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Collisionless charged particle motion and its transport in the two-wire model (TWM) with no axial magnetic fields is investigated numerically. The TWM configuration contains a magnetic X-point, and single particle motions in such a field have two conserved quantities: the total kinetic energy and the base field line value which is a quantity derived from the axial canonical momentum. As gyrating particles travel along the field lines, they may reach near the X-point region where the magnetic moment, the first adiabatic invariant, can be occasionally shifted due to a large gradient of the field. When the magnetic moment becomes large, resulting in a large Larmor radius, particles probabilistically cross the X-point to migrate to the opposite side of the TWM configuration. These phenomena are investigated with single particle simulations. We find that the statistical behaviour of the seemingly chaotic magnetic moment shifts are completely determined by the two aforementioned conserved quantities, and also that there exists a threshold energy, determined by the base field line value, allowing only particles with a higher energy to cross the separatrix and migrate. It is found that the crossing time is distributed exponentially, and that the migration confinement time, which is the average crossing time, is shorter for particles with a base field line closer to the separatrix and a higher energy. We provide an empirical expression, derived with the simulations, for estimating the collisionless migration confinement time.
This study aimed to analyse surgical outcomes of paediatric patients with congenital cholesteatoma according to age.
Method
This was a retrospective study reviewing the records of 186 children (136 boys and 50 girls) from August 1993 to January 2016. Patients were divided into three age groups (equal to or less than 3 years, over 3 and less than 7 years, and 7 to 15 years).
Results
There were significant differences in chief complaints, location of cholesteatoma in the middle ear, computed tomography findings, operation methods, ossicular erosion and type of cholesteatoma sac among the three groups. In addition, older age, open type cholesteatoma, ossicular erosion and mastoid invasion of cholesteatoma increased the recurrence rate after surgery. However, despite higher pre-operative air–bone gap in older children, hearing can be improved enough after proper surgery with ossicular reconstruction.
Conclusion
Delayed detection of paediatric cholesteatoma can lead to extensive disease and the need for an aggressive operation, which can result in worse hearing outcomes and an increased recurrence risk.
In real gas turbines, multiple nozzles are used instead of a single-nozzle; therefore, interactions between flames are inevitable. In this study, the effects of flame-flame interaction on the emission characteristics and lean blowout limit were analysed in a CH4-fueled single- and dual-nozzle combustor. OH* chemiluminescence imaging showed that a flame-interacting region, where the two flames from the nozzles were merged, was present in the dual-nozzle combustor, unlike the single-nozzle combustor. Flow-field measurements using particle image velocimetry confirmed that a faster velocity region was formed at the flame merging region, thereby hindering flame stabilisation. In addition, we compared the emission indices of NOx and CO between the two combustors. The emission indices of CO were not significantly different; however, a distinct effect of flame-flame interaction was indicated in NOx. To understand the effect of flame-flame interaction on NOx emissions, we measured temperature distribution using a multi-point thermocouple. Results showed that a wider high-temperature region was formed in the dual-nozzle combustor compared to the single-nozzle combustor; this was attributable to the high OH* chemiluminescence intensity in the flame-interacting region. Furthermore, it was confirmed that the size of this interacting region caused the deformation of the temperature distribution in the combustor, which can induce a difference in the increase ratio of NOx emission between high and low equivalence ratio ranges. In conclusion, we confirmed that flame-flame interaction significantly affected temperature distribution in the downstream of the flame, and the change in temperature distribution contributed primarily to the varying concentration of the emission gas.
We aimed to evaluate the prevalence, clinical determinants, and consequences (falls and hospitalization) of frailty in older adults with mental illness.
Design:
Retrospective clinical cohort study.
Setting:
We collected the data in a specialized psychogeriatric ward, in Boston, USA, between July 2018 and June 2019.
Participants:
Two hundred and fourty-four inpatients aged 65 years old and over.
Measurements:
Psychiatric diagnosis was based on a multi-professional consensus meeting according to DSM-5 criteria. Frailty was assessed according to two common instruments, that is, the FRAIL questionnaire and the deficit accumulation model (aka Frailty Index [FI]). Multiple linear regression analyses were conducted to evaluate the association between frailty and sample demographics (age, female sex, and non-Caucasian ethnicity) and clinical characteristics (dementia, number of clinical diseases, current infection, number of psychotropic, and non-psychotropic medications in use). Multiple regression between frailty assessments and either falls or number of hospital admissions in the last 6 and 12 months, respectively, were analyzed and adjusted for covariates.
Results:
Prevalence of frailty was high, that is, 83.6% according to the FI and 55.3% according to the FRAIL questionnaire. Age, the number of clinical (somatic) diseases, and the number of non-psychotropic medications were independently associated with frailty identified by the FRAIL. Dementia, current infection, the number of clinical (somatic) diseases, and the number of non-psychotropic medications were independently associated with frailty according to the FI. Falls were significantly associated with both frailty instruments. However, we found only a significant association for the number of hospital admissions with the FI.
Conclusion:
Frailty is highly prevalent among geriatric psychiatry inpatients. The FRAIL questionnaire and the FI may capture different forms of frailty dimensions, being the former probably more associated with the phenotype model and the latter more associated with multimorbidity.
To propose a new anthropometric index that can be employed to better predict percent body fat (PBF) among young adults and to compare with current anthropometric indices.
Design:
Cross-sectional.
Setting:
All measurements were taken in a controlled laboratory setting in Seoul (South Korea), between 1 December 2015 and 30 June 2016.
Participants:
Eighty-seven young adults (18–35 years) who underwent dual-energy x-ray absorptiometry (DXA) were used for analysis. Multiple regression analyses were conducted to develop a body fat index (BFI) using simple demographic and anthropometric information. Correlations of DXA measured PBF (DXA_PBF) with previously developed anthropometric indices and the BFI were analysed. Receiver operating characteristic curve analyses were conducted to compare the ability of anthropometric indices to identify obese individuals.
Results:
BFI showed a strong correlation with DXA_PBF (r = 0·84), which was higher than the correlations of DXA_PBF with the traditional (waist circumference, r = 0·49; waist to height ratio, r = 0·68; BMI, r = 0·36) and alternate anthropometric indices (a body shape index, r = 0·47; body roundness index, r = 0·68; body adiposity index, r = 0·70). Moreover, the BFI showed higher accuracy at identifying obese individuals (area under the curve (AUC) = 0·91), compared with the other anthropometric indices (AUC = 0·71–0·86).
Conclusions:
The BFI can accurately predict DXA_PBF in young adults, using simple demographic and anthropometric information that are commonly available in research and clinical settings. However, larger representative studies are required to build on our findings.
We consider the estimation methods for the rank of a beta matrix corresponding to a multifactor model and study which method would be appropriate for data with a large number of assets. Our simulation results indicate that a restricted version of Cragg and Donald’s (1997) Bayesian information criterion estimator is quite reliable for such data. We use this estimator to analyze some selected asset pricing models with U.S. stock returns. Our results indicate that the beta matrix from many models fails to have full column rank, suggesting that risk premiums in these models are underidentified.
One common assumption in interpreting ice-core CO2 records is that diffusion in the ice does not affect the concentration profile. However, this assumption remains untested because the extremely small CO2 diffusion coefficient in ice has not been accurately determined in the laboratory. In this study we take advantage of high levels of CO2 associated with refrozen layers in an ice core from Siple Dome, Antarctica, to study CO2 diffusion rates. We use noble gases (Xe/Ar and Kr/Ar), electrical conductivity and Ca2+ ion concentrations to show that substantial CO2 diffusion may occur in ice on timescales of thousands of years. We estimate the permeation coefficient for CO2 in ice is ∼4 × 10−21 mol m−1 s−1 Pa−1 at −23°C in the top 287 m (corresponding to 2.74 kyr). Smoothing of the CO2 record by diffusion at this depth/age is one or two orders of magnitude smaller than the smoothing in the firn. However, simulations for depths of ∼930–950 m (∼60–70 kyr) indicate that smoothing of the CO2 record by diffusion in deep ice is comparable to smoothing in the firn. Other types of diffusion (e.g. via liquid in ice grain boundaries or veins) may also be important but their influence has not been quantified.
To evaluate differences in product characteristics and user preferences of safety-engineered protection mechanisms of winged blood collection needles.
DESIGN
Randomized model-based simulation study.
SETTING
University medical center.
PARTICIPANTS
A total of 33 third-year medical students.
METHODS
Venipuncture was performed using winged blood collection needles with 4 different safety mechanisms: (a) Venofix Safety, (b) BD Vacutainer Push Button, (c) Safety-Multifly, and (d) Surshield Surflo. Each needle type was used in 3 consecutive tries: there was an uninstructed first handling, then instructions were given according to the operating manual; subsequently, a first trial and second trial were conducted. Study end points included successful activation, activation time, single-handed activation, correct activation, possible risk of needlestick injury, possibility of deactivation, and preferred safety mechanism.
RESULTS
The overall successful activation rate during the second trial was equal for all 4 devices (94%–100%). Median activation time was (a) 7 s, (b) 2 s, (c) 9 s, and (d) 7 s. Single-handed activation during the second trial was (a) 18%, (b) 82%, (c) 15%, and (d) 45%. Correct activation during the second trial was (a) 3%, (b) 64%, (c) 15%, and (d) 39%. Possible risk of needlestick injury during the second trial was highest with (d). Possibility of deactivation was (a) 0%, (b) 12%, (c) 9%, and (d) 18%. Individual preferences for each system were (a) 11, (b) 17, (c) 5, and (d) 0. The main reason for preference was the comprehensive safety mechanism.
CONCLUSION
Significant differences exist between safety mechanisms of winged blood collection needles.
Complex oxides and semiconductors exhibit distinct yet complementary propertiesowing to their respective ionic and covalent natures. By electrically couplingoxides to semiconductors within epitaxial heterostructures, enhanced or novelfunctionalities beyond those of the constituent materials can potentially berealized. Key to electrically coupling oxides to semiconductors is controllingthe physical and electronic structure of semiconductor – crystallineoxide heterostructures. Here we discuss how composition of the oxide can bemanipulated to control physical and electronic structure inBa1-xSrxTiO3/ Ge andSrZrxTi1-xO3/Ge heterostructures. In thecase of the former we discuss how strain can be engineered through compositionto enable the re-orientable ferroelectric polarization to be coupled to carriersin the semiconductor. In the case of the latter we discuss how composition canbe exploited to control the band offset at the semiconductor - oxide interface.The ability to control the band offset, i.e. band-gap engineering, provides apathway to electrically couple crystalline oxides to semiconductors to realize ahost of functionalities.
According to most prospective studies, being underweight (BMI<18·5 kg/m2) is associated with significantly higher mortality than being of normal weight, especially among smokers. We aimed to explore in a generally lean population whether being underweight is significantly associated with increased all-cause mortality.
Design
Prospective cohort study.
Setting
Korea Medical Insurance Corporation study with 14 years of follow-up.
Subjects
After excluding deaths within the first 5 years of follow-up (1993–1997) to minimize reverse causation and excluding participants without information about smoking and health status, 94 133 men and 48 496 women aged 35–59 years in 1990 were included.
Results
We documented 5411 (5·7 %) deaths in men and 762 (1·6 %) in women. Among never smokers, hazard ratios (HR) for underweight individuals were not significantly higher than those for normal-weight individuals (BMI=18·5–22·9 kg/m2): HR=0·87 (95 % CI 0·41, 1·84, P=0·72) for underweight men and HR=1·12 (95 % CI 0·76, 1·65, P=0·58) for underweight women. Among ex-smokers, HR=0·86 (95 % CI 0·38, 1·93, P=0·72) for underweight men and HR=3·77 (95 % CI 0·42, 32·29, P=0·24) for underweight women. Among current smokers, HR=1·60 (95 % CI 1·28, 2·01, P<0·001) for underweight men and HR=2·07 (95 % CI 0·43, 9·94, P=0·36) for underweight women.
Conclusions
The present study does not support that being underweight per se is associated with increased all-cause mortality in Korean men and women.
Trematode tyrosinases (TYRs) play a major role in the tanning process during eggshell formation. We investigated the molecular and biochemical features of Paragonimus westermani TYR (PwTYR). The PwTYR cDNA was composed of 1568-bp encompassing a 1422-bp-long open reading frame (474-amino acid polypeptide). A strong phylogenetic relationship with Platyhelminthes and Deuterostomian orthologues was evident. The recombinant PwTYR expressed in prokaryotic cells promptly oxidized diphenol substrates, with a preferential affinity toward ortho-positioned hydroxyl groups. It demonstrated fairly weak activity for monophenol compounds. Diphenol oxidase activity was augmented with an increase of pH from 5·0 to 8·0, while monophenol oxidase activity was highest at an acidic pH and gradually decreased as pH increased. Transcription profile of PwTYR was temporally upregulated along with worm development. PwTYR was specifically localized in vitellocytes and eggs. The results suggested that conversion of tyrosine to L-dihydroxyphenylalanine by PwTYR monophenol oxidase activity might be rate-limiting step during the sclerotization process of P. westermani eggs. The pH-dependent pattern of monophenol and diphenol oxidase activity further proposes that the initial hydroxylation might slowly but steadily progress in acidic secreted vesicles of vitellocytes and the second oxidation process might be rapidly accelerated by neural or weak alkaline pH environments within the ootype.
Flavour, one of the most important factors affecting consumers’meat-buying behaviour and preferences, comprises mainly of taste and aroma. Thecooked meat flavour, that is important from the producer and consumer point ofview, is affected by several pre- and post-slaughter factors, including breed,diet, post-mortem ageing, and method ofcooking. Moreover, chicken meat is prone to the development of off-flavoursthrough lipid oxidation, which reduce the quality of the chicken meat. The aimof this review is to discuss the main factors affecting cooked chicken meatflavour which helps producers and consumers to produce the most flavoured andconsistent product possible. Cooked chicken meat flavour is thermally derivedvia the Maillard reaction, the degradation of lipids, and interaction betweenthese two reactions. Factors affecting the flavour of cooked chicken meat wereidentified as breed/strain of the chicken, diet of the bird, presence of freeamino acids and nucleotides, irradiation, high pressure treatment, cooking,antioxidants, pH, and ageing.
The Slewing Mirror Telescope (SMT) is the UV/optical telescope of UFFO-pathfinder. TheSMT optical system is a Ritchey-Chrétien (RC) telescope of 100 mm diameter pointed bymeans of a gimbal-mounted flat mirror in front of the telescope. The RC telescope has a17 × 17arcmin2 in Field of View and 4.3 arcsec resolution (full width halfmaximum of the point spread function) The beam-steering mirror enables the SMT to access a35 × 35degree region and point and settle within 1 sec. All mirrors were fabricated toabout 0.02 wavelengths RMS in wave front error (WFE) and 84.7% average reflectivity over200 nm ~ 650 nm. The RC telescope was aligned to 0.05 wavelengths RMS in WFE (testwavelength 632.8 nm). In this paper, the technical details of the RC telescope and slewingmirror system assembly, integration, and testing are given shortly, and performance testsof the full SMT optical system are reported.
The Ultra-Fast Flash Observatory (UFFO) is a space observatory for optical follow-ups ofgamma ray bursts (GRBs), aiming to explore the first 60 seconds of GRBs optical emission.UFFO is utilized to catch early optical emissions from GRBs within few sec after triggerusing a Gimbal mirror which redirects the optical path rather than slewing entirespacecraft. We have developed a 15 cm two-axis Gimbal mirror stage for the UFFO-Pathfinderwhich is going to be on board the Lomonosov satellite which is to be launched in 2013. Thestage is designed for fast and accurate motion with given budgets of 3 kg of mass and 3Watt of power. By employing stepping motors, the slewing mirror can rotate faster than 15deg/sec so that objects in the UFFO coverage (60 deg × 60 deg) can be targeted in~1 sec. The obtained targeting resolution is better 2 arcmin using a close-loopcontrol with high precision rotary encoder. In this presentation, we will discuss detailsof design, manufacturing, space qualification tests, as well as performance tests.
Hypermucoviscous (HV) isolates of Klebsiella pneumoniae have been linked to virulence potential in experimental infections. We examined 33 isolates of K. pneumoniae from patients with bacteraemia for the HV phenotype on agar culture, and determined their virulence potential by screening for capsular (K) serotype by polymerase chain reaction and the presence of seven virulence factor genes. Fourteen (42·4%) isolates expressed the HV phenotype and 11 of these were serotype K1 or K2; these serotypes were not identified in HV-negative isolates. The genes rmpA, rmpA2, aerobactin, wabG and allS were significantly more frequent in HV than non-HV isolates. Multilocus sequence typing identified 21 sequence types (ST), eight of which were found in HV-positive isolates and the clonal relatedness of isolates of the most frequent types (ST23 and ST11) from different hospitals was confirmed by pulsed-field gel electrophoresis. The HV phenotype was more associated with community-acquired infection with a lower frequency of fatal underlying illness, but with significantly more focal infections, notably liver abscesses. Clinicians should be aware of such clinical impacts of the HV phenotype.
Five types of mulches (black plastic, stone chippings and three types of grass) and a control were used on young clonal tea plants following transplanting. Soil temperature differences were observed in the first two years but disappeared when the tea canopy had developed to cover over 40% or more of the soil surface. Stem diameter, yield (during the first two years) and total dry matter production were positively correlated with soil temperatures over the range 14–21°C. Beneficial effects of raising soil temperature by black plastic mulch were short-lived, but the detrimental effect of reducing temperature by grass mulches was more severe and long lasting. Grass mulches induced shallow rooting, as a result of which the tea was more susceptible to drought.
This paper examines trends in the neighbourhood food store environment (defined by the number and geographic density of food stores of each type in a neighbourhood), and in food consumption behaviour and overweight risk of 5779 men and women.
Design
The study used data gathered by the Stanford Heart Disease Prevention Program in four cross-sectional surveys conducted from 1981 to 1990.
Setting
Four mid-sized cities in agricultural regions of California.
Subjects
In total, 3154 women and 2625 men, aged 25–74 years.
Results
From 1981 to 1990, there were large increases in the number and density of neighbourhood stores selling sweets, pizza stores, small grocery stores and fast-food restaurants. During this period, the percentage of women and men who adopted healthy food behaviours increased but so did the percentage who adopted less healthy food behaviours. The percentage who were obese increased by 28% in women and 24% in men.
Conclusion
Findings point to increases in neighbourhood food stores that generally offer mostly unhealthy foods, and also to the importance of examining other food pattern changes that may have a substantial impact on obesity, such as large increases in portion sizes during the 1980s.
The descending aorta appears small relative to unusually large pulmonary arteries in infants with atrioventricular septal defects. To determine whether this discrepancy in great arterial size influences the outcome after repair of atrioventricular septal defects, we reviewed our experience with 34 infants younger than one-year-old undergoing primary repair. There were four early deaths (11.8%), one in 16 patients with normal chromosomes (6.3%), and three of 18 with Down's syndrome (16.7%). There was no difference between survivors and non-survivors in terms of either the size of the aorta at the level of the diaphragm (descending aortic index, 149±34 versus 139±46 mm2/m2), the pulmonary arterial index (675±170 versus 745±182 mm2/m2), or the ratio of the descending aorta to the pulmonary trunk arterial (4.85±1.6 versus 5.93±2.8). Compared with survivors, non-survivors had higher ratios of vascular resistance (0.48±0.42 versus 0.23±0.14, p<0.05), and tended to have larger preoperative cardiothoracic ratios (0.63±0.05 versus 0.55±0.08, p=0.12) Compared to patients with normal chromosomes, the patients with Down's syndrome tended to have smaller descending aortas (140±34 versus 159±34 mm2/m2, p=0.12), higher ratios of vascular resistance (0.32±0.2 versus 0.18±0.1, p=0.08), and higher mean pulmonary arterial pressures (47±11 versus 39±18 mm Hg, p=0.12), suggesting that pulmonary vascular obstructive disease may be more severe in patients with Down's syndrome. The size of the descending aorta and pulmonary arteries do not influence outcome after repair of atrioventricular septal defect in infants.