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Recent studies suggest that close-range blast exposure (CBE), regardless of acute concussive symptoms, may have negative long-term effects on brain health and cognition; however, these effects are highly variable across individuals. One potential genetic risk factor that may impact recovery and explain the heterogeneity of blast injury’s long-term cognitive outcomes is the inheritance of an apolipoprotein (APOE) ε4 allele, a well-known genetic risk factor for Alzheimer’s disease. We hypothesized that APOE ε4 carrier status would moderate the impact of CBE on long-term cognitive outcomes.
Methods:
To test this hypothesis, we examined 488 post-9/11 veterans who completed assessments of neuropsychological functioning, psychiatric diagnoses, history of blast exposure, military and non-military mild traumatic brain injuries (mTBIs), and available APOE genotypes. We separately examined the effects of CBE on attention, memory, and executive functioning in individuals with and without the APOE ε4 allele.
Results:
As predicted, we observed a differential impact of CBE status on cognition as a function of APOE ε4 status, in which CBE ε4 carriers displayed significantly worse neuropsychological performance, specifically in the domain of memory. These results persisted after adjusting for clinical, demographic, and genetic factors and were not observed when examining other neurotrauma variables (i.e., lifetime or military mTBI, distant blast exposure), though these variables displayed similar trends.
Conclusions:
These results suggest APOE ε4 carriers are more vulnerable to the impact of CBE on cognition and highlight the importance of considering genetic risk when studying cognitive effects of neurotrauma.
Preoperative mechanical ventilation is associated with morbidity and mortality following CHD surgery, but prior studies lack a comprehensive analysis of how preoperative respiratory support mode and timing affects outcomes.
Methods:
We retrospectively collected data on children <18 years of age undergoing cardiac surgery at an academic tertiary care medical centre. Using multivariable regression, we examined the association between modes of preoperative respiratory support (nasal cannula, high-flow nasal cannula/noninvasive ventilation, or invasive mechanical ventilation), escalation of preoperative respiratory support, and invasive mechanical ventilation on the day of surgery for three outcomes: operative mortality, postoperative length of stay, and postoperative complications. We repeated our analysis in a subcohort of neonates.
Results:
A total of 701 children underwent 800 surgical procedures, and 40% received preoperative respiratory support. Among neonates, 243 patients underwent 253 surgical procedures, and 79% received preoperative respiratory support. In multivariable analysis, all modes of preoperative respiratory support, escalation in preoperative respiratory support, and invasive mechanical ventilation on the day of surgery were associated with increased odds of prolonged length of stay in children and neonates. Children (odds ratio = 3.69, 95% CI 1.2–11.4) and neonates (odds ratio = 8.97, 95% CI 1.31–61.14) on high-flow nasal cannula/noninvasive ventilation had increased odds of operative mortality compared to those on room air.
Conclusion:
Preoperative respiratory support is associated with prolonged length of stay and mortality following CHD surgery. Knowing how preoperative respiratory support affects outcomes may help guide surgical timing, inform prognostic conversations, and improve risk stratification models.
Universal screening for postpartum depression is recommended in many countries. Knowledge of whether the disclosure of depressive symptoms in the postpartum period differs across cultures could improve detection and provide new insights into the pathogenesis. Moreover, it is a necessary step to evaluate the universal use of screening instruments in research and clinical practice. In the current study we sought to assess whether the Edinburgh Postnatal Depression Scale (EPDS), the most widely used screening tool for postpartum depression, measures the same underlying construct across cultural groups in a large international dataset.
Method
Ordinal regression and measurement invariance were used to explore the association between culture, operationalized as education, ethnicity/race and continent, and endorsement of depressive symptoms using the EPDS on 8209 new mothers from Europe and the USA.
Results
Education, but not ethnicity/race, influenced the reporting of postpartum depression [difference between robust comparative fit indexes (∆*CFI) < 0.01]. The structure of EPDS responses significantly differed between Europe and the USA (∆*CFI > 0.01), but not between European countries (∆*CFI < 0.01).
Conclusions
Investigators and clinicians should be aware of the potential differences in expression of phenotype of postpartum depression that women of different educational backgrounds may manifest. The increasing cultural heterogeneity of societies together with the tendency towards globalization requires a culturally sensitive approach to patients, research and policies, that takes into account, beyond rhetoric, the context of a person's experiences and the context in which the research is conducted.
The US Naval Research Laboratory (NRL) is developing technologies that will enable Navy-relevant missions with the smallest practical Micro Air Vehicles (MAVs). The NRL Micro Tactical Expendable (MITE) air vehicle is a result of this research. MITE is a hand-launched, dual-propeller, fixed-wing air vehicle, with a 25cm chord and a wingspan of 25–47cm, depending on payload weight. Vehicle gross weight is 130–350g. Miniature autopilot systems, based on visual imaging techniques, are being developed for MITE. These will be used in conjunction with conventional autopilot sensors to allow the MITE to fly autonomously. This paper provides an overview of the MITE development, including aerodynamic design considerations, electric propulsion, and vision-based autopilot research. Also presented is a rationale for the development of control laws that can direct the behavior of large groups of MAVs or other vehicle agents. Dubbed ‘physicomimetics,’ this process can bring about the self-assembly of complex MAV formations, though individual MAVs have minimal onboard processing power and limited local sensing capabilities.
This paper describes a successful attempt to tag adult females of the European pine shoot, Rhyacionia buoliuna (Schiff.) with Co60, chosen as a tagging agent because it is a gamma emitter with a sufficiently long half-life (5.3 years). Emphasis is placed on the preparation and application of the tracer material, the absence of immediately harmful effects of radiation on the insects, and the ability of the insects to behave normally with the tags in place. This work was undertaken in order so develop techniques for following the movements of large numbers of these insects.
Recently, the light reactions of three species of tent caterpillars were described (3). The present paper contains a similar description of the responses of larvae of the spotless fall webworm, Hyphantria textor Harr. This species was chosen for comparative study because, like tent caterpillars, it is colonial through most of its larval stage, during which it forms extensive webs.
Larvae of all six instars were studied. Some of the behaviour described here was first observed during the summers of 1949-50 at Sault Ste. Marie, Ont. During July and August of 1953, several of the laboratory tests were repeated at Sault Ste. Marie, and, in addition, some new reactions were observed for the first time.
The forest tent caterpillar, Malacosoma disstria Hbn., and the eastern and western tent caterpillars, M. americanum (Fab.) and M. pluviale (Dyar), are common pests of several species of deciduous trees in Canada. All are colonial during the larval stage, but M. disstria differs from the others in one respect: it does not construct a communal tent. This difference in habit merits special consideration in any comparative study of larval behaviour, particularly in one concerned with the effects of physical factors upon the insects, since a tent modifies the effects of the physical environment considerably. Recently, a series of such studies was carried out, and one part of the work consisted of laboratory and field observations on the light reactions of larvae. The results obtained have raised a number of new questions which unfortunately cannot be answered now, hecause two of the species have been difficult to obtain in quantity since 1950. Nevertheless, the findings are presented here without additional delay, since they are of general interest, and other workers may wish to use them.
During recent field studies of the behaviour and activiw of larvae in colonies of M. americanum and H. textor, it was noticed that nymphs and adults ofPodisus placidus (Uhler) and of P. modestus (Dallas) frequently visited colonies of the eastern tent caterpillar and occasionally those of the spotless fall webworm. Although small larvae, particularly those of the tent caterpillar, fell prey to both nymphs and adults, larvae of the fifth and sixth instars occasionally exhibited special reactions.
During field studies of the behaviour of larvae in colonies of Malacosoma disstria Hbn., it was observed that two species of ants, Camponotus herculeanus ligniperdus (Latr.) and Formica fusca L., were common on the twigs of the small trees, Populus tremuloides Michx., on which the caterpillars were established. Ant nests were common near the bases of trees, and the worker ants climbed the trunks and moved along the branches either to forage or to tend aphid colonies. When the tent caterpillars were small, they were frequently attacked by the ants. There were two distinct types of attack: one the result of foraging by worker ants and the other the result of defence of aphid colonies by the ants.
Conventional and modified methods of obtaining supercooling points of immature stages of insects have been utilized in studies of the cold-hardiness of the European pine shoot moth and the European pinesawfly. A method has been developed to permit visual observation of the freezing process of more than one specimen at a time. A freezing chamber consisting of a hole one inch in depth and one-half inch in diameter is located in the upper end of an aluminum rod partially submerged in a dry ice-alcohol mixture. A small filter paper disc, used as the insect platform, rests upon a #40 copper-constantan thermocouple located near the base of the freezing chamber. The thermocouple enters the chamber through a hole in the wall after several circuits around the circumference of the rod to prevent temperature anomalies attributable to thermal conduction within the wire. The thermocouple is connected to a sensitive recording potentiometer. The wall of the freezing chamber is blackened to prevent reflection of light from obscuring the view of the freezing process, through a binocular microscope mounted above the freezing chamber. The moment of freezing is readily recorded on the temperature trace provided by the potentiometer. At a cooling rate of approximately 5°F. per minute, a correction factor of 2.5°F. must be added to the indicated freezing point to obtain the actual temperature at the surface of the platform. When this correction is applied, the results provide data applicable to statistical analysis of freezing point determinations.
One way to achieve the large sample sizes required for genetic studies of complex traits is to combine samples collected by different groups. It is not often clear, however, whether this practice is reasonable from a genetic perspective. To assess the comparability of samples from the Australian and the Netherlands twin studies, we estimated Fst (the proportion of total genetic variability attributable to genetic differences between cohorts) based on 359 short tandem repeat polymorphisms in 1068 individuals. Fst was estimated to be 0.30% between the Australian and the Netherlands cohorts, a smaller value than between many European groups. We conclude that it is reasonable to combine the Australian and the Netherlands samples for joint genetic analyses.
The effect of the dietary n-3 long-chain PUFA, DHA (22 : 6n-3), on the growth of pre-term infants is controversial. We tested the effect of higher-dose DHA (approximately 1 % dietary fatty acids) on the growth of pre-term infants to 18 months corrected age compared with standard feeding practice (0·2–0·3 % DHA) in a randomised controlled trial. Infants born < 33 weeks gestation (n 657) were randomly allocated to receive breast milk and/or formula with higher DHA or standard DHA according to a concealed schedule stratified for sex and birth-weight ( < 1250 and ≥ 1250 g). The dietary arachidonic acid content of both diets was constant at approximately 0·4 % total fatty acids. The intervention was from day 2 to 5 of life until the infant's expected date of delivery (EDD). Growth was assessed at EDD, and at 4, 12 and 18 months corrected age. There was no effect of higher DHA on weight or head circumference at any age, but infants fed higher DHA were 0·7 cm (95 % CI 0·1, 1·4 cm; P = 0·02) longer at 18 months corrected age. There was an interaction effect between treatment and birth weight strata for weight (P = 0·01) and length (P = 0·04). Higher DHA resulted in increased length in infants born weighing ≥ 1250 g at 4 months corrected age and in both weight and length at 12 and 18 months corrected age. Our data show that DHA up to 1 % total dietary fatty acids does not adversely affect growth.
Dried spent hops possess a high absorptive capacity, and attention is drawn to its use as a “filler” to absorb such by-products as molasses and treacle.
The material possesses a high crude protein value and its ether extract is very high for a fibrous food, while the amount of crude fibre is the same as in good meadow hay. There is a high percentage of mineral matter present.
The digestibility of the material has been determined by feeding with hay chaff and linseed cake meal to three sheep. The spent hops were not readily eaten and could only be included in a ration in an amount equal to one-seventh of the dry weight of the total ration.
Its digestibility is low, a fifth of the crude protein and the nitrogenfree extractives, one-half of the ether extract, one-twentieth of the crude fibre and one-fifth of the total organic matter only being digestible. The production starch equivalent was 24.5.