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Review findings on the role of dietary patterns in preventing depression are inconsistent, possibly due to variation in assessment of dietary exposure and depression. We studied the association between dietary patterns and depressive symptoms in six population-based cohorts and meta-analysed the findings using a standardised approach that defined dietary exposure, depression assessment and covariates.
Included were cross-sectional data from 23 026 participants in six cohorts: InCHIANTI (Italy), LASA, NESDA, HELIUS (the Netherlands), ALSWH (Australia) and Whitehall II (UK). Analysis of incidence was based on three cohorts with repeated measures of depressive symptoms at 5–6 years of follow-up in 10 721 participants: Whitehall II, InCHIANTI, ALSWH. Three a priori dietary patterns, Mediterranean diet score (MDS), Alternative Healthy Eating Index (AHEI-2010), and the Dietary Approaches to Stop Hypertension (DASH) diet were investigated in relation to depressive symptoms. Analyses at the cohort-level adjusted for a fixed set of confounders, meta-analysis used a random-effects model.
Cross-sectional and prospective analyses showed statistically significant inverse associations of the three dietary patterns with depressive symptoms (continuous and dichotomous). In cross-sectional analysis, the association of diet with depressive symptoms using a cut-off yielded an adjusted OR of 0.87 (95% confidence interval 0.84–0.91) for MDS, 0.93 (0.88–0.98) for AHEI-2010, and 0.94 (0.87–1.01) for DASH. Similar associations were observed prospectively: 0.88 (0.80–0.96) for MDS; 0.95 (0.84–1.06) for AHEI-2010; 0.90 (0.84–0.97) for DASH.
Population-scale observational evidence indicates that adults following a healthy dietary pattern have fewer depressive symptoms and lower risk of developing depressive symptoms.
Simulation and experimental work that compare the performance of straight and tapered monocapillaries when used with laboratory x-ray sources are reported. Detailed simulations for various taper profiles give several important conclusions for optimizing the design of a tapered monocapillary. Several tapered monocapillaries were prepared. With a 16W x-ray source, beam intensities of 4×105 photon/sec/μm2 and 3×105photon/sec/μm2 of Cu Kα x rays were obtained from the tapered monocapillaries for output diameters of 8μm and 3.5μm, respectively. These intensities are 1.4 and 1.5 times that obtained from straight capillaries with the same output beam sizes at the experimental set-up optimized for a straight capillary. In addition to the gain in x-ray flux, the tapered monocapillaries produce output beams with significantly reduced high energy bremsstrahlung radiation and increased flux stability with respect to shifts of the x-ray source spot.
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.
The deep ice-sheet coring (DISC) drill was used for production ice-core drilling at WAIS Divide in Antarctica for six field seasons between 2007 and 2013. Continuous ice-core samples were obtained between the snow surface and 3405 m depth. During the 2012/13 austral summer, the DISC drill’s newly designed replicate ice-coring system was utilized to collect nearly 285m of additional high-quality core samples at depths of high scientific interest. Annual progress graphs are described, as well as milestones achieved over the course of the project. Drilling operations, challenges encountered, drill fluid usage, drilling results, and the drill crew’s experiences with the DISC drill and replicate coring system during production drilling are described and discussed in detail. Core-processing operations are described briefly, as well as the logistical undertaking of the DISC drill’s deployment to Antarctica.
Many of the ice-coring objectives in the Ice Drilling Program Office (IDPO) Long Range Science Plan, such as those in the International Partnerships in Ice Core Sciences (IPICS) 2k array and 40k network, are attainable in many locations with an intermediate depth drill (IDD) that can collect core from a fluid-filled hole down to 1500 m depth. The Ice Drilling Design and Operations (IDDO) group has designed and is in the process of building an agile IDD to meet this objective. The drill tent, power distribution and core-processing systems are an integral part of the IDD, which can be deployed by small aircraft and assembled by hand to minimize logistic requirements. The new drill system will be ready for testing in Greenland beginning in late spring 2014. The first production drilling is scheduled for the 2014/15 field season at the South Pole.
The Blue Ice Drill (BID) is a large-diameter agile drill system designed by the Ice Drilling Design and Operations group of the University of Wisconsin–Madison to quickly core-clean 241 mm diameter ice samples from near-surface sites. It consists of a down-hole motor/gear reducer rotating a coring cutter and core barrel inside an outer barrel for efficient cuttings transport in solid ice. A variable-frequency drive and custom control box regulates electrical power to the drill. Torque reaction is accomplished on the surface via handles attached to a torsion stem. Core recovery is achieved with either core dogs in the sonde or with a separate core recovery tool. All down-hole tools are suspended on a collapsible tripod via ropes running on a capstan winch. The BID is operated by a minimum of two people and has been used successfully during two seasons of coring on a blue ice area of Taylor Glacier, Antarctica. An updated version of the drill system, BID-Deep, has been designed to recover cores to depths up to 200 m.
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.
Cubic boron nitride (cBN) is a synthetic wide band gap material that has attracted attention due to its high thermal conductivity, optical transparency and optical emission. In this work, defects in cBN have been investigated using experimental and theoretical X-ray absorption near edge structure (XANES). Vacancy and O substitutional defects were considered, with O substituted at the N site (ON) to be the most energetically favorable. All defects produce unique signatures in either the B or N K-edges and can thus be identified using XANES. The calculations coupled with electron-irradiation / annealing experiments strongly suggest that ON is the dominant defect in irradiated cBN and remains after annealing. This defect is a likely source of optical emission in cBN.
Mcl-1 is an anti-apoptotic Bcl-2 family member that is often over-expressed in the malignant brain tumour glioblastoma (GBM). It has been previously shown that epidermal growth factor receptors (EGFR) up-regulate Mcl-1 expression contributing to a cell survival response. Hypoxia is a poor prognostic marker in glioblastoma despite the fact that hypoxic regions have areas of necrosis. Hypoxic regions of GBM also highly express the pro-cell death Bcl-2 family member BNIP3, yet when BNIP3 is over-expressed in glioma cells, it induces cell death. The reasons for this discrepancy are unclear. METHODS: Using malignant glioma cell lines +/- hypoxia, gain and/or loss of function assays of BNIP3 or Mcl-1 were performed. BNIP3 and MCL-1 expression was assessed in GBM tumours from adult patients and human gliomas grown as xenografts in immunocompromised mice. RESULTS: Mcl-1 expression is reduced under hypoxia due to degradation by the E3 ligase FBW7 leading to increased hypoxia-induced cell death. This cell death is augmented by EGFR activation leading to increased Mcl-1 expression under hypoxia. Conversely, BNIP3 is over-expressed in hypoxia at times when Mcl-1 expression is decreased. Knocking down BNIP3 expression reduces hypoxia cell death and Mcl-1 expression effectively blocks BNIP3-induced cell death. Of significance, BNIP3 and Mcl-1 are co-localized under hypoxia in glioma cells, GBM tumours and in xenograft glioma tumours expressing mutant EGFR (EGFRvIII). CONCLUSION: These results support that Mcl-1 can block the ability of BNIP3 to induce cell death under hypoxia in GBM tumours
Several lung function tests may be used for the physiologic assessment of lung growth and development throughout infancy and childhood. Optimal lung function tests for monitoring cystic fibrosis, bronchopulmonary dysplasia, and recurrent wheezing in children less than 6 years of age have been recently reported, and studies where infant and preschool lung function has been applied in these specific respiratory disorders have been reviewed. Normal reference ranges for older subjects, including into adulthood, have also been reported.
When interpreting physiologic measures of lung growth and development throughout infancy and childhood, it is important to be aware of the influence of growth and maturity, the influence of demographic factors such as sex and ethnicity, the normal intra- and interindividual variability of the parameters at each age, and the diagnostic value of each of the parameters obtained in each test.
Very preterm (< 32 weeks gestational age) or very low birth weight (<1500 g birth weight) survivors, particularly those who had bronchopulmonary dysplasia in the newborn period, have more lung function abnormalities, particularly airway obstruction, than do term-born survivors and are at high risk of adult obstructive lung disease as they grow older.
During pregnancy, glycine and serine become more important because they are the primary suppliers of methyl groups for the synthesis of fetal DNA, and more glycine is required for fetal collagen synthesis as pregnancy progresses. In an earlier study, we reported that glycine flux decreased by 39 % from the first to the third trimester in pregnant adolescent girls. As serine is a primary precursor for glycine synthesis, the objective of this study was to measure and compare glycine and serine fluxes and inter-conversions in pregnant adolescent girls and adult women in the first and third trimesters. Measurements were made after an overnight fast by continuous intravenous infusions of 2H2-glycine and 15N-serine in eleven adolescent girls (17·4 (se 0·1) years of age) and in ten adult women (25·8 (se 0·5) years of age) for 4 h. Adolescent girls had significantly slower glycine flux and they made less glycine from serine in the third (P<0·05) than in the first trimester. Baby birth length was significantly shorter of adolescent girls (P=0·04) and was significantly associated with third trimester glycine flux. These findings suggest that the pregnant adolescent cannot maintain glycine flux in late pregnancy compared with early pregnancy because of decreased synthesis from serine. It is possible that the inability to maintain glycine synthesis makes her fetus vulnerable to impaired cartilage synthesis, and thus linear growth.
During pregnancy, adult women with a normal BMI synthesise extra amino acids after an overnight fast by increasing body protein breakdown and decreasing amino acid oxidation. It is not known whether adolescent girls can make these adaptations during pregnancy. The present study aimed to measure and compare the protein, glutamine and alanine kinetics of adult women and adolescent girls at early-, mid- and late-pregnancy. Kinetics were measured in the overnight fasted state using intravenous infusions of 13C-leucine, 15N-glutamine and 15N-alanine in ten adults and twenty adolescents aged 14–17 years in the first and second trimesters (phase 1 study) and infusions of 13C-leucine and 15N2-urea in ten adults and eleven adolescents aged 16–17 years in the first and third trimesters (phase 2 study). In phase 1 study, there were no significant differences between the groups with regard to any of the kinetic parameters measured. In both groups, leucine flux increased (P< 0·05), the percentage of leucine flux oxidised decreased (P< 0·05) and non-oxidative leucine disposal to protein synthesis increased (P< 0·05) from the first to the second trimester. In phase2 study, leucine flux was significantly slower (P< 0·05) in the adult group than in the adolescent group during both trimesters, and whole-body leucine flux and non-oxidative leucine disposal increased significantly in the adolescent group (P< 0·05, respectively) and were higher in the adult group from the first to the third trimester. These results suggest that similar to their adult counterparts after an overnight fast, adolescent girls with a normal BMI provide extra amino acids required for net protein deposition during pregnancy by increasing protein breakdown and decreasing amino acid oxidation.
Ecclesiastical patrons used a broad range of criteria to select clergy for preferment to livings and dignities in the Church of England in the eighteenth and nineteenth centuries. The qualifications of nobility, of academic standing, of services to the Church and State, of a patron's influence and strong churchmanship were among those that were most common. But a further factor affected advancement: that of self-recommendation. Ecclesiastical historians, particularly those of the Victorian era, have tended to see this as a morally questionable, if not corrupt, method of gaining advancement—and one which was primarily a feature of the Hanoverian Church. Indeed the traditional view of ecclesiastical history, though increasingly under challenge, regarded the Hanoverian and Victorian Churches as standing in strong contrast to each other. This contrast has tended to include the quality and recruitment of the clergy. Yet, there was no fundamental difference in the methods used by patrons in distributing livings and offices in the Church in these two centuries. Crown livings and senior posts in the Church were distributed by ministers and patrons who were prone to favor, influence, and persuasion. It was to this system that self-recommendation was directed, in the hope of securing preferment. Because of the success of personal solicitation, self-recommendation remained a factor in nominations to places in the Church throughout the nineteenth century. Even when it was declared unacceptable for the appointment to senior Church offices by Gladstone in 1881, self-recommendation remained in existence in a covert form.
Excavations between November 1990 and February 1992 have produced important information on the date and development of the Sarn-y-bryn-caled cursus complex between 3000–2000 BC. In particular a timber circle of 2000 BC, two penannular ring-ditches and a section across the cursus monument were excavated. A radiocarbon sequence has been obtained. The results of the excavations are described in Part I. Part II comprises a discussion of the forms, dates, functions, and reconstruction of timber circles. A corpus of and chronology for timber circles is presented.
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.