Early pubertal onset and its relationship with sexual risk taking, substance use and anti-social behaviour: a preliminary cross-sectional study

<p>Abstract</p> <p>Background</p> <p>In many countries age at pubertal onset has declined substantially. Relatively little attention has been paid to how this decline may affect adolescent behaviours such as substance use, violence and unprotected sex and consequently impact on public health.</p> <p>Methods</p> <p>In the UK, two opportunistic samples (aged 16-45 years), paper-based (n = 976) and online (n = 1117), examined factors associated with earlier pubertal onset and whether earlier age of onset predicted sexual risk-taking, substance use and anti-social behaviours during early adolescence.</p> <p>Results</p> <p>Overall, 45.6% of females reported menarche ≤ 12 years and 53.3% of males were categorised as having pubertal onset ≤ 11 years. For both sexes earlier pubertal onset was associated with poorer parental socio-economic status. Other pre-pubertal predictors of early onset were being overweight, more childhood illnesses (females) and younger age at time of survey (males). For both sexes earlier puberty predicted having drunk alcohol, been drunk, smoked and used drugs <14 years as well as having a sexual debut and unprotected sex <16 years. Males with earlier pubertal onset were more likely to report fighting and aggressive responses to emotional upset during early adolescence while females were more likely to report being bullied and having taken more time off school.</p> <p>Conclusion</p> <p>Results provide sufficient evidence for changes in age of pubertal onset to be further explored as a potential influence on trends in adolescent risk behaviours. Further insight into the relationship between early puberty and both obesity and socio-economic status may help inform early interventions to tackle the development of risk behaviours and health inequalities during early adolescence.</p

Double and single pion photoproduction within a dynamical coupled-channels model

Within a dynamical coupled-channels model which has already been fixed from analyzing the data of the pi N -> pi N and gamma N -> pi N reactions, we present the predicted double pion photoproduction cross sections up to the second resonance region, W< 1.7 GeV. The roles played by the different mechanisms within our model in determining both the single and double pion photoproduction reactions are analyzed, focusing on the effects due to the direct gamma N -> pi pi N mechanism, the interplay between the resonant and non-resonant amplitudes, and the coupled-channels effects. The model parameters which can be determined most effectively in the combined studies of both the single and double pion photoproduction data are identified for future studies.Comment: Version to appear in PRC. 16 pages, 13 figure

Homozygous mutation in the prokineticin-receptor2 gene (Val274Asp) presenting as reversible Kallmann syndrome and persistent oligozoospermia: case report.

Prokineticin 2 (Prok2) or prokineticin-receptor2 (Prok-R2) gene mutations are associated with Kallmann syndrome (KS). We describe a new homozygous mutation of Prok-R2 gene in a man displaying KS with an apparent reversal of hypogonadism. The proband, offspring of consanguineous parents, presented at age 19 years with absent puberty, no sense of smell, low testosterone and gonadotrophin levels. Magnetic resonance imaging showed olfactory bulb absence. The patient achieved virilization and spermatogenesis with gonadotrophin administration. Two years after discontinuing hormonal therapy, he maintained moderate oligozoospermia and normal testosterone levels. Prok2 and Prok- R2 gene sequence analyses were performed. The proband had a homozygous mutation in Prok-R2 exon 2 that harbours the c.T820>A base substitution, causing the introduction of an aspartic acid in place of valine at position 274 (Val274Asp). His mother had the same mutation in heterozygous state. This report describes a novel homozygous mutation of Prok-R2 gene in a man with variant KS, underlying the role of Prok-R2 gene in the olfactory and reproductive system development in humans. Present findings indicate that markedly delayed activation of gonadotrophin secretion may occur in some KS cases with definite gene defects, and that oligozoospermia might result from a variant form of reversible hypogonadotrophic hypogonadism

Potential of hydrogen addition to natural gas or ammonia as a solution towards low- or zero-carbon fuel for the supply of a small turbocharged SI engine

Nowadays there is an increasing interest in carbon-free fuels such as ammonia and hydrogen. Those fuels, on one hand, allow to drastically reduce CO2 emissions, helping to comply with the increasingly stringent emission regulations, and, on the other hand, could lead to possible advantages in performances if blended with conventional fuels. In this regard, this work focuses on the 1D numerical study of an internal combustion engine supplied with different fuels: pure gasoline, and blends of methane-hydrogen and ammonia-hydrogen. The analyses are carried out with reference to a downsized turbocharged two-cylinder engine working in an operating point representative of engine operations along WLTC, namely 1800 rpm and 9.4 bar of BMEP. To evaluate the potential of methane-hydrogen and ammonia-hydrogen blends, a parametric study is performed. The varied parameters are air/fuel proportions (from 1 up to 2) and the hydrogen fraction over the total fuel. Hydrogen volume percentages up to 60% are considered both in the case of methane-hydrogen and ammonia-hydrogen blends. Model predictive capabilities are enhanced through a refined treatment of the laminar flame speed and chemistry of the end gas to improve the description of the combustion process and knock phenomenon, respectively. After the model validation under pure gasoline supply, numerical analyses allowed to estimate the benefits and drawbacks of considered alternative fuels in terms of efficiency, carbon monoxide, and pollutant emissions

Effects of Pre-Lift Intake Valve Strategies on the Performance of a DISI VVA Turbocharged Engine at Part and Full Load Operation☆

Abstract In the paper, the potentialities offered by an advanced valve lift design are numerically analyzed. In particular, the study is carried out by a 1D approach and regards the characterization of a VVA strategy named " pre-lift" applied to a downsized turbocharged four-cylinder engine. The pre-lift consists of a small, almost constant lift of the intake valve during the exhaust stroke, so to increase the valves overlapping. The results show a benefit on the fuel economy and on the gas-dynamic noise at part load and a substantial increase in the delivered torque at full load, while preserving the fuel consumption

Exploring the health and service utilisation of general practice patients with a history of adverse childhood experiences (ACEs):an observational study using electronic health records

Objectives To examine the relationships between adverse childhood experiences (ACEs), chronic health and health service utilisation among a sample of general practice patients.Design Cross-sectional observational study using anonymised data from electronic health records for 763 patients.Setting Four general practices in northwest England and North Wales.Outcome measures Patient demographic data (age, gender); body mass index; self-reported smoking status; self-reported ACEs; diagnosis of chronic health conditions; current mental health problems; total number of service contacts and repeat medication use in the previous 6 months.Results A history of ACEs (experiencing abuse or neglect as a child, and/or growing up in a household characterised by violence, substance use, mental health problems or criminal behaviour) was strongly independently associated with current mental health problems, smoking and chronic obstructive pulmonary disease, showing a dose–response relationship with level of ACE exposure. Medication use and contact were significantly greater among patients with high ACE exposure (≥4 ACEs), compared with those with no ACEs. However, contrary to findings from population studies, health service utilisation was not significantly different for patients with increased ACE exposure (1–3 ACEs) and their ACE-free counterparts.Conclusions Findings highlight the contribution ACEs make to unequal distributions of risk to health and well-being and patterns of health service use in the UK

Cerebrovascular complications and infective endocarditis. impact of available evidence on clinical outcome

Infective endocarditis (IE) is a life-threatening disease. Its epidemiological profile has substantially changed in recent years although 1-year mortality is still high. Despite advances in medical therapy and surgical technique, there is still uncertainty on the best management and on the timing of surgical intervention. The objective of this review is to produce further insight intothe short- and long-term outcomes of patients with IE, with a focus on those presenting cerebrovascular complications

Spin and parity measurement of the Lambda(1405) baryon

A determination of the spin and parity of the Lambda(1405) is presented using photoproduction data from the CLAS detector at Jefferson Lab. The reaction gamma + p -\u3e K+ + Lambda(1405) is analyzed in the decay channel Lambda(1405) -\u3e Sigma(+) + pi(-), where the decay distribution to Sigma(+)pi(-) the variation of the Sigma(+) polarization with respect to the Lambda(1405) polarization direction determines the parity. The Lambda(1405) is produced, in the energy range 2.55 \u3c W \u3c 2.85 GeV and for 0.6 \u3c cos theta(c.m.)(K+) \u3c 0.9, with polarization P = 0.45 +/- 0.02(stat) +/- 0.07(syst). The analysis shows that the decays are in S wave, with the Sigma(+) polarized such that the Lambda(1405) has spin-parity J(P) = 1(-)/2, as expected by most theories