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Ice cliffs on debris-covered glaciers act as melt hotspots that considerably enhance glacier ablation. However, studies are typically limited in time and space; glacier-scale studies of this process of ice cliff melt are rare, and their varying seasonal energy balance remains largely unknown. In this study, we combined a process-based ice cliff backwasting model with high-resolution (1.0 m) photogrammetry-based terrain data to simulate the year-round melt of 479 ice cliffs on Trakarding Glacier, Nepal Himalaya. Ice cliff melt accounted for 26% of the mass loss of the glacier from October 2018 to October 2019, despite covering only 1.7% of the glacier surface. The annual melt rate of ice cliffs was 2.7 cm w.e. d−1, which is 8–9 times higher than the sub-debris melt rate. Ice cliff melt rates were significantly controlled by their aspects, with south-facing ice cliffs showing a melt rate 1.8 times higher than that of north facing ones. The results revealed that the aspect dependence of ice cliff melt rate was amplified in winter and decreased/disappeared toward the monsoon season. The seasonal changes in melt characteristics are considered to be related to variations in direct shortwave radiation onto the cliff surface, which are dependent on changes in solar altitude and monsoonal cloud cover.
The REAL World Data (RWD) In Asia for Health Technology Assessment (HTA) guidance was developed by a regional working group to facilitate the increasing acceptance of real-world evidence (RWE) in Asia. We compared the consistency of REALISE against guidance from Japan and China.
Methods
Country-specific guidance for RWE/RWD use in pharmaceutical development were identified in May 2022 through governmental websites, with validation searches via Google. Sections from local guidance were mapped onto REALISE and categorized as “agree”, “mixed”, “disagree” or “missing” based on coverage and consistency.
Results
Five Japanese and three Chinese documents were mapped. Most sections in Chinese guidance (77%) and 36 percent of sections in Japanese guidance were tagged “agree” or “mixed”, with general alignment on definitions and good practice considerations (study design, accountability); however, 63 percent of Japanese sections were tagged “missing” from REALISE. As local documents took the regulatory perspective, they lacked REALISE’s discussion of translating RWD to RWE for HTA/economic evaluations specifically. Local guidance focused on practicalities of RWD collection in local contexts, including descriptions of specific actions (e.g., evaluating RWD sources, ensuring data security) rather than overarching principles described in REALISE; specifically, Japanese guidance described how to access and analyze databases/registries, reflecting Japan’s landscape of robust sources of national healthcare data, but lacked discussion of other RWE study types, data sources and specialized analytical methods. While Chinese guidance had a broader view of RWD types (more similar to REALISE), they also contained discussions on pharmacovigilance and omics data, communication with regulatory bodies, and incorporation of RWE into the approval pathway for traditional Chinese medicines.
Conclusions
Despite differing purposes (with no RWE guidance from local HTA bodies), local and regional guidance align on general principles/good practice in generating/using RWE, providing common ground for increasing usage of RWE in HTA in Asia.
We present observations of the Mopra carbon monoxide (CO) survey of the Southern Galactic Plane, covering Galactic longitudes spanning $l = 250^{\circ}$ ($-110^{\circ}$) to $l = 355^{\circ}$ ($-5^{\circ}$), with a latitudinal coverage of at least $|b|<1^\circ$, totalling an area of $>$210 deg$^{2}$. These data have been taken at 0.6 arcmin spatial resolution and 0.1 km s$^{-1}$ spectral resolution, providing an unprecedented view of the molecular gas clouds of the Southern Galactic Plane in the 109–115 GHz $J = 1-0$ transitions of $^{12}$CO, $^{13}$CO, C$^{18}$O, and C$^{17}$O.
Piglet mortality is a major welfare and economic problem in the pig industry. Despite the use of farrowing crates, piglet crushing remains a major contributor to pre-weaning piglet mortality, which is typically around 12%. Our aims in this study were to quantify variability between sows and consistency across parities in crushing mortality, and to examine the effect of the environment on variability. In our first study, we compared the variability in crushing mortality in 122 primiparous sows (gilts) that farrowed in crates (71) or open pens (51). Certain sows crushed more or fewer piglets than expected by chance. Crushing was more frequent and more variable in pens compared to crates, indicating that crates may mask differences between sows. In our second study, we recorded piglet mortality for 125 sows, which farrowed in crates over several (4–9) parities. After adjusting for litter size, litter weight and parity effects, consistent individual differences between sows were evident. The repeatability of crushing was estimated at 0.14, with estimates of 0.18 and 0.05 for stillborns and total liveborn mortality, respectively. Although these repeatabilities are relatively low, there was a high degree of phenotypic variance (eg sows crushed between 0 and 30.8% of their piglets). Given that sows show some consistency in piglet mortality over parities, this could be used to inform culling decisions. Additionally, if differences in piglet crushing between sows have a genetic component, a breeding programme might reduce mortality from crushing. Because crates restrict maternal behaviour, genetic selection in this system may have relaxed selection for good maternal behaviour. Selection for reduced piglet mortality, and thus improved maternal abilities, could remove a major obstacle to the wider adoption of less restrictive farrowing systems, with positive welfare consequences for the sow and piglets.
Mars exploration motivates the search for extraterrestrial life, the development of space technologies, and the design of human missions and habitations. Here, we seek new insights and pose unresolved questions relating to the natural history of Mars, habitability, robotic and human exploration, planetary protection, and the impacts on human society. Key observations and findings include:
– high escape rates of early Mars' atmosphere, including loss of water, impact present-day habitability;
– putative fossils on Mars will likely be ambiguous biomarkers for life;
– microbial contamination resulting from human habitation is unavoidable; and
– based on Mars' current planetary protection category, robotic payload(s) should characterize the local martian environment for any life-forms prior to human habitation.
Some of the outstanding questions are:
– which interpretation of the hemispheric dichotomy of the planet is correct;
– to what degree did deep-penetrating faults transport subsurface liquids to Mars' surface;
– in what abundance are carbonates formed by atmospheric processes;
– what properties of martian meteorites could be used to constrain their source locations;
– the origin(s) of organic macromolecules;
– was/is Mars inhabited;
– how can missions designed to uncover microbial activity in the subsurface eliminate potential false positives caused by microbial contaminants from Earth;
– how can we ensure that humans and microbes form a stable and benign biosphere; and
– should humans relate to putative extraterrestrial life from a biocentric viewpoint (preservation of all biology), or anthropocentric viewpoint of expanding habitation of space?
Studies of Mars' evolution can shed light on the habitability of extrasolar planets. In addition, Mars exploration can drive future policy developments and confirm (or put into question) the feasibility and/or extent of human habitability of space.
Recently, the validity range of the approximations commonly used in neoclassical calculation has been reconsidered. One of the primary motivations behind this trend is observation of an impurity hole in LHD (Large Helical Device), i.e. the formation of an extremely hollow density profile of an impurity ion species, such as carbon $\text{C}^{6+}$, in the plasma core region where a negative radial electric field ($E_{r}$) is expected to exist. Recent studies have shown that the variation of electrostatic potential on the flux surface, $\unicode[STIX]{x1D6F7}_{1}$, has significant impact on neoclassical impurity transport. Nevertheless, the effect of $\unicode[STIX]{x1D6F7}_{1}$ has been studied with radially local codes and the necessity of global calculation has been suggested. Thus, we have extended a global neoclassical code, FORTEC-3D, to simulate impurity transport in an impurity hole plasma including $\unicode[STIX]{x1D6F7}_{1}$ globally. Independently of the $\unicode[STIX]{x1D6F7}_{1}$ effect, an electron root of the ambipolar condition for the impurity hole plasma has been found by global simulation. Hence, we have considered two different cases, each with a positive (global) and a negative (local) solution of the ambipolar condition, respectively. Our result provides another support that $\unicode[STIX]{x1D6F7}_{1}$ has non-negligible impact on impurity transport. However, for the ion-root case, the radial $\text{C}^{6+}$ flux is driven further inwardly by $\unicode[STIX]{x1D6F7}_{1}$. For the electron-root case, on the other hand, the radial particle $\text{C}^{6+}$ flux is outwardly enhanced by $\unicode[STIX]{x1D6F7}_{1}$. These results indicate that how $\unicode[STIX]{x1D6F7}_{1}$ affects the radial particle transport crucially depends on the profile of the ambipolar-$E_{r}$, which is found to be susceptible to $\unicode[STIX]{x1D6F7}_{1}$ itself and the global effects.
We performed family psychoeducation for depression, and investigated the association between the education and expressed emotion of patients’ families and relapse of depression.
Methods
Of 103 patients diagnosed with major depressive disorder, and their primary family members, 53 patients and their primary family members gave consent. The patients were randomly allocated to an intervention or control group, consisting of 24 and 30 patients, respectively. The intervention group underwent 4 educational sessions and education in coping techniques. The relapse rate was compared between the intervention and control groups. In addition, the subjects were divided into high- and low-EE groups based on the EE judgment, and the effect of psychoeducation was compared in each group.
Results
The relapse rate during a 9-month period was 8.3% in the intervention group, being significantly lower than that (50%) in the control group. The relapse rate in the intervention group was slightly lower than that in the control group in the high-EE group, and significantly lower in the low-EE group. Regarding the influence of EE, in the control group, the relapse rate was 70% in the high-EE group, being significantly higher than that (40%) in the low-EE group. On multiple logistic regression analysis, psychoeducation (odds ratio: 25.53, 95% CI: 2.83-229.92) and the Hamilton score at the time of entry (odds ratio: 1.16, 95% CI: 1.045-1.298) were significantly associated with relapse.
Conclusion
It was suggested that the psychoeducation of families is very effective for the prevention of relapse in adult depressive patients.
Recent studies suggest that depression is associated with somatic pain. Despite growing research interest in the topic, the effects of depression-related somatic pain remain unclear. The present study sought to investigate the relationships between depression-related somatic pain, treatment satisfaction, and functions of daily living, and to compare them with the relationships between these factors and mental health measures.
Method
We administered an Internet-based survey to 663 patients with depression in Japan, including questions about pain symptoms, mental health, functions of daily living, and dissatisfaction with depression treatment. The SF-8 questionnaire was used to assess functions of daily living. We conducted a multiple linear regression analysis to examine the associations between depression-related somatic pain, functions of daily living and treatment satisfaction, and between mental health measures, somatic pain and functions of daily living.
Results
An increase per unit in the number of pain symptoms was associated with a 1.04-unit decrease in physical functioning score (P < 0.001), a 0.67-unit decrease in the role functioning-physical score (P < 0.001), and a 0.53-unit decrease in role functioning-emotional score (P = 0.0010). Meanwhile, we found no significant association between the number of pain symptoms and patients’ satisfaction with treatment, and no significant association between the number of pain symptoms and social functioning.
Conclusions
These results suggest that even when patients report satisfaction with their treatment, they may be suffering from reduced physical functioning and role functioning. These impairments may escape clinical recognition when clinicians or patients fail to discuss pain symptoms.
There is increasing recognition that pain often coexists with depression. the current survey was undertaken to ascertain patients’ and clinicians’ perceptions of pain as a physical symptom associated with depression.
Methods:
Web-based surveys were undertaken for patients with depression, and for physicians treating patients with depression (psychiatrists, psychosomatic physicians, general internists).
Results:
848 patients aged 20–59 years entered the main survey, of whom 663 returned the completed survey (78.2%). of the respondents, 424 (64.0%) experienced at least one painful symptom, with almost three-quarters (72.1%) reporting that the pain affected mental symptoms and 68.6% indicating that it prevented recovery from depression itself. Among 337 patients who discussed their painful symptoms with their physician, 52.5% initiated the discussion.
456 physicians completed the physician survey. When asked about the influence of pain associated with depression, 61.7% of physicians indicated that they ask their patients about pain during a consultation, and 79.9% considered that painful symptoms might disturb the patients’ daily life and 52.8% felt that they would delay recovery from depression.
Conclusions:
The survey provides further evidence of the association between depression and pain, highlighting the fact that pain is prevalent in this patient population. Increased patient and physician awareness of pain in association with depression and improved doctor-patient communication, enabling patients to discuss painful symptoms with their physicians, and vice-versa, should lead to better overall management and treatment strategies.
Background: The physician-reported Quantitative Myasthenia Gravis (QMG) test was a key efficacy measure in REGAIN, a 26-week, phase 3, placebo-controlled study of eculizumab in anti-acetylcholine receptor antibody-positive refractory generalized MG. Ocular and generalized weakness have shown variable responses to therapies including prednisone and intravenous immunoglobulin/plasma exchange. Using the patient-reported MG Activities of Daily Living (MG-ADL) scale during REGAIN, eculizumab showed a consistent trend toward rapid and sustained improvement across bulbar, respiratory, limb and ocular domains. We analyzed the effect of eculizumab on bulbar, respiratory, gross motor and ocular domains during REGAIN, using the QMG test. Methods: QMG domain score changes to REGAIN week 26 were determined for patients with abnormal baseline scores. Repeated-measures analyses were performed for bulbar (swallowing/speech), respiratory (forced vital capacity), gross motor (limb/axial motor items) and ocular (ocular/facial muscles) domains. Results: Eculizumab-treated patients showed improvements in all four QMG domain scores to week 26. Rapid, sustained improvements were demonstrated across all domains, with a trend toward significant differences between eculizumab and placebo (bulbar, p=0.0628; respiratory, p=0.0682; gross motor, p=0.0114; ocular, p=0.0017). The eculizumab safety profile was consistent with previous reports. Conclusions: Eculizumab demonstrated a consistent response across all QMG muscle domains. This aligns with previously reported MG-ADL findings with eculizumab. (NCT01997229).
Background: Chronic intravenous immunoglobulin (IVIg) is used to treat refractory myasthenia gravis (MG). This subgroup analysis evaluated response to eculizumab in patients receiving chronic IVIg before entry to REGAIN, a phase 3, randomized, double-blind, placebo-controlled study of eculizumab in anti-acetylcholine receptor antibody-positive refractory generalized MG. Methods: IVIg was only permitted during REGAIN as rescue therapy; previously treated patients underwent a 4-week washout before randomization. Patients included in this analysis had received chronic IVIg ≥4 times in 1 year, with ≥1 dose within 6 months before REGAIN entry. Exacerbations and MG status changes were assessed. Results: Eighteen patients were evaluated; four experienced exacerbations (eculizumab-treated, 1/9; placebo-treated, 3/9). Clinically relevant improvements were larger with eculizumab than placebo, respectively (mean change, standard deviation [SD]: MG Activities of Daily Living score [MG-ADL], -5.3 [4.0] vs -2.1 [2.8]; Quantitative MG score [QMG], -4.1 [6.1] vs -1.3 [3.5]). More patients receiving eculizumab (7/9) had clinically meaningful responses (MG-ADL ≥3 and/or QMG ≥5 points) than those receiving placebo (3/9). Eculizumab safety was consistent with previous reports. Interim data from the open-label extension of REGAIN will be presented. Conclusions: In patients previously receiving chronic IVIg, eculizumab showed a trend toward meaningful clinical improvements and fewer exacerbations compared with placebo. (NCT01997229, NCT02301624).
Background: Patients with anti-acetylcholine receptor antibody-positive (AChR+) generalized myasthenia gravis (MG) unresponsive to conventional treatment experience greater disease burden than responsive patients. This is partly due to exacerbations, which may result in significant healthcare resource utilization. Eculizumab is well tolerated and gives clinically meaningful benefits in these patients. We evaluated the effect of long-term eculizumab treatment on exacerbations, hospitalizations and rescue therapy in the REGAIN study and its open-label extension. Methods: Exacerbations were defined as clinical worsening/deterioration, MG crises or rescue therapy usage; pre-study exacerbations/hospitalizations were defined from patient records. Event rates adjusted for patient-years were calculated for all patients in the pre-study year, patients receiving placebo during REGAIN, and patients receiving eculizumab during REGAIN and its open-label extension (median exposure, 27.5 months [range, 22 days–42.8 months]); rates were compared using a Poisson regression model. Results: Eculizumab treatment reduced exacerbations by 65% (p=0.0057), hospitalizations by 71% (p=0.0316) and rescue therapy use by 66% (p=0.0072) versus placebo. Eculizumab treatment reduced exacerbations by 74% and hospitalizations by 83% (both p<0.0001) versus the pre-study year. Conclusions: Long-term eculizumab treatment reduces disease burden and healthcare resource utilization, demonstrating continuing improvements in clinical endpoints that lead to additional meaningful outcomes for patients with AChR+ generalized MG. (NCT01997229, NCT02301624).
In the collapsing phase of a molecular cloud, the molecular gas temperature is a key to understand the evolutionary process from a dense molecular cloud to stars. In order to know this, mapping observations in NH3 lines are required. Therefore, we made them based on the FUGIN (FOREST Unbiased Galactic plane Imaging survey with Nobeyama 45m telescope). The 6 maps were observed in NH3 (J,K) = (1,1), (2,2), (3,3) and H2O maser lines and obtained temperature maps; some show temperature gradient in a cloud. Additionally 72 cores were observed. These candidates were called as KAGONMA or KAG objects as abbreviation of KAgoshima Galactic Object survey with Nobeyama 45-M telescope in Ammonia lines. We show the results of two regions in W33 and discuss their astrophysical properties.
We present a comprehensive review of the status and changes in glacier length (since the 1850s), area and mass (since the 1960s) along the Himalayan-Karakoram (HK) region and their climate-change context. A quantitative reliability classification of the field-based mass-balance series is developed. Glaciological mass balances agree better with remotely sensed balances when we make an objective, systematic exclusion of likely flawed mass-balance series. The Himalayan mean glaciological mass budget was similar to the global average until 2000, and likely less negative after 2000. Mass wastage in the Himalaya resulted in increasing debris cover, the growth of glacial lakes and possibly decreasing ice velocities. Geodetic measurements indicate nearly balanced mass budgets for Karakoram glaciers since the 1970s, consistent with the unchanged extent of supraglacial debris-cover. Himalayan glaciers seem to be sensitive to precipitation partly through the albedo feedback on the short-wave radiation balance. Melt contributions from HK glaciers should increase until 2050 and then decrease, though a wide range of present-day area and volume estimates propagates large uncertainties in the future runoff. This review reflects an increasing understanding of HK glaciers and highlights the remaining challenges.
The objective of this study was to investigate the relationship between the thickness of N radical irradiated InN template with crystallographic quality and electrical properties of InN film grown with the previously proposed method, in situ surface modification by radical beam irradiation. In this study, three InN samples were grown with this method on different thickness of irradiated templates. The crystallographic quality of InN films was analyzed by X-ray diffraction and the electrical properties were studied by Hall effect measurement. InN grown on 100 nm thick irradiated template shows lower full-width at half-maximum of X-ray rocking curves and lower carrier concentration compared to InN grown on 200 nm and 450 nm thick irradiated templates. Transmission electron microscopy revealed that threading dislocation density in the InN film decreased by an order of magnitude to ∼4.6×109cm-2. These results suggest that this method is possible for reduction of threading dislocation density in InN and the thickness of irradiated template should be minimized for higher crystallographic quality and electrical properties of the entire InN film.
A deep ice core drilled to 2503 m depth at Dome Fuji, Antarctica, contains 25 visible tephra layers during the past 340 ka. The thickness of tephra layers is in the range 1-24 mm. The thickness and duration at deposition, determined by a simple ice-flow model, suggests that a violent volcanic eruption caused ash to fall onto the Antarctic ice sheet for ~5 years and to form a ~100 mm thick tephra layer at 117 ka BE Two tephra layers at depths of 573 and 2202 m probably originated from volcanoes in the South Sandwich Islands, Southern Ocean, given the size of tephra shards, >20μm in diameter, and their major chemical composition. Only eight of the 25 tephra layers can also be recognized in the Vostok (Antarctica) ice core, but all correspond to the Vostok tephras if we consider cloudy bands to be volcanic.
An X-ray transmission method has been developed to obtain a continuous profile of bulk densities of ice cores. Intensities of X-rays transmitted through an ice-core sample were continuously measured by an X-ray detector during translation of the sample across the X-ray beam. A thick section of an ice core with a constant thickness was prepared by band-sawing followed by microtome planing. The X-ray intensity profile obtained was converted to a density profile using a calibration curve for X-ray absorption vs ice thickness. Using this method, spatial resolution of the density profile was down to 1 mm. X-ray radiographs were also taken on a two-dimensional detector imaging plate, in order to observe layer structures of the ice cores.
The method was applied to Dome Fuji (Antarctica) ice cores from the surface to 110 m depth. From the density profile obtained we calculated the power spectrum of the density variation by the discrete Fourier transform, and obtained several peaks at different frequencies. The center period in the spectrum was close to the annual accumulation thickness at the drill site.
Structural analyses of ice collected from the bare ice surface in the region of the Sør-Rondane Mountains were carried out. Crystal-orientation fabrics and the disposition of surface cracks were investigated to determine the stress/strain configuration in the ice sheet near the mountains. Single-maximum fabric patterns with the axis of the maximum roughly perpendicular to the flow line on the horizontal plane were observed. It was deduced from the observations that the ice exhibits a fabric pattern indicating that the ice sheet is subjected to vertical shear strain between the ice flow and the nunataks.