Exploring the consistency of the SF-6D

Objective: The six dimensional health state short form (SF-6D) was designed to be derived from the short-form 36 health survey (SF-36). The purpose of this research was to compare the SF-6D index values generated from the SF 36 (SF-6D(SF-36)) with those obtained from the SF-6D administered as an independent instrument (SF-6D(Ind)). The goal was to assess the consistency of respondents answers to these two methods of deriving the SF-6D. Methods: Data were obtained from a sample of the Portuguese population (n = 414). Agreement between the instruments was assessed on the basis of a descriptive system and their indexes. The analysis of the descriptive system was performed by using a global consistency index and an identically classified index. Agreement was also explored by using correlation coefficients. Parametric tests were used to identify differences between the indexes. Regression models were estimated to understand the relationship between them. Results: The SF-6D(Ind) generates higher values than does the SF-6D(SF-36), There were significant differences between the indexes across sociodemographic groups. There was a significant ceiling effect in the SF-6D(Ind) a but not in the SF-6D(SF-36). The correlation between the indexes was high but less than what was anticipated. The global consistency index identified the dimensions with larger differences. Considerable differences were found in two dimensions, possibly as a result of different item contexts. Further research is needed to fully understand the role of the different layouts and the length of the questionnaires in the respondents' answers. Conclusions: The results show that as the SF-6D was designed to derive utilities from the SF-36 it should be used in this way and not as an independent instrument.Fundacao para a Ciencia e a Tecnologia (FCT

Thinking fast, thinking badly

We test for the construct validity of the cognitive reflection test (CRT) by eliciting response times. We find that incorrect answers to the CRT are quicker than correct answers. At the individual level, we classify subjects into impulsive and reflective, depending on whether they choose the incorrect intuitive answer or the correct answer the majority of the time. We show that impulsive subjects complete the test quicker than reflective subjects

Stellar impact on disequilibrium chemistry and on observed spectra of hot Jupiter atmospheres

In this work we study the effect of disequilibrium processes on mixing ratio profiles of neutral species and on the simulated spectra of a hot Jupiter exoplanet that orbits stars of different spectral types. We also address the impact of stellar activity that should be present to a different degree in all stars with convective envelopes. We used the VULCAN chemical kinetic code to compute number densities of species. The temperature-pressure profile of the atmosphere was computed with the HELIOS code. We also utilized the $\tau$-ReX forward model to predict the spectra of planets in primary and secondary eclipses. In order to account for the stellar activity we made use of the observed solar XUV spectrum taken from Virtual Planetary Laboratory (VPL) as a proxy for an active sun-like star. We find large changes in mixing ratios of most chemical species in planets orbiting A-type stars that radiate strong XUV flux inducing a very effective photodissociation. For some species, these changes can propagate very deep into the planetary atmosphere to pressures of around 1 bar. To observe disequilibrium chemistry we favor hot Jupiters with temperatures Teq=1000 K and ultra-hot Jupiters with Teq=3000$ K that also have temperature inversion in their atmospheres. On the other hand, disequilibrium calculations predict little changes in spectra of planets with intermediate temperatures. We also show that stellar activity similar to the one of the modern Sun drives important changes in mixing ratio profiles of atmospheric species. However, these changes take place at very high atmospheric altitudes and thus do not affect predicted spectra. We estimate that the effect of disequilibrium chemistry in planets orbiting nearby bright stars could be robustly detected and studied with future missions with spectroscopic capabilities in infrared such as, e.g., JWST and ARIEL.Comment: 17 pages, 12 figure

Mid-Infrared Observations of Class I/Flat-Spectrum Systems in Six Nearby Molecular Clouds

We have obtained new mid-infrared observations of 65 Class I/Flat-Spectrum (F.S.) objects in the Perseus, Taurus, Chamaeleon I/II, Rho Ophiuchi, and Serpens dark clouds. We detected 45/48 (94%) of the single sources, 16/16 (100%) of the primary components, and 12/16 (75%) of the secondary/triple components of the binary/multiple objects surveyed. The composite spectral energy distributions (SEDs) for all of our sample sources are either Class I or F.S., and, in 15/16 multiple systems, at least one of the individual components displays a Class I or F.S. spectral index. However, the occurrence of mixed pairings, such as F.S. with Class I, F.S. with Class II, and, in one case, F.S. with Class III, is surprisingly frequent. Such behaviour is not consistent with that of multiple systems among T Tauri stars (TTS), where the companion of a classical TTS also tends to be a classical TTS, although other mixed pairings have been previously observed among Class II objects. Based on an analysis of the spectral indices of the individual binary components, there appears to be a higher proportion of mixed Class I/F.S. systems (65-80%) than that of mixed Classical/Weak-Lined TTS (25-40%), demonstrating that the envelopes of Class I/ F.S. systems are rapidly evolving during this evolutionary phase. We report the discovery of a steep spectral index secondary companion to ISO-ChaI 97, detected for the first time via our mid-infrared observations. In our previous near- infrared imaging survey of binary/multiple Class I/F.S. sources, ISO-ChaI 97 appeared to be single. With a spectral index of Alpha >= 3.9, the secondary component of this system is a member of a rare class of very steep spectral index objects, those with Alpha > 3. Only three such objects have previously been reported, all of which are either Class 0 or Class I.Comment: 31 pages, 4 figures, 6 table

Environmentally friendly analysis of emerging contaminants by pressurized hot water extraction-stir bar sorptive extraction-derivatization and gas chromatography-mass spectrometry

This work describes the development, optimiza- tion, and validation of a new method for the simultaneous determination of a wide range of pharmaceuticals (beta- blockers, lipid regulators ... ) and personal care products (fragrances, UV filters, phthalates ... ) in both aqueous and solid environmental matrices. Target compounds were extracted from sediments using pressurized hot water ex- traction followed by stir bar sorptive extraction. The first stage was performed at 1,500 psi during three static extrac- tion cycles of 5 min each after optimizing the extraction temperature (50 – 150 °C) and addition of organic modifiers (% methanol) to water, the extraction solvent. Next, aqueous extracts and water samples were processed using polydime- thylsiloxane bars. Several parameters were optimized for this technique, including extraction and desorption time, ionic strength, presence of organic modifiers, and pH. Fi- nally, analytes were extracted from the bars by ultrasonic irradiation using a reduced amount of solvent (0.2 mL) prior to derivatization and gas chromatography – mass spectrome- try analysis. The optimized protocol uses minimal amounts of organic solvents (<10 mL/sample) and time ( ≈ 8 h/sam- ple) compared to previous ex isting methodologies. Low standard deviation (usually below 10 %) and limits of de- tection (sub-ppb) vouch for the applicability of the method- ology for the analysis of target compounds at trace levels. Once developed, the method was applied to determin

Mannose binding lectin is required for alphavirus-induced arthritis/myositis

Mosquito-borne alphaviruses such as chikungunya virus and Ross River virus (RRV) are emerging pathogens capable of causing large-scale epidemics of virus-induced arthritis and myositis. The pathology of RRV-induced disease in both humans and mice is associated with induction of the host inflammatory response within the muscle and joints, and prior studies have demonstrated that the host complement system contributes to development of disease. In this study, we have used a mouse model of RRV-induced disease to identify and characterize which complement activation pathways mediate disease progression after infection, and we have identified the mannose binding lectin (MBL) pathway, but not the classical or alternative complement activation pathways, as essential for development of RRV-induced disease. MBL deposition was enhanced in RRV infected muscle tissue from wild type mice and RRV infected MBL deficient mice exhibited reduced disease, tissue damage, and complement deposition compared to wild-type mice. In contrast, mice deficient for key components of the classical or alternative complement activation pathways still developed severe RRV-induced disease. Further characterization of MBL deficient mice demonstrated that similar to C3(-/-) mice, viral replication and inflammatory cell recruitment were equivalent to wild type animals, suggesting that RRV-mediated induction of complement dependent immune pathology is largely MBL dependent. Consistent with these findings, human patients diagnosed with RRV disease had elevated serum MBL levels compared to healthy controls, and MBL levels in the serum and synovial fluid correlated with severity of disease. These findings demonstrate a role for MBL in promoting RRV-induced disease in both mice and humans and suggest that the MBL pathway of complement activation may be an effective target for therapeutic intervention for humans suffering from RRV-induced arthritis and myositis.This work was supported by NIH/NIAMS R01 AR 047190 awarded to MTH

Contribution of thirdhand smoke to overall tobacco smoke exposure in pediatric patients: study protocol.

BackgroundThirdhand smoke (THS) is the persistent residue resulting from secondhand smoke (SHS) that accumulates in dust, objects, and on surfaces in homes where tobacco has been used, and is reemitted into air. Very little is known about the extent to which THS contributes to children's overall tobacco smoke exposure (OTS) levels, defined as their combined THS and SHS exposure. Even less is known about the effect of OTS and THS on children's health. This project will examine how different home smoking behaviors contribute to THS and OTS and if levels of THS are associated with respiratory illnesses in nonsmoking children.MethodsThis project leverages the experimental design from an ongoing pediatric emergency department-based tobacco cessation trial of caregivers who smoke and their children (NIHR01HD083354). At baseline and follow-up, we will collect urine and handwipe samples from children and samples of dust and air from the homes of smokers who smoke indoors, have smoking bans or who have quit smoking. These samples will be analyzed to examine to what extent THS pollution at home contributes to OTS exposure over and above SHS and to what extent THS continues to persist and contribute to OTS in homes of smokers who have quit or have smoking bans. Targeted and nontargeted chemical analyses of home dust samples will explore which types of THS pollutants are present in homes. Electronic medical record review will examine if THS and OTS levels are associated with child respiratory illness. Additionally, a repository of child and environmental samples will be created.DiscussionThe results of this study will be crucial to help close gaps in our understanding of the types, quantity, and clinical effects of OTS, THS exposure, and THS pollutants in a unique sample of tobacco smoke-exposed ill children and their homes. The potential impact of these findings is substantial, as currently the level of risk in OTS attributable to THS is unknown. This research has the potential to change how we protect children from OTS, by recognizing that SHS and THS exposure needs to be addressed separately and jointly as sources of pollution and exposure.Trial registrationClinicalTrials.gov Identifier: NCT02531594 . Date of registration: August 24, 2015