Relationship between depressive symptom severity and emergency department use among low-income, depressed homebound older adults aged 50 years and older

Namkee G. Choi, and C. Nathan Marti are with The University of Texas at Austin, Austin, TX, USA. -- Martha L. Bruce is with the Weill Cornell Medical College, White Plains, NY, USA. -- Mark E. Kunik is with the VA HSRD Houston Center of Excellence, Michael E. DeBakey VA Medical Center, Houston, TX, USA, and Baylor College of Medicine, Houston, TX, USA, and VA South Central Mental Illness Research, Education and Clinical Center, Houston, TX, USA.Background: Previous research found a high prevalence of depression, along with chronic illnesses and disabilities, among older ED patients. This study examined the relationship between depressive symptom severity and the number of ED visits among low-income homebound older adults who participated in a randomized controlled trial of telehealth problem-solving therapy (PST). Methods: The number of and reasons for ED visits were collected from the study participants (n=121 at baseline) at all assessment points—baseline and 12- and 24-week follow-ups. Depressive symptoms were measured with the 24-item Hamilton Rating Scale for Depression (HAMD). All multivariable analyses examining the relationships between ED visits and depressive symptoms were conducted using zero-inflated Poisson regression models. Results: Of the participants, 67.7% used the ED at least once and 61% of the visitors made at least one return visit during the approximately 12-month period. Body pain (not from fall injury and not including chest pain) was the most common reason. The ED visit frequency at baseline and at follow-up was significantly positively associated with the HAMD scores at the assessment points. The ED visit frequency at follow-up, controlling for the ED visits at baseline, was also significantly associated with the HAMD score change since baseline. Conclusions: The ED visit rate was much higher than those reported in other studies. Better education on self-management of chronic conditions, depression screening by primary care physicians and ED, and depression treatment that includes symptom management and problem-solving skills may be important to reduce ED visits among medically ill, low-income homebound adults. Trial registration ClinicalTrials.gov Identifier: NCT00903019Psycholog

Statistical kinetic treatment of relativistic binary collisions

In particle-based algorithms, the effect of binary collisions is commonly described in a statistical way, using Monte Carlo techniques. It is shown that, in the relativistic regime, stringent constraints should be considered on the sampling of particle pairs for collision, which are critical to ensure physically meaningful results, and that nonrelativistic sampling criteria (e.g., uniform random pairing) yield qualitatively wrong results, including equilibrium distributions that differ from the theoretical J\"uttner distribution. A general procedure for relativistically consistent algorithms is provided, and verified with three-dimensional Monte Carlo simulations, thus opening the way to the numerical exploration of the statistical properties of collisional relativistic systems.Comment: Accepted for publication as a Rapid Communication in Phys. Rev.

Selective Area Grown Semiconductor-Superconductor Hybrids: A Basis for Topological Networks

We introduce selective area grown hybrid InAs/Al nanowires based on molecular beam epitaxy, allowing arbitrary semiconductor-superconductor networks containing loops and branches. Transport reveals a hard induced gap and unpoisoned 2e-periodic Coulomb blockade, with temperature dependent 1e features in agreement with theory. Coulomb peak spacing in parallel magnetic field displays overshoot, indicating an oscillating discrete near-zero subgap state consistent with device length. Finally, we investigate a loop network, finding strong spin-orbit coupling and a coherence length of several microns. These results demonstrate the potential of this platform for scalable topological networks among other applications.Comment: NBI QDEV 201

Cooking quality, digestibility, and sensory properties of proso millet pasta as impacted by amylose content and prolamin profile

As part of ongoing e\ufb00orts to promote millet as a double crop for the American Midwest, four Minnesota-grownproso millet varieties were selected for fresh gluten-free pasta production and compared to commerciallyavailable fresh gluten-free and wheat pasta. Raw and cooked pasta were analyzed for starch and protein content,color, and carotenoids. Cooked pasta was assessed for cooking quality, in-vitro starch and protein digestibility,and sensory quality. Millet pasta contained less rapidly digestible starch than commercial gluten-free pasta;however, millet and commercial gluten-free pasta had lower protein digestibility than wheat pasta. Sensorypanelists detected more graininess and starchiness in millet samples than in commercial pasta. Millet varietiesdi\ufb00ered in amylose content and prolamin pro\ufb01le, and both factors in\ufb02uenced pasta properties. Pasta with moreamylose and high-molecular weight prolamins had lower cooking loss and lower stickiness scores. Higheramylose contents also corresponded to higher \ufb01rmness and chewiness among millet pasta samples. The milletsample with the lowest amylose and prolamin content yielded pasta of the lowest quality. Results indicated thatselect proso millet varieties may be suitable for fresh pasta, yet quality improvement is warranted by recipe orprocessing optimizations

Evolutions of Magnetized and Rotating Neutron Stars

We study the evolution of magnetized and rigidly rotating neutron stars within a fully general relativistic implementation of ideal magnetohydrodynamics with no assumed symmetries in three spatial dimensions. The stars are modeled as rotating, magnetized polytropic stars and we examine diverse scenarios to study their dynamics and stability properties. In particular we concentrate on the stability of the stars and possible critical behavior. In addition to their intrinsic physical significance, we use these evolutions as further tests of our implementation which incorporates new developments to handle magnetized systems.Comment: 12 pages, 8 figure