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Microscopic examination of blood smears remains the gold standard for laboratory inspection and diagnosis of malaria. Smear inspection is, however, time-consuming and dependent on trained microscopists with results varying in accuracy. We sought to develop an automated image analysis method to improve accuracy and standardization of smear inspection that retains capacity for expert confirmation and image archiving. Here, we present a machine learning method that achieves red blood cell (RBC) detection, differentiation between infected/uninfected cells, and parasite life stage categorization from unprocessed, heterogeneous smear images. Based on a pretrained Faster Region-Based Convolutional Neural Networks (R-CNN) model for RBC detection, our model performs accurately, with an average precision of 0.99 at an intersection-over-union threshold of 0.5. Application of a residual neural network-50 model to infected cells also performs accurately, with an area under the receiver operating characteristic curve of 0.98. Finally, combining our method with a regression model successfully recapitulates intraerythrocytic developmental cycle with accurate lifecycle stage categorization. Combined with a mobile-friendly web-based interface, called PlasmoCount, our method permits rapid navigation through and review of results for quality assurance. By standardizing assessment of Giemsa smears, our method markedly improves inspection reproducibility and presents a realistic route to both routine lab and future field-based automated malaria diagnosis.
According to recent studies anxiety has a significant impact on cognitive functioning, especially on decision-making. Alcohol dependent patients (ADP) achieve worse performance on decision-making simulation tasks compared to healthy controls. Our aim was to investigate how trait anxiety is connected to decision-making mechanisms in ADP.
Methods
The data of 76 ADP have been analyzed. To examine decision-making mechanisms we used the “ABCD” version of the Iowa Gambling Task (IGT). The IGT total score was calculated and we divided the task into 5 equal blocks to study the pattern of the decision-making process. We administered the Spielberger Trait Anxiety Inventory (STAI) and the Wechsler Adult Intelligence Scale. The patient group was arranged into two subgroups with median split method based on the STAI scores. One group (N=38) was characterized by low trait anxiety level, and the other (N=38) had high level of trait anxiety. For comparing the two groups’ decision-making mechanisms we used independent samples t-test.
Results
The group with higher level of trait anxiety performed significantly poorer on the IGT (t=2.09, p=0.04). The detailed analysis of the two groups’ decision-making mechanisms showed that the difference between the groups became significant in the 5th block (t=2.57, p=0.01).
Conclusions
Decision-making deficit is not homogenous in the ADP group, as according to our results the trait anxiety level influences the adequacy of decision-making. Psycho-biological background of the inadequate decision-making needs further investigation and this knowledge could be used in the future to improve decision-making mechanisms of the ADP.
Temperament and character factors and specific impulse control-related personality traits are connected to the developmental and clinical aspects of alcohol use disorder (AUD).
Objectives/aims
To reveal the underlying personality structure of individual differences in the symptom severity of AUD. Therefore temperament and character, impulsivity and aggression were assessed in relation to alcohol addiction severity.
Methods
Sixty-three patients with AUD were involved. Temperament and Character Inventory-Revised was used to quantify temperament and character dimensions. Impulsivity was assessed by the Barratt Impulsivity Scale-11 (BIS) and aggression by the Buss-Perry Aggression Questionnaire (BPAQ). To determine symptom severity of AUD the Severity of Alcohol Dependence Questionnaire (SADQ), the Alcohol Use Disorders Identification Test (AUDIT), the MacAndrew Alcoholism Scale-Revised (MAC-R) and the number of DSM-IV alcohol dependence symptoms were registered. To analyze the connections between symptom severity indicators and personality factors Pearson and Spearman correlation analysis were applied, p < 0.05 were considered significant.
Results
SADQ (r = 0.290), AUDIT (r = 0.345), MAC-R (r = 0.504) and the DSM-IV alcohol dependence symptoms (Spearman rho = 0.271) correlated positively with novelty-seeking temperament factor. SADQ (r = 0.262) and AUDIT (r = 0.293) scores correlated positively with BIS. Furthermore SADQ (r = 0.382), AUDIT (r = 0.318), MAC-R (r = 0.416) correlated positively with BPAQ.
Conclusions
Novelty-seeking, impulsivity and aggression as indicators of impulse control have different theoretical backgrounds but a common root. This study has revealed that the adverse consequences of lower impulse control can lead to more severe symptoms of AUD. These connections between impulse control and the symptomatology could contribute to a better understanding of the clinical complexity of AUD.
Recent studies have revealed that neurocognitive and personality domains are important contributors of prolonged abstinence in alcohol dependence.
Objectives/aims
To reveal further factors related to the ability of maintaining prolonged abstinence in alcohol dependence. Therefore executive and personality functioning were compared of patients with short (STA) and long-term abstinence (LTA).
Methods
STA patients (N = 44) were involved from an inpatient center, LTA patients (N = 46; min. 3 years of abstinence) were involved from AA Groups. Decision-making, inhibition and planning as components of executive functioning, coping strategy, temperament and character factors as indicators of personality functioning were evaluated. MANCOVA and Mann-Whitney U statistical analyses were applied to compare the two groups.
Results
No significant differences were found between the STA and LTA patients along decision-making (F = 0.008, p = 0.992), planning (Mann-Whitney U = 794.5, p = 0.065) and inhibition (Mann-Whitney U = 921.5, p = 0.442). Lower levels of novelty seeking and harm avoidance and higher levels of self-directedness and cooperativeness were found in the LTA group (F = 3.32, p = 0.001) along with lower level of emotion oriented coping (F = 3.32, p = 0.001).
Conclusions
Decision-making, inhibition and planning components of executive functioning are independent from the length of abstinence in alcohol dependence. The similar decision-making pattern of the two groups reflect the core feature of addictive behavior; preference toward immediate higher reward and lower punishment despite the long term negative consequences. It is hypothesized that the higher levels of adaptive personality factors in the LTA group decrease the risk of relapse, and contribute to the ability of maintaining prolonged abstinence.
Depressive symptoms frequently co-occur in alcohol dependence. However, little is known about the relationship between depressive symptoms and personality functioning in alcohol dependence.
Aims
The aim of this study was to reveal the role of depressive symptoms in the adaptivity of personality functioning. Therefore, alcohol-dependent patients with and without depressive symptoms, depressed patients and normal controls were compared along the personality factors of the biosocial model.
Methods
Depressed patients (N = 57), alcohol-dependent individuals with (N = 41) and without (N = 41) depressive symptoms, and normal controls (N = 55) were involved. The Beck Depression Inventory was administered to determine the severity of depressive symptoms. Subjects were tested using Cloninger's Temperament and Character Inventory-Revised, which measures 4 temperament: novelty-seeking (NS); harm avoidance (HA); reward dependence (RD); persistence (P) and 3 character dimensions: self-directedness (SD); cooperativeness (C); self-transcendence (ST).
Results
Alcohol-dependent groups showed higher level of NS than depressed and control subjects (F = 6.33, p < 0.001). Alcohol addicted patients with depressive symptoms and depressed individuals scored lower level of HA than the other groups (F = 21.41, p < 0.001). In the case of P the lowest score was observed among alcohol-dependent individuals with depressive symptoms (F = 3.63, p = 0.014). On the SD (F = 25.25, p < 0.001) and C (F = 3.61, p = 0.014) all 3 patient groups showed significantly lower scores than normal controls.
Conclusion
Based on the severity of depressive symptoms, alcohol addicted persons show different personality profile. Our results suggest that depressive symptoms are related to maladaptive personality functioning in alcohol dependence; therefore it has to be considered during the treatment process. TÁMOP-4.2.1/B-09/1/KONV-2010-0005
A multidisciplinary mineralogical, geochemical and biomarker study of Indus Fan sediments cored during International Ocean Discovery Program (IODP) Expedition 355 to the Laxmi Basin was carried out to define the different compositional signatures of sand, silt and clay. Upper Pliocene – lower Pleistocene turbidites from sites U1456 and U1457 were selected as the best candidates for this study. The integrated dataset presented here was obtained by coupling traditional and innovative bulk-sediment and single-mineral techniques on the same samples. Turbiditic deposits mostly consist of medium to fine silt, including rich and diverse heavy-mineral assemblages. Such a fine grain size forced us to push the limits of high-resolution quantitative heavy-mineral analysis down to as low as 5 μm. Heavy-mineral analysis allowed us to establish a Himalayan origin of the detritus in the studied turbidites. Heavy-mineral concentrations are higher in channel-fill than in overbank deposits. Mineralogical and geochemical data concur in revealing that fast-settling ultradense minerals such as zircon are preferentially concentrated in channel-fill deposits, whereas the top of overbank deposits are notably enriched with slow-settling platy phyllosilicates. Biomarker analysis represents a most suitable complementary technique that is able to investigate the provenance signature of the finer sediment fraction, largely consisting of clay. This technique allowed us to identify a largely terrigenous origin of organic matter at Site U1456 and an open marine origin at Site U1457. The latter site lies closer to the Laxmi Ridge, where thermal maturity increases with depth to reach the early oil window (127°C at c. 320 m below the seafloor).
The number of tests performed is an important surveillance indicator. We illustrate this point using HIV surveillance data, focusing on Tokyo and Okinawa, two prefectures with high HIV notification rates in Japan. Restricting to data reported from local public health centres and affiliate centres where testing data are accessible, we assessed HIV surveillance data during 2007–2014, based on the annual HIV notification rate (per 100 000 population), HIV testing rate (per 100 000 population) and proportion testing HIV-positive (positivity). Nationally, testing activity and positivity showed an inverse relationship; in 2008, the testing rate peaked, but positivity was lowest. While notification rates were higher for Tokyo (median = 0.98, range = 0.89–1.33) than Okinawa (median = 0.61, range = 0.42–1.09), Okinawa had slightly higher testing rates (median = 187, range = 158–274) relative to Tokyo (median = 172, range = 163–210). Positivity was substantially lower in Okinawa (median = 0.34%, range = 0.24–0.45%) compared with Tokyo (median = 0.57%, range = 0.46–0.67%). Relative to the national testing rate (median = 85, range = 80–115) and positivity (median = 0.34%, range = 0.28–0.36%), Tokyo had higher positivity, despite more testing. In 2014 in Okinawa, all three indicators increased, providing a strong reason to be concerned as positivity increased despite more testing. Together with other information, accounting for testing and positivity improve interpretation of surveillance data to guide public health assessments.
The crystallization mechanism and kinetics of Cr2Ge2Te6 (CrGT) films were investigated by differential scanning calorimetry. The average Avrami exponent (na) analysis indicated that CrGT exhibits a growth-dominant crystallization in the range of heating rate (β) of 10–50°C/min. In comparison, Ge2Sb2Te5 (GST) showed a nucleation-dominant crystallization. The na of CrGT was about 3, and was majorly independent of β. The na of GST decreased with an increasing β, which asymptotically approached a value of around 3. The kinetic constant of CrGT was evaluated to be almost the same with that of GST, indicating that CrGT undergoes fast crystallization.
Public stigma alters attitudes towards people with mental illness, and is a particular concern for young people since most mental health problems occur in adolescence and young adulthood. However, little is known about the long-term effects of repeated filmed social contact (FSC) on reducing mental health-related stigma among young adults in the general population, compared with self-instructional Internet search (INS) and control interventions.
Methods.
This study is a parallel-group randomised controlled trial over 12 months conducted in Tokyo, Japan. A total of 259 university students (male n = 150, mean age = 20.0 years, s.d. = 1.2) were recruited from 20 colleges and universities between November 2013 and July 2014, without being provided information about the mental health-related survey or trial. Participants were assigned to one of three groups before completion of the baseline survey (FSC/INS/control = 89/83/87). The FSC group received a computer-based 30-min social contact film with general mental health education and five follow-up web-based FSCs at 2-month intervals. The INS group undertook a 30-min search for mental health-related information with five follow-up web-based reminders for self-instructional searches at 2-month intervals. The control group played PC games and had no follow-up intervention. The main outcome measures were the future (intended behaviour) domain of the Reported and Intended Behaviour Scale at 12 months after the intervention. Analysis was conducted in September 2015.
Results.
At the 12-month follow-up, 218 participants completed the survey (84.1%, 75:70:73). The FSC group showed the greatest change at the 12-month follow-up (FSC: mean change 2.11 [95% CI 1.49, 2.73], INS: 1.04 [0.29, 1.80], control: 0.71 [0.09, 1.33]; FSC v. INS p = 0.037, FSC v. controls p = 0.004). No adverse events were reported during the follow-up period.
Conclusions.
FSC was more successful in reducing stigma at 12 months after intervention than INS or control interventions. FSC could be used to reduce stigma in educational lectures and anti-stigma campaigns targeted at young people.
Study registration.
This study is registered at UMIN-CTR (No. UMIN000012239).
Shock propagation through a bubbly liquid contained in a deformable tube is considered. Quasi-one-dimensional mixture-averaged flow equations that include fluid–structure interaction are formulated. The steady shock relations are derived and the nonlinear effect due to the gas-phase compressibility is examined. Experiments are conducted in which a free-falling steel projectile impacts the top of an air/water mixture in a polycarbonate tube, and stress waves in the tube material and pressure on the tube wall are measured. The experimental data indicate that the linear theory is incapable of properly predicting the propagation speeds of finite-amplitude waves in a mixture-filled tube; the shock theory is found to more accurately estimate the measured wave speeds.
The optical isolator made of diluted magnetic semiconductor and the isolator made of a ferromagnetic-metal/semiconductor hybrid have been developed aiming to integrate nonreciprocal optical devices, such as an optical isolator and optical circulator, into the semiconductor-made optoelectronic integrated circuits,. The Cd1-xMnxTe exhibits a huge Faraday effect and can be grown on a semiconductor substrate. For Cd1-xMnxTe waveguide with a Cd1-xZnxTe/ Cd1-xMnxTe quantum well grown on GaAs substrate we achieved a high Faraday rotation of 2000 deg/cm, a high isolation ratio of 27 dB, a low optical loss of 0.5 dB/cm, and a high magneto-optical figure-of-merit of 2000 deg/dB/kG in a wide 25-nm wavelength range. It was predicted theoretically and proved experimentally the effect of non-reciprocal loss in hybrid semiconductor/ferromagnetic metal waveguides. This effect can be use for new design of waveguide optical isolator. Because of its simplicity and technological compatibility, this design is attractive for the integration into optoelectronic integrated circuits. The magneto-optical figure-of merit of 7% was demonstrated for the AlGaAs passive optical waveguide covered by Co.
Laser-generated plasma is obtained in high vacuum (10−7 mbar) by irradiation of metallic targets (Al, Cu, Ta) with laser beam with intensities of the order of 1010 W/cm2. An Nd:Yag laser operating at 1064 nm wavelength, 9 ns pulse width, and 500 mJ maximum pulse energy is used. Time of flight measurements of ion emission along the direction normal to the target surface were performed with an ion collector. Measurements with and without a 0.1 Tesla magnetic field, directed along the normal to the target surface, have been taken for different target-detector distances and for increasing laser pulse intensity. Results have demonstrated that the magnetic field configuration creates an electron trap in front of the target surface along the axial direction. Electric fields inside the trap induce ion acceleration; the presence of electron bundles not only focuses the ion beam but also increases its energy, mean charge state and current. The explanation of this phenomenon can be found in the electric field modification inside the non-equilibrium plasma because of an electron bunching that increases the number of electron-ion interactions. The magnetic field, in fact, modifies the electric field due to the charge separation between the clouds of fast electrons, many of which remain trapped in the magnetic hole, and slow ions, ejected from the ablated target; moreover it increases the number of electron-ion interactions producing higher charge states.
An outbreak of psittacosis related to a bird park occurred in Matsue City, Shimane Prefecture, Japan, during winter 2001. Seventeen cases of psittacosis (12 visitors, three staff, and two student interns) were confirmed. A cohort study was conducted among the park staff and students to determine the risk factors for the development of acute serologically confirmed psittacosis (SCP) infection. Being ‘bird staff’ had an increased risk of SCP infection (RR 3·96, 95% CI 1·48–10·58). Entering the staff building, where ill birds were maintained without proper isolation, was also associated with an increased risk of SCP infection (RR 3·61, 95% CI 1·03–12·6). Isolation of ill birds and quarantine measures were found to be insufficient. Dehumidifiers and a high-pressure water spray under a closed ventilation environment may have raised the concentration of Chlamydophila psittaci in the hothouses. Bird park staff and visitors should be educated about psittacosis.
Tenascin is an extracellular matrix glycoprotein known to be an essential factor for the modulation of reciprocal interactions between the epithelium and mesenchyme during embryogenesis and tumourigenesis. The interactions between the expression of tenascin in the liver of Syrian golden hamster and the development of bile duct cancer in an Opisthorchis viverrini-associated cholangiocarcinoma model were investigated. The tenascin was expressed in connective tissues surrounding the dilated ducts, ductal rims and the stroma of cancers, and strongly in the stroma flame of necrotic cancer nodules. The mRNA signal for tenascin was also recognized in the stroma cells. The potential roles of tenascin as prognostic tumour markers are discussed.
The nucleotide sequences of partial 18S, complete internal transcribed spacer region 1 (ITS1), complete 5.8S, complete ITS2 and partial 28S of ribosomal DNA (rDNA) and cytochrome c oxidase subunit 1 of mitochondrial DNA (MCOI) from five species of gnathostomes (G. spinigerum, G. doloresi, G. nipponicum, G. hispidum and G. binucleatum with the former four species being distributed in Japan and Asia) that cause human gnathostomiasis were compared by direct polymerase chain reaction cycle-sequencing. The nucleotide sequences of each region of the18S (613 bp), 5.8S (158 bp) and 28S (598 bp) rDNA from the five species were almost identical. The ITS1 region was different in length for the five species. The nucleotide sequences of each region of ITS2 and partial MCO1 regions were different among the five species. Therefore, these two regions can be used as genetic markers for identification of worms.
We present detailed abundance measurements of neutron-capture elements for the two very metal-poor stars HD 6268 and HD 122563, based on very high-quality, near-UV spectra (S/N >140 @3100A) using Subaru/HDS. Abundances have been obtained for a total of 26 and 19 neutron-capture elements in these two stars, respectively, including Nb, Mo, Ru, Pd, Ag, Pr, and Sm. We have confirmed that the abundance pattern of neutron-capture elements in HD 6268 agrees very well with that of previously known r-process-enhanced stars. In contrast, the elemental abundances of HD 122563 are found to steeply decrease with increasing atomic number than those of HD 6268, and are much lower than than the r-process pattern in solar-system material. This result provides a new, strong constraint on models of the nucleosynthetic process that has provided light neutron-capture elements in the very early Galaxy.
We describe the discovery of HE 1327–2326, a dwarf or subgiant with $\mbox{[Fe/H]}=-5.4$. The star was found in a sample of bright metal-poor stars selected from the Hamburg/ESO survey. Its abundance pattern is characterized by very high C and N abundances. The detection of Sr which is overabundant by a factor of 10 as compared to iron and the Sun, suggests that neutron-capture elements had already been produced in the very early Galaxy. A puzzling Li depletion is observed in this unevolved star which contradicts the value of the primordial Li derived from WMAP and other Li studies. Possible scenarios for the origin of the abundance pattern (Pop. II or Pop. III) are presented as well as an outlook on future observations.
We present preliminary results on the chemical abundance patterns of extremely metal-poor stars obtained during an ongoing observing program with Subaru/HDS. High-resolution, high signal-to-noise spectra have been obtained for 14 stars with [Fe/H]$\lesssim -3$. Five of them exhibit clear overabundances of carbon, a remarkable characteristic found only in the most metal-poor range. One of the carbon-rich stars, HE 1327–2326, has [Fe/H]$_{\rm NLTE}=-5.4$, the lowest Fe abundance known. No stars with ${-}5\,{<}\,$[Fe/H]$\,{<}\,{-}4$ have yet been found in our program, suggesting that quite different enrichment processes were responsible for stars with [Fe/H]$\,{<}\,{-}5$ and [Fe/H]$\,{>}\,{-}4$. While neutron-capture elements are deficient in most of our stars, one star (BS 16550–087) exhibits large enhancements of its light neutron-capture elements (Sr, Y and Zr), providing a strong constraint on models for the production of such elements in the very early Galaxy.
The Gas Migration Test in the engineered barrier system (GMT) investigates the migration of waste-generated gas from low and intermediate level waste in a silo-type disposal concept. The EBS has now been emplaced and saturation was initiated in August 2001. The saturation patterns show heterogeneity within and between different layers of the EBS. Plans for the remaining test sequence are also presented.