Estimating quality weights for EQ-5D (EuroQol-5 dimensions) health states with the time trade-off method in Taiwan

Background/PurposeEQ-5D (EuroQol-5 dimensions) is a preference-based measure of health, which is widely used in cost–utility analyses. It has been suggested that each country should develop its own value set. We therefore sought to develop the quality weights of the EQ-5D health states with the time trade-off (TTO) method in Taiwan.MethodsA total of 745 respondents consisting of employees and volunteers in 17 different hospitals were recruited and interviewed. Each of them valued 13 of 73 EQ-5D health states using the TTO method. Based on the three exclusion criteria for valuation data, only 456 (61.21%) respondents were considered eligible for data analysis. The quality weights for all EQ-5D health states were modeled by generalized estimating equations (GEEs).ResultsOver half of the responses were given negative values, and the medical personnel seemed to have a significantly higher TTO value (+0.1) than others after controlling for other predictors. The N3 model (level 3 occurred within at least 1 dimension) yielded an acceptable fit for the observed OTT data [mean absolute error (MAE) = 0.056, R2 = 0.35]. The magnitude of mean absolute differences (MADs) between Taiwan data and those from the UK, Japan, and South Korea ranged from 0.146 to 0.592, but the rank correlation coefficients were all above 0.811.ConclusionThis study reaffirms the differences in health-related preference values across countries. The high proportion of negative values might indicate that we have also partially measured the intensity of fear in addition to the utility of different health states

Circular dichroism in angle-resolved photoemission spectroscopy of topological insulators

Topological insulators are a new phase of matter that exhibits exotic surface electronic properties. Determining the spin texture of this class of material is of paramount importance for both fundamental understanding of its topological order and future spin-based applications. In this article, we review the recent experimental and theoretical studies on the differential coupling of left- versus right-circularly polarized light to the topological surface states in angle-resolved photoemission spectroscopy. These studies have shown that the polarization of light and the experimental geometry plays a very important role in both photocurrent intensity and spin polarization of photoelectrons emitted from the topological surface states. A general photoemission matrix element calculation with spin-orbit coupling can quantitatively explain the observations and is also applicable to topologically trivial systems. These experimental and theoretical investigations suggest that optical excitation with circularly polarized light is a promising route towards mapping the spin-orbit texture and manipulating the spin orientation in topological and other spin-orbit coupled materials.Comment: submitted to Phys. Status Solidi RR

The catalytic core of DEMETER guides active DNA demethylation in Arabidopsis.

The Arabidopsis DEMETER (DME) DNA glycosylase demethylates the maternal genome in the central cell prior to fertilization and is essential for seed viability. DME preferentially targets small transposons that flank coding genes, influencing their expression and initiating plant gene imprinting. DME also targets intergenic and heterochromatic regions, but how it is recruited to these differing chromatin landscapes is unknown. The C-terminal half of DME consists of 3 conserved regions required for catalysis in vitro. We show that this catalytic core guides active demethylation at endogenous targets, rescuing dme developmental and genomic hypermethylation phenotypes. However, without the N terminus, heterochromatin demethylation is significantly impeded, and abundant CG-methylated genic sequences are ectopically demethylated. Comparative analysis revealed that the conserved DME N-terminal domains are present only in flowering plants, whereas the domain architecture of DME-like proteins in nonvascular plants mainly resembles the catalytic core, suggesting that it might represent the ancestral form of the 5mC DNA glycosylase found in plant lineages. We propose a bipartite model for DME protein action and suggest that the DME N terminus was acquired late during land plant evolution to improve specificity and facilitate demethylation at heterochromatin targets

Tunable Multifunctional Topological Insulators in Ternary Heusler Compounds

Recently the Quantum Spin Hall effect (QSH) was theoretically predicted and experimentally realized in a quantum wells based on binary semiconductor HgTe[1-3]. QSH state and topological insulators are the new states of quantum matter interesting both for fundamental condensed matter physics and material science[1-11]. Many of Heusler compounds with C1b structure are ternary semiconductors which are structurally and electronically related to the binary semiconductors. The diversity of Heusler materials opens wide possibilities for tuning the band gap and setting the desired band inversion by choosing compounds with appropriate hybridization strength (by lattice parameter) and the magnitude of spin-orbit coupling (by the atomic charge). Based on the first-principle calculations we demonstrate that around fifty Heusler compounds show the band inversion similar to HgTe. The topological state in these zero-gap semiconductors can be created by applying strain or by designing an appropriate quantum well structure, similar to the case of HgTe. Many of these ternary zero-gap semiconductors (LnAuPb, LnPdBi, LnPtSb and LnPtBi) contain the rare earth element Ln which can realize additional properties ranging from superconductivity (e. g. LaPtBi[12]) to magnetism (e. g. GdPtBi[13]) and heavy-fermion behavior (e. g. YbPtBi[14]). These properties can open new research directions in realizing the quantized anomalous Hall effect and topological superconductors.Comment: 20 pages, 5 figure

Defect-modulated thermal transport behavior of BAs under high pressure

Boron arsenide (BAs) is a covalent semiconductor with a theoretical intrinsic thermal conductivity approaching 1300 W/m K. The existence of defects not only limits the thermal conductivity of BAs significantly but also changes its pressure-dependent thermal transport behavior. Using both picosecond transient thermoreflectance and femtosecond time-domain thermoreflectance techniques, we observed a non-monotonic dependence of thermal conductivity on pressure. This trend is not caused by the pressure-modulated phonon–phonon scattering, which was predicted to only change the thermal conductivity by 10%–20%, but a result of several competing effects, including defect–phonon scattering and modification of structural defects under high pressure. Our findings reveal the complexity of the defect-modulated thermal behavior under pressure.The authors are grateful for the support from the National Science Foundation (NASCENT, Grant No. EEC-1160494; Center for Dynamics and Control of Materials DMR-1720595; CBET- 2211660); F.T., Z.R., and L.S. were supported by the Office of Naval Research under Multidisciplinary University Research Initiative (Grant No. N00014-16-1-2436).Center for Dynamics and Control of Material

Urate-lowering treatment and risk of total joint replacement in patients with gout

Objectives: To examine whether gout is an independent risk factor for total joint replacement (TJR) and whether urate-lowering treatment (ULT) reduces this risk. Methods: Using the Taiwan National Health Insurance database and the UK Clinical Practice Research Datalink, 74 560 Taiwan patients and 34 505 UK patients with incident gout were identified and age and sex matched to people without gout. Cox proportional hazards models and condition logistic regression were used to examine the risk of TJR in gout patients and the association between cumulative defined daily dose (cDDD) of ULT and TJR.Results: The prevalence rates of TJR in the patients at the time of diagnosis of gout and in people without gout were 1.16% vs 0.82% in Taiwan and 2.61% vs 1.76% in the UK. After a gout diagnosis, the incidence of TJR was higher in the patients with gout compared with those without (3.23 vs 1.91 cases/1000 person-years in Taiwan and 6.87 vs 4.61 cases/1000 person-years in the UK), with adjusted HRs of 1.56 (95% CI 1.45, 1.68) in Taiwan and 1.14 (1.05, 1.22) in the UK. Compared with patients with gout with 180 cDDD ULT in Taiwan. In the UK, the respective ORs were 1.09 (0.83, 1.42), 0.93 (0.68, 1.27) and 1.08 (0.94, 1.24).Conclusion: This population-based study provides evidence from two nation populations that gout confers significant TJR risk, which was not reduced by current ULT

Emergent quantum confinement at topological insulator surfaces

Bismuth-chalchogenides are model examples of three-dimensional topological insulators. Their ideal bulk-truncated surface hosts a single spin-helical surface state, which is the simplest possible surface electronic structure allowed by their non-trivial $\mathbb{Z}_2$ topology. They are therefore widely regarded ideal templates to realize the predicted exotic phenomena and applications of this topological surface state. However, real surfaces of such compounds, even if kept in ultra-high vacuum, rapidly develop a much more complex electronic structure whose origin and properties have proved controversial. Here, we demonstrate that a conceptually simple model, implementing a semiconductor-like band bending in a parameter-free tight-binding supercell calculation, can quantitatively explain the entire measured hierarchy of electronic states. In combination with circular dichroism in angle-resolved photoemission (ARPES) experiments, we further uncover a rich three-dimensional spin texture of this surface electronic system, resulting from the non-trivial topology of the bulk band structure. Moreover, our study reveals how the full surface-bulk connectivity in topological insulators is modified by quantum confinement.Comment: 9 pages, including supplementary information, 4+4 figures. A high resolution version is available at http://www.st-andrews.ac.uk/~pdk6/pub_files/TI_quant_conf_high_res.pd

Detection of SARS-associated Coronavirus in Throat Wash and Saliva in Early Diagnosis

Early detection of SARS-CoV in throat wash and saliva suggests that these specimens are ideal for SARS diagnosis

Carbon concentration declines with decay class in tropical forest woody debris

Carbon stored in woody debris is a key carbon pool in forest ecosystems. The most widely-used method to convert woody debris volume to carbon is by first multiplying field-measured volume with wood density to obtain necromass, and then assuming that a fixed proportion (often 50%) of the necromass is carbon. However, this crucial assumption is rarely tested directly, especially in the tropics. The aim of this study is to verify the field carbon concentration values of living trees and woody debris in two distinct tropical forests in Taiwan. Wood from living trees and woody debris across five decay classes was sampled to measure density and carbon concentrations. We found that both wood density and carbon concentration (carbon mass/total mass) declined significantly with the decay class of the wood. Mean (±SE) carbon concentration values for living trees were 44.6 ± 0.1%, while for decay classes one to five they were respectively 41.1 ± 1.4%, 41.4 ± 1.0%, 37.7 ± 1.3%, 30.5 ± 2.0%, and 19.6 ± 2.2%. Total necromass carbon stock was low, only 3.33 ± 0.55 Mg C ha−1 in the windward forest (Lanjenchi) and 4.65 ± 1.63 Mg C ha−1 in the lowland forest (Nanjenshan). Applying the conventional 50% necromass carbon fraction value would cause a substantial overestimate of the carbon stocks in woody debris of between 17% and 36%, or about 1 Mg of carbon per hectare. The decline in carbon concentration and the increase of variances in the heavily decayed class suggest that in high-diversity tropical forests there are diverse decomposition trajectories and that assuming a fixed carbon fraction across woody pieces is not justified. Our work reveals the need to consider site-specific and decay class-specific carbon concentrations in order to accurately estimate carbon stocks and fluxes in forest ecosystems. If the marked decline in carbon content with necromass decay is typical of tropical forests, the dead wood carbon pool in the biome needs revision and is likely to be overestimate