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Older adults are at greater risk for developing severe illness from SARS-COV2 infection and may be more vulnerable to negative mental health outcomes as a result of public health guidelines that increase social isolation. We assessed mental health outcomes in older adults with normal cognition (NC), past history of major depressive disorder (i.e., remitted; rMDD), or mild cognitive impairment (MCI) to determine the prevalence of depression, anxiety, general stress, and post-traumatic stress during the COVID-19 pandemic and the impact of diagnosis and sex.
Methods:
The sample included 108 older adults (37 males, mean age=72.1 years): 71 older adults with normal cognition (NC) based on normal neuropsychological test performance and no psychiatric history, 21 rMDD participants based on DSM5 criteria, and 16 MCI participants based on NIA-AA criteria. Participants completed self-report measures of depression [Patient Health Questionnaire-9 (PHQ-9)], anxiety [Patient-Reported Outcomes Measurement Information System (PROMIS)], general stress [Perceived Stress Scale (PSS)] and post-traumatic stress [Impact of Events Scale Revised (IES-R)] through video- or teleconferencing. Prevalence rates of clinically significant psychiatric symptoms were expressed as the percentage of participants with total scores that exceed the normal cut-offs. Separate MANOVAs were used to examine the effects of diagnosis and sex. Non-normally distributed data (PHQ-9 and PROMIS total scores) were rank-transformed.
Results:
Approximately 1/3rd of participants endorsed clinically significant symptoms based on scores exceeding the cut-off for normal: 33.7% on PHQ-9, 31.3% on PROMIS-Anxiety, 35.5% on PSS, 38.3% on IES-R. rMDD participants scored higher on all measures compared to NC participants (p’s < .005) while MCI participants scored higher on the PSS compared to NC (p=.035). Women scored higher on all measures compared to men.
Conclusions:
These rates of approximately 1/3rd reporting clinically significant symptoms of depression, anxiety, general stress, and post-traumatic stress are higher than those described in population surveys of older adults but are comparable to prevalence rates of psychiatric symptoms in the general adult population. The effects of diagnosis and sex indicate that older adults with previous depression or current MCI, as well as women overall, are particularly vulnerable to developing clinically significant psychiatric
To compare supraglottoplasty versus non-surgical treatment in children with laryngomalacia and mild, moderate and severe obstructive sleep apnoea.
Methods
Patients were classified based on their obstructive apnoea hypopnoea index on initial polysomnogram, which was compared to their post-treatment polysomnogram.
Results
Eighteen patients underwent supraglottoplasty, and 12 patients had non-surgical treatment. The average obstructive apnoea hypopnoea index after supraglottoplasty fell by 12.68 events per hour (p = 0.0039) in the supraglottoplasty group and 3.3 events per hour (p = 0.3) in the non-surgical treatment group. Comparison of the change in obstructive apnoea hypopnoea index in the surgical versus non-surgical groups did not meet statistical significance (p = 0.09).
Conclusion
All patients with laryngomalacia and obstructive sleep apnoea had a statistically significant improvement in obstructive apnoea hypopnoea index after supraglottoplasty irrespective of obstructive sleep apnoea severity, whereas patients who received non-surgical treatment had more variable and unpredictable results. Direct comparison of the change between the two groups did not find supraglottoplasty to be superior to non-surgical treatment. Larger prospective studies are recommended.
An increase in oyster aquaculture as a sustainable method of shellfish production is one response to overharvest and degradation of natural oyster reefs over the past century. Successful aquaculture production requires determining the environmental conditions optimal for oyster growth. In this study, the salinity, temperature, chlorophyll a concentration and the growth of Crassostrea virginica were monitored at four locations within the Mission-Aransas Estuary, Texas (USA), a shallow subtropical estuary influenced by relatively low freshwater inflow. Mean growth of the oyster shell (0.205 mm d–1 and 0.203 g d–1) and soft tissues (3.447 mg d–1) was highest when salinity was low (mean = 15.5) and chlorophyll a concentration was high (8.4 μg l–1). Oyster growth also varied temporally with periods of spawning. In low-inflow estuaries such as the Mission-Aransas Estuary, oyster farms should be sited close to river mouths so that oysters can benefit from freshwater inflows and lower salinities.
We study genericity and randomness with respect to ITTMs, continuing the work initiated by Carl and Schlicht. To do so, we develop a framework to study randomness in the constructible hierarchy. We then answer several of Carl and Schlicht’s question. We also ask a new question one the equality of two classes of randoms. Although the natural intuition would dictate that the two classes are distinct, we show that things are not as simple as they seem. In particular we show that the categorical analogues of these two classes coincide, in contradiction with the natural intuition. Even though we are not able to answer the question for randomness in this article, we delineate and sharpen its contour and outline.
A great challenge in the field of neurocomputing is to mimic the brain behavior by implementing artificial synapses and neurons directly in hardware. This work shows that a Leaky Integrate and Fire (LIF) artificial neuron can be realized with a two-terminal device made of Mott insulator thin films. Polycrystalline thin films of the well-known Mott insulator oxide (V0.95Cr0.05)2O3 were deposited by magnetron sputtering and patterned with micron-scale TiN electrodes. These devices exhibit a volatile resistive switching and a remarkable LIF behavior under a train of pulses suggesting that LIF artificial neurons may be realized from (V0.95Cr0.05)2O3 thin films.
To determine the prevalence of underweight, overweight and obesity in French youth from 2009 to 2013 and to determine if there are differences in weight categories according to socio-economic status.
Design
Cross-sectional study performed in different regions of France. Physical measures included weight, height and BMI. Underweight, overweight and obesity were defined according to age- and sex-specific BMI cut-off points from the International Obesity Task Force.
Setting
France.
Subjects
Children and adolescents (n 9670; 4836 boys, 4834 girls) from the French national BOUGE Program between 2009 and 2013.
Results
The prevalence of obesity was higher in boys than girls (P<0·05). In contrast, underweight was more prevalent in girls (P<0·05). Although there were no significant changes in overweight or underweight boys or girls from 2009 to 2013, there was a significant increase in obesity in boys and girls (P<0·05) during the same time period. The prevalence of underweight increased in girls from 12·0 to 16·7 % (P >0·05) and remained unchanged in boys (7·1–7·3 %) between 2009 and 2013. Overweight and obesity were higher in low socio-economic families (P<0·0001).
Conclusions
Findings suggest that the prevalence of overweight was stable although high in French children and adolescents, while the prevalence of obesity increased significantly. Changes in underweight, although not significant, were high in girls and merit further attention. Improving public health interventions, especially in high-risk low socio-economic populations, may help to modify the behaviour that contributes to underweight, overweight and obesity in young boys and girls.
Lower Triassic marine strata in Spitsbergen accumulated on a mid-to-high latitude ramp in which high-energy foreshore and shoreface facies passed offshore into sheet sandstones of probable hyperpycnite origin. More distal facies include siltstones, shales and dolomitic limestones. Carbon isotope chemostratigraphy comparison allows improved age dating of the Boreal sections and shows a significant hiatus in the upper Spathian. Two major deepening events, in earliest Griesbachian and late Smithian time, are separated by shallowing-upwards trends that culminated in the Dienerian and Spathian substages. The redox record, revealed by changes in bioturbation, palaeoecology, pyrite framboid content and trace metal concentrations, shows anoxic phases alternating with intervals of better ventilation. Only Dienerian–early Smithian time witnessed persistent oxygenation that was sufficient to support a diverse benthic community. The most intensely anoxic, usually euxinic, conditions are best developed in offshore settings, but at times euxinia also developed in upper offshore settings where it is even recorded in hyperpycnite and storm-origin sandstone beds: an extraordinary facet of Spitsbergen's record. The euxinic phases do not track relative water depth changes. For example, the continuous shallowing upwards from the Griesbachian to lower Dienerian was witness to several euxinic phases separated by intervals of more oxic, bioturbated sediments. It is likely that the euxinia was controlled by climatic oscillations rather than intra-basinal factors. It remains to be seen if all the anoxic phases found in Spitsbergen are seen elsewhere, although the wide spread of anoxic facies in the Smithian/Spathian boundary interval is clearly a global event.
Determining interventions to address food insecurity and poverty, as well as setting targets to be achieved in a specific time period have been a persistent challenge for development practitioners and decision makers. The present study aimed to assess the changes in food access and consumption at the household level after one-year implementation of an integrated food security intervention in three rural districts of Rwanda.
Design
A before-and-after intervention study comparing Household Food Insecurity Access Scale (HFIAS) scores and household Food Consumption Scores (FCS) at baseline and after one year of programme implementation.
Setting
Three rural districts of Rwanda (Kayonza, Kirehe and Burera) where the Partners In Health Food Security and Livelihoods Program (FSLP) has been implemented since July 2013.
Subjects
All 600 households enrolled in the FSLP were included in the study.
Results
There were significant improvements (P<0·001) in HFIAS and FCS. The median decrease in HFIAS was 8 units (interquartile range (IQR) −13·0, −3·0) and the median increase for FCS was 4·5 units (IQR −6·0, 18·0). Severe food insecurity decreased from 78 % to 49 %, while acceptable food consumption improved from 48 % to 64 %. The change in HFIAS was significantly higher (P=0·019) for the poorest households.
Conclusions
Our study demonstrated that an integrated programme, implemented in a setting of extreme poverty, was associated with considerable improvements towards household food security. Other government and non-government organizations’ projects should consider a similar holistic approach when designing structural interventions to address food insecurity and extreme poverty.
Strata of Permian – Early Triassic age that include a record of three major extinction events (Capitanian Crisis, Latest Permian Extinction and the Smithian/Spathian Extinction) were examined at the Festningen section, Spitsbergen. Over the c. 12 Ma record examined, mercury in the sediments shows relatively constant background values of 0.005–0.010 μg g–1. However, there are notable spikes in Hg concentration over an order of magnitude above background associated with the three extinctions. The Hg/total organic carbon (TOC) ratio shows similar large spikes, indicating that they represent a true increase in Hg loading to the environment. We argue that these represent Hg loading events associated with enhanced Hg emissions from large igneous province (LIP) events that are synchronous with the extinctions. The Hg anomalies are consistent across the NW margin of Pangea, indicating that widespread mercury loading occurred. While this provides utility as a chemostratigraphic marker the Hg spikes may also indicate loading of toxic metals to the environment, a contributing cause to the mass extinction events.
A detailed description of the larva of Agrilus liragus Barter and Brown, and the distinctive characters of Agrilus anxius Gory are given with a short discussion on the taxonomic value of some morphological characters.
This study deals with the larval morphology of the six commonest species of Chrysobothris that occur in eastern Canada. The morphology of the genus is presented as a guide to the terminology. For each species, a short diagnosis is given, followed by a detailed description, its geographical distribution and a list of its host-plant genera. A key to the larvae is provided.
A detailed description of the larva of Melanophila acuminata DeGeer is given with some distinctive characters of the larva of M. fulvoguttata (Harris). A list of the host plants is also given for both species.
Eleven species of buprestid larvae of the genus Chrysobothris selected from the H. E. Burke Collection of the United States National Museum are described in this paper. They are: C. bacchari Van Dyke, C. costifrons Waterhouse, C. debilis LeConte, C. dolata Horn, C. edwardsii Horn, C. ignicollis Horn, C. lucana Horn, C. mali Horn, C. nixa Horn, C. octocola LeConte, and C. tranquebarica (Gmelin). The genus of host plants for each buprestid species and the insect's geographical distribution are listed.
Age-related macular degeneration (AMD) is characterized by a central vision loss. We explored the relationship between the retinal lesions in AMD patients and the processing of spatial frequencies in natural scene categorization. Since the lesion on the retina is central, we expected preservation of low spatial frequency (LSF) processing and the impairment of high spatial frequency (HSF) processing. We conducted two experiments that differed in the set of scene stimuli used and their exposure duration. Twelve AMD patients and 12 healthy age-matched participants in Experiment 1 and 10 different AMD patients and 10 healthy age-matched participants in Experiment 2 performed categorization tasks of natural scenes (Indoors vs. Outdoors) filtered in LSF and HSF. Experiment 1 revealed that AMD patients made more no-responses to categorize HSF than LSF scenes, irrespective of the scene category. In addition, AMD patients had longer reaction times to categorize HSF than LSF scenes only for indoors. Healthy participants’ performance was not differentially affected by spatial frequency content of the scenes. In Experiment 2, AMD patients demonstrated the same pattern of errors as in Experiment 1. Furthermore, AMD patients had longer reaction times to categorize HSF than LSF scenes, irrespective of the scene category. Again, spatial frequency processing was equivalent for healthy participants. The present findings point to a specific deficit in the processing of HSF information contained in photographs of natural scenes in AMD patients. The processing of LSF information is relatively preserved. Moreover, the fact that the deficit is more important when categorizing HSF indoors, may lead to new perspectives for rehabilitation procedures in AMD.
The Quee's influence in Canada is waning, as nearly everyone agrees. Yet a majority of Canadians must regret this decline, because opinion polls have shown that for every one Canadian who wants to abolish the monarchy, two want to preserve it. Canadians, it would appear, have resigned themselves to accepting their countr's gradual transformation into a republic, as though it were part of some larger inevitable process.
Many of them, for example, continue to support electorally a political party that, since the days of William Lyon Mackenzie King, has had a policy of dissociating Canada from her British imperial past. In 1972, a special joint parliamentary committee formed by the Trudeau government to study the constitution declared that it “preferred a Canadian as Head of State for Canada.”
EURECA (European Underground Rare Event Calorimeter Array) is an
astro-particle physics facility aiming to directly detect galactic dark
matter. The Laboratoire Souterrain de Modane has been selected as host
laboratory. The EURECA collaboration unites CRESST, EDELWEISS and the
Spanish-French experiment ROSEBUD, thus concentrating and focussing effort
on cryogenic detector research in Europe into a single facility. EURECA will
use a target mass of up to one ton, enough to explore WIMP – nucleon scalar
scattering cross sections in the region of 10-9 – 10-10 picobarn.
A major advantage of EURECA is the planned use of more than just one target
material (multi target experiment for WIMP identification).