Defensive agents of Blaps femoralis, a traditional mongolian medicinal insect

Knowledge about therapy with insects in Mongolian traditional medicine is less studied even they have been used broadly since ancient time. Several orthodox practitioners have surveyed the therapeutic potentials of defensive agents in Blaps femoralis known as “stink beetle” in the past. We present results about content of defensive secretion and surface lipids, both a biologically active principle in insect, used in traditional Mongolian medicine. A combination of gas chromatography and mass spectroscopy was used for the identification of several p-benzoquinone derivatives accompanied by straight chain hydrocarbons and fatty acids. None of these compounds has been reported previously from this species. An IR imaging of insect cuticle surface shows the possibility for the analytical characterization of fatty acids in tissue at high lateral resolution of few microns

Environmental problems, uncertainty, and mathematical modeling

In this paper we discuss three rather special characteristics shared by many environmental problems. Namely, that (i) the environmental variables in which we are most interested constitute a stochastic process; (ii) the long-term or limiting behavior and the short-term or transient behavior are often both important; and (iii) the underlying probability distributions are likely to be influenced by the environmental policies or remedies that we choose to impose. This third characteristic implies the need to understand the impact of technologies and controls that influence the dynamics of the system. The control theoretic perspective of environmental engineering problems has, we believe, received less attention than it deserves in the literature. Consequently, after a brief discussion of the exogenous, control-independent case we focus on illustrating some special challenges and opportunities embedded in the control-dependent situations

The relationship between pain, analgesics and survival in patients with advanced cancer; a secondary data analysis of the international European palliative care Cancer symptom study.

Purpose: Opioids reduce cancer-related pain but an association with shorter survival is variably reported. Aim: To investigate the relationship between pain, analgesics, cancer and survival within the European Palliative Care Cancer Symptom (EPCCS) study to help inform clinical decision making. Methods: Secondary analysis of the international prospective, longitudinal EPCCS study which included 1739 adults with advanced, incurable cancer receiving palliative care. In this secondary analysis, for all participants with date of death or last follow up, a multilevel Weibull survival analysis examined whether pain, analgesics, and other relevant variables are associated with time to death. Results: Date of death or last follow-up was available for 1404 patients (mean age 65.7 [SD:12.3];men 50%). Secondary analysis of this group showed the mean survival from baseline was 46.5 (SD:1.5) weeks (95% CI:43.6–49.3). Pain was reported by 76%; 60% were taking opioids, 51% non-opioid analgesics and 24% co-analgesics. Opioid-use was associated with decreased survival in the multivariable model (HR = 1.59 (95% CI:1.38–1.84), p < 0.001). An exploratory subgroup analysis of those with C-reactive protein (CRP) measures (n = 219) indicated higher CRP was associated with poorer survival (p = 0.001). In this model, the strength of relationship between survival and opioid-use weakened (p = 0.029). Conclusion: Opioid-use and survival were associated; this relationship weakened in a small sensitivity-testing subgroup analysis adjusting for CRP. Thus, the observed relationship between survival and opioid-use may partly be due to tumour-related inflammation. Larger studies, measuring disease activity, are needed to confirm this finding to more accurately judge the benefits and risks of opioids in advanced progressive disease

An H2CO 6cm Maser Pinpointing a Possible Circumstellar Torus in IRAS18566+0408

We report observations of 6cm, 3.6cm, 1.3cm, and 7mm radio continuum, conducted with the Very Large Array towards IRAS18566+0408, one of the few sources known to harbor H2CO 6cm maser emission. Our observations reveal that the emission is dominated by an ionized jet at cm wavelengths. Spitzer/IRAC images from GLIMPSE support this interpretation, given the presence of 4.5um excess emission at approximately the same orientation as the cm continuum. The 7mm emission is dominated by thermal dust from a flattened structure almost perpendicular to the ionized jet, thus, the 7mm emission appears to trace a torus associated with a young massive stellar object. The H2CO 6cm maser is coincident with the center of the torus-like structure. Our observations rule out radiative pumping via radio continuum as the excitation mechanism for the H2CO 6cm maser in IRAS18566+0408.Comment: 20 pages, 4 figures, ApJ (in press

Over a third of palliative medicine physicians meet burnout criteria: Results from a survey study during the COVID-19 pandemic

Background: Palliative medicine physicians may be at higher risk of burnout due to increased stressors and compromised resilience during the COVID-19 pandemic. Burnout prevalence and factors influencing this among UK and Irish palliative medicine physicians is unknown. Aim: To determine the prevalence of burnout and the degree of resilience among UK and Irish palliative medicine physicians during the COVID-19 pandemic, and associated factors. Design: Online survey using validated assessment scales assessed burnout and resilience: The Maslach Burnout Inventory Human Services Survey for Medical Personnel [MBI-HSS (MP)] and the Connor-Davidson Resilience Scale (CD-RISC). Additional tools assessed depressive symptoms, alcohol use, and quality of life. Setting/participants: Association of Palliative Medicine of UK and Ireland members actively practising in hospital, hospice or community settings. Results: There were 544 respondents from the 815 eligible participants (66.8%), 462 provided complete MBI-HSS (MP) data and were analysed. Of those 181/462 (39.2%) met burnout criteria, based on high emotional exhaustion or depersonalisation subscales of the MBI-HSS (MP). A reduced odds of burnout was observed among physicians who worked ⩽20 h/week (vs 31–40 h/week, adjusted odds ratio (aOR) 0.03, 95% confidence interval (CI) 0.002–0.56) and who had a greater perceived level of clinical support (aOR 0.70, 95% CI 0.62–0.80). Physicians with higher levels of depressive symptoms had higher odds of burnout (aOR 18.32, 95% CI 6.75–49.73). Resilience, mean (SD) CD-RISC score, was lower in physicians who met burnout criteria compared to those who did not (62.6 (11.1) vs 70.0 (11.3); p < 0.001). Conclusions: Over one-third of palliative medicine physicians meet burnout criteria. The provision of enhanced organisational and colleague support is paramount in both the current and future pandemics

Creation, doubling, and splitting, of vortices in intracavity second harmonic generation

We demonstrate generation and frequency doubling of unit charge vortices in a linear astigmatic resonator. Topological instability of the double charge harmonic vortices leads to well separated vortex cores that are shown to rotate, and become anisotropic, as the resonator is tuned across resonance