The Synergistic Impact of Excessive Alcohol Drinking and Cigarette Smoking upon Prospective Memory

The independent use of excessive amounts of alcohol or persistent cigarette smoking have been found to have a deleterious impact upon Prospective Memory (PM: remembering future intentions and activities), although to date, the effect of their concurrent use upon PM is yet to be explored. The present study investigated the impact of the concurrent use of drinking excessive amounts of alcohol and smoking cigarettes (a “Polydrug” group) in comparison to the combined effect of the single use of these substances upon PM. The study adopted a single factorial independent groups design. The Cambridge Prospective Memory Test (CAMPROMPT) is a test of both time-based and event-based PM and was used here to measure PM. The CAMPROMPT was administered to 125 adults; an excessive alcohol user group (n = 40), a group of smokers who drink very little alcohol (n = 20), a combined user group (the “Polydrug” group) who drink excessively and smoke cigarettes (n = 40) and a non-drinker/low alcohol consumption control group (n = 25). The main findings revealed that the Polydrug users recalled significantly fewer time-based PM tasks than both excessive alcohol users p < 0.001 and smokers p = 0.013. Polydrug users (mean = 11.47) also remembered significantly fewer event-based PM tasks than excessive alcohol users p < 0.001 and smokers p = 0.013. With regards to the main aim of the study, the polydrug users exhibited significantly greater impaired time-based PM than the combined effect of single excessive alcohol users and cigarette smokers p = 0.033. However, no difference was observed between polydrug users and the combined effect of single excessive alcohol users and cigarette smokers in event-based PM p = 0.757. These results provide evidence that concurrent (polydrug) use of these two substances has a synergistic effect in terms of deficits upon time-based PM. The observation that combined excessive drinking and cigarette smoking leads to a greater impairment in time-based PM may be of paramount importance, given the key role PM plays in everyday independent living

Accelerated motion and the self-force in Schwarzschild spacetime

We provide expansions of the Detweiler-Whiting singular field for motion along arbitrary, planar accelerated trajectories in Schwarzschild spacetime. We transcribe these results into mode-sum regularization parameters, computing previously unknown terms that increase the convergence rate of the mode-sum. We test our results by computing the self-force along a variety of accelerated trajectories. For non-uniformly accelerated circular orbits we present results from a new 1+1D discontinuous Galerkin time-domain code which employs an effective-source. We also present results for uniformly accelerated circular orbits and accelerated bound eccentric orbits computed within a frequency-domain treatment. Our regularization results will be useful for computing self-consistent self-force inspirals where the particle's worldline is accelerated with respect to the background spacetime.Comment: 19 pages, 6 figures (accepted CQG special issue article version

How Old Are Marshes on the East Coast, USA? Complex Patterns in Wetland Age Within and Among Regions

Sea‐level dynamics, sediment availability, and marine energy are critical drivers of coastal wetland formation and persistence, but their roles as continental‐scale drivers remain unknown. We evaluated the timing and spatial variability of wetland formation from new and existing cores collected along the Atlantic and Gulf coasts of the United States. Most basal peat ages occurred after sea‐level rise slowed (after ~4,000 years before present), but predominance of sea‐level rise studies may skew age estimates toward older sites. Near‐coastal sites tended to be younger, indicating creation of wetlands through basin infilling and overwash events. Age distributions differed among regions, with younger wetlands in the northeast and southeast corresponding to European colonization and deforestation. Across all cores, wetland age correlated strongly with basal peat depth. Marsh age elucidates the complex interactions between sea‐level rise, sediment supply, and geomorphic setting in determining timing and location of marsh formation and future wetland persistence

Generative AI for Education (GAIED): Advances, Opportunities, and Challenges

This survey article has grown out of the GAIED (pronounced "guide") workshop organized by the authors at the NeurIPS 2023 conference. We organized the GAIED workshop as part of a community-building effort to bring together researchers, educators, and practitioners to explore the potential of generative AI for enhancing education. This article aims to provide an overview of the workshop activities and highlight several future research directions in the area of GAIED

Associations of lower-limb atherosclerosis and arteriosclerosis with cardiovascular risk factors and disease in older adults:The Atherosclerosis Risk in Communities (ARIC) study

BACKGROUND & AIMS Atherosclerosis and arteriosclerosis contribute to vascular aging and cardiovascular disease (CVD) risk. Both processes can be assessed simply in the lower-limbs and reflect systemic pathology. However, only atherosclerosis is routinely assessed, typically via ankle-brachial index (ABI). Arteriosclerosis can be assessed using femoral-ankle pulse wave velocity (faPWV), but no studies have identified whether ABI and faPWV similarly associate with overt CVD and risk factors, nor whether faPWV confers additional information. The aims of this study were to, (i) Compare associations of ABI and faPWV with traditional CVD risk factors, including age, sex, systolic blood pressure (SBP), high-density lipoprotein (HDL), total cholesterol (TC), smoking, and diabetes; and, ii) Determine the independent and additive associations of ABI and faPWV with a composite measure of prevalent CVD. METHODS We evaluated ABI and faPWV in 4,330 older-aged (75.3±5.0 years) adults using an oscillometric screening device. Associations between ABI and faPWV with CVD risk factors and CVD were determined using mixed-model linear- and logistic-regression. RESULTS ABI and faPWV were associated with age, HDL, and smoking. ABI was associated with sex, TC, diabetes. faPWV was associated with SBP. Both ABI and faPWV were inversely associated with CVD. Low ABI (≤0.9 vs. >0.9) and low faPWV (≤9.94 vs. >9.94) increased the odds of CVD by 2.41-fold (95% CI:1.85,3.17) and 1.46-fold (95% CI:1.23,1.74), respectively. The inverse association between faPWV and CVD was independent of ABI and CVD risk factors. CONCLUSION ABI and faPWV, measures of lower-limb atherosclerosis and arteriosclerosis, are independently associated with CVD risk factors and prevalent CVD. Assessment of faPWV may confer additional risk information beyond ABI

Diagnostic Accuracy of Prion Disease Biomarkers in Iatrogenic Creutzfeldt-Jakob Disease

Human prion diseases are classified into sporadic, genetic, and acquired forms. Within this last group, iatrogenic Creutzfeldt-Jakob disease (iCJD) is caused by human-to-human transmission through surgical and medical procedures. After reaching an incidence peak in the 1990s, it is believed that the iCJD historical period is probably coming to an end, thanks to lessons learnt from past infection sources that promoted new prion prevention and decontamination protocols. At this point, we sought to characterise the biomarker profile of iCJD and compare it to that of sporadic CJD (sCJD) for determining the value of available diagnostic tools in promptly recognising iCJD cases. To that end, we collected 23 iCJD samples from seven national CJD surveillance centres and analysed the electroencephalogram and neuroimaging data together with a panel of seven CSF biomarkers: 14-3-3, total tau, phosphorylated/total tau ratio, alpha-synuclein, neurofilament light, YKL-40, and real-time quaking induced conversion of prion protein. Using the cut-off values established for sCJD, we found the sensitivities of these biomarkers for iCJD to be similar to those described for sCJD. Given the limited relevant information on this issue to date, the present study validates the use of current sCJD biomarkers for the diagnosis of future iCJD cases.This research was funded by the Instituto Carlos III (grants CP/00041 and PI19/00144) and by the Fundació La Marató de TV3 (201821‐30‐31‐32) to FL and by the Robert Koch Institute through funds from the Federal Ministry of Health (grant No, 1369‐341) to IZ. This project was also funded at 65% by the Fondo Europeo de Desarrollo Regional (FEDER) through the Interreg V‐A España‐Francia‐Andorra (POCTEFA 2014‐2020) programme. SJC is funded in part by a NHMRC Practitioner Fellowship (identification #APP1105784).S

AXIS: Generating Explanations at Scale with Learnersourcing and Machine Learning

While explanations may help people learn by providing information about why an answer is correct, many problems on online platforms lack high-quality explanations. This paper presents AXIS (Adaptive eXplanation Improvement System), a system for obtaining explanations. AXIS asks learners to generate, revise, and evaluate explanations as they solve a problem, and then uses machine learning to dynamically determine which explanation to present to a future learner, based on previous learners’ collective input. Results from a case study deployment and a randomized experiment demonstrate that AXIS elicits and identifies explanations that learners find helpful. Providing explanations from AXIS also objectively enhanced learning, when compared to the default practice where learners solved problems and received answers without explanations. The rated quality and learning benefit of AXIS explanations did not differ from explanations generated by an experienced instructor.Other Research Uni