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NASA’s all-sky survey mission, the Transiting Exoplanet Survey Satellite (TESS), is specifically engineered to detect exoplanets that transit bright stars. Thus far, TESS has successfully identified approximately 400 transiting exoplanets, in addition to roughly 6 000 candidate exoplanets pending confirmation. In this study, we present the results of our ongoing project, the Validation of Transiting Exoplanets using Statistical Tools (VaTEST). Our dedicated effort is focused on the confirmation and characterisation of new exoplanets through the application of statistical validation tools. Through a combination of ground-based telescope data, high-resolution imaging, and the utilisation of the statistical validation tool known as TRICERATOPS, we have successfully discovered eight potential super-Earths. These planets bear the designations: TOI-238b (1.61$^{+0.09} _{-0.10}$ R$_\oplus$), TOI-771b (1.42$^{+0.11} _{-0.09}$ R$_\oplus$), TOI-871b (1.66$^{+0.11} _{-0.11}$ R$_\oplus$), TOI-1467b (1.83$^{+0.16} _{-0.15}$ R$_\oplus$), TOI-1739b (1.69$^{+0.10} _{-0.08}$ R$_\oplus$), TOI-2068b (1.82$^{+0.16} _{-0.15}$ R$_\oplus$), TOI-4559b (1.42$^{+0.13} _{-0.11}$ R$_\oplus$), and TOI-5799b (1.62$^{+0.19} _{-0.13}$ R$_\oplus$). Among all these planets, six of them fall within the region known as ‘keystone planets’, which makes them particularly interesting for study. Based on the location of TOI-771b and TOI-4559b below the radius valley we characterised them as likely super-Earths, though radial velocity mass measurements for these planets will provide more details about their characterisation. It is noteworthy that planets within the size range investigated herein are absent from our own solar system, making their study crucial for gaining insights into the evolutionary stages between Earth and Neptune.
Poor academic performance has been linked to factors such as sleep, health, illicit drug use, physical fighting, social media use, cyber bullying, physical activity, homelessness, times spent in video games and television. It is difficult to get a sense of the interplay between and relative importance of different behaviours/factors on academic performance as only limited research has been aimed at quantifying these factors.
Objectives
To evaluate association of school performance and variables in five categories of the YRBSS: physical fighting, diet/lifestyle, electronic device usage, concurrent substance use, and violence/self-harm.
Methods
The CDC Youth Risk Behavior Surveillance System (YRBSS) data from 1991-2019 was used in study. Respondents were grouped by good and poor school performance and variables related to nutrition/lifestyle, electronic device use, concurrent substance use, mood/violence/self-harm were analyzed using chi-square test.
Results
A total of 41,235 student respondents.Nutrition/Lifestyle, electronic device use, concurrent substance use, mood/violence/self-harm are found to be significantly correlated with school performance.
Poor Performance n(%)
Good Performance n(%)
Total n(%)
p-Value
Nutrition/Lifestyle
Daily breakfast
2,715(26)
11,429(38.22)
14,144(35.06)
<0.0001
Sodas ≥2/day
1,998(19.12)
2,710(9.03)
4,708(11.63)
<0.0001
Concurrent Substance Use
Alcohol use
3,544(37.55)
8,067(28.49)
11,611(30.75)
<0.0001
Cigarette smoking
1,616(15.74)
1,845(6.17)
3,461(8.61)
<0.0001
Mood/Violence/Self-Harm
Difficulty concentrating
4,188(46.34)
7,327(28.27)
11,516(32.94)
<0.0001
Felt sad or hopeless
4,373(41.06)
9,038(29.67)
13,410(32.62)
<0.0001
Considered suicide
2,567(24.14)
4,810(15.8)
7,377(17.96)
<0.0001
Conclusions
In national data, we found school performance is affected by nutrition, lifestyle, substance use, mood and exposure to surrounding violence, and self-harm. Further studies should be planned to evaluate benefits from the risk stratification to reduce this burden amongst US adolescents.
The ai/m of this study was to compare the self-reported confidence of novices in using a smartphone-enabled video otoscope, a microscope and loupes for ear examination and external ear canal procedures.
Method
Medical students (n = 29) undertook a pre-study questionnaire to ascertain their knowledge of techniques for otoscopy and aural microsuction. Participants underwent teaching on ear anatomy, examination and procedural techniques using a microscope, loupes and smartphone-enabled video otoscopes. Confidence and preference using each modality was rated using a Likert-like questionnaire.
Results
After teaching, all modalities demonstrated a significant increase in confidence in ear examination (p < 0.0001). Confidence in using the smartphone-enabled otoscope post-teaching was highest (p = 0.015). Overall, the smartphone-enabled video otoscope was the preferred method in all other parameters assessed including learning anatomy or pathology (51.72 per cent) and learning microsuction (65.51 per cent).
Conclusion
Smartphone-enabled video otoscopes provide an alternative approach to ear examination and aural microsuction that can be undertaken outside of a traditional clinical setting and can be used by novices.
Depression is globally a crucial communal psychiatric disorder, which is more common in older adults. The situation is considerably worse among millions of older (forcibly displaced Myanmar nationals or FDMNs) Rohingya adults, and the coronavirus disease-2019 (COVID-19) pandemic may exacerbate the already existing precarious situation. The present study investigated depressive symptoms and their associated factors in older adult Rohingya FDMNs in Cox Bazar, Bangladesh, during the COVID-19 pandemic.
Method
A total of 416 older adults aged 60 years and above residing in Rohingya camps situated in the South Eastern part of Bangladesh were interviewed using a 15-item Geriatric Depression Scale (GDS-15) in Bengali language. Chi-square test was performed to compare the prevalence of depressive symptoms within different categories of a variable and a binary logistic regression model was performed to determine the factors associated with depressive symptoms.
Results
More than 41% of Rohingya older adults had depressive symptoms (DS). Socio-demographic and economic factors such as living alone, dependency on family for living, poor memory, feelings of being left out, difficulty in getting medicine and routine medical care during COVID-19, perception that older adults are at highest risk of COVID-19 and pre-existing non-communicable chronic conditions were found to be significantly associated with developing DS. Higher DS was also evident among older female Rohingya FDMNs.
Conclusion
DS are highly prevalent in older Rohingya FDMNs during COVID-19. The findings of the present study call for immediate arrangement of mental health care services and highlight policy implications to ensure the well-being of older FDMNs.
This study investigated whether the single-use rhinolaryngoscope is clinically and economically comparable to the conventional reusable rhinolaryngoscope within a tertiary otolaryngology centre in the UK.
Methods
A non-blinded, prospective and single-arm evaluation was carried out over a 5-day period, in which micro-costing was used to compare single-use rhinolaryngoscopes with reusable rhinolaryngoscopes.
Results
Overall, 68 per cent of the investigators perceived the single-use rhinolaryngoscope to be ‘good’ or ‘very good’, while 85 per cent believed the single-use rhinolaryngoscope could replace the reusable rhinolaryngoscope (n = 59). The incremental costs of reusable rhinolaryngoscope eyepieces and videoscopes in the out-patient clinic, when compared to single-use rhinolaryngoscopes, were £30 and £11, respectively. The incremental costs of reusable rhinolaryngoscope eyepieces and videoscopes in the acute surgical assessment unit, when compared to single-use rhinolaryngoscopes, were −£4 and −£73, respectively.
Conclusion
The single-use rhinolaryngoscope provides a clinically comparable, and potentially cost-minimising, alternative to the reusable rhinolaryngoscope for use in the acute surgical assessment unit of our hospital.
Psychopathy comprises affective (eg lack of empathy, superficial charm, shallow emotions) and antisocial lifestyle features (eg criminal behaviour, impulsivity). The nature of the deficits in empathie responding remain poorly understood but recently authors have claimed that psychopaths know right from wrong but do not care.
Aims & Objectives
To explore the relationship between moral judgement and psychopathic traits in a healthy population (n = 198 females and n = 103 males).
Methods
We used a number of online questionnaires to assess key features of psychopathy including primary and secondary psychopathy (Levenson's Psychopathy Scale), moral judgement (Moral Judgement Test), impulsivity (Barratt Impulsivity Scale), life history of aggression (Life History of Aggression questionnaire), and cognitive and affective empathy (Questionnaire of Cognitive and Affective Empathy) in a healthy student population. We explored relationships between moral judgement scores and the other constructs using correlational analysis and comparisons between upper and lower quartiles.
We found correlations that were consistent with current literature for example, total BIS scores correlated strongly with Secondary Psychopathy scores (r = 0.57, p < 0.01). Primary psychopathy correlated with cognitive empathy (r = 0.3, p < 0.01). However, we did not observe any significant correlations between moral judgement scores and psychopathy scores.
Conclusions
In this healthy control population moral judgment scores do not show a significant relationship with psychopathy scores. Low empathy and high impulsivity scores observed in individuals with high psychopathy scores may not be related to a lack of understanding of moral concepts. These findings will have to be confirmed in a clinical population.
In this paper we investigate the vortex structure and dynamics formed in the near field of a turbulent axisymmetric jet subjected to transverse acoustic forcing. Full three-dimensional phase-averaged velocity measurements were obtained to elucidate the coherent structures formed when the jet is positioned at the pressure node of a plane standing wave oriented transversely to the streamwise flow direction, which creates a plane symmetry about the nodal line dissecting the jet exit. Due to the change in phase that occurs across the nodal line, it was found that axisymmetry is broken and the jet undergoes a periodic transverse flapping motion consistent with a sinuous mode. This was accompanied by a periodic train of interconnected vortex structures, resembling inverted hairpin (or horseshoe) vortices, formed as the shear layers rolled up in anti-phase either side of the jet, and propagated a few diameters downstream before breaking up. An inviscid vortex model employing inverted hairpin line vortices is shown to capture both the dynamics of the vortex structures and the fluctuating velocity fields. Overall, the jet response and resulting vortex dynamics observed represent a significant departure from the axisymmetric flow structures observed with conventional longitudinal forcing and more closely resemble the phenomenon of bifurcating jets.
In this paper we investigate the continuous, local exchange of fluid elements as they are entrained and detrained across the turbulent/non-turbulent interface (TNTI) in a high Reynolds number axisymmetric jet. To elucidate characteristic kinematic features of local entrainment and detrainment processes, simultaneous high-speed particle image velocimetry and planar laser-induced fluorescence measurements were undertaken. Using an interface-tracking technique, we evaluate and analyse the conditional dependence of local entrainment velocity in a frame of reference moving with the TNTI in terms of the interface geometry and the local flow field. We find that the local entrainment velocity is intermittent with a characteristic length scale of the order of the Taylor micro-scale and that the contribution to the net entrainment rate arises from the imbalance between local entrainment and detrainment rates that occurs with a ratio of two parts of entrainment to one part detrainment. On average, an increase in local entrainment is correlated with excursions of the TNTI towards jet centreline into regions of higher streamwise momentum, convex surface curvature facing the turbulent side of the jet and along the leading edges of the interface. In contrast, detrainment is correlated with excursions of the TNTI away from the jet centreline into regions of lower streamwise momentum, concave surface curvature and along the trailing edge. We find that strong entrainment is characterised by a local counterflow velocity field in the frame of reference moving with the TNTI which enhances the transport of rotational and irrotational fluid elements. On the other hand, detrainment is characterised by locally uniform flow fields with the local fluid velocity on either side of the TNTI advecting in the same direction. These local flow patterns and the strength of entrainment or detrainment rates are also observed to be strongly influenced by the presence and relative strength of vortical structures which are of the order of the Taylor micro-scale that populate the turbulent region along the jet boundary.
A characteristic feature of axisymmetric jets, and turbulent shear flows in general, is the entrainment of mass across the turbulent/non-turbulent interface (TNTI). The multi-scale nature of the TNTI surface area was recently observed to exhibit power-law scaling with a fractal dimension, $D_{f}$, between $D_{f}=2.3{-}2.4$, inferred from two-dimensional data, in both high Reynolds number boundary layers and the far field of axisymmetric jets. In this paper, we show that the fractal scaling previously observed in the far field of an axisymmetric jet is established at the end of the potential core. Simultaneous measurements of the velocity and scalar fields were obtained and coarse grain filtering was applied over two decades of scale separation, showing that $D_{f}$ evolves to ${\approx}2.35$ at $x/d=4.6$, which is similar to $D_{f}$ found in the far field between $x/d=40{-}60$. This is evidence that scale separation becomes sufficiently developed to achieve scale invariance of the TNTI surface area in the near field of the jet well before self-similarity is established. We also observe that the onset of this geometric scale invariance coincides with the onset of radial homogeneity shown by two-point velocity correlations. Finally, we present a simple theoretical basis for these results using an exact fractal construction based on the Koch curve and applying a coarse-grain filtering analysis.
Functional endoscopic sinus surgery is recognised to have a significant complication profile (e.g. blindness, cerebrospinal fluid leak and intracranial sepsis). Pre-operative computed tomography imaging is considered mandatory for surgical planning to reduce intra-operative risk. A radiological report is the ‘gold standard’ in image interpretation; however, because of a lack of otolaryngological or radiological guidance, its contents may be variable. By surveying practising otolaryngologists, this study aimed to provide some guidance which may be used by radiologists to produce more surgically relevant radiological reports.
Method:
A prospective questionnaire was distributed to the ENT-UK panel.
Results:
A total of 117 consultant members of the panel completed the survey. Twenty-nine per cent indicated that they were uncomfortable interpreting all areas of the computed tomography scan. Greatest importance was given to areas including the ethmoid roof (dehiscence, asymmetry and angle), lamina papyracea (dehiscence) and sphenoid sinus (carotid canal dehiscence and optic nerve relationships).
Conclusion:
Functional endoscopic sinus surgery is commonly performed by non-subspecialist rhinologists. The information obtained from this study can be used by radiologists to improve report relevance, particularly for the generalist ENT surgeon. This contributes to improving patient safety and helps avoid medicolegal litigation when complications arise.
We consider the scaling of the mass flux and entrainment velocity across the turbulent/non-turbulent interface (TNTI) in the far field of an axisymmetric jet at high Reynolds number. Time-resolved, simultaneous multi-scale particle image velocimetry (PIV) and planar laser-induced fluorescence (PLIF) are used to identify and track the TNTI, and directly measure the local entrainment velocity along it. Application of box-counting and spatial-filtering methods, with filter sizes $\unicode[STIX]{x1D6E5}$ spanning over two decades in length, show that the mean length of the TNTI exhibits a power-law behaviour with a fractal dimension $D\approx 0.31{-}0.33$. More importantly, we invoke a multi-scale methodology to confirm that the mean mass flux, which is equal to the product of the entrainment velocity and the surface area, remains constant across the range of filter sizes. The results, within experimental uncertainty, also show that the entrainment velocity along the TNTI exhibits a power-law behaviour with $\unicode[STIX]{x1D6E5}$, such that the entrainment velocity increases with increasing $\unicode[STIX]{x1D6E5}$. In fact, the mean entrainment velocity scales at a rate that balances the scaling of the TNTI length such that the mass flux remains independent of the coarse-grain filter size, as first suggested by Meneveau & Sreenivasan (Phys. Rev. A, vol. 41, no. 4, 1990, pp. 2246–2248). Hence, at the smallest scales the entrainment velocity is small but is balanced by the presence of a very large surface area, whilst at the largest scales the entrainment velocity is large but is balanced by a smaller (smoother) surface area.
To determine the impact of total household decolonization with intranasal mupirocin and chlorhexidine gluconate body wash on recurrent methicillin-resistant Staphylococcus aureus (MRSA) infection among subjects with MRSA skin and soft-tissue infection.
DESIGN
Three-arm nonmasked randomized controlled trial.
SETTING
Five academic medical centers in Southeastern Pennsylvania.
PARTICIPANTS
Adults and children presenting to ambulatory care settings with community-onset MRSA skin and soft-tissue infection (ie, index cases) and their household members.
INTERVENTION
Enrolled households were randomized to 1 of 3 intervention groups: (1) education on routine hygiene measures, (2) education plus decolonization without reminders (intranasal mupirocin ointment twice daily for 7 days and chlorhexidine gluconate on the first and last day), or (3) education plus decolonization with reminders, where subjects received daily telephone call or text message reminders.
MAIN OUTCOME MEASURES
Owing to small numbers of recurrent infections, this analysis focused on time to clearance of colonization in the index case.
RESULTS
Of 223 households, 73 were randomized to education-only, 76 to decolonization without reminders, 74 to decolonization with reminders. There was no significant difference in time to clearance of colonization between the education-only and decolonization groups (log-rank P=.768). In secondary analyses, compliance with decolonization was associated with decreased time to clearance (P=.018).
CONCLUSIONS
Total household decolonization did not result in decreased time to clearance of MRSA colonization among adults and children with MRSA skin and soft-tissue infection. However, subjects who were compliant with the protocol had more rapid clearance
Research efforts at Bombardier Aerospace have investigated design constraints that need to be addressed when considering the design of a future unconventional fuselage concept. Using a composite design platform integrated with structural health monitoring (SHM) technologies, the design space is broadened and there are many more unknowns to investigate from our current knowledge of the subject to date. The principal idea is to identify structural zones and quantify stress levels in areas of concern, referred to as ‘hot-spots’, by integrating an SHM system at a conceptual design level. This new concept would require an assessment of benefits and detriments in order to evaluate the certification processes, impact on maintenance, operation, and ownership costs.
The integration of an SHM system using onboard sensors introduces many challenges, such as the requirement for multiple sensors in the structure and additional systems weight. The investigation shows how the aircraft structural design would be impacted and how design, stress, supply-chain, manufacturing, and the systems departments need to be harmonised in order to design a feasible and integrated SHM-structural fuselage concept.
To identify risk factors for recurrent methicillin-resistant Staphylococcus aureus (MRSA) colonization.
DESIGN
Prospective cohort study conducted from January 1, 2010, through December 31, 2012.
SETTING
Five adult and pediatric academic medical centers.
PARTICIPANTS
Subjects (ie, index cases) who presented with acute community-onset MRSA skin and soft-tissue infection.
METHODS
Index cases and all household members performed self-sampling for MRSA colonization every 2 weeks for 6 months. Clearance of colonization was defined as 2 consecutive sampling periods with negative surveillance cultures. Recurrent colonization was defined as any positive MRSA surveillance culture after clearance. Index cases with recurrent MRSA colonization were compared with those without recurrence on the basis of antibiotic exposure, household demographic characteristics, and presence of MRSA colonization in household members.
RESULTS
The study cohort comprised 195 index cases; recurrent MRSA colonization occurred in 85 (43.6%). Median time to recurrence was 53 days (interquartile range, 36–84 days). Treatment with clindamycin was associated with lower risk of recurrence (odds ratio, 0.52; 95% CI, 0.29–0.93). Higher percentage of household members younger than 18 was associated with increased risk of recurrence (odds ratio, 1.01; 95% CI, 1.00–1.02). The association between MRSA colonization in household members and recurrent colonization in index cases did not reach statistical significance in primary analyses.
CONCLUSION
A large proportion of patients initially presenting with MRSA skin and soft-tissue infection will have recurrent colonization after clearance. The reduced rate of recurrent colonization associated with clindamycin may indicate a unique role for this antibiotic in the treatment of such infection.
Infect. Control Hosp. Epidemiol. 2015;36(7):786–793
In this paper we examine the invariants $p$ and $q$ of the reduced $2\times 2$ velocity gradient tensor (VGT) formed from a two-dimensional (2D) slice of an incompressible three-dimensional (3D) flow. Using data from both 2D particle image velocimetry (PIV) measurements and 3D direct numerical simulations of various turbulent flows, we show that the joint probability density functions (p.d.f.s) of $p$ and $q$ exhibit a common characteristic asymmetric shape consistent with $\langle pq\rangle \lt 0$. An explanation for this inequality is proposed. Assuming local homogeneity we derive $\langle p\rangle = 0$ and $\langle q\rangle = 0$. With the addition of local isotropy the sign of $\langle pq\rangle $ is proved to be the same as that of the skewness of $\partial {u}_{1} / \partial {x}_{1} $, hence negative. This suggests that the observed asymmetry in the joint p.d.f.s of $p{{\ndash}}q$ stems from the universal predominance of vortex stretching at the smallest scales. Some advantages of this joint p.d.f. compared with that of $Q{{\ndash}}R$ obtained from the full $3\times 3$ VGT are discussed. Analysing the eigenvalues of the reduced strain-rate matrix associated with the reduced VGT, we prove that in some cases the 2D data can unambiguously discriminate between the bi-axial (sheet-forming) and axial (tube-forming) strain-rate configurations of the full $3\times 3$ strain-rate tensor.
Urinary incontinence is a common symptom in women, more so in older people, with a significant impact on physical health and wellbeing. About 1 in 5 people have impaired continence. Symptom categorization at initial assessment is the key to guiding further therapy. Non-pharmacological options (bladder training for 6 weeks with guidance from a trained physiotherapist) are preferred and can be supported with biofeedback. If unsuccessful, anticholinergics are added and, rarely, surgical options need consideration.
Anticholinergics are the mainstay of pharmacological management of urge incontinence. The National Institute of Health and Clinical Excellence (NICE) recommends immediate release oxybutynin as the first-line agent, with recourse to others if there are adverse effects. The pharmacology, efficacy and adverse effect profile of the various anticholinergic drugs is reviewed, allowing the reader to make an informed choice of appropriate anticholinergics for urge incontinence.
Intracellular vitamin C acts to protect cells against oxidative stress by intercepting reactive oxygen species (ROS) and minimising DNA damage. However, rapid increases in intracellular vitamin C may induce ROS with subsequent DNA damage priming DNA repair processes. Herein, we examine the potential of vitamin C and the derivative ascorbate-2-phosphate (2-AP) to induce a nucleotide excision repair (NER) response to DNA damage in a model of peripheral blood mononuclear cells. Exposure of cells to elevated levels of vitamin C induced ROS activity, resulting in increased levels of deoxycytidine glyoxal (gdC) and 8-oxo-2′-deoxyguanosine (8-oxodG) adducts in DNA; a stress response was also induced by 2-AP, but was delayed in comparison to vitamin C. Evidence of gdC repair was also apparent. Measurement of cyclobutane thymine–thymine dimers (T < >T) in DNA and culture supernatant were included as a positive marker for NER activity; this was evidenced by a reduction in DNA and increases in culture supernatant levels of T < >T for vitamin C-treated cells. Genomics analysis fully supported these findings confirming that 2-AP, in particular, induced genes associated with stress response, cell cycle arrest, DNA repair and apoptosis, and additionally provided evidence for the involvement of vitamin C in the mobilisation of intracellular catalytic Fe.