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Better understanding of interplay among symptoms, cognition and functioning in first-episode psychosis (FEP) is crucial to promoting functional recovery. Network analysis is a promising data-driven approach to elucidating complex interactions among psychopathological variables in psychosis, but has not been applied in FEP.
This study employed network analysis to examine inter-relationships among a wide array of variables encompassing psychopathology, premorbid and onset characteristics, cognition, subjective quality-of-life and psychosocial functioning in 323 adult FEP patients in Hong Kong. Graphical Least Absolute Shrinkage and Selection Operator (LASSO) combined with extended Bayesian information criterion (BIC) model selection was used for network construction. Importance of individual nodes in a generated network was quantified by centrality analyses.
Our results showed that amotivation played the most central role and had the strongest associations with other variables in the network, as indexed by node strength. Amotivation and diminished expression displayed differential relationships with other nodes, supporting the validity of two-factor negative symptom structure. Psychosocial functioning was most strongly connected with amotivation and was weakly linked to several other variables. Within cognitive domain, digit span demonstrated the highest centrality and was connected with most of the other cognitive variables. Exploratory analysis revealed no significant gender differences in network structure and global strength.
Our results suggest the pivotal role of amotivation in psychopathology network of FEP and indicate its critical association with psychosocial functioning. Further research is required to verify the clinical significance of diminished motivation on functional outcome in the early course of psychotic illness.
Piglets are characteristically cold intolerant and thus susceptible to high mortality. However, browning of white adipose tissue (WAT) can induce non-shivering thermogenesis as a potential strategy to facilitate the animal’s response to cold. Whether cold exposure can induce browning of subcutaneous WAT (sWAT) in piglets in a similar manner as it can in humans remains largely unknown. In this study, piglets were exposed to acute cold (4°C, 10 h) or chronic cold exposure (8°C, 15 days), and the genes and proteins of uncoupling protein 1 (UCP1)-dependent and independent thermogenesis, mitochondrial biogenesis, lipogenic and lipolytic processes were analysed. Interestingly, acute cold exposure induced browning of porcine sWAT, smaller adipocytes and the upregulated expression of UCP1, PGC1α, PGC1β, C/EBPβ, Cidea, UCP3, CKMT1 and PM20D1. Conversely, chronic cold exposure impaired the browning process, reduced mitochondrial numbers and the expression of browning markers, including UCP1, PGC1α and PRDM16. The present study demonstrated that acute cold exposure (but not chronic cold exposure) induces porcine sWAT browning. Thus, browning of porcine sWAT could be a novel strategy to balance the body temperature of piglets, and thus could be protective against cold exposure.
TAOS II is a next-generation occultation survey with the goal of measuring the size distribution of the small end of the Kuiper Belt (objects with diameters 0.5–30 km). Such objects have magnitudes r > 30, and are thus undetectable by direct imaging. The project will operate three telescopes at San Pedro Mártir Observatory in Baja California, México. Each telescope will be equipped with a custom-built camera comprised of a focal-plane array of CMOS imagers. The cameras will be capable of reading out image data from 10,000 stars at a cadence of 20 Hz. The telescopes will monitor the same set of stars simultaneously to search for coincident occultation detections, thus minimising the false-positive rate. This talk described the project, and reported on the progress of the development of the survey infrastructure.
OBJECTIVES/SPECIFIC AIMS: The morbidity and mortality in adults with single ventricular hearts who have undergone Fontan palliation is poorly defined. These patients have a high burden of arrhythmia, heart failure, and re-operation. We hypothesized that age and type of Fontan predict occurrence of arrhythmia. METHODS/STUDY POPULATION: In total, 205 patients aged 18 years who had undergone a Fontan procedure were identified. Those with incomplete data were excluded. Demographic, anatomic, pharmacologic, imaging, hemodynamic, and electrophysiologic data were collected. The χ2 and Mann-Whitney U tests were used to test significance defined as p<0.05. RESULTS/ANTICIPATED RESULTS: Of the 205 patients identified, 59 had been lost to follow-up. Of the 146 patients (77, 53% female) actively followed 18 (12%) had died at a median (IQR) age of 27 (21–34.3); in patients alive as of 10/2016 the median age was 26 years (22–34). Fontan types were lateral tunnel (LT) (n=79, 54.1%), extracardiac (EC) (n=32, 22%), right atrial to pulmonary artery (RV-PA) (n=28, 19%), and Fontan with Bjork modification (n=4, 2.7%). Systemic left ventricle (n=96, 66%) was more common than systemic right ventricle (n=43, 30%). Of the 146 patients, 101 (69%) had significant morbidity or mortality: 86 (59%) were diagnosed with arrhythmia, 18 (12%) died, and 11 (8%) underwent heart transplants. Frequent procedures included: Fontan revisions/cryoablation in 28 (19%), electrophysiology studies with ablation in 73 (50%), and pacemakers in 53 (36%). Of the arrhythmia diagnoses, 57 (64%) were atrial tachyarrhythmias. RV-PA Fontan procedures were associated with significantly more atrial arrhythmia than all other Fontan types (70% vs. 30%; p<0.01). There was no statistical difference in occurrence of atrial arrhythmia in adults with LT Versus EC Fontans (p=0.3). While patients who had undergone RV-PA and Bjork Fontans were older with median age 34 years, there was no significant difference in age between LT and EC (median 24.0 and 24.5). DISCUSSION/SIGNIFICANCE OF IMPACT: Adult survivors of the Fontan procedure suffer from significant morbidity and mortality. The single most prevalent morbidity is atrial arrhythmia. We conclude that RV-PA Fontans, now obsolete, have the highest prevalence of arrhythmia and that there is no difference in arrhythmia burden between LT and EC Fontans. Given the high prevalence of morbidity and mortality in this population, it is imperative that they be followed by cardiologists with expertise in congenital heart disease.
Based upon the Shliomis ferromagnetic fluid model and the Stokes microcontinuum theory incorporating with the Christensen stochastic model, a modified Reynolds equation of centrosymmetric squeeze films has been derived in this paper. The Reynolds equation includes the combined effects of non-Newtonian rheology, magnetic fluids with applied magnetic fields, rotational inertia forces, and surface roughness. To guide the use of the derived equation, the squeeze film of rotational rough-surface circular disks lubricated with non-Newtonian magnetic fluids is illustrated. According to the results obtained, the effects of rotation inertia decrease the load capacity and the squeeze film time of smooth circular disks. By the use of non-Newtonian magnetic fluids with applied magnetic fields, the rotational circular disks predict better squeeze film performances. When the influences of circumferential roughness patterns are considered, the non-Newtonian magnetic-fluid lubricated rotational rough disks with applied magnetic fields provide further higher values of the load capacity and the squeeze film time as compared to those of the smooth case.
We have obtained deep CCD images of 14 PN to search for and examine faint halos. These images were obtained with Hβ, [OIII], Hα, and [NII] narrowband interference filters on the Burrell Schmidt at Kitt Peak. Table 1 summarizes the observations. We have found interesting features around NGC 1360, NGC 3587 (The Owl), and NGC 6853 (The Dumbbell), and we have obtained new images of the very faint outer halo of NGC 7293 (The Helix). Two CCDs were used: TI6, an 800×800 chip, with 1.45″ /pix and a 19.3 arcmin square field., and ST2K, a 2048×2048 chip, of which only 1200×1200 pixels were read out, yielding 2.07″ /pix and a 40 arcmin square field.
The increasing demands on renewable energy nowadays caused the development of marine current turbine industry. In order to improve the current design of marine current turbines, studies were conducted to analyse their hydrodynamic performances during operation. Since most of the time marine current turbines operate in arrays, it is important to understand the interactions between the turbines in order to design the optimum turbine farm. OpenFOAM® was used to simulate the turbine interactions of conventional and biomimetic marine current turbines in tandem configuration. The conventional marine current turbines were referred to Pinon et al. (2012) and Mycek et al. (2013) while the biomimetic marine current turbine was adopted from Chu (2016). The numerical simulations were conducted with turbines in different inter-device distances, A/D. The percentage differences of ‘‘efficiency’’, η between the IFREMER-LOMC and the biomimetic turbine case of inter-device distances, A/D = 4, 6, 8 and 10 are 14.3%, 6.4%, 3% and 1.92% respectively. The results show that the power produced by the biomimetic turbines in tandem is comparable with the IFREMER-LOMC turbines when A/D > 4. The biomimetic marine current turbines can be a fair choice due to their potential to have alternative fabrication method of their sheet-like turbine blades.
On the day that two Chinese bullet trains collided just south of Wenzhou en route to their final destination in Fujian Province in July 2011, it just so happened that China's most wanted fugitive – the Fujian-based smuggler Lai Changxing – was also finally extradited back to China from Canada to face charges for one of the nation's biggest smuggling and corruption scandals in the post-Mao era. Once anticipated as the headline-making event of the day, Lai's return to Beijing on the afternoon of July 23 all but disappeared from state media overnight when the tragedy of the Wenzhou crash and its subsequent botched rescue efforts came to dominate news channels and public attention. Although the date 7/23 quickly became synonymous with the disastrous event of Wenzhou's rail collision, Lai's uneventful return nonetheless developed its own spectral life as part of a growing conspiracy theory of fateful coincidences.
Infamous as the “shadow customs chief” in the port city of Xiamen, where he based his operations from 1996 to 1999, Lai at one point had controlled entire local departments of the Fujian Customs, with an estimated 160 customs staff, including Fujian's top bureau director and deputy director, all working with him to smuggle in more than 53 billion RMB (7.8 billion USD) worth of contraband across China's southeastern border (Shieh 2005). His political influence was rumored to extend beyond provincial leaders in Fujian all the way to Beijing's central government. Seeking political asylum in Canada, where he had fled in 1999 amid a sweeping anti-smuggling campaign against his operation, Lai claimed to be a victim of a political power struggle among China's top leaders in Beijing. Moreover, as an archetypical man who knew too much, he argued that in his exile, he had become a political threat to many still in power in China whom he could implicate in corruption from afar and who he said “want to get me back so they can shut me up for good” (Beech 2002).
Returned in handcuffs to China on the same day that the two bullet trains crashed, Lai soon became the center of a popular “wag the dog” conspiracy theory linking corruption in the Railway Ministry to the not-so-distant failings of Fujian Customs.
The aim of this study was to describe previously unrecognised or under-recognised adverse events associated with Melody® valve implantation.
In rare diseases and conditions, it is typically not feasible to conduct large-scale safety trials before drug or device approval. Therefore, post-market surveillance mechanisms are necessary to detect rare but potentially serious adverse events.
We reviewed the United States Food and Drug Administration’s Manufacturer and User Facility Device Experience (MAUDE) database and conducted a structured literature review to evaluate adverse events associated with on- and off-label Melody® valve implantation. Adverse events were compared with those described in the prospective Investigational Device Exemption and Post-Market Approval Melody® transcatheter pulmonary valve trials.
We identified 631 adverse events associated with “on-label” Melody® valve implants and 84 adverse events associated with “off-label” implants. The most frequent “on-label” adverse events were similar to those described in the prospective trials including stent fracture (n=210) and endocarditis (n=104). Previously unrecognised or under-recognised adverse events included stent fragment embolisation (n=5), device erosion (n=4), immediate post-implant severe valvar insufficiency (n=2), and late coronary compression (n=2 cases at 5 days and 3 months after implantation). Under-recognised adverse events associated with off-label implantation included early valve failure due to insufficiency when implanted in the tricuspid position (n=7) and embolisation with percutaneous implantation in the mitral position (n=5).
Post-market passive surveillance does not demonstrate a high frequency of previously unrecognised serious adverse events with “on-label” Melody® valve implantation. Further study is needed to evaluate safety of “off-label” uses.
The fast stellar winds can blow bubbles in the circumstellar material ejected from previous phases of stellar evolution. These are found at different scales, from planetary nebulae (PNe) around stars evolving to the white dwarf stage, to Wolf-Rayet (WR) bubbles and up to large-scale bubbles around massive star clusters. In all cases, the fast stellar wind is shock-heated and a hot bubble is produced. Processes of mass evaporation and mixing of nebular material and heat conduction occurring at the mixing layer between the hot bubble and the optical nebula are key to determine the thermal structure of these bubbles and their evolution. In this contribution we review our current understanding of the X-ray observations of hot bubbles in PNe and present the first spatially-resolved study of a mixing layer in a PN.
Kuratite, ideally Ca4(Fe2+10Ti2)O4[Si8Al4O36], the Fe2+-analogue of rhönite and a new member of the sapphirine supergroup, was identified from the D'Orbigny angrite meteorite by electron microscopy and micro-Raman spectroscopy. Based on the least-squares refinement of 25 d-spacings measured from selected-area electron diffraction patterns of 11 zone axes, the symmetry of kuratite was shown to be triclinic (space group by analogy to rhönite) with a = 10.513(7), b = 10.887(7), c = 9.004(18) Å, α = 105.97(13), β = 96.00(12), γ = 124.82(04)°, V = 767 ± 2 Å3 and Z = 1 for the 40 oxygen formula. The empirical formula based on eight electron microprobe analyses is (Ca3.88Na0.02REE3+0.03Mn0.03Mg0.01Ni0.02Zn0.01Sr0.01)∑4.01 (Fe2+9.989.9Ti2.00)∑11.98(Si7.80Al3.52Fe3+0.64P0.05S0.02)∑12.03O39.98F0.01Cl0.01. The simplified formula is Ca4(Fe2+10Ti2)O4[Si8Al4O36]. Micro-Raman spectroscopy showed four main bands resembling those of lunar rhönite but with higher frequencies due to different chemical composition. Analogous to the occurrence of kuratite in terrestrial basaltic rocks, kuratite coexisting with Al, Ti-bearing hedenbergite, ulvöspinel, iron-sulfide, tsangpoite, Ca-rich fayalite and kirschsteinite in D'Orbigny angrite most probably was formed at >1000°C by rapid cooling of an interstitial melt, which is subsilicic, almost Mg-free but enriched in Al-P-Ca-Ti-Fe.
A new Edition of the Asiago Catalogue of QSOs (Barbieri et al. 1982) is available on magnetic tape. It contains essentially all the information of the previous editions updated with the papers published before Dec.31, 1984. The catalog should be essentially complete to that date in respect to objects having slit spectra (2330 objects), while it is seriously incomplete regarding candidates discovered by objective prism or grism/grens surveys after 1982 (279 such objects included in the present version).
Supergiant shells are the largest interstellar structures in galaxies. They are outlined by long H II filaments enclosing an inner space containing very little warm or cold gas. In the LMC, two supergiant shells have been detected in X-rays indicating the existence of hot gas: LMC 2 (Wang & Helfand 1992) and LMC 4 (Bomans et al. 1994). It is not yet clear whether the hot gas in a galactic halo is supplied by such supergiant shells.
The Large Sky Area Multi-Object Fiber Spectroscopic Telescope (LAMOST) project is a Chinese National Big Scientific Project. It has been recently been approved by The National Committee of Science and National Committee of Planning. LAMOST will get funds from our government and will start at the end of 1996. We expect to finish this project within 7 years. Here we describe the LAMOST project briefly.
The aim of the study was to evaluate the trends in respiratory syncytial virus-related hospitalisations and associated outcomes in children with haemodynamically significant heart disease in the United States of America.
The Kids’ Inpatient Databases (1997–2012) were used to estimate the incidence of respiratory syncytial virus hospitalisation among children ⩽24 months with or without haemodynamically significant heart disease. Weighted multivariable logistic regression and chi-square tests were used to evaluate the trends over time and factors associated with hospitalisation, comparing eras before and after publication of the 2003 American Academy of Pediatrics palivizumab immunoprophylaxis guidelines. Secondary outcomes included in-hospital mortality, morbidity, length of stay, and cost.
Overall, 549,265 respiratory syncytial virus-related hospitalisations were evaluated, including 2518 (0.5%) in children with haemodynamically significant heart disease. The incidence of respiratory syncytial virus hospitalisation in children with haemodynamically significant heart disease decreased by 36% when comparing pre- and post-palivizumab guideline eras versus an 8% decline in children without haemodynamically significant heart disease (p<0.001). Children with haemodynamically significant heart disease had higher rates of respiratory syncytial virus-associated mortality (4.9 versus 0.1%, p<0.001) and morbidity (31.5 versus 3.5%, p<0.001) and longer hospital length of stay (17.9 versus 3.9 days, p<0.001) compared with children without haemodynamically significant heart disease. The mean cost of respiratory syncytial virus hospitalisation in 2009 was $58,166 (95% CI:$46,017, $70,315).
These data provide stakeholders with a means to evaluate the cost–utility of various immunoprophylaxis strategies.
Cosmology is one of the most dynamically evolving areas of astrophysics today. Twenty years ago the estimates of the amplitude of the primordial fluctuations were about 10-3, almost a factor of 100 off of today’s measurements. Ten years ago we could only hope for high precision measurements of large scale structure, there were less than 5000 redshifts measured, and only a handful of normal galaxies with z > 1 were known. Computer models of structure formation had just begun to consider non-power-law spectra based on physical models like hot/cold dark matter. As a consequence there was considerable freedom in adjusting parameters in the various galaxy formation scenarios. In contrast, many of today’s debates are about factors of 2 and soon we will be arguing about 10% differences. The Harrison-Zeldovich shape of the primordial fluctuation spectrum, first derived from philosophical arguments can now be quantified from detections of fluctuations by COBE. The number of available redshifts is beyond 50,000, and soon we will have redshift surveys surpassing 1 million galaxies. N-body simulations are becoming more sophisticated, of higher resolution, and incorporating complex gas dynamics.