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Although people who attempted suicide tend to repeat suicide attempts, there is a lack of evidence on the association between psychiatric service factors and suicide reattempt among them.
Methods:
We used a nationwide, population-based medical record database of South Korea to investigate the use of psychiatric services before and after the index suicide attempt and the association between psychiatric service factors after the index suicide attempt with the risk of suicide reattempt.
Results:
Among 5,874 people who had attempted suicide, the all-cause mortality within 3 months after the suicide attempt was 11.6%. Among all subjects who attempted suicide, 30.6% of them had used psychiatric services within 6 months before the suicide attempt; 43.7% of them had used psychiatric services within 3 months after the suicide attempt. Among individuals who had visited clinics following attempted suicide, the cumulative incidence of suicide reattempt over a mean follow-up period of 5.1 years was 3.4%. About half of suicide reattempts occurred within 1 year after the index suicide attempt. Referral to psychiatric services within 7 days was associated with a decreased risk of suicide reattempt (adjusted hazard ratio, 0.51; 95% confidence intervals, 0.29-0.89).
Conclusion:
An early psychiatric referral within 1 week after a suicide attempt was associated with a decreased risk of suicide reattempt.
Depression is a risk factor for dementia and weight change can appear as a symptom of depression. However, the association between weight change after the diagnosis of depression and the risk of dementia is poorly established. This study aimed to investigate the association between weight change before and after a diagnosis of depression with the subsequent risk of dementia.
Methods
The National Health Insurance Sharing Service database was used. 1 308 730 patients aged ⩾40 years diagnosed with depression were identified to be eligible. Weight changes after their depression diagnosis were categorized and subsequent incidence of dementia was followed up.
Results
During an average follow-up period of 5.2 years (s.d., 2.0 years), 69 373 subjects were newly diagnosed with all-cause dementia (56 351 were Alzheimer's disease and 6877 were vascular dementia). Regarding all outcomes, compared to those with a minimal weight change (−5 to 5%), all groups with weight gain or loss showed increased risks of dementia after adjusting potential risk factors for dementia, in all analysis models with a dose–response relationship, showing a U-shaped association.
Conclusions
Weight change as a symptom of depression could be a predictor for the future development of dementia.
In this article, we explore whether hierarchy and linearity conspire to affect agreement. The data come from an experimental study of honorific agreement between verbal si and coordinate subjects in Korean. We focus on computing the mismatch driven by honorifically mixed conjuncts. Unlike South Slavic gender agreement, Korean has neither Resolved Agreement nor First Conjunct Agreement. Only Last Conjunct Agreement is attested in Korean honorification. We show that honorific agreement within coordinate subjects is triggered only when the honorific verbal si appears, which is substantially different from the case with the honorific nominal nim. We also show that acceptability significantly decreases when the last conjunct of coordinate subjects is incongruous with an honorific verb. We thus argue that verbal honorific agreement with Korean coordinate subjects is sensitive to linear order, mimicking South Slavic gender agreement.
We report VLBI monitoring observations of the 22 GHz H2O masers toward the Mira variable BX Cam. Data from 37 epochs spanning ∼3 stellar pulsation periods were obtained between May 2018 and June 2021 with a time interval of 3–4 weeks. In particular, the VERA dual-beam system was used to measure the kinematics and parallaxes of the H2O maser features. The obtained parallax, 1.79±0.08 mas, is consistent with Gaia EDR3 and previous VLBI measurements. The position of the central star was estimated relied on Gaia EDR3 data and the center position of the 43 GHz SiO maser ring imaged with KVN. Analysis of the 3D maser kinematics revealed an expanding circumstellar envelope with a velocity of 13±4 km s−1 and significant spatial and velocity asymmetries. The H2O maser animation achieved by our dense monitoring program manifests the propagation of shock waves in the circumstellar envelope of BX Cam.
The association between body size, weight change and depression has not been systematically summarised, especially for individuals who are underweight.
Aims
To conduct a systematic review and a meta-analysis to examine the association between indices of body size, weight change and depression.
Method
A total of 183 studies were selected. Fully adjusted hazard ratios (HRs) or odds ratios (ORs) were extracted. A total of 76 studies contributed to data synthesis with a random-effect model, and subgroup analyses were conducted to evaluate the effect of potential moderators.
Results
In cohort studies, underweight at baseline increased the risk of subsequent depression (OR = 1.16, 95% CI 1.08–1.24). Overweight (BMI 25–29.9 kg/m2) showed no statistically significant relationship with depression overall; however, the subgroup analyses found different results according to gender (men: OR = 0.84, 95% CI 0.72–0.97, women: OR = 1.16, 95% CI 1.07–1.25). In cross-sectional designs, obesity with BMI >40kg/m2 showed a greater pooled odds ratio than obesity with BMI >30kg/m2.
Conclusions
Both underweight and obesity increase the risk of depression. The association between overweight and depression differs by gender.
Decreased hemoglobin levels increase the risk of developing dementia among the elderly. However, the underlying mechanisms that link decreased hemoglobin levels to incident dementia still remain unclear, possibly due to the fact that few studies have reported on the relationship between low hemoglobin levels and neuroimaging markers. We, therefore, investigated the relationships between decreased hemoglobin levels, cerebral small-vessel disease (CSVD), and cortical atrophy in cognitively healthy women and men.
Methods:
Cognitively normal women (n = 1,022) and men (n = 1,018) who underwent medical check-ups and magnetic resonance imaging (MRI) were enrolled at a health promotion center. We measured hemoglobin levels, white matter hyperintensities (WMH) scales, lacunes, and microbleeds. Cortical thickness was automatically measured using surface based methods. Multivariate regression analyses were performed after controlling for possible confounders.
Results:
Decreased hemoglobin levels were not associated with the presence of WMH, lacunes, or microbleeds in women and men. Among women, decreased hemoglobin levels were associated with decreased cortical thickness in the frontal (Estimates, 95% confidence interval, −0.007, (−0.013, −0.001)), temporal (−0.010, (−0.018, −0.002)), parietal (−0.009, (−0.015, −0.003)), and occipital regions (−0.011, (−0.019, −0.003)). Among men, however, no associations were observed between hemoglobin levels and cortical thickness.
Conclusion:
Our findings suggested that decreased hemoglobin levels affected cortical atrophy, but not increased CSVD, among women, although the association is modest. Given the paucity of modifiable risk factors for age-related cognitive decline, our results have important public health implications.
Direct numerical simulations were carried out to investigate the spatial features of large- and very-large-scale motions (LSMs and VLSMs) in a turbulent channel flow ($\def \xmlpi #1{}\def \mathsfbi #1{\boldsymbol {\mathsf {#1}}}\let \le =\leqslant \let \leq =\leqslant \let \ge =\geqslant \let \geq =\geqslant \def \Pr {\mathit {Pr}}\def \Fr {\mathit {Fr}}\def \Rey {\mathit {Re}}\mathit{Re}_{\tau }=930$). A streak detection method based on the streamwise velocity fluctuations was used to individually trace the cores of LSMs and VLSMs. We found that both the LSM and VLSM populations were large. Several of the wall-attached LSMs stretched toward the outer regions of the channel. The VLSMs consisted of inclined outer LSMs and near-wall streaks. The number of outer LSMs increased linearly with the streamwise length of the VLSMs. The temporal features of the low-speed streaks in the outer region revealed that growing and merging events dominated the large-scale (1–$3\delta $) structures. The VLSMs $({>}3\delta )$ were primarily created by merging events, and the statistical analysis of these events supported that the merging of large-scale upstream structures contributed to the formation of VLSMs. Because the local convection velocity is proportional to the streamwise velocity fluctuations, the streamwise-aligned structures of the positive- and negative-$u$ patches suggested a primary mechanism underlying the merging events. The alignment of the positive- and negative-$u$ structures may be an essential prerequisite for the formation of VLSMs.
Direct numerical simulations (DNS) of turbulent boundary layers over isothermally heated walls were performed, and the effect of viscosity stratification on the turbulence statistics and skin friction were investigated. An empirical relation for temperature-dependent viscosity for water was adopted. Based on the free-stream temperature (30°C), two wall temperatures (70°C and 99°C) were selected. In the heated flows, the turbulence energy diminishes in the buffer layer, but increases near the wall. The reduction in turbulence kinetic energy in the buffer layer is accompanied by smaller levels of Reynolds shear stresses and, hence, weaker turbulence production. The enhanced turbulence energy near the wall is attributed to enhanced transfer of energy via additional diffusion-like terms due to the viscosity stratification. Despite the lower fluid viscosity near the wall, dissipation is also increased owing to the augmented near-wall fine-scale motion. Wall heating results in reduction in the skin-friction coefficient by up to 26 %. An evaluation of the different contributions to the skin friction demonstrates that drag reduction is primarily due to the changes in the Reynolds shear stresses across the boundary layer. Quadrant and octant analyses showed that ejections (Q2) and sweeps (Q4) are significantly reduced, a result further supported by an examination of outer vortical structures from linear stochastic estimation of the ejection events and spanwise vortices.
To evaluate the risk factors for surgical site infection (SSI) after gastric surgery in patients in Korea.
Design.
A nationwide prospective multicenter study.
Setting.
Twenty university-affiliated hospitals in Korea.
Methods.
The Korean Nosocomial Infections Surveillance System (KONIS), a Web-based system, was developed. Patients in 20 Korean hospitals from 2007 to 2009 were prospectively monitored for SSI for up to 30 days after gastric surgery. Demographic data, hospital characteristics, and potential perioperative risk factors were collected and analyzed, using multivariate logistic regression models.
Results.
Of the 4,238 case patients monitored, 64.9% (2,752) were male, and mean age (±SD) was 58.8 (±12.3) years. The SSI rates were 2.92, 6.45, and 10.87 per 100 operations for the National Nosocomial Infections Surveillance system risk index categories of 0, 1, and 2 or 3, respectively. The majority (69.4%) of the SSIs observed were organ or space SSIs. The most frequently isolated microorganisms were Staphylococcus aureus and Klebsiella pneumoniae. Male sex (odds ratio [OR], 1.67 [95% confidence interval (CI), 1.09–2.58]), increased operation time (1.20 [1.07–1.34] per 1-hour increase), reoperation (7.27 [3.68–14.38]), combined multiple procedures (1.79 [1.13–2.83]), prophylactic administration of the first antibiotic dose after skin incision (3.00 [1.09–8.23]), and prolonged duration (≥7 days) of surgical antibiotic prophylaxis (SAP; 2.70 [1.26–5.64]) were independently associated with increased risk of SSI.
Conclusions.
Male sex, inappropriate SAP, and operation-related variables are independent risk factors for SSI after gastric surgery.
This study investigated the relationships of three major aquatic assemblages (diatom, macroinvertebrate, and fish) and environmental variables, including sub-basin, hydrology, land cover, and water quality variables on multiple scales. Samples were collected at 720 sampling sites on the Korean nationwide scale. Geological variables, including altitude and slope, showed a strong positive correlation with proportions of forest in land cover types and cobbles in substrates, while they were negatively correlated with water quality variables, including conductivity and total phosphorus. Considering the concordance of the different assemblages, species richness of fish and macroinvertebrates displayed significant correlation, and diatoms were significantly correlated with fish. However, diatoms did not show significant correlation with macroinvertebrates. Altitude and slope showed significant correlation with all biological variables of the three assemblages. Macroinvertebrates and fish showed positive relations with large substrate sizes. Indices of diatoms and macroinvertebrates well reflected the perturbation of water quality variables. However, fish indices showed a relatively low association with water quality variables, compared with those of diatoms and macroinvertebrates. These patterns were also confirmed by the ordination and prediction of biological indices with environmental variables through the learning process of a self-organizing map as well as random forest. Overall, our study supports the concept of multi-scale habitat filters and functional organization in streams, and is consistent with the recommended use of multiple biological indices with more than one assemblage for the assessment of the biotic integrity of aquatic ecosystems.
Semiconductors or metal nanoparticles (NPs) using their monolayer bindings with self-assembly chemicals are an attractive topic for device researchers. Electrical performance of such structures can be investigated for a particular application, such as memory device. Currently, Au NPs has been reported to show a substantial potential in the memory applications. In this study, Au NP and gluing layer were fabricated through a new method of monolayer formation of a chemical bonding or gluing.
In this study, a new NPs memory system was fabricated by using organic semiconductor, i.e., pentacene as the active layer, evaporated Au as electrode, SiO2 as the gate insulator layer on silicon wafer. In addition, Au NPs coated with binding chemicals were used as charge storage elements on an APTES (3-amino-propyltriethoxysilane) as a gluing layer. In order to investigate chemical binding of Au NP to the gate insulator layer, GPTMS (3-glycidoxy-propyltrimethoxysilane) were coated on the Au NPs. As a result of that, a layer of gold nanoparticles has been incorporated into a metal-pentacene-insulator-semiconductor (MPIS) structure. The MPIS device with the Au NP exhibited a hysteresis in its capacitance versus voltage analysis. Charge storage in the layer of nanoparticles is thought to be responsible for this effect.
Tin oxide films were deposited on amorphous SiO2/Si and Si (100) substrates by ion-assisted deposition (IAD) at various ion beam potentials (VI) at room temperature and a working pressure of 8 × 10−5 torr. The structural and chemical properties of the as-grown tin oxide films were investigated to determine the effects of the oxygen ion/atom arrival ratio (Ri). X-ray diffraction patterns indicated that the as-grown films with different average energy per atom (Eave) showed different growth directions. The as-grown films with oxygen/Sn ratio (NO/NSn) of 2.03 and 2.02 had preferred orientation of (101) and (002), respectively. In addition, the as-grown film with low Ri was amorphous. Comparison of the observed d spacings with those for standard SnO2 samples, indicated that the crystalline as-grown films had compressive and tensile stress depending on Eave. In transmission electron microscopy analysis, a buffer layer of amorphous tin oxide was observed at the interface between the substrate and the film, and the crystalline grains were grown on this buffer layer. The crystalline grains were arranged in large spherical clusters, and this shape directly affected surface roughness. Rutherford backscattering spectroscopy spectra showed that the tin oxide thin films were inhomogeneous. The density of films decreased and the porosity and oxygen trapped in the films increased with increasing Ri. The densest film had about 6% porosity.
The active sites and substrate bindings of Rhizobium
trifolii molonyl-CoA synthetase (MCS) catalyzing the
malonyl-CoA formation from malonate and CoA have been determined
based on NMR spectroscopy, site-directed mutagenesis, and
comparative modeling methods. The MCS-bound conformation
of malonyl-CoA was determined from two-dimensional–transferred
nuclear Overhauser effect spectroscopy data. MCS protein
folds into two structural domains and consists of 16 α-helices,
24 β-strands, and several long loops. The core active
site was determined as a wide cleft close to the end of
the small C-terminal domain. The catalytic substrate malonate
is placed between ATP and His206 in the MCS enzyme, supporting
His206 in its catalytic role as it generates reaction intermediate,
malonyl-AMP. These findings are strongly supported by previous
biochemical data, as well as by the site-directed mutagenesis
data reported here. This structure reveals the biochemical
role as well as the substrate specificity that conservative
residues of adenylate-forming enzymes have.
The microwave dielectric properties of Ca[(Li1/3Nb2/3)1−xMx]O3−δ (M = Sn, Ti, 0 ≤ x ≤ 0.5) ceramics were investigated. In general, the ceramics prepared were multiphase materials. However, single-phase specimens having orthorhombic perovskite structure similar to CaTiO3 could be obtained in the vicinity of Sn = 0.2 to 0.3, and Ti = 0.2. As Sn concentration increased, the dielectric constant (εr) decreased and the quality factor (Q) significantly increased within the limited Sn concentration. As Ti concentration increased, the dielectric constant (εr) increased, the quality factor (Q) decreased, and the temperature coefficient of resonant frequency (τf) changed from a negative to positive value. The temperature coefficient of resonant frequency of 0 ppm/°C was realized at Ti = 0.2. The Q · fo value and εr for this composition were found to be 26100 GHz and 38.6, respectively.
Ferroelectric properties of SrBi2TaNbO9 (SBTN) thin films were changed by the amount of Bi content in SBTN. We proposed that the addition of excess Bi to the SBTN thin films could be accomplished by heat treating the SBTN/Bi2O3/SBTN heterostructure fabricated by the radio frequency magnetron sputtering method. The Bi composition was controlled by changing the thickness of the inserted Bi2O3 from 50 to 400Å in the SBTN/Bi2O3/SBTN heterostructure. As the thickness of Bi2O3 films was increased from 0 to 100 Å, the grain grew faster and the ferroelectric properties improved. On the other hand, when the thickness, of Bi2O3 films was thicker than 150 Å, the ferroelectric properties deteriorated. In particular, when a 400 Å Bi2O3 layer was inserted between SBTN films, a Bi2Pt phase appeared and the Bi2O3 films remained between SBTN films, resulting in poor ferroelectric properties. A Bi2Pt phase was formed by the reaction between the platinum bottom electrode and Bi2O3 films. On the other hand, the leakage current density of SBTN thin films decreased with the increase of inserted Bi2O3 film thickness. As the thickness of inserted Bi2O3 films was increased from 0 to 50 Å, leakage current density abruptly decreased because Bi content of the SBTN thin films was increased from 8 mol% deficient to stoichiometric composition. As the thickness of inserted Bi2O3 films increased from 100 to 400 Å, leakage current density gradually decreased because the remaining Bi2O3 layer in SBTN thin films increased.
Ferroelectric Pb(Zr, Ti)O3 (PZT) thin films were grown on Pt/Ti/SiO2/Si, RuO2/Pt/Ti/SiO2/Si, and Pt/MgO substrates at the substrate temperature of 600 °C by the metalorganic chemical vapor deposition (MOCVD) method. Pb(C11H19O2)2(Pb(DPM)2), Ti(OiC3H7)4, and Zr(OtC4H9)4 as source material and Ar and O2 as a carrier gas and oxidizing agent were selected, respectively. In order to investigate the effect of Zr and Ti component changes on the growth aspect of PZT thin films, Zr and Ti source materials were varied by controlling Zr and Ti flow rate. From the Rutherford backscattering spectroscopy (RBS) measurement, it was confirmed that the composition of the films, particularly Pb content, changed with the increasing Zr flow rate. In addition, the x-ray diffraction (XRD) spectra analysis showed the existence of a Pb-deficient pyrochlore phase as well as ZrO2 as a secondary phase. From these results, it is believed that the higher Zr partial pressure in the gas phase reduces the sticking of the Pb precursor to the substrate. The film with Pb:Zr:Ti = 1:0.42:0.58 showed a dielectric constant of 816 at 1 MHz. The spontaneous polarization, remanent polarization, and coercive field measured from the RT66A by applying 3.5 V were 44.1 μC/cm2, 24.4 μC/cm2, and 59.6 kV/cm, respectively. The fatigue analysis of PZT thin films with Pb:Zr:Ti = 1:0.42:0.58 at an applied voltage of Vp-p = 5.4 V showed 40% degradation on the basis of initial polarization value after 109 cycles.
Well-crystallized Pb(Zr0.52Ti0.48)O3 thin films (4000 Å thickness) can be synthesized on Pt/Ti/SiO2/Si(100) substrate at a temperature as low as 520 °C. The polycrystalline lead zirconate titanate (PZT) perovskite phase formation was confirmed with x-ray diffraction (XRD) analysis, and growth morphologies were studied with a scanning electron microscope (SEM). The electrical properties of PZT thin films were characterized through P-E hysteresis curve, dielectric constant, and loss, fatigue, and leakage current measurements. Remanent polarization (Pr) and coercive field (Ec) of as-grown film were 8–30 μC/cm2 and 24–64 kV/cm with the variation of applied voltage (5–15 V). The post-annealing enhances the electrical properties even at 500 °C, which is below the as-grown temperatures (520 °C). The average polarization loss after applying rectangular pulse (Vp-p = 10 V) up to 1011 cycles was 40.9% for a 300 μm small dot and 22% for a 500 μm large dot, which are relatively improved values for platinum electrode. The values of dielectric constant (ε′) and tan δ measured with small signal sign wave (1 V, 10 kHz) were 1207 and 0.066 in the case of as-grown film.
The lead zirconate titanate (PZT) thin film was deposited on platinized silicon wafer substrate by the rf magnetron sputtering method. In order to investigate the effect of cooling ambient, oxygen partial pressure was controlled during cooling PZT films. The PZT films cooled at lower oxygen partial pressure had perovskite phase and pyrochlore phase in both as-grown and postannealed films, but in the PZT films cooled at higher oxygen partial pressure, pyrochlore phases were not detected by XRD. As the oxygen partial pressure became lower during cooling, the capacitors had low values of remanent polarization and coercive field for as-grown films. The PZT capacitor with such a low value was recovered by postannealing in air, but its electrical properties had the same tendency before and after annealing. Microstructure was also affected by cooling ambient. Higher oxygen partial pressure on cooling reduced the number of very fine grains, and enhanced uniform grain distribution. Fatigue characteristics were also enhanced by cooling at higher oxygen partial pressure. However, the imprint was negligible irrespective of oxygen partial pressure upon cooling. The cooling procedure at higher oxygen ambients is believed to reduce the amounts of nonferroelectric second phases and oxygen vacancies. We find that oxygen partial pressure during cooling is a considerable process parameter. Therefore, care should be taken in treating the parameter after depositing films.
Highly (111) oriented Cu films with a thickness around 1800 Å were prepared on Si(100) at room temperature by partially ionized beam deposition (PIBD) at pressure of 8 × 10-7-1 × 10-6 Torr. Effects of acceleration voltage (Va) between 0 and 4 kV on such properties as crystallinity, surface roughness, resistivity, etc. of the films have been investigated. The Cu films deposited by PIBD had only (111) and (200) planes, and the relative intensity ratio, I(111)/I(200) of the Cu films increased from 6.8 at Va = 0 kV to 37 at Va = 4 kV. There was no indication of impurities in the system from Auger electron spectroscopy (AES) analyses. A large increase in grain size of the films occurred with Va up to Va = 1 kV, but little increase occurred with Va > 1 kV. Surface roughness of the Cu films decreased with Va, and resistivity showed the same trends as that of the surface roughness. In the Cu films by PIBD, it is considered that changes of resistivity are mainly due to a surface scattering rather than a grain boundary scattering. The via holes, dimensions of which are 0.5 μm in diameter and 1.5 μm in depth, in the Cu films made at Va = 4 kV were completely filled without voids. Interface adhesion of the Cu film on Si(100) deposited at Va = 3 kV was five times greater than that of Cu film deposited at Va = 0 kV, as determined by a scratch test.
Ar+1 ion irradiation on a polycarbonate (PC) surface was carried out in an oxygen environment in order to investigate the effects of surface chemical reaction, surface morphology, and surface energy on wettability of PC. Doses of Ar+ ion were changed from 5 × 1014 to 5 × 1016 at 1 keV ion beam energy by a broad ion beam source. Contact angle of PC was not reduced much by Ar+ ion irradiation without flowing oxygen gas, but decreased significantly as Ar+ ion was irradiated with flowing 4 sccm (ml/min) oxygen gas and showed a minimum of 12° to water and 5° to formamide. A newly formed polar group was observed on the modified PC surface by Ar+ ion irradiation with flowing oxygen gas, and it increased the PC surface energy. On the basis of x-ray photoelectron spectroscopy analysis, the formed polar group was identified as a hydrophilic bond (carbonyl group). In atomic force microscopy (AFM) study, the root mean square of surface roughness was changed from 14 Å to 22–27 Å by Ar+ ion irradiation without flowing oxygen gas and 26–30 Å by Ar+ ion irradiation with flowing 4 sccm oxygen gas. It was found that wettability of the modified PC surface was not greatly dependent on the surface morphology, but on an amount of hydrophilic group formed on the surface in the ion beam process.