Specialty care is associated with improved outcomes for adults with adult CHD and must be extended to the underserved. A retrospective cohort study was performed to describe the provision of care to adult CHD patients in America’s largest municipal public health system including patient demographics, diagnostic and therapeutic procedures, and adherence to guideline-recommended surveillance. We identified 229 adult CHD patients aged >18 years through electronic medical records. The most common diagnoses were atrial septal defect, ventricular septal defect, patent ductus arteriosus, and valvular pulmonary stenosis. In total, 65% had moderate or greater anatomic complexity. A large number of patients were uninsured (45%), non-white (96%), and non-English speaking (44%). One hundred forty-six patients (64%) presented with unrepaired primary defects. Fifty eight patients underwent primary repair during the study period; 48 of those repairs were surgical and 10 were transcatheter. Collaboration with an affiliated Comprehensive Care Center was utilised for 28% of patients. A high proportion of patients received adult CHD speciality visits (78%), echocardiograms (66%), and electrocardiograms (56%) at the guideline-recommended frequency throughout the study period. There was no significant difference in the rate of adherence to guideline-recommended surveillance based on insurance status, race/ethnicity, or primary language status. The proportion of patients who had guideline-recommended adult CHD visits, echocardiograms, and electrocardiograms was significantly lower for those with more advanced physiological stages. These results can inform the provision of adult CHD care in other public health system settings.

Introduction. Individuals with psychotic-spectrum disorders may smoke due to the ameliorating effect of nicotine on the cognitive deficits that accompany these illnesses. Metacognitive remediation therapy (MCR) has been shown to produce improvements in cognitive functioning among individuals with psychotic-spectrum disorders and provides a foundation for a novel smoking cessation intervention for this population. Aims. To complete an open investigation of pharmacotherapy and a modified version of MCR [MCR to Quit (MCR-Q)] in promoting smoking cessation among individuals with psychotic-spectrum disorders. Methods. Forty-nine individuals with a psychotic-spectrum disorder and who currently smoke cigarettes participated in MCR-Q while also receiving evidence-based smoking cessation pharmacotherapy. Tobacco use was assessed as follows: (i) prior to MCR-Q, (ii) immediately after completing MCR-Q, and (iii) six weeks after completion of MCR-Q. Results/Findings. During participation in MCR-Q, nearly 80% of participants made a 24-hour quit attempt. Following the completion of MCR-Q, participants experienced reductions in level of nicotine dependency and exhaled carbon monoxide, with reductions in nicotine dependency sustained six weeks after completion of MCR-Q. Over the course of their participation in MCR-Q, participants reported strong therapeutic alliance with their MCR-Q therapist and high levels of intrinsic motivation with regard to completing MCR-Q exercises. Conclusions. The results from the current study suggest cautious optimism with regard to the use of MCR-Q in combination with medication for individuals with psychotic-spectrum disorders who want to quit smoking.

Hill (Twin Research and Human Genetics, Vol. 21, 2018, 84–88) presented a critique of our recently published paper in Cell Reports entitled ‘Large-Scale Cognitive GWAS Meta-Analysis Reveals Tissue-Specific Neural Expression and Potential Nootropic Drug Targets’ (Lam et al., Cell Reports, Vol. 21, 2017, 2597–2613). Specifically, Hill offered several interrelated comments suggesting potential problems with our use of a new analytic method called Multi-Trait Analysis of GWAS (MTAG) (Turley et al., Nature Genetics, Vol. 50, 2018, 229–237). In this brief article, we respond to each of these concerns. Using empirical data, we conclude that our MTAG results do not suffer from ‘inflation in the FDR [false discovery rate]’, as suggested by Hill (Twin Research and Human Genetics, Vol. 21, 2018, 84–88), and are not ‘more relevant to the genetic contributions to education than they are to the genetic contributions to intelligence’.

Barstowite, ideally 3PbCl2.PbCO3.H2O is a new mineral from a lead-antimony vein at the south-western end of Bounds Cliff, St Endellion, Cornwall. It occurs as very small (0.2–0.5 mm) subparallel elongate intergrown crystals which form aggregates (up to 3 mm) containing minor inclusions of galena and jamesonite. Other associated minerals are quartz, dolomite, phosgenite, cerussite, sphalerite, pyrite and chalcopyrite. Barstowite is colourless to white and is transparent with an adamantine lustre and white streak. It is brittle, has an imperfect prismatic cleavage, and an uneven fracture. Low reflecting, barstowite has a moderate bireflectance from grey to dark grey in hue and weak to moderate anisotropy. Internal reflections (colourless) are abundant. Measured reflectance values in air and oil are tabulated. Colour values relative to the CIE illuminant C for R 1 and R 2 in air respectively are: Y% 12.9, 13.3; λ d 477, 476; P e% 3.5, 3.7. VHN100 111 (range 108–117); calculated Mohs hardness is 3. Infrared spectra of barstowite, phosgenite and cerussite are compared.

X-ray studies show that barstowite is monoclinic with space group P21/m and a 4.218(2), b 9.180(2), c 16.673(4) Å, β 91.49(3)°. It has a cell volume of 645.38 Å3 with Z = 2. D calc. is 5.76 g/cm3, D meas. is 5.71 g/cm3. The strongest six lines of the X-ray powder pattern are [d in Å (I) (hkl)] 4.02 (10) (022); 2.296(8) (040; ; 106); 2.377(6) (007; 026); 4.16(5) (004); 2.108(4) (200); 3.79(3) (014). The name is for the late Richard William Barstow, the Cornish mineral dealer.

Oxo-magnesio-hastingsite, ideally NaCa2(Mg2Fe3+ 3)(Al2Si6)O22O2, is a new anhydrous amphibole from the Deeti volcanic cone in the Gregory rift (northern Tanzania). The mineral occurs as megacrystsup to 12 cm in size in crystal-rich tuff. Oxo-magnesio-hastingsite is brown with a vitreous lustre and has a perfect {110} cleavage. The measured density is 3.19(1) g/cm3. Ferri-kaersutite is biaxial (–), α = 1.706 (2), β = 1.715(2), γ = 1.720(2) (Na light, 589 nm). 2V (calc.)= 73°. Dispersion: r > v, weak; orientation: Y = b; Z ^ c = 8°; pleochroism: strong, Z: dark brown, Y: brown, X: light brown. The average chemical formula of the mineral derived from electron microprobe analyses, Mössbauer spectroscopy and direct water determinationis (Na0.67K0.33)Σ1.00(Ca1.87Na0.14Mn0.01)Σ2.02(Mg3.27Fe3+ 1.25Ti0.44Al0.08)Σ5.04(Al1.80Si6.20O22)(O1.40OH0.60)Σ2.00.It has monoclinic symmetry, space group C2/m and unit-cell parameters a = 9.8837(3), b = 18.0662(6), c = 5.3107(2) Å, b = 105.278(1)o, V = 914.77(5) Å3, Z = 2. The five strongest powder-diffraction lines [d in Å, (I/Io), hkl] are: 3.383 (62) (131), 2.708 (97) (151), 2.555 (100) (), 2.349 (29) () and 2.162 (36) (261). The isotopic composition of H and O, as well as the concentration of trace elements in oxo-magnesio-hastingsite suggest its formation from a meltoriginated from a mantle source metasomatized by slab-derived fluids.

Large-scale atmospheric circulation patterns determine the quantity and seasonality of precipitation, the major source of water in most terrestrial ecosystems. Oxygen isotope (δ18O) dynamics of the present-day hydrologic system in the Palouse region of the northwestern U.S.A. indicate a seasonal correlation between the δ18O values of precipitation and temperature, but no seasonal trends of δ18O records in soil water and shallow groundwater. Their isotope values are close to those of winter precipitation because the Palouse receives ∼ 75% of its precipitation during winter. Palouse Loess deposits contain late Pleistocene pedogenic carbonate having ca. 2 to 3‰ higher δ18O values and up to 5‰ higher carbon isotope (δ13C) values than Holocene and modern carbonates. The late Pleistocene δ18O values are best explained by a decrease in isotopically light winter precipitation relative to the modern winter-dominated infiltration. The δ13C values are attributed to a proportional increase of atmospheric CO2 in soil CO2 due to a decrease in soil respiration rate and 13C discrimination in plants under much drier paleoclimate conditions than today. The regional climate difference was likely related to anticyclonic circulation over the Pleistocene Laurentide and Ice Sheet.

Using an active transponder with the ERS-I and ERS-2 radar altimeters, the distance to the satellite was measured at a location close to the GRIP site, Greenland, at an altitude of 3.2 km. The measurement was executed while the transponder was in the “ice-tracking mode”. It includes a bias due to the propagation delay. The location of the transponder was determined using the global positioning system.

The transponder signal was modeled and the distance from the altimeter to the effective reflection point of the transponder was determined. Since the transponder was located within 1 km of the ground tracks, the measurement was corrected for this offset. A correction was also done for the surface slope, resulting in the distance (plus bias) to the closest sub-satellite point on the surface of the (compact) snow.

The transponder signal was then removed from the radar altimeter waveform, enabling the determination of the distance (plus bias from the altimeter to the first reflective surface within the snow. The différence between this distance and that obtained using the transponder was < 2 m. This shows that the surface which gives rise to the first return of the reflection agrees with the surface of the (compact, dry) snow at this high-altitude location. This is an important result to be used when studying ice-cap topography using satellite radar altimetry.

Desiccation following prolonged air exposure challenges survival of aquatic plants during droughts, water drawdowns, and overland dispersal. To improve predictions of plant response to air exposure, we observed the viability of vegetative fragments of 10 aquatic plant species (Cabomba caroliniana, Ceratophyllum demersum, Elodea canadensis, Egeria densa, Myriophyllum aquaticum, Myriophyllum heterophyllum, Myriophyllum spicatum, Potamogeton crispus, Potamogeton richardsonii, and Hydrilla verticillata) following desiccation. We recorded mass loss, desiccation rate, and plant fragment survival across a range of air exposures. Mass loss accurately predicted viability of aquatic plant fragments upon reintroduction to water. However, similar periods of air exposure differentially affected viability between species. Understanding viability following desiccation can contribute to predicting dispersal, improving eradication protocols, and disposing of aquatic plants following removal from invaded lakes or contaminated equipment.

One in 5 PN are ejected from common envelope binary interactions but Kepler results are already showing this proportion to be larger. Their properties, such as abundances can be starkly different from those of the general population, so they should be considered separately when using PN as chemical or population probes. Unfortunately post-common envelope PN cannot be discerned using only their morphologies, but this will change once we couple our new common envelope simulations with PN formation models.

We report on a hand-held reactive printing device used to pattern highlyconductive, edible hydrogel wires formed from gellan gum, gelatin, cross-linkersand a common salt (NaCl). The conductivity of the gels when printed (190± 20 mS/cm) closely matched the conductivity recorded for cast systems(200 ± 19 mS/cm). Printing was observed to reduce the elastic modulusand failure strains of hydrogels under compression, but printed gels retainedsufficient integrity for application as flexible conductive lines. Wedemonstrate that hand-held printing can utilize to pattern soft conductorelements within a simple electronic circuit.

A consensus conference on the reasons for the undertreatment of depression was organized by the National Depressive and Manic Depressive Association (NDMDA) on January 17–18,1996. The target audience included health policymakers, clinicians, patients and their families, and the public at large. Six key questions were addressed: (1) Is depression undertreated in the community and in the clinic? (2) What is the economic cost to society of depression? (3) What have been the efforts in the past to redress undertreatment and how successful have they been? (4) What are the reasons for the gap between our knowledge of the diagnosis and treatment of depression and actual treatment received in this country? (5) What can we do to narrow this gap? (6) What can we do immediately to narrow this gap?

One of the major science goals of the SkyMapper survey of the Southern Hemisphere sky is the determination of the shape and extent of the halo of the Galaxy. In this paper, we quantify the likely efficiency and completeness of the survey as regards the detection of RR Lyrae variable stars, which are excellent tracers of the halo stellar population. We have accomplished this via observations of the RR Lyrae-rich globular cluster NGC 3201. We find that for single-epoch uvgri observations followed by two further epochs of g, r imaging, as per the intended three-epoch survey strategy, we recover known RR Lyraes with a completeness exceeding 90%. We also investigate boundaries in the gravity-sensitive single-epoch two-colour diagram that yield high completeness and high efficiency (i.e., minimal contamination by non-RR Lyraes) and the general usefulness of this diagram in separating populations.