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Education can be viewed as a control theory problem in which students seek ongoing exogenous input—either through traditional classroom teaching or other alternative training resources—to minimize the discrepancies between their actual and target (reference) performance levels. Using illustrative data from \documentclass[12pt]{minimal}\usepackage{amsmath}\usepackage{wasysym}\usepackage{amsfonts}\usepackage{amssymb}\usepackage{amsbsy}\usepackage{mathrsfs}\usepackage{upgreek}\setlength{\oddsidemargin}{-69pt}\begin{document}$$n=784$$\end{document} Dutch elementary school students as measured using the Math Garden, a web-based computer adaptive practice and monitoring system, we simulate and evaluate the outcomes of using off-line and finite memory linear quadratic controllers with constraintsto forecast students’ optimal training durations. By integrating population standards with each student’s own latent change information, we demonstrate that adoption of the control theory-guided, person- and time-specific training dosages could yield increased training benefits at reduced costs compared to students’ actual observed training durations, and a fixed-duration training scheme. The control theory approach also outperforms a linear scheme that provides training recommendations based on observed scores under noisy and the presence of missing data. Design-related issues such as ways to determine the penalty cost of input administration and the size of the control horizon window are addressed through a series of illustrative and empirically (Math Garden) motivated simulations.
Takane, Young, and de Leeuw proposed a procedure called FACTALS for the analysis of variables of mixed measurement levels (numerical, ordinal, or nominal). Mooijaart pointed out that their algorithm does not necessarily converge, and Nevels proposed a new algorithm for the case of nominal variables. In the present paper it is shown that Nevels' procedure is incorrect, and a new procedure for handling nominal variables is proposed. In addition, a procedure for handling ordinal variables is proposed. Using these results, a monotonically convergent algorithm is constructed for FACTALS of any mixture of variables.
Background: Quality of life (QoL) is the awareness of individuals’ well-being in life in physical, personal, mental and social wellbeing and needs to be addressed in brain tumor patients. Methods: A retrospective study conducted in 2017 in a single academic center that included patients diagnosed with brain tumors in a 10 year period. The assessment of the QoL was done using the European Organization for Research and Treatment of Cancer (EORTC), a standardized model (QLQ-C30) that assess several domains (Global Health, Physical function, Role functioning, Emotional Functioning, Cognitive functioning, social functioning and symptoms domain) and Brain cancer model (BN20) to assess symptoms to evaluate all aspects of wellbeing. Results: The total number of patients included in this study is 76 patients with no gender predilection. The most common brain tumor was meningioma by 40% followed by glioma/ others. More than half of the brain tumor patients had a WHO grade I (65%), intermediate grading grade II (15%) and higher grading grade III/IV (20%). The scales and measurements of functioning in life were low in all types of brain tumors. Conclusions: Quality of life in brain tumor patients seemed poor regardless of the type. Further prospective studies are needed to assess QoL worldwide.
Correctly spelling an English word requires a high-quality orthographic representation. When faced with spelling a complex word without a high-quality representation, spellers often rely on other knowledge sources (e.g., incomplete stored orthographic forms, phonological to orthographic relationships) to spell it. For bilinguals, another potentially facilitative source is knowledge of a word's lexical and sublexical representations in another language. In the current study we considered simultaneous effects of word-level (e.g., frequency, cognate status) and person-level (e.g., English spelling skill, prompting, bilingual status) predictors on college students’ complex English word spelling. Monolinguals (English; n = 42) significantly outperformed bilinguals (Spanish and English; n = 76) on non-cognate spelling; no group differences emerged for cognate spelling accuracy. Within bilinguals, significantly higher spelling performance on cognates compared to non-cognates suggests cognate facilitation, with no prompting effects. Findings expand an interdisciplinary framework of understanding bilinguals’ activation and use of cross-linguistic representations in spelling.
An ever-expanding scientific literature highlights the impact of the prenatal environment on many areas of biology. Across all major farmed species, experimental studies have clearly shown that prenatal experiences can have a substantial impact on outcomes relevant to later health, welfare and productivity. In particular, stress or sub-optimal nutrition experienced by the mother during pregnancy has been shown to have wide-ranging and important effects on how her offspring cope with their social, physical and infectious environment. Variation in the conditions for development provided by the reproductive tract or egg, for instance by altered nutritional supply or hormonal exposure, may therefore explain a large degree of variation in many welfare- and productivity-relevant traits. The scientific literature suggests a number of management practices for pre-birth/hatch individuals that could compromise their later welfare. Such studies may have relevance for the welfare of animals under human care, depending on the extent to which real life conditions involve exposure to these practices. Overall, the findings highlight the importance of extending the focus on animal welfare to include the prenatal period, an aspect which until recently has been largely neglected.
Cross-cultural studies of posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) based on ICD-11 diagnostic criteria are scarce, especially in adolescence. The study aimed to evaluate the trauma exposure, prevalence and factors associated with PTSD and CPTSD in general populations of adolescents in Lithuania and Japan.
Methods
The study sample comprised 1746 adolescents from Lithuania (n = 832) and Japan (n = 914), 49.8% female. The mean age of study participants was 15.52 (s.d. = 1.64), ranging from 12 to 18 years. ICD-11 posttraumatic disorders were assessed using the International Trauma Questionnaire – Child and Adolescent version (ITQ-CA).
Results
More than half of the adolescents in a total sample (61.5%) reported exposure to at least one traumatic event in their lifetime, 80.0% in Lithuania and 44.6% in Japan, with a higher prevalence of interpersonal trauma in Lithuania and more natural disaster exposure in Japan. The prevalence of PTSD was 5.2% (95% CI 3.8–6.9%) and 2.3% (95% CI 1.4–3.5%), CPTSD 12.3% (95% CI 10.1–14.7%) and 4.1% (95% CI 2.9–5.5%) in Lithuanian and Japanese samples, respectively. Cumulative trauma exposure, female gender, loneliness and financial difficulties in family predicted both PTSD and CPTSD in the total sample. Loneliness discriminated CPTSD v. PTSD in both Lithuanian and Japanese samples.
Conclusions
This cross-cultural study is among the first which reported different patterns of trauma exposure in Asian Japanese and Lithuanian adolescents in Europe. Despite differences in trauma exposure and PTSD/CPTSD prevalence, we found similar predictors in both studies, particularly the importance of cumulative trauma exposure for PTSD/CPTSD, and social interpersonal factors for the risk of CPTSD. The study supports the universality of traumatic stress reactions to adverse life experiences in adolescence across cultures and regions and highlights different levels of traumatisation of adolescents in various countries.
We compared the rates of hospital-onset secondary bacterial infections in patients with coronavirus disease 2019 (COVID-19) with rates in patients with influenza and controls, and we investigated reports of increased incidence of Enterococcus infections in patients with COVID-19.
Design:
Retrospective cohort study.
Setting:
An academic quaternary-care hospital in San Francisco, California.
Patients:
Patients admitted between October 1, 2019, and October 1, 2020, with a positive SARS-CoV-2 PCR (N = 314) or influenza PCR (N = 82) within 2 weeks of admission were compared with inpatients without positive SARS-CoV-2 or influenza tests during the study period (N = 14,332).
Methods:
National Healthcare Safety Network definitions were used to identify infection-related ventilator-associated complications (IVACs), probable ventilator-associated pneumonia (PVAP), bloodstream infections (BSIs), and catheter-associated urinary tract infections (CAUTIs). A multiple logistic regression model was used to control for likely confounders.
Results:
COVID-19 patients had significantly higher rates of IVAC and PVAP compared to controls, with adjusted odds ratios of 4.7 (95% confidence interval [CI], 1.7–13.9) and 10.4 (95 % CI, 2.1–52.1), respectively. COVID-19 patients had higher incidence of BSI due to Enterococcus but not BSI generally, and whole-genome sequencing of Enterococcus isolates demonstrated that nosocomial transmission did not explain the increased rate. Subanalyses of patients admitted to the intensive care unit and patients who required mechanical ventilation revealed similar findings.
Conclusions:
COVID-19 is associated with an increased risk of IVAC, PVAP, and Enterococcus BSI compared with hospitalized controls, which is not fully explained by factors such as immunosuppressive treatments and duration of mechanical ventilation. The mechanism underlying increased rates of Enterococcus BSI in COVID-19 patients requires further investigation.
Neuropsychiatric symptoms (NPS) are common, disabling and burdensome core-features of dementia, with important diagnostic and prognostic value. However, their measurement remains challenging. The Neuropsychiatric Inventory (NPI) is the most widely used NPS measure. Nevertheless, it is also time-consuming and impractical in most clinical settings. Therefore, the Abe’s BPSD score (ABS) has been proposed as a brief score to facilitate the NPS assessment.
Objectives
To explore the concurrent validity of the Portuguese ABS by comparing the 10 ABS items with the relevant NPI-12 domains.
Methods
A cross-sectional study was conducted with outpatients attending a gerontopsychiatric consultation. Patients were included if they were ≥65 years and had a reliable caregiver. NPS frequency rates (number of patients with a symptom) were estimated with ABS and NPI-12, and an agreement analysis was undertaken by calculating kappa-coefficients (k) and the respective 95% confidence interval [95%CI] between ABS items and relevant NPI-12 domains.
Results
Overall, 107 patients were included. Kappa-values ranged from 0.277 to 1.000. Higher agreement was recorded for the ABS items eating/toilet problems (k=1.000), day–night reversal (k=0.976[0.925-1.000]) and depressive/gloomy mood (k=0.957[0.899-1.000]), with the NPI-12 appetite/eating abnormalities, night-time behavioural disturbances and dysphoria domains, respectively. The ABS item violent force recorded the lowest agreement (k=0.277[0.104-0.45]) with the NPI-12 agitation/aggression domain.
Conclusions
This exploratory analysis demonstrates good levels of agreement between most ABS items and relevant NPI-12 domains. Data add to the evidence that both measures capture a comparable broad spectrum of psychopathology, supporting the ABS use in clinical routine. Support: FCT(PD/BD/114555/2016), and National Funds through FCT-within CINTESIS, R&D Unit (ref.UIDB/4255/2020).
In recent years an enhanced catabolism of serine, with or without the existence of porphyria, has been demonstrated in relation to a specific subtype of psychosis, according to ICD-10 criteria, the acute polymorphic psychosis with or without symptoms of schizophrenia. Since sensory perceptual distortions play a key role in the symptomatology, patients with this disorder are referred to as Acute Polymorphic Psychosis plus psychosensory phenomena (APP+). In a retrospective study, including a total of 140 chronic psychiatric patients, we investigated the prevalence of Acute Intermittent Porphyria (AIP) and APP+. No subjects with AIP were found. In two patients APP+ could be demonstrated, based on both clinical characteristics and positive biochemical markers, ie lowered plasma serine concentration and increased TSM-ratio (100 × Taurine (μmol/l)/Serine concentration * Methionine concentration). In three patients the psychotic disorder was suspected to be present. It is concluded that careful psychiatric diagnosing may reveal specific psychotic disorders with a distinct biological pathogenetic factor, ie a disturbed serine metabolism.
The presence of salt in dilatant normal faults may have a strong influence on fault mechanics in the Groningen field and on the related induced seismicity. At present, little is known of the structure of these fault zones. This study starts with the geological evolution of the Groningen area, where, during tectonic faulting, rock salt may have migrated downwards into dilatant faults. These fault zones therefore may contain inclusions of rock salt. Because of its rate-dependent mechanical properties, the presence of salt in a fault may introduce a loading-rate dependency into fault movement and affect the distribution of magnitudes of seismic events. We present a first-look study showing how these processes can be investigated using a combination of analogue and numerical modelling. Full scaling of the models and quantification of implications for induced seismicity in Groningen require further, more detailed studies: an understanding of fault zone structure in the Groningen field is required for improved predictions of induced seismicity. The analogue experiments are based on a simplified stratigraphy of the Groningen area, where it is generally thought that most of the Rotliegend faulting has taken place in the Jurassic, after deposition of the Zechstein. This suggests that, at the time of faulting, the sulphates were already transformed into brittle anhydrite. If these layers were sufficiently brittle to fault in a dilatant fashion, rock salt was able to flow downwards into the dilatant fractures. To test this hypothesis, we use sandbox experiments where we combine cohesive powder as analogue for brittle anhydrites and carbonates with viscous salt analogues to explore the developing fault geometry and the resulting distribution of salt in the faults. Using the observations from analogue models as input, numerical models investigate the stick-slip behaviour of fault zones containing ductile material qualitatively with the discrete element method (DEM). Results show that the DEM approach is suitable for modelling the seismicity of faults containing salt. The stick-slip motion of the fault becomes dependent on shear loading rate with a modification of the frequency–magnitude distribution of the generated seismic events.
This paper discusses results from the second phase of the European Ice Sheet Modelling Initiative (EISMINT). It reports the intercomparison of ten operational ice-sheet models and uses a series of experiments to examine the implications of thermomechanical coupling for model behaviour. A schematic, circular ice sheet is used in the work which investigates both steady states and the response to stepped changes in climate. The major finding is that the radial symmetry implied in the experimental design can, under certain circumstances, break down with the formation of distinct, regularly spaced spokes of cold ice which extended from the interior of the ice sheet outward to the surrounding zone of basal melt. These features also manifest themselves in the thickness and velocity distributions predicted by the models. They appear to be a common feature to all of the models which took part in the intercomparison, and may stem from interactions between ice temperature, flow and surface form. The exact nature of these features varies between models, and their existence appears to be controlled by the overall thermal regime of the ice sheet. A second result is that there is considerable agreement between the models in their predictions of global-scale response to imposed climate change.
In traditional transit timing variations (TTVs) analysis of multi-planetary systems, the individual TTVs are first derived from transit fitting and later modelled using n-body dynamic simulations to constrain planetary masses. We show that fitting simultaneously the transit light curves with the system dynamics (photo-dynamical model) increases the precision of the TTV measurements and helps constrain the system architecture. We exemplify the advantages of applying this photo-dynamical model to a multi-planetary system found in K2 data very close to 3:2 mean motion resonance, K2-19. In this case the period of the larger TTV variations (libration period) is much longer (>1.5 years) than the duration of the K2 observations (80 days). However, our method allows to detect the short period TTVs produced by the orbital conjunctions between the planets that in turn permits to uniquely characterise the system. Therefore, our method can be used to constrain the masses of near-resonant systems even when the full libration curve is not observed.
The transport equation for the mean turbulent energy dissipation rate $\overline{{\it\epsilon}}$ along the centreline of a fully developed channel flow is derived by applying the limit at small separations to the two-point budget equation. Since the ratio of the isotropic energy dissipation rate to the mean turbulent energy dissipation rate $\overline{{\it\epsilon}}_{iso}/\overline{{\it\epsilon}}$ is sufficiently close to 1 on the centreline, our main focus is on the isotropic form of the transport equation. It is found that the imbalance between the production of $\overline{{\it\epsilon}}$ due to vortex stretching and the destruction of $\overline{{\it\epsilon}}$ caused by the action of viscosity is governed by the diffusion of $\overline{{\it\epsilon}}$ by the wall-normal velocity fluctuation. This imbalance is intrinsically different from the advection-driven imbalance in decaying-type flows, such as grid turbulence, jets and wakes. In effect, the different types of imbalance represent different constraints on the relation between the skewness of the longitudinal velocity derivative $S_{1,1}$ and the destruction coefficient $G$ of enstrophy in different flows, thus resulting in non-universal approaches of $S_{1,1}$ towards a constant value as the Taylor microscale Reynolds number, $R_{{\it\lambda}}$, increases. For example, the approach is slower for the measured values of $S_{1,1}$ along either the channel or pipe centreline than along the axis in the self-preserving region of a round jet. The data for $S_{1,1}$ collected in different flows strongly suggest that, in each flow, the magnitude of $S_{1,1}$ is bounded, the value being slightly larger than 0.5.
Studies of the relationship between obesity and chronic kidney disease (CKD) in nationally representative population samples are limited. Our study aimed to determine if overweight and obesity were independently associated with the risk for CKD in the 2010 Health Survey for England (HSE).
Design
The HSE is an annually conducted cross-sectional study. In 2010 serum creatinine was included to determine the incidence of CKD in the population. CKD was defined as estimated glomerular filtration rate (eGFR) <60 ml/min per 1·73 m2 using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula. Multivariable logistic regression models were developed to calculate odds ratios and 95 % confidence intervals for CKD risk by BMI (reference category: BMI=18·5–24·9 kg/m2) and adjusted for age, gender, ethnicity, smoking, diabetes and hypertension.
Setting
A random sample of nationally representative households in England.
Subjects
Adults (n 3463) with calculable eGFR and BMI were included.
Results
The prevalence of CKD was 5·9 %. The risk of CKD was over 2·5 times higher in obese participants compared with normal-weight participants in the fully adjusted model (BMI=30·0–39·9 kg/m2: adjusted OR=2·78 (95 % CI 1·75, 4·43); BMI ≥ 40·0 kg/m2: adjusted OR=2·68 (95 % CI 1·05, 6·85)).
Conclusions
Obesity is associated with an increased risk of CKD in a national sample of the UK population, even after adjustment for known CKD risk factors, which may have implications for CKD screening and future national health service planning and delivery.
SPHERE, the Spectro-Polarimetric High-contrast Exoplanet REsearch instrument for the VLT
is optimized towards reaching the highest contrast in a limited field of view and at short
distances from the central star, thanks to an extreme AO system. SPHERE is very well
suited to study the close environment of Betelgeuse, and has a strong potential for
detecting the ejection activity around this key red supergiant.
A high occurrence rate of consanguineous marriages may favour the onset and increased frequency of autosomal recessive diseases in a population. The population of Monte Santo, Bahia, Brazil, has a high frequency of rare genetic diseases such as mucopolysaccharidosis type VI, whose observed frequency in this population is 1:5000, while the incidence of this disease recorded in other regions of the world varies from 1:43,261 in Turkey to 1:1,505,160 in Switzerland. To verify the influence of consanguineous marriage on the increased frequency of observed genetic diseases in this population, the population structure and frequency of different types of marriage during different time periods were evaluated. A total of 9765 marriages were found in an analysis of parish marriage records from the city. Over three periods, 1860–1895, 1950–1961 and 1975–2010, the inbreeding rates were 37.1%, 13.2% and 4.2% respectively. Although there was a high rate of inbreeding, endogamic marriages were the dominant marriage type in all three periods. In the most recent period, there was an increase in the number of exogamous marriages and those among immigrants, but most of these occurred among individuals from cities that neighbour Monte Santo. The low rate of migration and high frequency of endogamic and consanguineous marriages show that growth of this population is predominantly internal and could explain the occurrence, and increase in frequency, of recessive genetic diseases in the city.
We present long term site testing statistics based on DIMM and GSM data obtained at Dome C, Antarctica. These data have been collected on the bright star Canopus since the end of 2003. We give values of the integrated turbulence parameters in the visible (wavelength 500 nm). The median value we obtained for the seeing are 1.2 arcsec, 2.0 arcsec and 0.8 arcsec at respective elevations of 8m, 3m and 20m above the ground. The isoplanatic angle median value is 4.0 arcsec and the median outer scale is 7.5m. We found that both the seeing and the isoplanatic angle exhibit a strong dependence with the season (the seeing is larger in winter while the isoplanatic angle is smaller).
The ASTEP project aims at detecting and characterizing transiting planets from Dome C, Antarctica, and qualifying this site for photometry in the visible. The first phase of the project, ASTEP South, is a fixed 10 cm diameter instrument pointing continuously towards the celestial South Pole. Observations were made almost continuously during 4 winters, from 2008 to 2011. The point-to-point RMS of 1-day photometric lightcurves can be explained by a combination of expected statistical noises, dominated by the photon noise up to magnitude 14. This RMS is large, from 2.5 mmag at R = 8 to 6% at R = 14, because of the small size of ASTEP South and the short exposure time (30 s). Statistical noises should be considerably reduced using the large amount of collected data. A 9.9-day period eclipsing binary is detected, with a magnitude R = 9.85. The 2-season lightcurve folded in phase and binned into 1,000 points has a RMS of 1.09 mmag, for an expected photon noise of 0.29 mmag. The use of the 4 seasons of data with a better detrending algorithm should yield a sub-millimagnitude precision for this folded lightcurve. Radial velocity follow-up observations reveal a F-M binary system. The detection of this 9.9-day period system with a small instrument such as ASTEP South and the precision of the folded lightcurve show the quality of Dome C for continuous photometric observations, and its potential for the detection of planets with orbital periods longer than those usually detected from the ground.
ASTEP (Antarctic Search for Transiting Exo Planets) is a research program funded mainly by French ANR grants and by the French Polar Institute (IPEV), dedicated to the photometric study of exoplanetary transits from Antarctica.
The preliminary “pathfinder” instrument ASTEP–South is described in another communication (Crouzet et al., these proceedings), and we focus in this presentation on the main instrument of the ASTEP program: “ASTEP–400”, a 40 cm robotized and thermally-controlled photometric telescope operated from the French-Italian Concordia station (Dome C, Antarctica).
ASTEP–400 has been installed at Concordia during the 2009-2010 summer campaign. Since, the telescope has been operated in nominal conditions during 2010 and 2011 winters, and the 2012 winterover is presently in progress. Data from the first two winter campaigns are available and processed. We give a description of the ASTEP–400 telescope from the mechanical, optical and thermal point of view. Control and software issues are also addressed. We end with a discussion of some astronomical results obtained with ASTEP–400.