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The association between heatwave and heat-related outcomes in people with mental health conditions with and without psychotropics was unclear.
Methods
We identified people with severe mental illness (SMI) and depression, respectively, using Japanese claim data of Ibaraki prefecture during 1/1/2014–31/12/2021. We conducted self-controlled case series to estimate the incidence rate ratio (IRR) of heat-related illness, myocardial infarction and delirium, respectively, during 5-day pre-heatwave, heatwave, and 5-day post-heatwave periods v. all other periods (baseline) within an individual, stratified by periods prescribed psychotropics and periods not prescribed psychotropics, respectively.
Results
Among people with SMI, heatwave was associated with an increased rate of heat-related illness v. baseline, with no evidence of a difference in the IRRs between those prescribed v. not prescribed antipsychotics (IRR: 1.48 [95% CI 1.40–1.56]; 1.45 [95% CI 1.35–1.56] respectively, p interaction: 0.53). Among people with depression, heatwave was similarly associated with heat-related illness, with no evidence of a difference in the IRRs between those prescribed v. not prescribed antidepressants (IRR: 1.54 [95% CI 1.46–1.64]; 1.64 [95% CI 1.57–1.71] respectively, p interaction: 0.33). Smaller increased rates of heat-related illness were also observed in pre- and post-heatwave periods, v. baseline in both cohorts. There was weak evidence of an increased risk of MI and delirium associated with heatwave v. baseline.
Conclusions
We showed an increased risk of heat-related illness, myocardial infarction and delirium associated with heatwave in people with mental health conditions regardless of whether being prescribed psychotropics. Risks of heat-related illness, myocardial infarction and delirium associated with heatwave might not be factors to influence decisions about the routine use of psychotropics.
In order to better characterise carbonaceous components in atmospheric aerosols and to assess the contributions of fossil carbon (FC) and non-fossil carbon (NFC) sources and their seasonality in the Eastern Mediterranean, we collected fine (PM1.3) aerosols at a remote marine background site, the Finokalia Research Station, Crete, Greece, over a period of one-year. PM1.3 samples were analysed for elemental carbon (EC), organic carbon (OC), water-soluble OC (WSOC), and stable carbon isotope ratio (δ13CTC) and radiocarbon content (14CTC) (pMC) of total carbon (TC). All the parameters, i.e., PM1.3, δ13CTC and 14CTC showed a clear temporal pattern with higher values in summer and lower values in autumn. The 14CTC ranged from 54.7 to 99.1 pMC with an average of 74.5 pMC during the entire year. The FC content in TC (FCTC) was found to be slightly lower in winter and almost stable in other seasons, whereas the NFC contents (NFCTC) showed a clear seasonality with the highest level in summer followed by spring and the lowest level in winter. Based on these results together with the seasonal distributions of organic tracers, we found that biomass burning (BB) and soil dust are two major sources of the fine aerosols in winter. Although biogenic emissions of VOCs followed by subsequent secondary oxidation processes are significant in summer followed by spring and autumn, pollen is a significant contributor to TC in spring. This study showed that emissions from fossil fuel combustion are significant (25.5%) but minor compared to NFC sources in the eastern Mediterranean.
Accelerated soil erosion from construction sites and the resulting increase in downstream sediment load constitute a significant environmental problem. Laboratory studies indicate that small percentages of hydrated lime or of Portland cement will stabilize clay soils against rainstorm erosion by preventing particle detachment. Coordinated measurements of the size distribution of water-stable aggregates, of pore size distribution by mercury porosimetry and of microstructure by scanning electron microscopy and energy dispersive X-ray spectrometry were used to clarify aspects of the mechanisms responsible for the development of erosion resistance. Attainment of such resistance was marked by aggregation of a significant part of the clay into water stable aggregations of the order of several mm in size and of minimal change in porosity and pore size distribution on exposure to the test rainstorms. At least some of the clay particles in the aggregations appeared to be partly converted to calcium-bearing reaction products and formation of the “reticulated network” variety of calcium silicate hydrate gel linking adjacent particles was demonstrated.
In the chapter “Fit for Emperors and Kings,” the Chinese philosopher Chuang-tzu relates the myth of Hun-tun, the emperor of chaos, who died when the seven sense openings were bored into him. The story goes:
Shu, the ruler of the Southern Sea, and Hu, the ruler of the Northern Sea, met in the realm of Hun-tun, the emperor of the Center, that is to say in the world of true reality that contradicted their own as being one of vast disorder. Hun-tun received the two emperors warmly, and they both overcame their knowledge-based and conceptional consciousness, entirely forgot the evaluating, one-sided viewpoint of differentiation. Thus they enjoyed the world of true reality, the land of Hun-tun, Emperor Chaos. Subsequently the two guests wondered how they could possibly repay the kindness of Hun-tun. Concluding their consultation, they decided to present Hun-tun with seven openings — the sense doors of the eyes, ears, mouth, and nose. They duly proceeded to bore one opening into Hun-tun every day. However, on the seventh day, when he was finally becoming like a human being, Hun-tun died.
The reactivity and stability of the edge faces of swelling clay minerals can be altered by layer charge and the stacking structure; however, these effects are poorly understood due to experimental limitations. The structure and stability of the montmorillonite {110}, {010}, {100}, and {130} edge faces with a layer charge of either y = 0.50 or y = 0.33 (e−/Si4O10) were investigated using first-principles calculations based on density functional theory. Stacked- and single-layer models were tested and compared to understand the effect of stacking on the stability of montmorillonite edge faces. Most stacked layers stabilize the edge faces by creating hydrogen bonds between the layers; therefore, the surface energy of the layers in the stacked-layer model is lower than in the single-layer model. This indicates that the estimates of edge face surface energy should consider the swelling conditions. Negative surface energies were calculated for these edge faces in the presence of chemisorbed water molecules. A high layer charge of 0.50 reduced the surface energy relative to that of the low layer charge of 0.33. The isomorphic substitution of Mg for Al increased the stability of interlayer Na ion positions, which were stable in the trigonal ring next to the Mg ions. The lowest surface energies of the {010} and {130} edge faces were characterized by the presence of Mg ions on edge faces, which had a strong cation adsorption site due to the local negative charge of the edges. The coordination numbers of O atoms around cations adsorbed to these edge faces were small in comparison to interlayers without water.
An organophilic bentonite was prepared by means of a reaction of natural Na-montmorillonite with trimethyldococylammonium which has an especially long n-alkyl chain. The addition of trimethyldococylammonium to montmorillonite was in the range 0.25–3.0 times the cation exchange capacity (CEC) of the clay (i.e. 0.23–2.82 mmol/g clay). The particle morphology in organic liquid suspensions of organoclay complexes was studied by measuring the viscosity based on Eyring’s rate process and Robinson’s relative sediment volume. In toluene, montmorillonite with 1.17 mmol/g clay trimethyldococylammonium (1.25 times the CEC) had the largest specific gel volume, relative sediment volume, and K-factor. The results of the stoichiometry for trimethyldococylammonium-montmorillonite show that practically all of the quaternary ammonium was adsorbed to montmorillonite. Maximum half widths of 001 reflections from X-ray diffraction patterns were obtained in the range 0.74–1.17 mmol/g clay, indicating a disordered arrangement of the organic cation molecules intercalated between the layers. Appreciable shifts to lower-frequency regions in the Fourier transform infrared absorption spectra as a result of CH2-stretching vibrations were observed with increasing amounts of the organic cation. When increasing the amount of organic cation added to the clay from 0.94 to 1.41 mmol/g clay, a large shift occurred to the lower-frequency side, approaching the frequency of the organic cation alone. This indicates that the interaction between adjacent hydrocarbon chains becomes progressively stronger, due to van der Waals attraction, with increases in the amount of organic cation. Interactions of the alkyl chains in trimethyldococylammonium-montmorillonite complexes with irregularly distributed and randomly arranged alkyl chains between the silicate layers were weak, and, as a result, solvation with external organic liquids occurred and gel formation developed through macroscopic swelling of the organoclay.
The swelling property of smectite is dominated by the hydration of exchangeable cations in the interlayer spacing (‘interlayer hydration’). By investigating systematically the swelling behavior of various exchangeable cations with different valences and ionic radii, the interlayer hydration of smectite was explored. The swelling behavior of Li+-, K+-, Rb+-, Cs+-, Mg2+-, Sr2+-, Ba2+-, and La3+- montmorillonites in undersaturated conditions was measured precisely over the range 50–150°C by in situ X-ray diffraction (XRD) analyses. The systematic swelling behavior of ten homocationic montmorillonites, the aforementioned eight homoionic montmorillonites, plus Na+ and Ca2+ from a previous study, and the cation hydration energies were analysed by studying the changes occurring in the basal spacing and the 001 peak width. With decreasing cation hydration energy, swelling curves (i.e. plots of basal spacing vs. relative humidity (RH)) change from continuous (Mg2+, La3+, and Ca2+) to stepwise (Sr2+, Li+, Ba2+, and Na+) to one-layer only (K+, Rb+, and Cs+). For the first two groups, the RH at the midpoint between the one- and two-layer hydration states increased as the cation hydration energy decreased. Under low RH, with increasing temperature, the basal spacings of Mg-, La-, Ca-, Sr-, Li-, and Ba-montmorillonites decreased continuously to the zero-layer hydration state, whereas Na-, K-, Rb-, and Cs-montmorillonites swelled from the zero-layer hydration state even at the lowest temperature (50°C). A decrease in the basal spacing at the same RH but at different temperatures suggests the existence of metastable states or that the layer-stacking structure changes with temperature. The systematics of the swelling behavior of various homocationic montmorillonites as functions of RH and temperature (<150°C) at 1 atmare reported here.
The effects of temperature on the swelling properties of smectites are important for a variety of different geological conditions, but studies on this topic have been rather limited. The purpose of this study was to investigate the swelling behavior of Na- and Ca-montmorillonite at various temperatures greater than room temperature, up to 150°C, using in situ X-ray diffraction (XRD) analysis. A sample chamber was designed, the temperature and humidity of which were controlled precisely, for environmental in situ measurements. The XRD measurements were performed at small relative humidity (RH) intervals for precise observation of the swelling behavior.
The swelling behavior of Na-montmorillonite showed distinct zero-, one-, and two-layer hydration states. The basal spacings of Na-montmorillonite changed continuously with RH for various temperatures in the transition region between the zero- and one-layer hydration states, and the swelling curves of the transition region moved to greater degrees of RH with increasing temperature. The basal spacings jumped from the one- to two-layer hydration states for all temperatures at almost the same RH.
The basal spacings of Ca-montmorillonite changed continuously from the zero- to the two-layer hydration states at all temperatures. This behavior is remarkably different from that of Na-montmorillonite. At low-RH conditions, the d001 value of Ca-montmorillonite decreased with increasing temperature. The swelling curves of Ca-montmorillonite did not show a plateau at any temperature for the one-layer hydration state. The swelling curves of Ca-montmorillonite moved to greater RH with temperature, similar to the transformation region between the zero- and one-layer hydration states in Na-montmorillonite. These differences between Na- and Ca-montmorillonite are related to the hydration powers of exchangeable cations.
We obtain an optimal actuation waveform for fast synchronization of periodic airfoil wakes through the phase reduction approach. Using the phase reduction approach for periodic wake flows, the spatial sensitivity fields with respect to the phase of the vortex shedding are obtained. The phase sensitivity fields can uncover the synchronization properties in the presence of periodic actuation. This study seeks a periodic actuation waveform using phase-based analysis to minimize the time for synchronization to modify the wake shedding frequency of NACA0012 airfoil wakes. This fast synchronization waveform is obtained theoretically from the phase sensitivity function by casting an optimization problem. The obtained optimal actuation waveform becomes increasingly non-sinusoidal for higher angles of attack. Actuation based on the obtained waveform achieves rapid synchronization within as low as two vortex shedding cycles irrespective of the forcing frequency, whereas traditional sinusoidal actuation requires ${O}(10)$ shedding cycles. Further, we analyse the influence of actuation frequency on the vortex shedding and the aerodynamic coefficients using force-element analysis. The present analysis provides an efficient way to modify the vortex lock-on properties in a transient manner with applications to fluid–structure interactions and unsteady flow control.
The end of Indonesia's authoritarian regime in 1998 was the turning point for the state to apply substantive democracy and decentralization by devolving authority to local governments. The commitment to abandon centralization was shown in the amendment of Indonesia's 1945 Constitution by emphasizing the devolution of authority. The Constitution allows regions to have special autonomy, national recognition for those that have a history related to nation-building, and the uniqueness of local cultures and identities.1 Thus, the autonomy granted to all local governments is not limited to administrative and fiscal aspects. Decentralization policy also allows political autonomy, where local governments can administer their regional policies after deliberations in democratically elected regional parliaments. Direct popular elections for the heads of local governments were introduced in 2005.
The commitment to adopt extensive decentralization was also shown in giving the Indonesian capital of Jakarta the status of a special region with greater autonomy under Law No. 34 of 1999 on the Provincial Government of the Special Capital Region of Indonesia. In this arrangement, Jakarta as the state's capital can exercise local government authority in all areas of government affairs excluding five national competencies: national defence and security, fiscal, monetary, judicial and religious matters. The difference (from other local governments) is that only a single structure of autonomy is applied to Jakarta at the provincial level: districts of Jakarta have only administrative power, which allows Jakarta to respond agilely, efficiently, and effectively.
In 2007, in amending Law No. 34 of 1999, the national government granted the special capital region of Jakarta more political autonomy by enacting Law No. 29 of 2007. In this regulation, the Regional House of Representatives (DPRD) no longer decides who the governor of Jakarta is. The new arrangements give more political autonomy by allowing the direct (popular) election of the governor and vice-governor of Jakarta. As a special region, however, a gubernatorial candidate must obtain a majority (50 per cent + 1) vote to win the election.2 This differs from the electoral system in other local governments, where a candidate can win the election by earning the most votes (even if this is less than 50 per cent majority).
The strontium-to-calcium ratio (Sr/Ca) in aragonitic shells and statoliths often depends on temperature, and has been investigated for its potential availability as a sclerochronological record of the temperatures experienced during the life of the animal. Only a few cephalopod species have been subjected to rearing experiments to validate the temperature dependence of statolith Sr/Ca despite the strong demand for estimating their historical ecology, particularly of migratory squid populations. In this context, we examined the relationship between temperature and statolith Sr/Ca in the spear squid, Heterololigo bleekeri, by maintaining wild-caught immature individuals at one of three constant temperatures: 12, 14 or 16°C. A portion of statolith precipitated during the experiment was optically identified by daily increment analysis, and then subjected to Sr/Ca measurement using an electron probe micro-analyser. Regression analysis (N = 29) demonstrated the dependence of statolith Sr/Ca on temperature and the relationship was estimated as an equation Y = 9.93 (±0.29) − 0.11 (±0.02) X. However, ~90% of the total residual variance was accounted for by the among-individual variation of statolith Sr/Ca within each temperature group. Consequently, the 95% confidence interval ranged over ± 7.85°C when the temperature was estimated by inserting a Sr/Ca value into this equation. The statolith Sr/Ca values are unlikely to provide reliable estimates for absolute temperatures, but it may allow reconstruction of a time-series of relative temperatures experienced by a particular individual.
Previous studies have examined the effects of n-3 fatty acid intake in supplement form or fish oil capsules, but there are few studies based on other foods. Perilla oil is a traditional Japanese seed oil rich in n-3 fatty acids. This randomised trial aimed to determine the appropriate n-3 fatty acid dose through consumption of perilla oil, which improves gut function and microbiota in trained athletes, and the amount of fat fuel required to provide energy to athletes involved in high-intensity training to improve athletic performance. Thirty-six female athletes training six times per week were randomly assigned to three groups according to perilla oil intake: 9 g/d (high oil intake (HOI)), 3 g/d (low oil intake (LOI)) and placebo-supplementation (PLA) groups. The HOI and LOI groups had perilla oil-containing jelly and the PLA group had placebo jelly for 8 weeks. Gut microbiota, constipation score and urinary biochemical index were measured pre- and post-intervention. The spoilage bacteria, Proteobacteria, significantly decreased (P = 0·036, d = 0·53), whereas Butyrate-producing bacteria, Lachnospiraceae, significantly increased (P = 0·007, d = 1·2) in the HOI group. Urinary indoxyl sulphate significantly decreased in the HOI group only (P = 0·010, d = 0·82). Changes in the constipation score were significantly lower in the HOI group (P = 0·020) and even lower in the LOI group (P = 0·073) than in the PLA group; there were significant differences between groups (P = 0·035). Therefore, perilla oil intake may improve gut function and microbiota in athletes, with higher doses resulting in further improvement.
Tiny samples of ancient atmosphere in air bubbles within ice cores contain argon (Ar), which can be used to reconstruct past temperature changes. At a sufficient depth, the air bubbles are compressed by the overburden pressure under low temperature and transform into air-hydrate crystals. While the oxygen (O2) and nitrogen (N2) molecules have indeed been identified in the air-hydrate crystals with Raman spectroscopy, direct observational knowledge of the distribution of Ar at depth within ice sheet and its enclathration has been lacking. In this study, we applied scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDS) to five air-hydrate crystals in the Greenland NEEM ice core, finding them to contain Ar and N. Given that Ar cannot be detected by Raman spectroscopy, the method commonly used for O2 and N2, the SEM-EDS measurement method may become increasingly useful for measuring inert gases in deep ice cores.
Neonatal Marfan syndrome is a rare condition with poor prognosis because of severe mitral and/or tricuspid valve insufficiency. Mitral valve replacement is sometimes required in early infancy, while tricuspid valve replacement is rarely done. We report the first infant neonatal Marfan syndrome case with a missense variant of c.3706T>C in the fibrillin-1 gene that was successfully managed by mitral and tricuspid valve replacement. Early multiple-valve replacement may sometimes be required during infant age in this genetic syndrome.
The evolution of giant molecular clouds (GMCs), which are the main sites of star formation, is essential for unraveling how stars form and how galaxies evolve. We analyzed the M33 CO(J = 2–1) data with spatial resolution of 39 pc obtained by ALMA-ACA 7 m array combined with IRAM 30 m. We identified 736 GMCs and classified them into three types; Type I: associated with no Hii regions, Type II: associated with Hii regions with the Hα luminosity L(Hα) < 1037.5 erg s-1, Type III: associated with Hii regions with L(Hα) > 1037.5erg s-1. We found that mass, size, and velocity dispersion of GMCs slightly increase in the order of Type I, II, and III GMCs. Type III GMCs mainly exist in the spiral arm, while many of Type I and Type II GMCs are distributed in the inter-arm. Assuming that the star formation proceeds steadily, we roughly estimated the total GMC lifetime of 30 Myr.
The association between a dietary pattern characterised by high alcohol intake and dyslipidaemia has not been fully investigated. Therefore, the present study aimed to investigate the association between alcohol dietary patterns and the prevalence of dyslipidaemia and its components. This cross-sectional study enrolled 2171 men and women aged ≥40 years who were alumni of a Japanese university. To identify dietary patterns, a principal component analysis was performed based on the energy-adjusted food intake estimated by a brief-type self-administered diet history questionnaire. Three dietary patterns were identified, the second of which was named the alcohol dietary pattern and was characterised by a high intake of alcoholic beverages, liver, chicken and fish. This alcohol dietary pattern was associated with reduced LDL-cholesterol levels. The fully adjusted OR (95 % CI) of high LDL-cholesterol for the lowest through highest quartile of alcohol dietary pattern score were 1·00 (reference), 0·83 (0·64, 1·08), 0·84 (0·64, 1·10) and 0·68 (0·49, 0·94), respectively. Subgroup analysis showed that the alcohol dietary pattern was inversely associated with the prevalence of dyslipidaemia in women, whereas it was positively associated with high TAG levels in men. In conclusion, the alcohol dietary pattern, characterised by a high intake of alcoholic beverages, liver, chicken and fish, was associated with the prevalence of dyslipidaemia and its components. This finding provides useful information for the prevention and treatment of dyslipidaemia by modifying the diet.
The amathillopsid subfamily Cleonardopsinae Lowry, 2006 is reviewed. The only species of the subfamily, Cleonardopsis carinata K.H. Barnard, 1916, should be regarded as a species-complex. A new genus and species of the subfamily, Carinocleonardopsis seisuiae gen. et sp. nov., is described from the Sea of Kumano, Japan as the second species of the subfamily Cleonardopsinae as well as the first record of the subfamily from the North Pacific. This new genus can be easily distinguished from Cleonardopsis by the presence of distinct large eyes and the dorsal carination on head, pereonites and pleonites.
Fireballs are infrequently recorded by seismic sensors on the ground. If recorded, they are usually reported as one-off events. This study is the first seismic bulk analysis of the largest single fireball data set, observed by the Desert Fireball Network (DFN) in Australia in the period 2014–2019. The DFN typically observes fireballs from cm-m scale impactors. We identified 25 fireballs in seismic time series data recorded by the Australian National Seismograph Network (ANSN). This corresponds to 1.8% of surveyed fireballs, at the kinetic energy range of
$10^6$
–
$10^{10}$
J. The peaks observed in the seismic time series data were consistent with calculated arrival times of the direct airwave or ground-coupled Rayleigh wave caused by shock waves by the fireball in the atmosphere (either due to fragmentation or the passage of the Mach cone). Our work suggests that identification of fireball events in the seismic time series data depends on both physical properties of a fireball (such as fireball energy and entry angle in the atmosphere) and the sensitivity of a seismic instrument. This work suggests that fireballs are likely detectable within 200 km direct air distance between a fireball and seismic station, for sensors used in the ANSN. If each DFN observatory had been accompanied by a seismic sensor of similar sensitivity, 50% of surveyed fireballs could have been detected. These statistics justify the future consideration of expanding the DFN camera network into the seismic domain.
This chapter presents previously unknown historical documents related to literacy in Wakayama Prefecture. The materials are useful because they paint a detailed picture of Wakayama literacy during the transition from the early modern period to the beginning of Meiji (roughly 1850s– 1870s), an era that has largely been underreported in terms of individual reading and writing skills of the non-elite population.
The Meiji government issued an edict calling for a modern national education system (Gakusei) in 1872. Because the new schools were compulsory and focused on basic literacy, it is important to consider how quickly and how comprehensively these schools influenced national literacy rates. It was not instantaneous. This chapter addresses these early Meiji years before the new system had the enormous impact it eventually would have.
In the first chapter of this book, Kimura Masanobu critiqued previous research on literacy in the early modern period and pointed out that: (1) Estimates of school attendance based on government statistical records like Nihon kyōiku shi shiryō (NKSS) have generally lost their validity as measurements of literacy, and (2) the greatest current need in literacy research is detailed primary source data at the regional level. This chapter will address that need.
It has been noted in this book and elsewhere how important the primary research on literacy by Yakuwa Tomohiro, Richard Rubinger and others has been. They have confirmed enormous regional and gender distinctions that existed with regard to literacy in early modern Japan. They have also shown that literacy increased in all areas during the Meiji period, with the greatest improvements made in areas that started at the lowest. But even the best of these earlier studies have serious limitations. Yakuwa's data, for example, did not distinguish between the ability to sign and practical or functional (jitsuyōteki) literacy. The Tokiwa Village survey (see Chart 4), which did do that and covered the transition between Tokugawa and Meiji, was limited to 883 men in one remote village.
Chart 4 is based on a survey of males in Kita Azumi District's Tokiwa Village in Nagano Prefecture. This is a valuable survey in that it specifically distinguishes between abilities of literacy.
Yāska's Nirukta (ca. fifth-third century bce), the seminal text of the Sanskritic discipline of nirvacana or ‘etymology’, is one of the most important yet least studied late Vedic texts. Particularly little attention has been paid to Nirukta Chapter 7. This chapter outlines Yāska's views on Vedic deities and articulates the hermeneutic principles whereby they are classified and defined. It plays a crucial, yet underappreciated, role in the history of ancient India's theological and hermeneutical speculations. The absence of an accessible English translation, which tackles the text's many conceptual and linguistic complexities, is the main reason why Nirukta Chapter 7 has not received the attention it deserves. We offer the first complete annotated English translation in a century. A comprehensive introduction clarifies the structure and rationale of Chapter 7 and elucidates the salient features of Yāska's theology.