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Individuals with HIV are at increased risk for osteoporosis. A healthy diet with adequate Ca is recommended to promote bone health. However, lengthy nutritional assessments pose barriers to routine screenings in clinical practice. This study aimed to examine the validity and reproducibility of a six-item dietary Ca screening tool among Chinese individuals with HIV.
Design:
We conducted a two time-point study in an outpatient setting. Volunteers self-administered the six-item tool upon enrolment and again at 1-month follow-up. At baseline, participants also completed a validated FFQ and surveys regarding demographic and clinical risk factors.
Setting:
Beijing, China; Shenzhen, Guangdong, China.
Participants:
Upon enrolment, 127 individuals with HIV participated in the study, of whom 83 completed the follow-up screening.
Results:
Mean age of participants was 35·2 (sd 9·3) years, average BMI was 22·8 (sd 3·8) kg/m2 and 89 % were men. Among the participants, 54·7 % reported Ca intake less than 800 mg/d. The six-item tool demonstrated fair-to-moderate relative validity with a correlation of 0·39 and 75·7 % of subjects classified in same/adjacent quartiles as the reference, and moderate-to-good reproducibility with a correlation of 0·60 and 83·1 % of subjects classified in same/adjacent quartiles. Finally, receiver operating characteristic analyses yielded a sensitivity of 87·0 % and a specificity of 39·4 % with optimised cut-off level.
Conclusions:
The six-item tool presented adequate validity and reproducibility to identify individuals with low Ca intake among the target population, providing a convenient instrument for categorising Ca intake in clinical practice, prompting referrals for further assessment, and raising awareness of dietary Ca in bone disease prevention.
Solar energy can alleviate our dependence on traditional energy sources like coal and petroleum. In this regard, the design and performance of solar absorbers are crucial for capturing energy from sunlight. Specifically, for applications relying on solar-thermal energy conversion, it is desirable to construct solar absorbers using scalable techniques that also allow a variation in optical properties. In this study, we demonstrate the ability to tune the spectral absorptance of nickel-infused nanoporous alumina using a scalable and inexpensive fabrication procedure. With simple variations in the geometry of the nanostructures, we enable broadband absorption with a net solar absorptance of 0.96 and thermal emittance of 0.98 and spectrally-selective absorption with a net solar absorptance of 0.83 and thermal emittance of 0.22. The simple manufacturing techniques presented in this study to generate nanoengineered surfaces can lead to further advancements in solar absorbers with well-controlled and application-specific optical properties.
The objectives of this study were to investigate the primary diagnoses and outcomes of emergency department visits in older people with dementia and to compare these parameters with those in older adults without dementia.
Design and Setting:
This hospital-based retrospective study retrieved patient records from a hospital research database, which included the outpatient and inpatient claims of two hospitals.
Participants:
The patient records were retrieved from the two hospitals in an urban setting. The inclusion criteria were all patients aged 65 and older who had attended the two hospitals as an outpatient or inpatient between January 1, 2009, and December 31, 2016. Patients with dementia were identified to have at least three reports of diagnostic codes, either during outpatient visits, during emergency department visits, or in hospitalized database records. The other patients were categorized as patients without dementia.
Measurements:
The primary diagnosis during the emergency department visit, cost of emergency department treatment, cost of hospital admission, length of hospital stay, and diagnosis of death were collected.
Results:
A total of 149,203 outpatients and inpatients aged 65 and older who were admitted to the two hospitals were retrieved. The rate of emergency department visits in patients with dementia (23.2%) was lower than that in those without dementia (48.6%). The most frequent primary reason for emergency department visits and the main cause of patient death was pneumonia. Patients with dementia in the emergency department had higher hospital admission rates and longer hospital stays; however, the cost of treatment did not show a significant difference between the two groups.
Conclusions:
Future large and prospective studies should explore the severity of disease in older people with dementia and compare results with older adults without dementia in the emergency department.
As a degenerative disease, the progression of dementia needs continued care provision and poses both psychological and financial burden for family caregivers of persons with dementia (PWD). This study seeks to compare predictors of care costs and caregiver burden, and to identify modifiable factors that could alleviate the burden faced by dementia caregivers.
Methods:
This study interviewed 231 PWD–caregiver dyads in a dementia clinic at a teaching hospital in southern Taiwan in 2013. A follow-up study was conducted a year later, and 167 dyads completed the second interview. Data collected included PWD characteristics, caregiver characteristics, relationship to PWD, and social support to caregivers. Caregiver burden was measured with the Zarit Burden Interview instrument. The association between each predictor variable and cost of care and caregiver burden scores was examined using linear mixed models.
Results:
Predictors of care costs were found to be different from predictors of caregiver burden: functional declines measured by Katz’s activities of daily living (ADL) scale were associated with total cost as compared to behavioral disturbance measured by Neuropsychiatric Inventory (NPI), which showed no impact on care costs. However, NPI was a significant predictor of caregiver burden. Caregivers who were better-off financially also reported significantly lower caregiver burden.
Conclusions:
Since predictors of care costs were different from the predictors of caregiver burden, providing training to caregivers in addressing PWD’s behavioral disturbance and proving financial assistance to low income caregivers could be effective in reducing caregiver burden.
Interactions and mergers have been known as key scenarios to enhance global star formation rates and to lower the metal content of galaxies. However, little is known on how interactions affect the spatial distribution of gas metallicities. Thanks to the SDSS-IV MaNGA survey we are able to statistically constrain the impact of interactions across the optical distributions of galaxies. In this study, we compare the radial distribution of the ionized gas metallicity from a sample of 329 interacting objects – covering different interaction stages – with a statistical robust control sample. Our results suggest that galaxies close to coalesce tend to have flat, lower metallicities than non-interacting star-forming galaxies.
Mycobacterium marinum, a bacterium found in freshwater and saltwater, can infect persons with direct exposure to fish or aquariums. During December 2013, the New York City Department of Health and Mental Hygiene learned of four suspected or confirmed M. marinum skin or soft tissue infections (SSTIs) among persons who purchased whole fish from Chinese markets. Ninety-eight case-patients with non-tuberculous mycobacteria (NTM) SSTIs were identified with onset June 2013–March 2014. Of these, 77 (79%) were female. The median age was 62 years (range 30–91). Whole genome sequencing of clinical isolates revealed two main clusters and marked genetic diversity. Environmental samples from distributors yielded NTM though not M. marinum. We compared 56 case-patients with 185 control subjects who shopped in Chinese markets, frequency-matched by age group and sex. Risk factors for infection included skin injury to the finger or hand (odds ratio [OR]: 15·5; 95% confidence interval [CI]: 6·9–37·3), hand injury while preparing fish or seafood (OR 8·3; 95% CI 3·8–19·1), and purchasing tilapia (OR 3·6; 95% CI 1·1–13·9) or whiting (OR 2·7; 95% CI 1·1–6·6). A definitive environmental outbreak source was not identified.
In this paper, we develop a formal framework for what a good community should look like and how strong a community is (community strength). One of the key innovations is to incorporate the concept of relative centrality into structural analysis of networks. In our framework, relative centrality is a measure that measures how important a set of nodes in a network is with respect to another set of nodes, and it is a generalization of centrality. Building on top of relative centrality, the community strength for a set of nodes is measured by the difference between its relative centrality with respect to itself and its centrality. A community is then a set of nodes with a nonnegative community strength. We show that our community strength is related to conductance that is commonly used for measuring the strength of a small community. We define the modularity for a partition of a network as the average community strength for a randomly selected node. Such a definition generalizes the original Newman's modularity and recovers the stability in as special cases. For the local community detection problem, we also develop efficient agglomerative algorithms that guarantee the community strength of the detected local community.
Medication-resistant depression (MRD) is associated with poorer
attentional performance and immense socioeconomic costs.
Aims
We aimed to investigate the central pathophysiology of MRD, previously
linked to impaired prefrontal cortex function.
Method
A total of 54 participants (22 with MRD, 16 with non-resistant
depression, 16 healthy controls) were recruited. Non-MRD status was
confirmed by a prospective 6-week antidepressant trial. All
medication-free participants underwent a go/no-go task to study
prefrontal cortical function (attention) and positron emission tomography
scans to study regional cerebral glucose metabolism (rCMglu) at rest.
Results
The MRD group had worse attentional ratings and decreased rCMglu compared
with the non-MRD and control groups. Attentional performance was
positively associated with prefrontal cortex rCMglu. The prefrontal
cortex differences between MRD and non-MRD groups remained after
adjusting for past depressive episodes (F(1,35) = 4.154, P = 0.043).
Conclusions
Pronounced hypofrontality, with the associated attentional deficits, has
a key role in the neuropathology of medication-resistant depression.
Owing to energy conservation of waste heat, Lead telluride, PbTe, based materials have promising good thermoelectric properties around a range of middle temperature (Fig. 1, from 300 to 600°C), due to their high melting point, fine chemical stability, and the high figure of merit Z. The general physical properties and factors affecting the figure of merit have been reviewed. This research is focused on the n-type of PbTe materials and collocated with analysis of densities, hardness, elastic modulus, and thermoelectric properties thermoelectric figure of merit ZT=GS2T/κ (where G is electrical conductivity, S is Seebeck coefficient , T is absolute temperature, and κ is thermal conductivity). Room temperature hardness and Young’s modulus are measured by nano-indentation. In this study, the hot-press compacts under the pressure of 4 ton/cm2 can reach the maximum density about 8.2 g/cm3, and hardness and elastic modulus are 0.6 GPa and 70 GPa, respectively. The figure of merit value (ZT) of PbTe in low temperature (around 340°C) was found about 1 with carrier concentration above 1019 cm−3. These results also indicate that the powder metallurgy parameters provide potentialities for further increase of the high efficiency of energy conversion in PbTe materials.
The crystal structure of a-plane GaN/ZnO heterostructures on r-plane sapphire was investigated by using the XRD and TEM measurment. It was found the formation of (220) ZnGa2O4 and crystal orientation of semipolar (10$\bar 1$3) GaN at GaN/ZnO interface. The epitaxial relation of normal surface direction are the sapphire (1$\bar 1$02) // a-GaN (11$\bar 2$0) and ZnGa2O4 (220) // semi-polar GaN (10$\bar 1$$\bar 3$). Beside, the emission peak energy of ZnO appears shift about 60 meV in the GaN/ZnO/GaN heterostructures due to the re-crystallization of ZnO layer with Ga or N atom and the formation of the localized state.
The purpose of this study was to understand the seasonal, geographical and clinical characteristics of Taiwanese patients hospitalized for non-typhoidal Salmonella (NTS) infections and their economic burden. Hospital data obtained from the Taiwan National Health Insurance (NHI) database between 2006 and 2008 were analysed. Infants had the highest annual incidence of 525 cases/100 000 person-years. Elderly patients aged >70 years had the highest in-hospital mortality rate (2·6%). Most (82·6%) gastroenteritis occurred in children aged <10 years. Septicaemia, pneumonia, arthritis and osteomyelitis occurred mainly in patients aged >50 years. A median medical cost for NTS-associated hospitalizations was higher for patients with septicaemia than for those with gastroenteritis. Seasonal variation of NTS-associated hospitalizations was correlated with temperature in different areas of Taiwan. In summary, infants had a high incidence of NTS-associated hospitalizations. However, the elderly had a higher in-hospital mortality rate and more invasive NTS infections than children.
Probiotics are normal inhabitants of the gastrointestinal tract of man and are widely considered to exert a number of beneficial effects in many diseases. But the mechanism by which they modulate the immune system is poorly understood. The present study was planned to explore the anti-allergic effect of Lactobacillus gasseri on a mouse model of allergic asthma. Dermatophoides pteronyssinus (Der p) sensitised and challenged BALB/c mice were orally administered via oral administration with three different doses of L. gasseri (low, 1 × 106 colony-forming units (CFU); medium, 2 × 106 CFU; high, 4 × 106 CFU), in 700 μl of PBS daily, starting from 2 weeks before Der p sensitisation for 4 weeks. After the allergen challenge, airway responsiveness to methacholine, influx of inflammatory cells to the lung, and cytokine levels in bronchoalveolar lavage (BAL) fluids and splenocytes culture were assessed. Our results showed that oral administration of a high dose of L. gasseri (4 × 106 CFU) decreased airway responsiveness to methacholine, attenuated the influx of inflammatory cells to the airways and reduced the levels of TNF-α, thymus and activation-regulated chemokine (TARC) and IL-17A in BAL fluids of Der p-sensitised and -challenged mice. Moreover, L. gasseri decreased IL-17A production in transforming growth factor-α and IL-6 stimulated splenocytes and cell numbers of IL-17 producing alveolar macrophages in L. gasseri-treated mice as compared to non-treated, Der p-sensitised and -challenged mice. In conclusion, oral administration with L. gasseri can attenuate major characteristics of allergen-induced airway inflammation and IL-17 pro-inflammatory immune response in a mouse model of allergic asthma, which may have clinical implication in the preventive or therapeutic potential in allergic asthma.
To evaluate the effect on decrease in blood pressure of modifying risk factors for stroke, such as blood lipid profiles, diet habits and indices of body weight, through a family-based nutrition health education programme among hypertensive patients and pre-hypertensive subjects without taking any antihypertensive drugs.
Design and setting
This was a community-based prospective study. The study population was randomly selected from communities in Taipei; potential subjects were invited by telephone to participate.
Subjects
After excluding subjects whose blood pressure was normal and those using antihypertensive drugs, there were 390 participants included in the study. Subjects in the intervention group (n 293) received nutrition health education on blood pressure control and stroke-related risk factor modification at each visit. Non-intervention subjects (n 97) only acquired a general education sheet available in clinics. The blood pressure of study subjects was measured at baseline and 6-month follow-up to evaluate the intervention’s effect on decrease in blood pressure.
Results
Significant decreases of 2·0 mmHg and 5·9 mmHg in systolic blood pressure were observed both in pre-hypertensive and hypertensive subjects in the intervention group. Additionally, intervention subjects with improvement of total cholesterol and LDL cholesterol, decrease in indices of body weight and increase in consumption of fruit and vegetables also had significant lowering of blood pressure.
Conclusions
The present study provided evidence that the blood pressure of pre-hypertensive and hypertensive subjects could decrease significantly, without taking antihypertensive drugs, after modifying blood lipid profiles and waist by dietary habits changed through a family-based nutrition heath education programme, resulting in a significant effect on stroke risk reduction.
An AlGaAs/InGaAs HEMT grown on Si substrate with Ge/GexSi1−x buffer is demonstrated. The Ge/GexSi1−x metamorphic buffer layer used in this structure was only 1.0 μgm thick. The electron mobility in the In0.18Ga0.82 As channel of the HEMT sample was 3,550 cm2/Vs. After fabrication, the HEMT device demonstrated a saturation current of 150 mA/mm and a maximum transconductance of 155 mS/mm. The well behaved characteristics of the HEMT device on the Si substrate are believed to be due to the very thin buffer layer achieved and the lack of the antiphase boundaries (APBs) formation and Ge diffusion into the GaAs layers.
The presence of low-molecular-weight by-products is a major problem in poly[2-hydroxethyl methacrylate (HEMA)-silica] hybrids prepared using sol-gel synthesis. Low-molecular-weight by-products have a detrimental effect on the optical transparency, and mechanical and storage properties of poly(HEMA-silica) hybrids. To solve this problem, a new sol-gel synthesis procedure was developed to prepare organic–inorganic hybrids. Glycidyl methacrylate (GMA) was used as a comonomer to form poly(HEMA-GMA-silica) (PHGS) hybrids. In addition to forming a copolymer, GMA has two more functions. It facilitates the removal of almost all of the low-molecular-weight by-product molecules formed during sol-gel synthesis and also prevents further condensation of free silanol groups during the polymerization, storage, and use. The mechanical properties of PHGS hybrids were evaluated by using compression testing. The mechanical properties of PHGS hybrids were higher compared to Plexiglas G poly(methyl methacrylate), and the hybrids can be synthesized with reproducible mechanical properties.
We have demonstrated the blue and yellow electroluminescence of MOSLEDs made on Si-rich SiOx film with buried Si nanoclusters of different sizes. The situation of dehydrogenation of Si nanocrystals within the SiOx film becomes more pronounced then the re-growth of SiO2 matrix along with the prolongation of annealing time period. A linear variation on the O/Si composition ratio of the Si-rich SiOx film related to the deposition recipe is reported, giving rise to the precipitation of Si nanocrystals with different size. With such synthesis conditions, the SiOx films result in relatively strong photoluminescence at blue and yellow colors. From the comparison of the I–V curves we can conclude that there is a linear decrease on the threshold voltage of the SiOx based MOSLEDs by decreasing the thickness of the SiOx layer. According to EL pattern, we could demonstrate that the yellow- and blue-light pattern can be observed at 5.5 and 7.25 MV/cm, respectively.
Effect of O/Si composition ratio on near-infrared photoluminescence (PL) of PECVD grown Si-rich SiOx after 1100°C annealing are analyzed by Rutherford backscattering (RBS) and Fourier-transformed infrared spectroscopy (FTIR) to show nonlinear relationship with strongest PL at 760 nm at optimized O/Si = 1.24, total Si concentration of 44.6 atom.%, and N2O/SiH4 fluence ratio of 4.5. A nearly Gaussian function of the normalized PL intensity vs. O/Si composition ratio has been observed due to the significant variation on the Si nanocrystals size with the density of the excessive Si atoms.
We investigate the dependence of galaxy populations on environment. Our samples are selected from the follow-up of Red-Sequence Cluster Survey (RCS) catalogs using wide-field BVRz' imaging for 60 intermediate redshift (0.3 < z < 0.6) clusters. Galaxy redshifts are estimated using an empirical photometric redshift technique with a training set of 3996 galaxies to z 1.4. To obtain photometric redshift probability density for each galaxy, we bootstrap the training set galaxies to estimate the fitting uncertainties and apply Monte-Carlo method to simulate galaxy magnitudes errors. In order to find galaxy groups using photometric redshift, we develop a modified friends-of-friends algorithm, ‘Probability Friends-of-Friends Algorithm (pFOF)’, where photometric redshift redshift probability densities of individual galaxies are used to determine member galaxies of a group. We calculate the red galaxy fraction to infer the evolutionary status of cluster galaxies and also for galaxies in groups selected in the same redshift space as the clusters.