) within a recent EU project.
The goal of the research is to increase the separation efficiency to mitigate oil consumption and emissions, while keeping the pressure loss as low as possible. The aim is to determine the influencing factors on pressure loss and separation efficiency. With this knowledge, a correlation can eventually be derived. Experiments were conducted for three different separator configurations, one without a metal foam and two with metal foams of different pore sizes. For each configuration, a variety of engine-like conditions of air mass flow rate, rotational speed and droplet size was investigated. The experimental results were used to validate and improve the numerical modelling.
Results for the pressure drop and its dependencies on air mass flow rate and the rotational speed were analysed. It is shown that the swirling flow and the dissipation of angular momentum are the most important contributors to the pressure drop, besides the losses due to friction and dissipation caused by the flow passing the metal foam. It was found that the ratio of the rotor speed and the tangential velocity of the fluid is an important parameter to describe the influence of rotation on the pressure loss. Contrary to expectations, the pressure loss is not necessarily increased with a metal foam installed.
The Dark Energy Survey is undertaking an observational programme imaging 1/4 of the southern hemisphere sky with unprecedented photometric accuracy. In the process of observing millions of faint stars and galaxies to constrain the parameters of the dark energy equation of state, the Dark Energy Survey will obtain pre-discovery images of the regions surrounding an estimated 100 gamma-ray bursts over 5 yr. Once gamma-ray bursts are detected by, e.g., the Swift satellite, the DES data will be extremely useful for follow-up observations by the transient astronomy community. We describe a recently-commissioned suite of software that listens continuously for automated notices of gamma-ray burst activity, collates information from archival DES data, and disseminates relevant data products back to the community in near-real-time. Of particular importance are the opportunities that non-public DES data provide for relative photometry of the optical counterparts of gamma-ray bursts, as well as for identifying key characteristics (e.g., photometric redshifts) of potential gamma-ray burst host galaxies. We provide the functional details of the DESAlert software, and its data products, and we show sample results from the application of DESAlert to numerous previously detected gamma-ray bursts, including the possible identification of several heretofore unknown gamma-ray burst hosts.
It is well known that Cepheid variables are very important distance indicators because of their PL and PLC relations. The distances derived through the quoted relations are affected by well known systematic effects, since, in general, we have a poor knowledge of both reddening and metallicity of the Cepheid sample. Good estimates of the quoted parameters can be achieved if the observed Cepheids are cluster members since, by comparison between cluster CMD and theoretical isochrones we can estimate the cluster reddening, metallicity and age, i.e., the evolving masses for each evolutionary phase. The ideal objects to be searched for Cepheid membership are Magellanic Cloud clusters since they are well populated in the relevant evolutionary phases.
First 405 GHz and 212 GHz solar flare observations were obtained during short campaigns while the new solar submillimeter-wave telescope (SST) was still undergoing adjustments at the CASLEO El Leoncito observatory in the Argentina Andes. We show here preliminary results for a large X1.1 class X-ray event occurred on 2000 March 22, which exhibited a small submm-w continuum response to the slow (minutes) bulk flare emission, and numerous subsecond spikes (100-300 ms), the brightest spikes reaching about 180 and 50 s.f.u. at 405 and 212 GHz, respectively.
Common beans (Phaseolus vulgaris L.) are a nutrient-dense, low glycemic index food that supports healthy weight management in people and was examined for dogs. The objectives of this study were to evaluate the apparent total tract digestibility (ATTD) and nutrient utilisation of navy (NB) and black (BB) bean-based diets in overweight or obese companion dogs undergoing a weight loss intervention. A nutritionally complete, dry extruded dog food was used as the control (CON) diet and two isocaloric, nutrient matched bean diets, containing either 25% w/w cooked BB or NB powder formed the test diets. Diets were fed to adult, overweight companion dogs for either four weeks (short-term study, n = 30) or for twenty-six weeks (long-term study, n = 15) at 60% of maintenance calories for ideal weight. Apparent weight loss increased over time in both the short- and long-term studies (p < 0.001) but was not different between the three study groups: apparent weight loss was between 4.05% – 6.14% for the short-term study and 14.0% – 17.9% in the long-term study. The ATTD was within expected ranges for all groups, whereby total dry matter and crude protein ATTD was 7–8% higher in the BB diet compared to CON (P < 0.05), crude fat ATTD was similar across all diets, and nitrogen free extract ATTD was 5–6% higher in both BB and NB compared to CON (P < 0.05). Metabolisable energy was similar for all diets, and ranged from 3,434–3,632 kcal/kg. At the end of each study period, dogs had haemoglobin levels ≥12 g/dl, packed cell volume ≥36%, albumin ≥2.4 g/dl, ALP ≤ 300 IU/l and all median values for each group were within defined limits for nutritional adequacy. This investigation demonstrated that BB and NB diets were safe, digestible, and supported weight loss in calorically restricted, overweight or obese, adult companion dogs.
Estimated breeding values (EBVs) and genomic enhanced breeding values (GEBVs) for milk production of young genotyped Holstein bulls were predicted using a conventional BLUP – Animal Model, a method fitting regression coefficients for loci (RRBLUP), a method utilizing the realized genomic relationship matrix (GBLUP), by a single-step procedure (ssGBLUP) and by a one-step blending procedure. Information sources for prediction were the nation-wide database of domestic Czech production records in the first lactation combined with deregressed proofs (DRP) from Interbull files (August 2013) and domestic test-day (TD) records for the first three lactations. Data from 2627 genotyped bulls were used, of which 2189 were already proven under domestic conditions. Analyses were run that used Interbull values for genotyped bulls only or that used Interbull values for all available sires. Resultant predictions were compared with GEBV of 96 young foreign bulls evaluated abroad and whose proofs were from Interbull method GMACE (August 2013) on the Czech scale. Correlations of predictions with GMACE values of foreign bulls ranged from 0.33 to 0.75. Combining domestic data with Interbull EBVs improved prediction of both EBV and GEBV. Predictions by Animal Model (traditional EBV) using only domestic first lactation records and GMACE values were correlated by only 0.33. Combining the nation-wide domestic database with all available DRP for genotyped and un-genotyped sires from Interbull resulted in an EBV correlation of 0.60, compared with 0.47 when only Interbull data were used. In all cases, GEBVs had higher correlations than traditional EBVs, and the highest correlations were for predictions from the ssGBLUP procedure using combined data (0.75), or with all available DRP from Interbull records only (one-step blending approach, 0.69). The ssGBLUP predictions using the first three domestic lactation records in the TD model were correlated with GMACE predictions by 0.69, 0.64 and 0.61 for milk yield, protein yield and fat yield, respectively.
Concerning a materials ability to convert heat to electrical energy, the electrical power factor S2/ρ as well as the thermal conductivity at elevated temperatures are of special interest. Since Flash experiments measure the thermal diffusivity and standard steady-state heat-flow experiments are inaccurate at elevated temperatures due to radiation errors inherent to this technique, direct and accurate thermal conductivity data on type-I clathrate single crystals at elevated temperatures are scarce in literature. Here we report 3ω thermal conductivity data on single crystalline Ba8Cu5.09Ge40.91 (BCG), La1.23Ba6.99Au5.91Si39.87, and Ce1.06Ba6.91Au5.56Si40.47 in the temperature range between 80 and 330 K, and specific heat data on BCG between 2 and 300 K. The comparison of our room temperature phonon thermal conductivity data (κph) to results on transition metal (TM) free type-I clathrates in terms of the guest free space (Rfree) suggests a stronger dependence of κph on Rfree for the clathrates containing TM elements.
The study of variable stars in open clusters via asteroseismology is a powerful tool for the study of stellar evolution and stars in general. That is because stars in clusters can be assumed to originate from the same interstellar cloud, so they share similar properties such as age and overall metallicity. We performed a search for variable stars in the field of the young open star cluster Roslund 2, with photoelectric and CCD photometry acquired at two different telescopes. Within the resulting light curves we have found 12 variable stars. Our measurements confirm three previously known variables.
Leptin is thought to act as an important mediator in stress reactions. To date, no study has examined the association between psychological stress and leptin levels in children. This study aimed to assess the association between emotional symptoms and peer problems and serum leptin levels in children aged 10 years of the two population-based GINI-plus and LISA-plus birth cohorts.
Cross-sectional data from 2827 children aged 10 years were assessed with regard to leptin concentrations in serum and behavioral problems using the parent-reported Strengths and Difficulties Questionnaire (SDQ). Linear regression modeling was applied to determine the likelihood of elevated leptin levels in children with emotional symptoms and peer problems, controlling for socio-economic status (SES), body mass index (BMI), fasting serum leptin levels, pubertal development and sex hormones.
We found that increases in emotional symptoms (exp βadj = 1.03, s.e. = 0.02, p < 0.04) and peer problems (exp βadj = 1.05, s.e. = 0.01, p = 0.0001) were significantly associated with higher serum leptin levels controlled for BMI and sociodemographic factors. Similar results were found when the fasting serum leptin sample was examined (exp βadj = 1.08, s.e. = 0.04, p = 0.0294). Gender-stratified analyses showed a significant relationship between serum leptin and peer problems in girls (exp βadj = 1.05, s.e. = 0.02, p = 0.03), and a borderline significant association in boys (exp βadj = 1.04, s.e. = 0.02, p = 0.05).
Children with peer problems have higher stress and eat more, acquire a higher body fat mass and thus, through increased leptin resistance, exhibit higher leptin levels.