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We initiate the study of a class of polytopes, which we coin polypositroids, defined to be those polytopes that are simultaneously generalized permutohedra (or polymatroids) and alcoved polytopes. Whereas positroids are the matroids arising from the totally nonnegative Grassmannian, polypositroids are “positive” polymatroids. We parametrize polypositroids using Coxeter necklaces and balanced graphs, and describe the cone of polypositroids by extremal rays and facet inequalities. We introduce a notion of $(W,c)$-polypositroid for a finite Weyl group W and a choice of Coxeter element c. We connect the theory of $(W,c)$-polypositroids to cluster algebras of finite type and to generalized associahedra. We discuss membranes, which are certain triangulated 2-dimensional surfaces inside polypositroids. Membranes extend the notion of plabic graphs from positroids to polypositroids.
We study the ring of regular functions on the space of planar electrical networks, which we coin the grove algebra. This algebra is an electrical analog of the Plücker ring studied classically in invariant theory. We develop the combinatorics of double groves to study the grove algebra, and find a quadratic Gröbner basis for the grove ideal.
We aimed to understand which non-household activities increased infection odds and contributed greatest to SARS-CoV-2 infections following the lifting of public health restrictions in England and Wales.
Procedures
We undertook multivariable logistic regressions assessing the contribution to infections of activities reported by adult Virus Watch Community Cohort Study participants. We calculated adjusted weighted population attributable fractions (aPAF) estimating which activity contributed greatest to infections.
Findings
Among 11 413 participants (493 infections), infection was associated with: leaving home for work (aOR 1.35 (1.11–1.64), aPAF 17%), public transport (aOR 1.27 (1.04–1.57), aPAF 12%), shopping once (aOR 1.83 (1.36–2.45)) vs. more than three times a week, indoor leisure (aOR 1.24 (1.02–1.51), aPAF 10%) and indoor hospitality (aOR 1.21 (0.98–1.48), aPAF 7%). We found no association for outdoor hospitality (1.14 (0.94–1.39), aPAF 5%) or outdoor leisure (1.14 (0.82–1.59), aPAF 1%).
Conclusion
Essential activities (work and public transport) carried the greatest risk and were the dominant contributors to infections. Non-essential indoor activities (hospitality and leisure) increased risk but contributed less. Outdoor activities carried no statistical risk and contributed to fewer infections. As countries aim to ‘live with COVID’, mitigating transmission in essential and indoor venues becomes increasingly relevant.
Cognitive Bias Modification for paranoia (CBM-pa) is a novel, theory-driven psychological intervention targeting the biased interpretation of emotional ambiguity associated with paranoia. Study objectives were (i) test the intervention's feasibility, (ii) provide effect size estimates, (iii) assess dose–response and (iv) select primary outcomes for future trials.
Methods
In a double-blind randomised controlled trial, sixty-three outpatients with clinically significant paranoia were randomised to either CBM-pa or an active control (text reading) between April 2016 and September 2017. Patients received one 40 min session per week for 6 weeks. Assessments were given at baseline, after each interim session, post-treatment, and at 1- and 3-months post-treatment.
Results
A total of 122 patients were screened and 63 were randomised. The recruitment rate was 51.2%, with few dropouts (four out of 63) and follow-up rates were 90.5% (1-month) and 93.7% (3-months). Each session took 30–40 min to complete. There was no statistical evidence of harmful effects of the intervention. Preliminary data were consistent with efficacy of CBM-pa over text-reading control: patients randomised to the intervention, compared to control patients, reported reduced interpretation bias (d = −0.48 to −0.76), improved symptoms of paranoia (d = −0.19 to −0.38), and lower depressed and anxious mood (d = −0.03 to −0.29). The intervention effect was evident after the third session.
Conclusions
CBM-pa is feasible for patients with paranoia. A fully powered randomised control trial is warranted.
Mounting evidence suggests that the first few months of life are critical for the development of obesity. The relationships between the timing of solid food introduction and the risk of childhood obesity have been examined previously; however, evidence for the association of timing of infant formula introduction remains scarce. This study aimed to examine whether the timing of infant formula introduction is associated with growth z-scores and overweight at ages 1 and 3 years. This study included 5733 full-term (≥ 37 gestational weeks) and normal birth weight (≥ 2500 and < 4000 g) children in the Born in Guangzhou Cohort Study, a prospective cohort study with data collected at 6 weeks, 6, 12 and 36 months. Compared with infant formula introduction at 0–3 months, introduction at 4–6 months was associated with the lower BMI, weight-for-age and weight-for-length z-scores at 1 and 3 years old. Also, introduction at 4–6 months was associated with the lower odds of at-risk of overweight at age 1 (adjusted OR 0·72, 95 % CI 0·55, 0·94) and 3 years (adjusted OR 0·50, 95 % CI 0·30, 0·85). Introduction at 4–6 months also decreased the odds of overweight at age 1 year (adjusted OR 0·42, 95 % CI 0·21, 0·84) but not at age 3 years. Based on our findings, compared with introduction within the first 3 months, introduction at 4–6 months has a reduction on later high BMI risk and at-risk of overweight. However, these results need to be replicated in other well-designed studies before more firm recommendations can be made.
We study the back stable Schubert calculus of the infinite flag variety. Our main results are:
– a formula for back stable (double) Schubert classes expressing them in terms of a symmetric function part and a finite part;
– a novel definition of double and triple Stanley symmetric functions;
– a proof of the positivity of double Edelman–Greene coefficients generalizing the results of Edelman–Greene and Lascoux–Schützenberger;
– the definition of a new class of bumpless pipedreams, giving new formulae for double Schubert polynomials, back stable double Schubert polynomials, and a new form of the Edelman–Greene insertion algorithm;
– the construction of the Peterson subalgebra of the infinite nilHecke algebra, extending work of Peterson in the affine case;
– equivariant Pieri rules for the homology of the infinite Grassmannian;
– homology divided difference operators that create the equivariant homology Schubert classes of the infinite Grassmannian.
The (tree) amplituhedron $\mathcal {A}_{n,k,m}(Z)$ is a certain subset of the Grassmannian introduced by Arkani-Hamed and Trnka in 2013 in order to study scattering amplitudes in $N=4$ supersymmetric Yang–Mills theory. Confirming a conjecture of the first author, we show that when $m$ is even, a collection of affine permutations yields a triangulation of $\mathcal {A}_{n,k,m}(Z)$ for any $Z\in \operatorname {Gr}_{>0}(k+m,n)$ if and only if the collection of their inverses yields a triangulation of $\mathcal {A}_{n,n-m-k,m}(Z)$ for any $Z\in \operatorname {Gr}_{>0}(n-k,n)$. We prove this duality using the twist map of Marsh and Scott. We also show that this map preserves the canonical differential forms associated with the corresponding positroid cells, and hence obtain a parity duality for amplituhedron differential forms.
Hill (Twin Research and Human Genetics, Vol. 21, 2018, 84–88) presented a critique of our recently published paper in Cell Reports entitled ‘Large-Scale Cognitive GWAS Meta-Analysis Reveals Tissue-Specific Neural Expression and Potential Nootropic Drug Targets’ (Lam et al., Cell Reports, Vol. 21, 2017, 2597–2613). Specifically, Hill offered several interrelated comments suggesting potential problems with our use of a new analytic method called Multi-Trait Analysis of GWAS (MTAG) (Turley et al., Nature Genetics, Vol. 50, 2018, 229–237). In this brief article, we respond to each of these concerns. Using empirical data, we conclude that our MTAG results do not suffer from ‘inflation in the FDR [false discovery rate]’, as suggested by Hill (Twin Research and Human Genetics, Vol. 21, 2018, 84–88), and are not ‘more relevant to the genetic contributions to education than they are to the genetic contributions to intelligence’.
A significant portion of patients with Clostridium difficile infections (CDI) experience recurrence, and there is little consensus on its treatment. With the availability of newer agents for CDI and the added burdens of recurrent disease, a cost-effectiveness analysis may provide insight on the most efficient use of resources.
Design
A decision-tree analysis was created to compare the cost-effectiveness of 3 possible treatments for patients with first CDI recurrence: oral vancomycin, fidaxomicin, or bezlotoxumab plus vancomycin. The model was performed from a payer’s perspective with direct cost inputs and a timeline of 1 year. A systematic review of literature was performed to identify clinical, utility, and cost data. Quality-adjusted life years (QALY) and incremental cost-effectiveness ratios were calculated. The willingness-to-pay (WTP) threshold was set at $100,000 per QALY gained. The robustness of the model was tested using one-way sensitivity analyses and probabilistic sensitivity analysis.
Results
Vancomycin had the lowest cost ($15,692) and was associated with a QALY gain of 0.8019 years. Bezlotoxumab plus vancomycin was a dominated strategy. Fidaxomicin led to a higher QALY compared to vancomycin, at an incremental cost of $500,975 per QALY gained. Based on our WTP threshold, vancomycin alone was the most cost-effective regimen for treating the first recurrence of CDI. Sensitivity analyses demonstrated the model’s robustness.
Conclusions
Vancomycin alone appears to be the most cost-effective regimen for the treatment of first recurrence of CDI. Fidaxomicin alone led to the highest QALY gained, but at a cost beyond what is considered cost-effective.
In Hong Kong, universal varicella vaccination started in July 2014. Before this, children could receive varicella vaccine via the private market. We analysed the epidemiology of varicella and zoster before universal vaccination. We estimated varicella vaccination coverage through surveys in preschool children. We estimated the burden of varicella and zoster with varicella notifications from 1999/00 to 2013/14, Accident and Emergency Department (A&E) attendance and inpatient admissions to public hospitals from 2004/05 to 2013/14. We fitted a catalytic model to serological data on antibodies against varicella-zoster virus to estimate the force of infection. We found that varicella vaccination coverage gradually increased to about 50% before programme inception. In children younger than 5 years, the annual rate of varicella notifications, varicella admission and zoster A&E attendance generally declined. The annual notification, A&E attendance and hospitalisation rate of varicella and zoster generally increased for individuals between 10 and 59 years old. Varicella serology indicated an age shift during the study period towards a higher proportion of infections in slightly older individuals, but the change was most notable before vaccine licensure. In conclusion, we observed a shift in the burden of varicella to slightly older age groups with a corresponding increase in incidence but it cannot necessarily be attributed to private market vaccine coverage alone. Increasing varicella vaccination uptake in the private market might affect varicella transmission and epidemiology, but not to the level of interrupting transmission.
While the intersection of the Grassmannian Bruhat decompositions for all coordinate flags is an intractable mess, it turns out that the intersection of only the cyclic shifts of one Bruhat decomposition has many of the good properties of the Bruhat and Richardson decompositions. This decomposition coincides with the projection of the Richardson stratification of the flag manifold, studied by Lusztig, Rietsch, Brown–Goodearl–Yakimov and the present authors. However, its cyclic-invariance is hidden in this description. Postnikov gave many cyclic-invariant ways to index the strata, and we give a new one, by a subset of the affine Weyl group we call bounded juggling patterns. We call the strata positroid varieties. Applying results from [A. Knutson, T. Lam and D. Speyer, Projections of Richardson varieties, J. Reine Angew. Math., to appear, arXiv:1008.3939 [math.AG]], we show that positroid varieties are normal, Cohen–Macaulay, have rational singularities, and are defined as schemes by the vanishing of Plücker coordinates. We prove that their associated cohomology classes are represented by affine Stanley functions. This latter fact lets us connect Postnikov’s and Buch–Kresch–Tamvakis’ approaches to quantum Schubert calculus.
Brain serotonin2 (5-hydroxytryptamine2; 5-HT2) receptors were considered potential targets for therapeutic efficacy of electroconvulsive therapy (ECT), but pre-clinical studies showed that electroconvulsive shock up-regulates 5-HT2 receptors in contrast to antidepressant medications, which down-regulate brain 5-HT2 receptors. Positron emission tomography (PET) studies in individuals with depression confirmed that antidepressant medications reduce brain 5-HT2 receptors, but the effects of ECT on these receptors in individuals with depression are unknown.
Aims
To determine if a course of ECT alters brain 5-HT2 receptors in individuals with depression and whether such changes correlate with improvement in symptoms.
Method
Fifteen people with major depression, refractory to antidepressant therapy and referred for a course of ECT, had an [18F]setoperone scan during baseline drug-free washout period and another after a course of ECT. We assessed changes in brain 5-HT2 receptors with ECT and their relationship to therapeutic outcome.
Results
Widespread reduction in brain 5-HT2 receptors was observed in all cortical areas with changes slightly more prominent in the right hemisphere. There was a trend for correlation between reduction in brain 5-HT2 receptors in right parahippocampal gyrus, right lingual gyrus and right medial frontal gyrus, and improvement in depressive symptoms.
Conclusions
Unlike in rodents, and similar to antidepressants, ECT reduces brain 5-HT2 receptors in individuals with depression. The ability of ECT to further down-regulate brain 5-HT2 receptors in antidepressant non-responsive individuals may explain its efficacy in those people with antidepressant refractory depression.
We construct the Schubert basis of the torus-equivariant K-homology of the affine Grassmannian of a simple algebraic group G, using the K-theoretic NilHecke ring of Kostant and Kumar. This is the K-theoretic analogue of a construction of Peterson in equivariant homology. For the case where G=SLn, the K-homology of the affine Grassmannian is identified with a sub-Hopf algebra of the ring of symmetric functions. The Schubert basis is represented by inhomogeneous symmetric functions, calledK-k-Schur functions, whose highest-degree term is a k-Schur function. The dual basis in K-cohomology is given by the affine stable Grothendieck polynomials, verifying a conjecture of Lam. In addition, we give a Pieri rule in K-homology. Many of our constructions have geometric interpretations by means of Kashiwara’s thick affine flag manifold.
Although 5-hydroxytryptamine (5-HT) has been implicated in mania, the precise alterations in the 5-HT system remain elusive.
Aims
To assess brain 5-HT2 receptors in drug-free individuals experiencing a manic episode in comparison with healthy volunteers using positron emission tomography (PET).
Method
Participants (n = 10) with DSM–IV bipolar I disorder – manic episode and healthy controls (n = 10) underwent [18F]- setoperone scans. The differences in 5-HT2 receptor binding potential between the two groups were determined using statistical parametric mapping (SPM) analysis.
Results
Age was a significant correlate with 5-HT2 receptor binding potential with a similar magnitude of correlation in both groups. The SPM analysis with age as a covariate showed that the individuals with current mania had significantly lower 5-HT2 receptor binding potential in frontal, temporal, parietal and occipital cortical regions, with changes more prominent in the right cortical regions compared with controls.
Conclusions
This study suggests that brain 5-HT∗2 receptors are decreased in people with acute mania.
Dedicated to George Szekeres on his ninetieth birthday
In this paper we prove that a bipartite graph with parts of sizes M and N, having no cycles of even length less that or equal to 2(2k + 1), where k is a positive integer, has at most (NM)(k+1)/(2k+1) + Dk(N + M) edges, where Dk only depends on k.
In particular, we show that when k = 1, D1 = 1 is possible.
The mechanism by which rapid tryptophan depletion (RTD) paradigm induces depressive relapse in recently remitted patients with depression is unknown.
Aims
To determine the effects of RTD on brain 5-HT2 receptors using positron emission tomography (PET) and 18F-labelled setoperone.
Method
Ten healthy women underwent two PET scans. Each scan was done 5 h after the ingestion of either a balanced or a tryptophan-deficient amino acid mixture, and the two test sessions were separated by at least 5 days.
Results
The RTD decreased plasma free tryptophan levels significantly but it had no significant effects on mood. Subjects showed a significant decrease in brain 5-HT2 receptor binding in various cortical regions following the RTD session.
Conclusions
When taken with the evidence that antidepressant treatment is associated with a decrease in brain 5-HT2 receptors, these findings suggest that a decrease in 5-HT2 binding following RTD might be an adaptive response that provides protection against depressive symptoms.