4,559 research outputs found

    Cavity-enhanced Ramsey spectroscopy at a Rydberg-atom–superconducting-circuit interface

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    The coherent interaction of Rydberg helium atoms with microwave fields in a λ/4 superconducting coplanar waveguide resonator has been exploited to probe the spectral characteristics of an individual resonator mode. This was achieved by preparing the atoms in the 1s55s 3S1 Rydberg level by resonance enhanced two-color two-photon excitation from the metastable 1s2s 3S1 level. The atoms then traveled over the resonator in which the third harmonic microwave field, at a frequency of ωres=2π×19.556 GHz, drove the two-photon 1s55s 3S1 → 1s56s 3S1 transition. By injecting a sequence of Ramsey pulses into the resonator and monitoring the coherent evolution of the Rydberg state population by state-selective pulsed electric field ionization as the frequency of the microwave field was tuned, spectra were recorded that allowed the resonator resonance frequency and quality factor to be determined with the atoms acting as microscopic quantum sensors

    Self-harm in a primary care cohort of older people: incidence, clinical management, and risk of suicide and other causes of death

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    BACKGROUND: Self-harm is a major risk factor for suicide, with older adults (older than 65 years) having reportedly greater suicidal intent than any other age group. With the aging population rising and paucity of research focus in this age group, the extent of the problem of self-harm needs to be established. In a primary care cohort of older adults we aimed to investigate the incidence of self-harm, subsequent clinical management, prevalence of mental and physical diagnoses, and unnatural-cause mortality risk, including suicide. METHODS: The UK Clinical Practice Research Datalink contains anonymised patient records from general practice that routinely capture clinical information pertaining to both primary and secondary care services. We identified 4124 adults aged 65 years and older with a self-harm episode ascertained from Read codes recorded during 2001-14. We calculated standardised incidence and in 2854 adults with at least 12 months follow-up examined the frequency of psychiatric referrals and prescription of psychotropic medication after self-harm. We estimated prevalence of mental and physical illness diagnoses before and after self-harm and, using Cox regression in a matched cohort, we examined cause-specific mortality risks. FINDINGS: Overall incidence of self-harm in older adults aged 65 years and older was 4·1 per 10 000 person-years with stable gender-specific rates observed over the 13-year period. After self-harm, 335 (11·7%) of 2854 adults were referred to mental health services, 1692 (59·3%) were prescribed an antidepressant, and 336 (11·8%) were prescribed a tricyclic antidepressant (TCA). Having a diagnosed previous mental illness was twice as prevalent in the self-harm cohort as in the comparison cohort (prevalence ratio 2·10 [95% CI 2·03-2·17]) and with a previous physical health condition prevalence was 20% higher in the self-harm cohort compared to the comparison cohort (1·20 [1·17-1·23]). Adults from the self-harm cohort (n=2454) died from unnatural causes an estimated 20 times more frequently than the comparison cohort (n=48 921) during the first year. A markedly elevated risk of suicide (hazard ratio 145·4 [95% CI 53·9-392·3]) was observed in the self-harm cohort. INTERPRETATION: Within primary care, we have identified a group of older adults at high risk from unnatural death, particularly within the first year of self-harm. We have highlighted a high frequency of prescription of TCAs, known to be potentially fatally toxic in overdose. We emphasise the need for early intervention, careful alternative prescribing, and increased support when older adults consult after an episode of self-harm and with other health conditions. FUNDING: National Institute for Health Research Greater Manchester Patient Safety Translational Research Centre

    Long-term controls on continental-scale bedrock river terrace deposition from integrated clast and heavy mineral assemblage analysis: an example from the lower Orange River, Namibia

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    Establishing relationships between the long-term landscape evolution of drainage basins and the fill of sedimentary basins benefits from analysis of bedrock river terrace deposits. These fragmented detrital archives help to constrain changes in river system character and provenance during sediment transfer from continents (source) to oceans (sink). Thick diamondiferous gravel terrace deposits along the lower Orange River, southern Namibia, provide a rare opportunity to investigate controls on the incision history of a continental-scale bedrock river. Clast assemblage and heavy mineral data from seven localities permit detailed characterisation of the lower Orange River gravel terrace deposits. Two distinct fining-upward gravel terrace deposits are recognised, primarily based on mapped stratigraphic relationships (cross-cutting relationships) and strath and terrace top elevations, and secondarily on the proportion of exotic clasts, referred to as Proto Orange River deposits and Meso Orange River deposits. The older early to middle Miocene Proto Orange River gravels are thick (up to 50 m) and characterised by a dominance of Karoo Supergroup shale and sandstone clasts, whereas the younger Plio-Pleistocene Meso Orange River gravels (6–23 m thick) are characterised by more banded iron formation clasts. Mapping of the downstepping terraces indicates that the Proto gravels were deposited by a higher sinuosity river, and are strongly discordant to the modern Orange River course, whereas the Meso deposits were deposited by a lower sinuosity river. The heavy minerals present in both units comprise magnetite, garnet, amphibole, epidote and ilmenite, with rare titanite and zircon grains. The concentration of amphibole-epidote in the heavy minerals fraction increases from the Proto to the Meso deposits. The decrease in incision depths, recorded by deposit thicknesses above strath terraces, and the differences in clast character (size and roundness) and type between the two units, are ascribed to a more powerful river system during Proto-Orange River time, rather than reworking of older deposits, changes in provenance or climatic variations. In addition, from Proto- to Meso-Orange River times there was an increase in the proportion of sediments supplied from local bedrock sources, including amphibole-epidote in the heavy mineral assemblages derived from the Namaqua Metamorphic Complex. This integrated study demonstrates that clast assemblages are not a proxy for the character of the matrix, and vice versa, because they are influenced by the interplay of different controls. Therefore, an integrated approach is needed to improve prediction of placer mineral deposits in river gravels, and their distribution in coeval deposits downstream

    Diverse inflammatory responses in transgenic mouse models of Alzheimer's disease and the effect of immunotherapy on these responses

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    While the presence of an inflammatory response in AD (Alzheimer's disease) is well known, the data on inflammation are conflicting, suggesting that inflammation either attenuates pathology, exacerbates it or has no effect. Our goal was to more fully characterize the inflammatory response in APP (amyloid precursor protein) transgenic mice with and without disease progression. In addition, we have examined how anti-Aβ (amyloid β-peptide) immunotherapy alters this inflammatory response. We have used quantitative RT–PCR (reverse transcription–PCR) and protein analysis to measure inflammatory responses ranging from pro-inflammatory to anti-inflammatory and repair factors in transgenic mice that develop amyloid deposits only (APPSw) and amyloid deposits with progression to tau pathology and neuron loss [APPSw/NOS2−/− (nitric oxide synthase 2−/−)]. We also examined tissues from previously published immunotherapy studies. These studies were a passive immunization study in APPSw mice and an active vaccination study in APPSw/NOS2−/− mice. Both studies have already been shown to lower amyloid load and improve cognition. We have found that amyloid deposition is associated with high expression of alternative activation and acquired deactivation genes and low expression of pro-inflammatory genes, whereas disease progression is associated with a mixed phenotype including increased levels of some classical activation factors. Immunotherapy targeting amyloid deposition in both mouse models resulted in decreased alternative inflammatory markers and, in the case of passive immunization, a transient increase in pro-inflammatory markers. Our results suggest that an alternative immune response favours retention of amyloid deposits in the brain, and switching away from this state by immunotherapy permits removal of amyloid

    The association between family and community social capital and health risk behaviours in young people: an integrative review

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    Background: Health risk behaviours known to result in poorer outcomes in adulthood are generally established in late childhood and adolescence. These ‘risky’ behaviours include smoking, alcohol and illicit drug use and sexual risk taking. While the role of social capital in the establishment of health risk behaviours in young people has been explored, to date, no attempt has been made to consolidate the evidence in the form of a review. Thus, this integrative review was undertaken to identify and synthesise research findings on the role and impact of family and community social capital on health risk behaviours in young people and provide a consolidated evidence base to inform multi-sectorial policy and practice.<p></p> Methods: Key electronic databases were searched (i.e. ASSIA, CINAHL, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Database of Abstracts of Reviews of Effects, Embase, Medline, PsycINFO, Sociological Abstracts) for relevant studies and this was complemented by hand searching. Inclusion/exclusion criteria were applied and data was extracted from the included studies. Heterogeneity in study design and the outcomes assessed precluded meta-analysis/meta-synthesis; the results are therefore presented in narrative form.<p></p> Results: Thirty-four papers satisfied the review inclusion criteria; most were cross-sectional surveys. The majority of the studies were conducted in North America (n=25), with three being conducted in the UK. Sample sizes ranged from 61 to 98,340. The synthesised evidence demonstrates that social capital is an important construct for understanding the establishment of health risk behaviours in young people. The different elements of family and community social capital varied in terms of their saliency within each behavioural domain, with positive parent–child relations, parental monitoring, religiosity and school quality being particularly important in reducing risk.<p></p> Conclusions: This review is the first to systematically synthesise research findings about the association between social capital and health risk behaviours in young people. While providing evidence that may inform the development of interventions framed around social capital, the review also highlights key areas where further research is required to provide a fuller account of the nature and role of social capital in influencing the uptake of health risk behaviours.<p></p&gt
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