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CVD is the leading cause of death worldwide and, after dementia, is the second biggest cause of death for women. In England, it accounts for one in four of all deaths. Lifestyle modifications represent the primary route both to reduce CVD risk factors and prevent CVD outcomes. Diet constitutes one of the key modifiable risk factors in the aetiology of CVD. We investigated the relationship between nine main dietary indices and a comprehensive range of CVD risk factors in 2590 women from TwinsUK. After adjustment for multiple testing, we found that the Dietary Approaches to Stop Hypertension (DASH) diet was inversely correlated with some of the most common CVD risk factors (BMI, visceral fat (VF), TAG, insulin, homoeostasis model assessment of insulin resistance (HOMA2-IR) and atherosclerotic CVD (ASCVD) risk) with PFDR ranging from 6·28 × 10−7 to 5·63 × 10−4. Similar association patterns were detected across most of the dietary indices analysed. In our post hoc investigation, to determine if any specific food groups were driving associations between the DASH score and markers of cardiometabolic risk, we found that increased BMI, VF, HOMA2-IR, ASCVD risk, insulin and TAG levels were directly correlated with red meat consumption (PFDR ranging from 4·65 × 10−9 to 7·98 × 10−3) and inversely correlated with whole-grain cereal consumption (PFDR ranging from 1·26 × 10−6 to 8·28 × 10−3). Our findings revealed that the DASH diet is associated with a more favourable CVD risk profile, suggesting that this diet may be a candidate dietary pattern to supplement current UK dietary recommendations for CVD prevention.
Rock debris covers ~30% of glacier ablation areas in the Central Himalaya and modifies the impact of atmospheric conditions on mass balance. The thermal properties of supraglacial debris are diurnally variable but remain poorly constrained for monsoon-influenced glaciers over the timescale of the ablation season. We measured vertical debris profile temperatures at 12 sites on four glaciers in the Everest region with debris thickness ranging from 0.08 to 2.8 m. Typically, the length of the ice ablation season beneath supraglacial debris was 160 days (15 May to 22 October)—a month longer than the monsoon season. Debris temperature gradients were approximately linear (r2 > 0.83), measured as −40°C m–1 where debris was up to 0.1 m thick, −20°C m–1 for debris 0.1–0.5 m thick, and −4°C m–1 for debris greater than 0.5 m thick. Our results demonstrate that the influence of supraglacial debris on the temperature of the underlying ice surface, and therefore melt, is stable at a seasonal timescale and can be estimated from near-surface temperature. These results have the potential to greatly improve the representation of ablation in calculations of debris-covered glacier mass balance and projections of their response to climate change.
We evaluated whether a diagnostic stewardship initiative consisting of ASP preauthorization paired with education could reduce false-positive hospital-onset (HO) Clostridioides difficile infection (CDI).
Single center, quasi-experimental study.
Tertiary academic medical center in Chicago, Illinois.
Adult inpatients were included in the intervention if they were admitted between October 1, 2016, and April 30, 2018, and were eligible for C. difficile preauthorization review. Patients admitted to the stem cell transplant (SCT) unit were not included in the intervention and were therefore considered a contemporaneous noninterventional control group.
The intervention consisted of requiring prescriber attestation that diarrhea has met CDI clinical criteria, ASP preauthorization, and verbal clinician feedback. Data were compared 33 months before and 19 months after implementation. Facility-wide HO-CDI incidence rates (IR) per 10,000 patient days (PD) and standardized infection ratios (SIR) were extracted from hospital infection prevention reports.
During the entire 52 month period, the mean facility-wide HO-CDI-IR was 7.8 per 10,000 PD and the SIR was 0.9 overall. The mean ± SD HO-CDI-IR (8.5 ± 2.0 vs 6.5 ± 2.3; P < .001) and SIR (0.97 ± 0.23 vs 0.78 ± 0.26; P = .015) decreased from baseline during the intervention. Segmented regression models identified significant decreases in HO-CDI-IR (Pstep = .06; Ptrend = .008) and SIR (Pstep = .1; Ptrend = .017) trends concurrent with decreases in oral vancomycin (Pstep < .001; Ptrend < .001). HO-CDI-IR within a noninterventional control unit did not change (Pstep = .125; Ptrend = .115).
A multidisciplinary, multifaceted intervention leveraging clinician education and feedback reduced the HO-CDI-IR and the SIR in select populations. Institutions may consider interventions like ours to reduce false-positive C. difficile NAAT tests.
This study investigated the impact of ACTAZIN™ green (2400 and 600 mg) and Livaux™ (2400 mg) gold kiwifruit supplements on faecal microbial composition and metabolites in healthy and functionally constipated (FC) participants. The participants were recruited into the healthy group (n 20; one of whom did not complete the study) and the FC group (n 9), each of whom consumed all the treatments and a placebo (isomalt) for 4 weeks in a randomised cross-over design interspersed with 2-week washout periods. Modification of faecal microbiota composition and metabolism was determined by 16S rRNA gene sequencing and GC, and colonic pH was calculated using SmartPill® wireless motility capsules. A total of thirty-two taxa were measured at greater than 1 % abundance in at least one sample, ten of which differed significantly between the baseline healthy and FC groups. Specifically, Bacteroidales and Roseburia spp. were significantly more abundant (P < 0·05) in the healthy group and taxa including Ruminococcaceae, Dorea spp. and Akkermansia spp. were significantly more abundant (P < 0·05) in the FC group. In the FC group, Faecalibacterium prausnitzii abundance significantly increased (P = 0·024) from 3·4 to 7·0 % following Livaux™ supplementation, with eight of the nine participants showing a net increase. Lower proportions of F. prausnitzii are often associated with gastrointestinal disorders. The discovery that Livaux™ supplementation increased F. prausnitzii abundance offers a potential strategy for improving gut microbiota composition, as F. prausnitzii is a butyrate producer and has also been shown to exert anti-inflammatory effects in many studies.
The Coronal Solar Magnetism Observatory (CoSMO) is a proposed new facility led by the High Altitude Observatory and a consortium of partners to measure magnetic field and plasma properties in a large (one degree) field of view extending down to the inner parts of the solar corona. CoSMO is intended as a research facility that will advance the understanding and prediction of space weather. The instrumentation elements of CoSMO are: a white-light coronagraph (KCor), already operational at the Mauna Loa Solar Observatory (MLSO); the Chromosphere and Prominence Magnetometer (ChroMag), due for deployment to MLSO next year; and the CoSMO Large Coronagraph (LC) which has completed Preliminary Design Review.
In 1964 (Solar Cycle 20; SC 20), Patrick McIntosh began creating hand-drawn synoptic maps of solar magnetic features, based on Hα images. These synoptic maps were unique in that they traced magnetic polarity inversion lines, and connected widely separated filaments, fibril patterns, and plage corridors to reveal the large-scale organization of the solar magnetic field. Coronal hole boundaries were later added to the maps, which were produced, more or less continuously, into 2009 (i.e., the start of SC 24). The result was a record of ~45 years (~570 Carrington rotations), or nearly four complete solar cycles of synoptic maps. We are currently scanning, digitizing and archiving these maps, with the final, searchable versions publicly available at NOAA's National Centers for Environmental Information. In this paper we present preliminary scientific studies using the archived maps from SC 23. We show the global evolution of closed magnetic structures (e.g., sunspots, plage, and filaments) in relation to open magnetic structures (e.g., coronal holes), and examine how both relate to the shifting patterns of large-scale positive and negative polarity regions.
In 1969, Robert E. Gregg collected five species of ants (Hymenoptera: Formicidae) in three Subarctic localities near the town of Churchill, Manitoba, Canada, which he documented in a 1972 publication in The Canadian Entomologist. To determine whether there have been any additions to the local fauna – as might be predicted to occur in response to a warming climate and increased traffic to the Port of Churchill in the intervening 40 years – we re-collected ants from the same localities in 2012. We identified the ants we collected from Gregg’s sampling sites using both traditional morphological preparations and DNA barcoding. In addition, we examined specimens from Gregg’s initial collection that are accessioned at the Field Museum of Natural History (Chicago, Illinois, United States of America). Using this integrative approach we report seven species present at the same sites Gregg sampled 40 years earlier. We conclude that the apparent increase is likely not due to any arrivals from more southerly distributed ants, but to the increased resolution provided by DNA barcodes to resident species complexes with a complicated history. We provide a brief synopsis of these results and their taxonomic context.
After more than half a century of community support related to the science of “solar activity”, IAU's Commission 10 was formally discontinued in 2015, to be succeeded by C.E2 with the same area of responsibility. On this occasion, we look back at the growth of the scientific disciplines involved around the world over almost a full century. Solar activity and fields of research looking into the related physics of the heliosphere continue to be vibrant and growing, with currently over 2,000 refereed publications appearing per year from over 4,000 unique authors, publishing in dozens of distinct journals and meeting in dozens of workshops and conferences each year. The size of the rapidly growing community and of the observational and computational data volumes, along with the multitude of connections into other branches of astrophysics, pose significant challenges; aspects of these challenges are beginning to be addressed through, among others, the development of new systems of literature reviews, machine-searchable archives for data and publications, and virtual observatories. As customary in these reports, we highlight some of the research topics that have seen particular interest over the most recent triennium, specifically active-region magnetic fields, coronal thermal structure, coronal seismology, flares and eruptions, and the variability of solar activity on long time scales. We close with a collection of developments, discoveries, and surprises that illustrate the range and dynamics of the discipline.
After a little more than forty years of work related to the interplanetary plasma and the heliosphere the IAU's Commission 49 was formally discontinued in 2015. The commission started its work when the first spacecraft were launched to measure the solar wind in–situ away from Earth orbit, both inward and outward from 1 AU. It now hands over its activities to a new commission during an era of space research when Voyager 1 measures in–situ the parameters of the local interstellar medium at the edge of the heliosphere. The commission will be succeeded by C.E3 with a similar area of responsibility but with more focused specific tasks that the community intends to address during the coming several years. This report includes a short description of the motivation for this commission and of the historical context. It then describes work from 2012 to 2015 during the present solar cycle 24 that has been the weakest in the space era so far. It gave rise to a large number of studies on solar energetic particles and cosmic rays. Other studies addressed e.g. the variation of the solar wind structure and energetic particle fluxes on long time scales, the detection of dust in the solar wind and the Voyager measurements at the edge of the heliosphere. The research is based on measurements from spacecraft that are at present operational and motivated by the upcoming Solar Probe + and Solar Orbiter missions to explore the vicinity of the Sun. We also report here the progress on new and planned radio instruments and their importance for heliospheric studies. Contributors to this report are Carine Briand, Yoichiro Hanaoka, Eduard Kontar, David Lario, Ingrid Mann, John D. Richardson.
The FORWARD SolarSoft IDL package is a community resource for model-data comparison, with a particular emphasis on analyzing coronal magnetic fields. FORWARD allows the synthesis of coronal polarimetric signals at visible, infrared, and radio frequencies, and will soon be augmented for ultraviolet polarimetry. In this paper we focus on observations of the infrared (IR) forbidden lines of Fe XIII, and describe how FORWARD may be used to directly access these data from the Mauna Loa Solar Observatory Coronal Multi-channel Polarimeter (MLSO/CoMP), to put them in the context of other space- and ground-based observations, and to compare them to synthetic observables generated from magnetohydrodynamic (MHD) models.
A girl aged 6 presented with haematuria and her sister (aged 5) presented with haematuria and proteinuria. Family history showed multiple individuals suffering from end stage renal failure from the paternal side of the pedigree. Following kidney biopsy in the father and paternal grandmother, the pathological diagnosis was of focal segmental glomerulosclerosis (FSGS). Exome sequencing was undertaken in the proband's sister and grandmother. Genetic variants shared by both affected individuals were interrogated to identify the genetic cause of disease. Candidate variants were then sequenced in all the family members to determine segregation with the disease. A mutation of COL4A5 known to cause Alport syndrome segregated with disease from the paternal side of the pedigree and a variant in NPHS1 was present in both paediatric cases and inherited from their mother. This study highlights the advantages of exome sequencing over single gene testing; disease presentation can be heterogeneous with several genes representing plausible candidates; candidate gene(s) may be unavailable as a diagnostic test; consecutive, single gene testing typically concludes once a single causal mutation is identified. In this family, we were able to confirm a diagnosis of Alport syndrome, which will facilitate testing in other family members.
Magnetism defines the complex and dynamic solar corona. Twists and tangles in coronal magnetic fields build up energy and ultimately erupt, hurling plasma into interplanetary space. These coronal mass ejections (CMEs) are transient riders on the ever-outflowing solar wind, which itself possesses a three-dimensional morphology shaped by the global coronal magnetic field. Coronal magnetism is thus at the heart of any understanding of the origins of space weather at the Earth. However, we have historically been limited by the difficulty of directly measuring the magnetic fields of the corona, and have turned to observations of coronal plasma to trace out magnetic structure. This approach is complicated by the fact that plasma temperatures and densities vary among coronal magnetic structures, so that looking at any one wavelength of light only shows part of the picture. In fact, in some regimes it is the lack of plasma that is a significant indicator of the magnetic field. Such a case is the coronal cavity: a dark, elliptical region in which strong and twisted magnetism dwells. I will elucidate these enigmatic features by presenting observations of coronal cavities in multiple wavelengths and from a variety of observing vantages, including unprecedented coronal magnetic field measurements now being obtained by the Coronal Multichannel Polarimeter (CoMP). These observations demonstrate the presence of twisted magnetic fields within cavities, and also provide clues to how and why cavities ultimately erupt as CMEs.
Solar coronal cavities are regions of rarefied density and elliptical cross-section. The Coronal Multi-channel Polarimeter (CoMP) obtains daily full-Sun coronal observations in linear polarization, allowing a systematic analysis of the coronal magnetic field in polar-crown prominence cavities. These cavities commonly possess a characteristic “lagomorphic” signature in linear polarization that may be explained by a magnetic flux-rope model. We analyze the spatial relation between the EUV cavity and the CoMP linear polarization signature.
We have developed a suite of forward-modeling IDL codes (FORWARD) to convert analytic models or simulation data cubes into coronal observables, allowing a direct comparison with observations. Observables such as extreme ultraviolet, soft X-ray, white light, and polarization images from the Coronal Multichannel Polarimeter (CoMP) can be reproduced. The observer's viewpoint is also incorporated in the FORWARD analysis and the codes can output the results in a variety of forms in order to easily create movies, Carrington maps, or simply observable information at a particular point in the plane of the sky. We present a newly developed front end to the FORWARD codes which utilizes IDL widgets to facilitate ease of use by the solar physics community. Our ultimate goal is to provide as useful a tool as possible for a broad range of scientific applications.
There are currently no three dimensional numerical models which describe the magnetic and energetic formation of prominences self-consistently. Consequently, there has not been significant progress made in understanding the connection between the dense prominence plasma and the coronal cavity. We have taken an ad-hoc approach to understanding the energetic implications of the magnetic models of prominence structure. We extract one dimensional magnetic field lines from a 3D MHD model of a flux rope and solve for hydrostatic balance along these field lines incorporating field-aligned thermal conduction, uniform heating, and radiative losses. The 1D hydrostatic solutions for density and temperature are then mapped back into three dimensional space, which allows us to consider the projection of multiple structures. We find that the 3D flux rope is composed of several distinct field line types. A majority of the flux rope interior field lines are twisted but not dipped. These field lines are density-reduced relative to unsheared arcade field lines. We suggest the cavity may form along these short interior field lines which are surrounded by a sheath of dipped field lines. This geometric arrangement would create a cavity on top of a prominence, but the two structures would not share field lines or plasma.
We present the proceedings from a two-day workshop held at Swinburne University on 2005 May 24–25. The workshop participants highlighted current Australian research on both theoretical and observational aspects of galaxy groups. These proceedings include short one-page summaries of a number of the talks presented at the workshop. The talks presented ranged from reconciling N-body simulations with observations, to the Hı content of galaxies in groups and the existence of ‘dark galaxies’. The formation and existence of ultra-compact dwarfs in groups, and a new supergroup in Eridanus were also discussed.
Hierarchical clustering represents the favoured paradigm for galaxy formation throughout the Universe; due to its proximity, the Magellanic system offers one of the few opportunities for astrophysicists to decompose the full six-dimensional phase-space history of a satellite in the midst of being cannibalised by its host galaxy. The availability of improved observational data for the Magellanic Stream and parallel advances in computational power has led us to revisit the canonical tidal model describing the disruption of the Small Magellanic Cloud and the consequent formation of the Stream. We suggest improvements to the tidal model in light of these recent advances.
The recent minimum was unusually long, and it was not just the case of the “usual story” slowed down. The coronal magnetic field never became completely dipolar as in recent Space Age minima, but rather gradually evolved into an (essentially axisymmetric) global configuration possessing mixed open and closed magnetic structures at many latitudes. In the process, the impact of the solar wind at the Earth went from resembling that from a sequence of rotating “fire-hoses” to what might be expected from a weak, omnidirectional “lawn-sprinkler”. The previous (1996) solar minimum was a more classic dipolar configuration, and was characterized by slow wind of hot origin localized to the heliospheric current sheet, and fast wind of cold origin emitted from polar holes, but filling most of the heliosphere. In contrast, the more recent minimum solar wind possessed a broad range of speeds and source temperatures (although cooler overall than the prior minimum). We discuss possible connections between these observations and the near-radial expansion and small spatial scales characteristic of the recent minimum's porcupine-like magnetic field.