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Background Attention-deficit/hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that often persists into adulthood and old age. Yet ADHD is currently underdiagnosed and undertreated in many European countries, leading to chronicity of symptoms and impairment, due to lack of, or ineffective treatment, and higher costs of illness.
Methods The European Network Adult ADHD and the Section for Neurodevelopmental Disorders Across the Lifespan (NDAL) of the European Psychiatric Association (EPA), aim to increase awareness and knowledge of adult ADHD in and outside Europe. This Updated European Consensus Statement aims to support clinicians with research evidence and clinical experience from 63 experts of European and other countries in which ADHD in adults is recognized and treated.
Results Besides reviewing the latest research on prevalence, persistence, genetics and neurobiology of ADHD, three major questions are addressed: (1) What is the clinical picture of ADHD in adults? (2) How should ADHD be properly diagnosed in adults? (3) How should adult ADHDbe effectively treated?
Conclusions ADHD often presents as a lifelong impairing condition. The stigma surrounding ADHD, mainly due to lack of knowledge, increases the suffering of patients. Education on the lifespan perspective, diagnostic assessment, and treatment of ADHD must increase for students of general and mental health, and for psychiatry professionals. Instruments for screening and diagnosis of ADHD in adults are available, as are effective evidence-based treatments for ADHD and its negative outcomes. More research is needed on gender differences, and in older adults with ADHD.
The Taylor–Melcher (TM) model is the standard model for describing the dynamics of poorly conducting leaky dielectric fluids under an electric field. The TM model treats the fluids as ohmic conductors, without modelling the underlying ion dynamics. On the other hand, electrodiffusion models, which have been successful in describing electrokinetic phenomena, incorporate ionic concentration dynamics. Mathematical reconciliation of the electrodiffusion picture and the TM model has been a major issue for electrohydrodynamic theory. Here, we derive the TM model from an electrodiffusion model in which we explicitly model the electrochemistry of ion dissociation. We introduce salt dissociation reaction terms in the bulk electrodiffusion equations and take the limit in which the salt dissociation is weak; the assumption of weak dissociation corresponds to the fact that the TM model describes poor conductors. Together with the assumption that the Debye length is small, we derive the TM model with or without the surface charge convection term depending upon the scaling of relevant dimensionless parameters. An important quantity that emerges is the Galvani potential (GP), the jump in voltage across the liquid–liquid interface between the two leaky dielectric media; the GP arises as a natural consequence of the interfacial boundary conditions for the ionic concentrations, and is absent under certain parametric conditions. When the GP is absent, we recover the TM model. Our analysis also reveals the structure of the Debye layer at the liquid–liquid interface, which suggests how interfacial singularities may arise under strong imposed electric fields. In the presence of a non-zero GP, our model predicts that the liquid droplet will drift under an imposed electric field, the velocity of which is computed explicitly to leading order.
The room temperature electronic characteristics of resonant tunneling diodes (RTDs) containing AlAs/InGaAs quantum wells are studied. Differences in the peak current and voltages, associated with device-to-device variations in the structure and width of the quantum well are analyzed. A method to use these differences between devices is introduced and shown to uniquely identify each of the individual devices under test. This investigation shows that quantum confinement in RTDs allows them to operate as physical unclonable functions.
A numerical scheme based on the immersed interface method (IIM) is developed to simulate the dynamics of an axisymmetric viscous drop under an electric field. In this work, the IIM is used to solve both the fluid velocity field and the electric potential field. Detailed numerical studies on the numerical scheme show a second-order convergence. Moreover, our numerical scheme is validated by the good agreement with previous analytical models, and numerical results from the boundary integral simulations. Our method can be extended to Navier-Stokes fluid flow with nonlinear inertia effects.
In this paper the dynamics of an inextensible capacitive elastic membrane under an electric field is investigated in the long-wave (lubrication) leaky dielectric framework, where a sixth-order nonlinear differential equation with an integral constraint is derived. Steady equilibrium profiles for a non-conducting membrane in a direct current (DC) field are found to depend only on the membrane excess area and the volume under the membrane. Linear stability analysis on a tensionless flat membrane in a DC field gives the growth rate in terms of membrane conductance and electric properties in the bulk. Numerical simulations of a capacitive conducting membrane under an alternating current (AC) field elucidate how variation of the membrane tension correlates with the nonlinear membrane dynamics. Different membrane dynamics, such as undulation and flip-flop, are found at different electric field strength and membrane area. In particular a travelling wave on the membrane is found as a response to a periodic AC field in the perpendicular direction.
The present study examined food shopping behaviours, particularly distance to grocery shop, and exposure to discrimination.
Cross-sectional observational study utilizing data from a community survey, neighbourhood food environment observations and the decennial census.
Three communities in Detroit, Michigan, USA.
Probability sample of 919 African-American, Latino and white adults in 146 census blocks and sixty-nine census block groups.
On average, respondents shopped for groceries 3·1 miles (4·99 km) from home, with 30·9 % shopping within 1 mile (1·61 km) and 22·3 % shopping more than 5 miles (8·05 km) from home. Longer distance to shop was associated with being younger, African-American (compared with Latino), a woman, higher socio-economic status, lower satisfaction with the neighbourhood food environment, and living in a neighbourhood with higher poverty, without a large grocery store and further from the nearest supermarket. African-Americans and those with the lowest incomes were particularly likely to report unfair treatment at food outlets. Each mile (1·61 km) increase in distance to shop was associated with a 7 % increase in the odds of unfair treatment; this relationship did not differ by race/ethnicity.
The study suggests that unfair treatment in retail interactions warrants investigation as a pathway by which restricted neighbourhood food environments and food shopping behaviours may adversely affect health and contribute to health disparities. Efforts to promote ‘healthy’ and equitable food environments should emphasize local availability and affordability of a range of healthy food products, as well as fair treatment while shopping regardless of race/ethnicity or socio-economic status.
By conducting a case-control study in two university hospitals, we explored the association between modifiable risk behaviours and diarrhoea. Children aged <5 years attending outpatient clinics for diarrhoea were matched by age and sex with controls. Data were collected on family demographics, socioeconomic indicators, and risk behaviour practices. Two rectal swabs and a stool specimen were collected from cases and controls. Samples were cultured for bacterial pathogens using standard techniques and tested by ELISA to detect rotavirus and Cryptosporidium spp. Four hundred cases and controls were enrolled between 2007 and 2009. The strongest independent risk factors for diarrhoea were: presence of another household member with diarrhoea [matched odds ratio (mOR) 4·9, 95% CI 2·8–8·4] in the week preceding the survey, introduction to a new kind of food (mOR 3, 95% CI 1·7–5·4), and the child being cared for outside home (mOR 2·6, 95% CI 1·3–5·2). While these risk factors are not identifiable, in some age groups more easily modifiable risk factors were identified including: having no soap for handwashing (mOR 6·3, 95% CI 1·2–33·9) for children aged 7–12 months, and pacifier use (mOR 1·9, 95% CI 1·0–3·5) in children aged 0–6 months. In total, the findings of this study suggest that community-based interventions to improve practices related to sanitation and hygiene, handwashing and food could be utilized to reduce the burden of diarrhoea in Egyptian children aged <5 years.
According to a popular scenario supported by numerical models, the mass assembly and growth of massive galaxies, in particular the Early-Type Galaxies (ETGs), is, below a redshift of 1, mainly due to the accretion of multiple gas–poor satellites. In order to get observational evidence of the role played by minor dry mergers, we are obtaining extremely deep optical images of a complete volume limited sample of nearby ETGs. These observations, done with the CFHT as part of the ATLAS3D, NGVS and MATLAS projects, reach a stunning 28.5 – 29 mag.arcsec−2 surface brightness limit in the g' band. They allow us to detect the relics of past collisions such as faint stellar tidal tails as well as the very extended stellar halos which keep the memory of the last episodes of galactic accretion. Images and preliminary results from this on-going survey are presented, in particular a possible correlation between the fine structure index (which parametrizes the amount of tidal perturbation) of the ETGs, their stellar mass, effective radius and gas content.
In around ≈25% of early-type galaxies (ETGs) UV emission from young stellar populations is present. Molecular gas reservoirs have been detected in these systems (e.g. Young et al. (2011), providing the fuel for this residual star-formation. The environment in which this molecular gas is found is quite different than that in spiral galaxies however, with harsher radiation fields, deeper potentials and high metallicity and alpha-element abundances. Here we report on one element of our multi-faceted programme to understand the similarities and differences between the gas reservoirs in spirals and ETGs. We use spatially resolved observations from the CARMA mm-wave interferometer to investigate the size of the molecular reservoirs in the the CO-rich ATLAS3D ETGs (survey described in Alatalo et al. 2012, submitted). We find that the molecular gas extent is smaller in absolute terms in ETGs than in late-type galaxies, but that the size distributions are similar once scaled by the galaxies optical/stellar characteristic scale-lengths (Fig 1, left). Amongst ETGs, we find that the extent of the molecular gas is independent of the kinematic misalignment, despite the many reasons why misaligned gas might have a smaller extent. The extent of the molecular gas does depend on environment, with Virgo cluster ETGs having less extended molecular gas reservoirs (Fig 1, right). Whatever the cause, this further emphases that cluster ETGs follow different evolutionary pathways from those in the field. Full details of this work will be presented in Davis et al. (2012), submitted.
Recently, massive early-type galaxies have shed their red-and-dead moniker, thanks to the discovery that many host residual star formation. As part of the ATLAS-3D project, we have conducted a complete, volume-limited survey of the molecular gas in 260 local early-type galaxies with the IRAM-30m telescope and the CARMA interferometer, in an attempt to understand the fuel powering this star formation. We find that around 22% of early-type galaxies in the local volume host molecular gas reservoirs. This detection rate is independent of galaxy luminosity and environment. Here we focus on how kinematic misalignment measurements and gas-to-dust ratios can be used to put constraints on the origin of the cold ISM in these systems. The origin of the cold ISM seems to depend strongly on environment, with misaligned, dust poor gas (indicative of externally acquired material) being common in the field but completely absent in rich groups and in the Virgo cluster. Very massive galaxies also appear to be devoid of accreted gas. This suggests that in the field mergers and/or cold gas accretion dominate the gas supply, while in clusters internal secular processes become more important. This implies that environment has a strong impact on the cold gas properties of ETGs.
In September 2009, an outbreak of Salmonella enterica serovar Enteritidis affected 327 of 1419 inmates at a London prison. We applied a cohort design using aggregated data from the kitchen about portions of food distributed, aligned this with individual food histories from 124 cases (18 confirmed, 106 probable) and deduced the exposures of those remaining well. Results showed that prisoners eating egg cress rolls were 26 times more likely to be ill [risk ratio 25·7, 95% confidence interval (CI) 15·5–42·8, P<0·001]. In a case/non-case multivariable analysis the adjusted odds ratio for egg cress rolls was 41·1 (95% CI 10·3–249·7, P<0·001). The epidemiological investigation was strengthened by environmental and microbiological investigations. This paper outlines an approach to investigations in large complex settings where aggregate data for exposures may be available, and led to the development of guidelines for the management of future gastrointestinal outbreaks in prison settings.
We study the motion and deformation of a liquid capsule enclosed by a surface-incompressible membrane as a model of red blood cell dynamics in shear flow. Considering a slightly ellipsoidal initial shape, an analytical solution to the creeping-flow equations is obtained as a regular perturbation expansion in the excess area. The analysis takes into account the membrane fluidity, area-incompressibility and resistance to bending. The theory captures the observed transition from tumbling to swinging as the shear rate increases and clarifies the effect of capsule deformability. Near the transition, intermittent behaviour (swinging periodically interrupted by a tumble) is found only if the capsule deforms in the shear plane and does not undergo stretching or compression along the vorticity direction; the intermittency disappears if deformation along the vorticity direction occurs, i.e. if the capsule ‘breathes’. We report the phase diagram of capsule motions as a function of viscosity ratio, non-sphericity and dimensionless shear rate.
Diversity within Shigella dysenteriae (n=40) and Shigella boydii (n=30) isolates from children living in Egypt aged <5 years was investigated. Shigella-associated diarrhoea occurred mainly in summer months and in children aged <3 years, it commonly presented with vomiting and fever. Serotypes 7 (30%), 2 (28%), and 3 (23%) accounted for most of S. dysenteriae isolates; 50% of S. boydii isolates were serotype 2. S. dysenteriae and S. boydii isolates were often resistant to ampicillin, chloramphenicol and tetracycline (42%, 17%, respectively), although resistance varied among serotypes. Pulsed-field gel electrophoresis separated the isolates into distinct clusters correlating with species and serotype. Genetic differences in trimethoprim/sulfamethoxazole and β-lactam-encoding resistance genes were also evident. S. dysenteriae and S. boydii are genetically diverse pathogens in Egypt; the high level of multidrug resistance associated with both pathogens and resistance to the most available inexpensive antibiotics underlines the importance of continuing surveillance.
PbTe-PbS materials are promising for thermoelectric power generation applications. For the composition of (Pb0.95Sn0.05Te)0.92(PbS)0.08 nanostructuring from nucleation and growth and spinodal decomposition has been reported along with thermal conductivity of approximately 1.1 W/m·K at 650 K . Based on temperature-dependent measurements of electrical conductivity, thermopower, and thermal conductivity, the thermoelectric figure of merit, ZT, are ~1.5 at 650 K for cast ingots.
To develop larger quantities of material for device fabrication, advancement in the synthesis, processing and production of (Pb0.95Sn0.05Te)0.92(PbS)0.08 is necessary. Powder processing of samples is a well-known technique for increasing sample strength, and uniformity. In this presentation, we show sample fabrication and processing details of pulsed electric current sintering (PECS) processed (Pb0.95Sn0.05Te)0.92(PbS)0.08 materials and their thermoelectric properties along with the latest advancements in the preparation of these materials.
The mass assembly of galaxies leaves various imprints on their surroundings, such as shells, streams and tidal tails. The frequency and properties of these fine structures depend on the mechanism driving the mass assembly: e.g. a monolithic collapse, rapid cold-gas accretion followed by violent disk instabilities, minor mergers or major dry/wet mergers. Therefore, by studying the outskirts of galaxies, one can learn about their main formation mechanism. I present here our on-going work to characterize the outskirts of Early-Type Galaxies (ETGs), which are powerful probes at low redshift of the hierarchical mass assembly of galaxies. This work relies on ultra–deep optical images obtained at CFHT with the wide-field of view MegaCam camera of field and cluster ETGs obtained as part of the ATLAS3D and NGVS projects. State of the art numerical simulations are used to interpret the data. The images reveal a wealth of unknown faint structures at levels as faint as 29 mag arcsec−2 in the g-band. Initial results for two galaxies are presented here.
The molecular gas content of local early-type galaxies is constrained and discussed in relation to their evolution. First, as part of the ATLAS3D survey, we present the first complete, large (260 objects), volume-limited single-dish survey of CO in normal local early-type galaxies. We find a surprisingly high detection rate of 22%, independent of luminosity and at best weakly dependent on environment. Second, the extent of the molecular gas is constrained with CO synthesis imaging, and a variety of morphologies is revealed. The kinematics of the molecular gas and stars are often misaligned, implying an external gas origin in over a third of the systems, although this behaviour is drastically diffferent between field and cluster environments. Third, many objects appear to be in the process of forming regular kpc-size decoupled disks, and a star formation sequence can be sketched by piecing together multi-wavelength information on the molecular gas, current star formation, and young stars. Last, early-type galaxies do not seem to systematically obey all our usual prejudices regarding star formation, following the standard Schmidt-Kennicutt law but not the far infrared-radio correlation. This may suggest a greater diversity in star formation processes than observed in disk galaxies. Using multiple molecular tracers, we are thus starting to probe the physical conditions of the cold gas in early-types.
Early-type galaxies (ETGs) satisfy a now classic scaling relation Re ∝ σ1.2eI−0.8e, the Fundamental Plane (FP; Djorgovski & Davis 1987; Dressler et al. 1987), between their size, stellar velocity dispersion and mean surface brightness. A significant effort has been devoted in the past twenty years to try to understand why the coefficients of the relation are not the ones predicted by the virial theorem Re ∝ σ2eI−1e.