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In this study, an appropriate visual scoring system for foot-pad dermatitis was validated, considering the histologically measured depth of the inflammation zone and the histopathological grade (no lesion, mild lesion, ulcer). The aim being to evaluate whether the visual, macroscopic scoring of foot-pad dermatitis can represent the histological, microscopic findings. Two hundred Ross 308 broiler chicken feet (birds aged 39-42 fattening days) were collected at a slaughterhouse and scored macroscopically according to a modified version of the Welfare Quality® Assessment Protocol for Poultry. Afterwards, 200 histological slides (one per foot) were prepared, the extent of the inflammation measured and all slides scored by veterinarian pathologists using Michel et al's modified scheme. The statistical relationship between microscopic and macroscopic score and depth of inflammation were estimated via regression models. Increasing macroscopic score was found to be linked with an increase in microscopic score and the depth of inflammation. In particular, feet without lesions and feet with ulcers were identifiable using the macroscopic score. Macroscopic scoring of foot-pad dermatitis can mirror histological findings once certain limitations are taken into account (superficial lesions were not clearly identifiable). Foot-pad dermatitis is considered a useful indicator of animal welfare and our findings suggest that visual, macroscopic scoring could be a practicable assessment tool.
The Square Kilometre Array (SKA) is a planned large radio interferometer designed to operate over a wide range of frequencies, and with an order of magnitude greater sensitivity and survey speed than any current radio telescope. The SKA will address many important topics in astronomy, ranging from planet formation to distant galaxies. However, in this work, we consider the perspective of the SKA as a facility for studying physics. We review four areas in which the SKA is expected to make major contributions to our understanding of fundamental physics: cosmic dawn and reionisation; gravity and gravitational radiation; cosmology and dark energy; and dark matter and astroparticle physics. These discussions demonstrate that the SKA will be a spectacular physics machine, which will provide many new breakthroughs and novel insights on matter, energy, and spacetime.
Many patients with advanced serious illness or at the end of life experience delirium, a potentially reversible form of acute brain dysfunction, which may impair ability to participate in medical decision-making and to engage with their loved ones. Screening for delirium provides an opportunity to address modifiable causes. Unfortunately, delirium remains underrecognized. The main objective of this pilot was to validate the brief Confusion Assessment Method (bCAM), a two-minute delirium-screening tool, in a veteran palliative care sample.
Method
This was a pilot prospective, observational study that included hospitalized patients evaluated by the palliative care service at a single Veterans’ Administration Medical Center. The bCAM was compared against the reference standard, the Diagnostic and Statistical Manual of Mental Disorders, fifth edition. Both assessments were blinded and conducted within 30 minutes of each other.
Result
We enrolled 36 patients who were a median of 67 years (interquartile range 63–73). The primary reasons for admission to the hospital were sepsis or severe infection (33%), severe cardiac disease (including heart failure, cardiogenic shock, and myocardial infarction) (17%), or gastrointestinal/liver disease (17%). The bCAM performed well against the Diagnostic and Statistical Manual of Mental Disorders, fifth edition, for detecting delirium, with a sensitivity (95% confidence interval) of 0.80 (0.4, 0.96) and specificity of 0.87 (0.67, 0.96).
Significance of Results
Delirium was present in 27% of patients enrolled and never recognized by the palliative care service in routine clinical care. The bCAM provided good sensitivity and specificity in a pilot of palliative care patients, providing a method for nonpsychiatrically trained personnel to detect delirium.
Previous studies have highlighted the role of the brain reward and cognitive control systems in the etiology of anorexia nervosa (AN). In an attempt to disentangle the relative contribution of these systems to the disorder, we used functional magnetic resonance imaging (fMRI) to investigate hemodynamic responses to reward-related stimuli presented both subliminally and supraliminally in acutely underweight AN patients and age-matched healthy controls (HC).
Methods
fMRI data were collected from a total of 35 AN patients and 35 HC, while they passively viewed subliminally and supraliminally presented streams of food, positive social, and neutral stimuli. Activation patterns of the group×stimulation condition×stimulus type interaction were interrogated to investigate potential group differences in processing different stimulus types under the two stimulation conditions. Moreover, changes in functional connectivity were investigated using generalized psychophysiological interaction analysis.
Results
AN patients showed a generally increased response to supraliminally presented stimuli in the inferior frontal junction (IFJ), but no alterations within the reward system. Increased activation during supraliminal stimulation with food stimuli was observed in the AN group in visual regions including superior occipital gyrus and the fusiform gyrus/parahippocampal gyrus. No group difference was found with respect to the subliminal stimulation condition and functional connectivity.
Conclusion
Increased IFJ activation in AN during supraliminal stimulation may indicate hyperactive cognitive control, which resonates with clinical presentation of excessive self-control in AN patients. Increased activation to food stimuli in visual regions may be interpreted in light of an attentional food bias in AN.
Thin-section (micromorphological) analysis of samples from the upper 1.5 m of a core obtained in 2007 from Anderson Pond, Tennessee, reveals a coherent but discontinuous record of late Pleistocene and Holocene climate change that supports some interpretations from previous pollen and charcoal analyses but indicates a revised Holocene chronology for this classic pollen site. Legacy sediments recording anthropogenic disturbance compose the upper 65 cm of the core (<160 cal yr BP) and are characterized by mixed, darker-colored, and coarser-grained deposits containing reworked soil aggregates, which sharply overlie finer-grained and lighter-colored, rooted middle Holocene sediments interpreted as a paleosol. These mid-Holocene sediments (95–65 cm; 7100–5600 cal yr BP) record extensive warm-dry subaerial soil conditions during the middle Holocene thermal maximum, manifested by illuviated clay lining root pores, and also contain abundant charcoal. Late Pleistocene sediments (150–95 cm), dark-colored and organic-rich, record open-water conditions and include siliceous aggregate grains at 143–116 cm (14,300–13,900 cal yr BP), recording intense fires. Thin sections are not commonly used in studies of paleoclimate from Quaternary lacustrine sediments, but we advocate for their inclusion in multianalytical approaches because they enhance resolution of depositional and pedogenic processes.
Patients with anorexia nervosa (AN) are characterized by a very low body weight but readily give up immediate rewards (food) for long-term goals (slim figure), which might indicate an unusual level of self-control. This everyday clinical observation may be quantifiable in the framework of the anticipation-discounting dilemma.
Method.
Using a cross-sectional design, this study compared the capacity to delay reward in 34 patients suffering from acute AN (acAN), 33 weight-recovered AN patients (recAN) and 54 healthy controls. We also used a longitudinal study to reassess 21 acAN patients after short-term weight restoration. A validated intertemporal choice task and a hyperbolic model were used to estimate temporal discounting rates.
Results.
Confirming the validity of the task used, decreased delay discounting was associated with age and low self-reported impulsivity. However, no group differences in key measures of temporal discounting of monetary rewards were found.
Conclusions.
Increased cognitive control, which has been suggested as a key characteristic of AN, does not seem to extend the capacity to wait for delayed monetary rewards. Differences between our study and the only previous study reporting decreased delay discounting in adult AN patients may be explained by the different age range and chronicity of acute patients, but the fact that weight recovery was not associated with changes in discount rates suggests that discounting behavior is not a trait marker in AN. Future studies using paradigms with disorder-specific stimuli may help to clarify the role of delay discounting in AN.
Carbapenem-resistant Enterobacteriaceae (CRE) are clinically challenging, threaten patient safety, and represent an emerging public health issue. CRE reporting is not mandated in Michigan.
Methods.
The Michigan Department of Community Health–led CRE Surveillance and Prevention Initiative enrolled 21 facilities (17 acute care and 4 long-term acute care facilities) across the state. Baseline data collection began September 1, 2012, and ended February 28, 2013 (duration, 6 months). Enrolled facilities voluntarily reported cases of Klebsiella pneumoniae and Escherichia coli according to the surveillance algorithm. Patient demographic characteristics, laboratory testing, microbiology, clinical, and antimicrobial information were captured via standardized data collection forms. Facilities reported admissions and patient-days each month.
Results.
One-hundred two cases over 957,220 patient-days were reported, resulting in a crude incidence rate of 1.07 cases per 10,000 patient-days. Eighty-nine case patients had test results positive for K. pneumoniae, whereas 13 had results positive for E. coli. CRE case patients had a mean age of 63 years, and 51% were male. Urine cultures (61%) were the most frequently reported specimen source. Thirty-five percent of cases were hospital onset; sixty-five percent were community onset (CO), although 75% of CO case patients reported healthcare exposure within the previous 90 days. Cardiovascular disease, renal failure, and diabetes mellitus were the most frequently reported comorbid conditions. Common ris k factors included surgery within the previous 90 days, recent infection or colonization with a multidrug-resistant organism, and recent exposures to antimicrobials, especially third- or fourth-generation cephalosporins.
Conclusions.
CRE are found throughout Michigan healthcare facilities. Implementing a regional, coordinated surveillance and prevention initiative may prevent CRE from becoming hyperendemic in Michigan.
When crude oil or petroleum products are released during a marine oil spill, organisms living in the water or feeding at the surface are the first to be affected. Oil on water or mixed into the water column may injure aquatic species of all types. Understanding the potential for injury to organisms from exposure to oil requires fully studying physical and chemical effects and quickly communicating the results. The risks to the public from the consumption of fish or other species normally harvested from the water can also be serious. A comprehensive water-assessment program provides quantitative data to address multiple concerns.
The Exxon Valdez oil spill was, until recently, the most comprehensively sampled oil spill in history and remains the most exhaustively studied oil spill. In fact, the thoroughness of the data – and the disappearance of most oil slicks and sheens by the end of the summer of 1989 – enabled all commercial fisheries to be reopened in 1990, much earlier than had been anticipated. Techniques and protocols established during the Exxon Valdez spill have been used in subsequent spills, most notably in the 2010 Deepwater Horizon oil spill in the Gulf of Mexico.
Following a marine oil spill, it is important to know where the oil goes, how it changes chemically, how long the oil persists in various environmental compartments such as water or sediments, and what biological resources are affected. As an oil spill progresses over time, the behavior of the oil and the impacted areas and levels of risk to people and biological resources such as fish and wildlife change. Scientific studies provide the most benefit to cleanup efforts and the protection of people and biological resources in the area when they are coordinated and focused on the most pressing questions based on the phase of the oil spill. Over several decades, previous marine oil spills have shown a consistent pattern; understanding this pattern can help predict where the oil will go, how it changes chemically, where it will persist, and what living things are likely to be affected. Similarly, this predictability, coupled with specific observations at each spill, can help to provide a framework for designing and conducting studies that can address key questions at critical junctures in the evolution of the spill.
Water and air are the first environmental media affected during the early phase of any marine spill. Animal and plant life (or “biological resources”) can be affected immediately – as can humans involved in spill cleanup. The initial exposures to the chemicals in petroleum and the resulting effects can be acute, but short-lived. This is because once the spilled oil is no longer moving on or in the water, concentrations of harmful chemicals decrease rapidly owing to dilution, dispersion, and degradation (collectively known as “weathering”). Likewise, the evaporation of the volatile hydrocarbon components of fuels or crude oil immediately following a spill first increases, then decreases. By contrast, the effects on shoreline biological resources from oil that reaches land may persist. The last area potentially to be affected is bottom sediments, where oil can be transported before or after it reaches land (Chapter 4).
Most oil tanker accidents occur near land. So when a marine oil spill occurs, it is usually not long before the spilled oil reaches shorelines. The shoreline is where the potential for harm to the environment and biological resources is the greatest, and where media attention and public concerns usually focus. Therefore, it is essential to determine the distribution, amount, composition, and fate of spilled oil on shorelines. This information forms the foundation for management decisions about cleanup during the early phases of the spill, assessments of long-term exposure and injury to biological resources, and long-term restoration strategies after the initial cleanup.
In this chapter, we consider the fate of shoreline oil following the Exxon Valdez oil spill, beginning with oil coming ashore in Prince William Sound (PWS) in 1989. This chapter picks up where Chapter 3 left off, describing where the oil was deposited, why some locations were oiled more than others, and how oil disappeared over time and why, in a few isolated locations, it persisted.
Coastal shorelines teem with life. The intersection of the land with the sea, combined with tidal fluctuations and coastal currents, creates an array of habitats that supports an amazing diversity of plants and animals – limpets, starfish, anemones, crabs, rockweed, eelgrass, snails, tubeworms, and the like – that live on the surface and in the sediments of the intertidal zone. When floating oil from a marine oil spill strikes a shoreline, the potential effects on these organisms (the shoreline biota) may be severe. Even species that are not directly affected by spill may suffer its effects if the shoreline prey on which they feed are diminished. Understanding how a spill affects the shoreline biota is therefore important to assessing the potential effects on the broader shoreline and coastal ecosystems.
During the Exxon Valdez spill, oil first spread over shorelines in Prince William Sound (PWS) and later extended outside of PWS to the Kenai Peninsula, Kodiak Island, and Alaska Peninsula (see Map 1, p. v). The effects of the spill and the need to respond rapidly were of enormous concern, particularly within PWS, where oil quantities and potential toxicity were greatest. In this chapter, we discuss three major programs undertaken to assess the effects of the Exxon Valdez oil spill on shoreline biota in PWS, including studies to determine the effects of intensive cleanup efforts.
Among the A/B stars, about 5% host large-scale organised magnetic fields. These magnetic stars show also abundance anomalies in their spectra, and are therefore called the magnetic Ap/Bp stars. Most of these stars are also slow rotators compared to the normal A and B stars.Today, one of the greatest challenges concerning the Ap/Bp stars is to understand the origin of their slow rotation and their magnetic fields. The favoured hypothesis for the latter is that the fields are fosils, which implies that the magnetic fields subsist throughout the different evolutionary phases, and in particular during the pre-main sequence phase. The existence of magnetic fields at the pre-main sequence phase is also required to explain the slow rotation of Ap/Bp stars. During the last 3 years we performed a spectropolarimetric survey of the Herbig Ae/Be stars in the field and in young clusters, in order to investigate their magnetism and rotation. These investigations have resulted in the detection and/or confirmation of magnetic fields in 8 Herbig Ae/Be stars, ranging in mass from 2 to nearly 15 solar masses. In this paper I will present the results of our survey, as well as their implications for the origin and evolution of the magnetic fields and rotation of the A and B stars.
We present the adaptive optics assisted, near-infrared VLTI instrument GRAVITY for precision narrow-angle astrometry and interferometric phase referenced imaging of faint objects. With its two fibers per telescope beam, its internal wavefront sensors and fringe tracker, and a novel metrology concept, GRAVITY will not only push the sensitivity far beyond what is offered today, but will also advance the astrometric accuracy for UTs to 10 μas. GRAVITY is designed to work with four telescopes, thus providing phase referenced imaging and astrometry for 6 baselines simultaneously. Its unique capabilities and sensitivity will open a new window for the observation of a wide range of objects, and — amongst others — will allow the study of motion within a few times the event horizon size of the Galactic Center black hole.
Studies of stellar magnetism at the pre-main sequence phase can provide important new insights into the detailed physics of the late stages of star formation, and into the observed properties of main sequence stars. This is especially true at intermediate stellar masses, where magnetic fields are strong and globally organised, and therefore most amenable to direct study. This talk reviews recent high-precision ESPaDOnS observations of pre-main sequence Herbig Ae-Be stars, which are yielding qualitatively new information about intermediate-mass stars: the origin and evolution of their magnetic fields, the role of magnetic fields in generating their spectroscopic activity and in mediating accretion in their late formative stages, and the factors influencing their rotational angular momentum.
Fructo-oligosaccharides (FOS) are widely used in commercial food products. Most studies on FOS concern the health benefits, but some negative effects were recently reported concerning thefaecal cytotoxicity and excretion of mucin-type oligosaccharides in combination with a Ca-restricted diet. The present study was performed to investigate whether these effects of FOS are observed in adults consuming a regular diet unrestricted in Ca. The study was a randomised, double-blind, placebo-controlled crossover trial, involving eleven healthy adults, who consumed 25–30g FOS or maltodextrin (control) in a random order for 2 weeks in addition to their regular diet. Stools were collected for analysis of pH and SCFA (as markers of fermentation), for the assessment of faecal water cytotoxicity, and for the analysis of alkaline phosphataseactivity (as a marker of epithelial cell turnover) andO-linked oligosaccharides (to estimate the excretion of mucin-type oligosaccharides). FOS consumption significantly altered bacterial fermentation (increased percentage of acetate, decreased percentage of butyrate) and tended to decrease stool pH. Furthermore, FOS consumption resulted in a significantly higher stool frequency and in significantly more complaints of flatulence. No significant differences between the control and FOS period were observed in the mean cytotoxicity of faecal water (37·5 (sem 6·9) % v. 18·5 (sem 6·9) % P=0·084), in mean alkaline phosphatase activity (27·7 (sem 2·9) v. 24·6 (sem 3·2) U/g dry faeces; P=0·496) or in the mean excretion of mucin-type oligosaccharides (49·9 (sem 4·0)v. 53·5 (sem 4·3) mg/g dry faeces; P=0·553). We conclude that dietary FOS in a dose up to 25–30g/d altered the bacterial fermentation pattern but did not affect faecal cytotoxicity or the faecal concentration of mucin-type oligosaccharides in human adults consuming a regular diet.
Co/Pt thin film multilayers with strong perpendicular anisotropy and out-of-plane coercivities of 5-11 kOe were magnetically altered in areas of local ion beam interaction. The ion irradiations were performed by ion projection through silicon stencil masks fabricated by silicon on insulator (SOI) membrane technology. The ion projector at the Fraunhofer Institute for Silicon Technology (ISiT) was operated at 73 keV ion energy and with a 8.7- fold demagnification. After exposure to 3 × 1014Ar+/ cm2 magnetic islands smaller than 100 nm in diameter were resolved in the Co/Pt multilayersby means of magnetic force microscopy. The impact of different ion species (He+, Ar+ and Xe+) and ion energies (10 – 200 keV) on the multilayer structure was evaluated using Monte Carlo simulations. The ballistic interface intermixing was used to predict magnetic coercivity changes for various irradiation conditions. The simulations revealed that with 73 keV Ar+ and Xe+ ions the irradiation dose could be reduced by a factor of 100 and 400 respectively in comparison to 73 keV He+which was verified in the experiments. X-ray reflectivity measurements confirmed that the Co/Pt superlattice structure is slightly weakened during the irradiation and that the surface smoothness of the media is preserved. Using the Ion Projection Process Development Tool (PDT) at IMS-Vienna concentric data tracks including head positioning servo informations were patterned onto a 1” IBM microdrive™ glass disk which was coated with Co/Pt multilayers. In a single exposure step several tracks within an exposure field of 17 mm in diameter were structured by 2 × 1015He+/ cm2 at 45 keV using a 4- fold demagnification set-up.