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This diary will take the reader back to the pivotal period at the turn of the Millennium, when Hans Blix was the UN Chief Weapons Inspector to Iraq, responsible for extensive investigations into the possible existence of weapons of mass destruction. Blix was required to report to the world what he had – and had not – found, under immense time pressure from a broader political context, where the success of the inspections might avert a US led war. It sheds new light on the intense diplomacy behind the scenes at the UN headquarters in New York and capitals around the world, where Hans met with leaders like US President Bush, UK Prime Minister Blair and French President Chirac. The diary is a valuable historical document of events leading up to the Iraq war but it can also be read as a guide in practical diplomacy with the highest of stakes.
Developed specifically for students in the behavioral and brain sciences, this textbook provides a practical overview of human neuroimaging. The fully updated second edition covers all major methods including functional and structural magnetic resonance imaging, positron emission tomography, electroencephalography, magnetoencephalography, multimodal imaging, and brain stimulation methods. Two new chapters have been added covering computational imaging as well as a discussion of the potential and limitations of neuroimaging in research. Experimental design, image processing, and statistical inference are addressed, with chapters for both basic and more advanced data analyses. Key concepts are illustrated through research studies on the relationship between brain and behavior, and review questions are included throughout to test knowledge and aid self-study. Combining wide coverage with detail, this is an essential text for advanced undergraduate and graduate students in psychology, neuroscience, and cognitive science programs taking introductory courses on human neuroimaging.
Multimorbidity, especially physical–mental multimorbidity, is an emerging global health challenge. However, the characteristics and patterns of physical–mental multimorbidity based on the diagnosis of mental disorders in Chinese adults remain unclear.
Methods
A cross-sectional study was conducted from November 2004 to April 2005 among 13,358 adults (ages 18–65years) residing in Liaoning Province, China, to evaluate the occurrence of physical–mental multimorbidity. Mental disorders were assessed using the Composite International Diagnostic Interview (version 1.0) with reference to the Diagnostic and Statistical Manual of Mental Disorders (3rd Edition Revised), while physical diseases were self-reported. Physical–mental multimorbidity was assessed based on a list of 16 physical and mental morbidities with prevalence ≥1% and was defined as the presence of one mental disorder and one physical disease. The chi-square test was used to calculate differences in the prevalence and comorbidity of different diseases between the sexes. A matrix heat map was generated of the absolute number of comorbidities for each disease. To identify complex associations and potential disease clustering patterns, a network analysis was performed, constructing a network to explore the relationships within and between various mental disorders and physical diseases.
Results
Physical–mental multimorbidity was confirmed in 3.7% (498) of the participants, with a higher prevalence among women (4.2%, 282) than men (3.3%, 216). The top three diseases with the highest comorbidity rate and average number of comorbidities were dysphoric mood (86.3%; 2.86), social anxiety disorder (77.8%; 2.78) and major depressive disorder (77.1%; 2.53). A physical–mental multimorbidity network was visually divided into mental and physical domains. Additionally, four distinct multimorbidity patterns were identified: ‘Affective-addiction’, ‘Anxiety’, ‘Cardiometabolic’ and ‘Gastro-musculoskeletal-respiratory’, with the digestive-respiratory-musculoskeletal pattern being the most common among the total sample. The affective-addiction pattern was more prevalent in men and rural populations. The cardiometabolic pattern was more common in urban populations.
Conclusions
The physical–mental multimorbidity network structure and the four patterns identified in this study align with previous research, though we observed notable differences in the proportion of these patterns. These variations highlight the importance of tailored interventions that address specific multimorbidity patterns while maintaining broader applicability to diverse populations.
Severe fatigue following COVID-19 is a debilitating symptom in adolescents for which no treatment exists currently.
Aims:
The aim of this study was to determine the effectiveness and feasibility of cognitive behavioural therapy (CBT) for severe fatigue following COVID-19 in adolescents.
Method:
A serial single-case observational design was used. Eligible patients were ≥12 and <18 years old, severely fatigued and ≥6 months post-COVID-19. Five patients, consecutively referred by a paediatrician, were included. The primary outcome was a change in fatigue severity, assessed with the fatigue severity subscale of the Checklist Individual Strength, 12 weeks after the start of CBT, tested with a permutation distancing two-phase A-B test. Secondary outcomes were the presence of severe fatigue, difficulty concentrating and impaired physical functioning directly post-CBT as determined with questionnaires using validated cut-off scores. Also, the frequency of post-exertional malaise (PEM) and absence from school directly post-CBT determined with self-report items were evaluated.
Results:
All five included patients completed CBT. Twelve weeks after starting CBT for severe post-COVID-19 fatigue, three out of five patients showed a significant reduction in fatigue severity. After CBT, all five patients were no longer severely fatigued. Also, four out of five patients were no longer physically impaired and improved regarding PEM following CBT. All five patients reported no school absence post-CBT and no difficulties concentrating.
Conclusion:
This study provides a first indication for the effectiveness and feasibility of CBT among adolescents with post-COVID-19 fatigue.
The allosauroid theropod dinosaurs of the clade Carcharodontosauridae were the apex predators in terrestrial ecosystems of the Early Cretaceous but were replaced in this ecological niche by Tyrannnosauridae in the Late Cretaceous. Details of this turnover are poorly known because only two transitional ecosystems, containing both carcharodontosaurids and tyrannosauroids, had been recognized to date (Cenomanian Cedar Mountain Formation of Utah, USA, and Turonian Bissekty Formation of Uzbekistan). Moreover, the presence of carcharodontosaurids in the Bissekty Formation, based on a maxilla fragment identified as Ulughbegsaurus uzbekistanensis Tanaka et al., 2021, has been recently questioned. Here we report on the third ecosystem containing both clades of apex predators, the Cenomanian Khodzhakul Formation in Uzbekistan. This new occurrence of Carcharodontosauridae is based on a newly identified maxilla that closely resembles the holotype maxilla of U. uzbekistanensis and is identified as Ulughbegsaurus sp. The revised morphological characters of both specimens support attribution of Ulughbegsaurus to Carcharodontosauridae. We report a novel neurovascular feature of the theropod maxilla—a medial alveolar canal that supplied the alveoli medially and contained tributaries of the palatine vessels in Ulughbegsaurus.
Attenuation of shock waves through dense granular media with varying macro-scale and micro-scale parameters has been numerically studied in this work by a coupled Eulerian–Lagrangian approach. The results elucidate the correlation between the attenuation mechanism and the nature of shock-induced unsteady flows inside the granular media. As the shock transmission becomes trivial relative to the establishment of unsteady interpore flows, giving way to the gas filtration, the shock attenuation mechanism transitions from the shock dynamics and deduction of propagation area associated with the shock transmission, to the drag-related friction dissipation alongside the gas filtration. The ratio between the maximum shock transmission length and the thickness of the particle layer is found to be a proper indicator of the nature of shock-induced flows. More importantly, it is this ratio that successfully collapses the upstream and downstream pressures of shock impacted particle layers with widely ranging thickness and volume fraction, leading to a universal scaling law for the shock attenuation effect. We further propose a correlation between the structure of particle layer and the corresponding maximum shock transmission length, guaranteeing adequate theoretical predictions of the upstream and downstream pressures. These predictions are also necessary for an accurate estimation of the spread rate of shock dispersed particle bed through a pressure-gradient-based scaling method.
This manuscript compares gender equality in childcare leave policies across 21 countries and examines its relationship with gender equality in the labour market. To assess gender equality in childcare leave in each country, the duration gap and the uptake gap between genders in childcare leave are examined, and these two gaps are combined using Z-scores to measure the overall level of gender equality in childcare leave. Subsequently, the relationship between overall gender equality in childcare leave and labour market outcomes, such as gender employment and wage gaps, is explored. The results indicate that gender equality in childcare leave is generally highest in Scandinavian countries, moderate in Continental European countries, and mostly low in Eastern European countries. Furthermore, the degree of gender equality in childcare leave is negatively correlated with the gender employment gap, whereas no clear relationship is found with the gender wage gap.
A systematic review and meta-analysis was conducted to investigate the prevalence and antecedents/outcomes of loneliness and social isolation among individuals with severe mental disorders (SMD), such as schizophrenia, schizoaffective disorder, bipolar disorder or major depressive disorder.
Methods
Five well-known electronic databases (PubMed, PsycINFO, CINAHL, Web of Science and Scopus) were searched (plus a hand search). Observational studies that report the prevalence and, if available, antecedents and consequences of loneliness/isolation among individuals with SMD were included. Key characteristics were extracted, and a meta-analysis was performed. Our systematic review was preregistered on PROSPERO (ID: CRD42024559043). The PRISMA guidelines were followed. The Joanna Briggs Institute (JBI) standardized critical appraisal tool developed for prevalence studies was applied to assess the quality of the included studies.
Results
The initial search yielded 4506 records, and after duplicate removal and screening, a total of 10 studies were finally included. The studies included used data from Europe, Asia, North America, and Oceania. Two studies employed a longitudinal design, while all other studies had a cross-sectional design. Most of the studies included between 100 and 500 individuals with SMD. All studies involved both male and female participants, with women typically comprising about 40% of the sample. The average age of participants often ranged from approximately 30 to 40 years. The estimated prevalence of loneliness was 59.1% (95% CI: 39.6% to 78.6%, I2 = 99.3, P < .001) among individuals with any diagnosis of SMD. Furthermore, the estimated prevalence of objective social isolation was 63.0% (95% CI: 58.6% to 67.4%) among individuals with schizophrenia or schizophrenia spectrum disorder. The quality of the studies was moderate to good. Subjective well-being and depressive symptoms in particular were found to contribute to loneliness in the included studies.
Conclusions
The present systematic review with meta-analysis identified high levels of loneliness and objective social isolation among those with SMD. These findings stress the importance of monitoring and addressing social needs in this vulnerable group, which may have a positive effect on the life quality of individuals with SMD. Future research in neglected regions (e.g. South America and Africa) is recommended. Different diagnoses within severe mental disorders should be distinguished in future studies. Furthermore, additional longitudinal studies are required to explore the antecedents and consequences of loneliness and social isolation among individuals with SMD.
Objectives/Goals: Understanding systematic review results help prioritise more valuable studies. However, evaluating whether a systematic review has conclusively answered a question is difficult, and it is unclear which tools are available for such assessments. Thus, we mapped the extent of methods for determining the conclusiveness of systematic review results. Methods/Study Population: We searched Medline (Ovid), EMBASE (Ovid), and Web of Science to find papers with methods to determine whether systematic review results were conclusive or should be updated. The characteristics of primary references for included methods are presented. We classified and summarized available methods. Results/Anticipated Results: A total of 58 unique methods were identified. Many have been published since 2010 and often did not include a worked example. We found 25 mathematical methods for the conclusiveness of meta-analyses, which included cumulative meta-analysis, fail-safe number, fragility index, prediction and machine learning model, simulation-based power, conditional power, and graphical approaches. There were 15 methods for the conclusiveness of cumulative meta-analyses, such as quality control approach, trial sequential analysis, sequential meta-analysis, and law of iterated logarithm. And, 18 methods assessed the conclusiveness of systematic reviews: GRADE framework, the strength of a body of evidence approach, methods for assessing the need to update a systematic review, and methods for specific clinical domains. Discussion/Significance of Impact: We found a wide range of methods that can be used to determine the conclusiveness of systematic review results. End-users of systematic reviews can review our results to find the most appropriate methods for their contexts and decisions.
Objectives/Goals: Transmission-blocking vaccines hold promise for malaria elimination by reducing community transmission. But a major challenge that limits the development of efficacious vaccines is the vast parasite’s genetic diversity. This work aims to assess the genetic diversity of the Pfs25 vaccine candidate in complex infections across African countries. Methods/Study Population: We employed next-generation amplicon deep sequencing to identify nonsynonymous single nucleotide polymorphisms (SNPs) in 194 Plasmodium falciparum samples from four endemic African countries: Senegal, Tanzania, Ghana, and Burkina Faso. The individuals aged between 1 and 74 years, but most of them ranged from 1 to 19 years, and all presented symptomatic P. falciparum infection. The genome amplicon sequencing was analyzed using Geneious software and P. falciparum 3D7 as a reference. The SPNs were called with a minimum coverage of 500bp, and for this work, we used a very sensitive threshold of 1% variant frequency to determine the frequency of SNPs. The identified SNPs were threaded to the crystal structure of the Pfs25 protein, which allowed us to predict the impact of the novel SNP in the protein or antibody binding. Results/Anticipated Results: We identified 26 SNPs including 24 novel variants, and assessed their population prevalence and variant frequency in complex infections. Notably, five variants were detected in multiple samples (L63V, V143I, S39G, L63P, and E59G), while the remaining 21 were rare variants found in individual samples. Analysis of country-specific prevalence showed varying proportions of mutant alleles, with Ghana exhibiting the highest prevalence (44.6%), followed by Tanzania (12%), Senegal (11.8%), and Burkina Faso (2.7%). Moreover, we categorized SNPs based on their frequency, identifying dominant variants (>25%), and rare variants (Discussion/Significance of Impact: We identified additional SNPs in the Pfs25 gene beyond those previously reported. However, the majority of these newly discovered display low variant frequency and population prevalence. Further research exploring the functional implications of these variations will be important to elucidate their role in malaria transmission.
Turbulent flow widely exists in the aerospace field, and it is still challenging to realise the accurate prediction in the numerical simulation. To realise the high-fidelity numerical simulation of compressible turbulent flow, a high-order accurate self-adaptive turbulence eddy simulation (SATES) method is developed on the PHengLEI-HyOrder open-source solver, combining with the high-order accurate weighted compact nonlinear schemes (WCNS). The compressible flow in the subsonic and transonic is numerically simulated, including some typical cases, such as subsonic flow past a circular cylinder and flow past a square cylinder, high-lift configuration DLR-F11, transonic flow around a circular cylinder. The results predicted by the current high-order accurate SATES are in good agreement with the available experimental and numerical data. The present numerical method can also accurately capture the interactions between shock waves and turbulence while accurately simulating flow separation, shear layer instability and large-scale vortex shedding. The results obtained show that the current high-order accurate SATES simulations based on PHengLEI-HyOrder solver can accurately simulate complex turbulent flows with high reliability.
This study explores lexical borrowing and loanword nativization from a neuro-cognitive perspective testing bi-dialectal speakers of Standard Chinese and Shanghainese Chinese. We created holistic and morpheme-based cross-dialectal loanwords for auditory sentence processing and compared them with Shanghainese-specific words, code-switches, and pre-existing etymologically related words. Participants rated their acceptance of each word, indicating Shanghainese-specific lexical nativeness. GAM analysis of EEG signals revealed that reduced acceptance correlated with frontal positive shifts in ERPs. Holistic loanwords triggered P300-like shifts associated with form-mismatch, whereas morpheme-based loanwords produced LPC-like shifts, suggesting sentence-level re-analysis, and N400-like early frontal negative shifts, indicating lexical integration challenges. Our results indicate that both lexical acceptance and adaptation strategies are pivotal in the cognitive integration of loanwords, revealing distinct neuropsychological stages and pathways in loanword nativization.
Recent studies have increasingly utilized gradient metrics to investigate the spatial transitions of brain organization, enabling the conversion of macroscale brain features into low-dimensional manifold representations. However, it remains unclear whether alterations exist in the cortical morphometric similarity (MS) network gradient in patients with schizophrenia (SCZ). This study aims to examine potential differences in the principal MS gradient between individuals with SCZ and healthy controls and to explore how these differences relate to transcriptional profiles and clinical phenomenology.
Methods
MS network was constructed in this study, and its gradient of the network was computed in 203 patients with SCZ and 201 healthy controls, who shared the same demographics in terms of age and gender. To examine irregularities in the MS network gradient, between-group comparisons were carried out, and partial least squares regression analysis was used to study the relationships between the MS network gradient-based variations in SCZ, and gene expression patterns and clinical phenotype.
Results
In contrast to healthy controls, the principal MS gradient of patients with SCZ was primarily significantly lower in sensorimotor areas, and higher in more areas. In addition, the aberrant gradient pattern was spatially linked with the genes enriched for neurobiologically significant pathways and preferential expression in various brain regions and cortical layers. Furthermore, there were strong positive connections between the principal MS gradient and the symptomatologic score in SCZ.
Conclusions
These findings showed changes in the principal MS network gradient in SCZ and offered potential molecular explanations for the structural changes underpinning SCZ.
The digital age, characterized by the rapid development and ubiquitous nature of data analytics and machine learning algorithms, has ushered in new opportunities and challenges for businesses. As the digital evolution continues to reshape commerce, it has empowered firms with unparalleled access to in-depth consumer data, thereby enhancing the implementation of a variety of personalization strategies. These strategies utilize sophisticated machine learning algorithms capable of attaining personal preferences, which can better tailor products and services to individual consumers. Among these personalization strategies, the practice of personalized pricing, which hinges on leveraging customer-specific data, is coming to the forefront.
We introduce a double framing construction for moduli spaces of quiver representations. This allows us to reduce certain sheaf cohomology computations involving the universal representation, to computations involving line bundles, making them amenable to methods from geometric invariant theory. We will use this to show that in many good situations the vector fields on the moduli space are isomorphic as vector spaces to the first Hochschild cohomology of the path algebra. We also show that considering the universal representation as a Fourier–Mukai kernel in the appropriate sense gives an admissible embedding of derived categories.
Recent studies utilizing AI-driven speech-based Alzheimer’s disease (AD) detection have achieved remarkable success in detecting AD dementia through the analysis of audio and text data. However, detecting AD at an early stage of mild cognitive impairment (MCI), remains a challenging task, due to the lack of sufficient training data and imbalanced diagnostic labels. Motivated by recent advanced developments in Generative AI (GAI) and Large Language Models (LLMs), we propose an LLM-based data generation framework, leveraging prior knowledge encoded in LLMs to generate new data samples. Our novel LLM generation framework introduces two novel data generation strategies, namely, the cross-lingual and the counterfactual data generation, facilitating out-of-distribution learning over new data samples to reduce biases in MCI label prediction due to the systematic underrepresentation of MCI subjects in the AD speech dataset. The results have demonstrated that our proposed framework significantly improves MCI Detection Sensitivity and F1-score on average by a maximum of 38% and 31%, respectively. Furthermore, key speech markers in predicting MCI before and after LLM-based data generation have been identified to enhance our understanding of how the novel data generation approach contributes to the reduction of MCI label prediction biases, shedding new light on speech-based MCI detection under low data resource constraint. Our proposed methodology offers a generalized data generation framework for improving downstream prediction tasks in cases where limited and/or imbalanced data have presented significant challenges to AI-driven health decision-making. Future study can focus on incorporating more datasets and exploiting more acoustic features for speech-based MCI detection.