Nocturia as an Unrecognized Symptom of Uncontrolled Hypertension in Black Men Aged 35 to 49 Years.

Background Hypertension is assumed to be asymptomatic. Yet, clinically significant nocturia (≥2 nightly voids) constitutes a putative symptom of uncontrolled hypertension. Black men with hypertension may be prone to nocturia because of blunted nocturnal blood pressure ( BP ) dipping, diuretic drug use for hypertension, and comorbidity that predisposes to nocturia. Here, we test the hypothesis that nocturia is a common and potentially reversible symptom of uncontrolled hypertension in black men. Methods and Results We determined the strength of association between nocturia (≥2 nightly voids) and high BP (≥135/85 mm Hg) by conducting in-person health interviews and measuring BP with an automated monitor in a large community-based sample of black men in their barbershops. Because nocturia is prevalent and steeply age-dependent after age 50 years, we studied men aged 35 to 49 years. Among 1673 black men (mean age, 43±4 years [ SD ]), those with hypertension were 56% more likely than men with normotension to have nocturia after adjustment for diabetes mellitus and sleep apnea (adjusted odds ratio, 1.56; 95% CI , 1.25-1.94 [ P<0.0001]). Nocturia prevalence varied by hypertension status, ranging from 24% in men with normotension to 49% in men whose hypertension was medically treated but uncontrolled. Men with untreated hypertension were 39% more likely than men with normotension to report nocturia ( P=0.02), whereas men whose hypertension was treated and controlled were no more likely than men with normotension to report nocturia ( P=0.69). Conclusions Uncontrolled hypertension was an independent determinant of clinically important nocturia in a large cross-sectional community-based study of non-Hispanic black men aged 35 to 49 years. Clinical Trial Registration URL : http://www.clinicaltrials.gov . Unqiue identifier: NCT 02321618

Examining the Hydration and Mechanical Properties of Cement Paste Containing Cellulose Nanocrystals

Cellulose nanocrystals (CNCs) are a nano-scaled particulae material that has been shown to improve strength in cementitious pastes. One advantage of CNCs compared to other nano-materials is that CNCs are renewable and sustainable. The objective of this investigation is to investigate the influence of additional alkali content on the behavior of CNCs in cement paste. This work evaluates flexural and compressive strength as a function of heat of hydration—which measures the extent of reaction. Previous mechanical tests on cement paste containing cellulose nanocrystals (CNCs) have shown CNCs to improve the flexural strength of cement paste by approximately 30%. Isothermal calorimetry testing showed that degree of hydration of the cement paste containing CNCs increases compared to the plain system. Since properties of cement composites are time dependent, specimens were tested at degree of hydration. The hypothesis of this work is that CNC will improve the strength gain as a function of hydration. In addition, CNC will improve in the degree of hydration. To evaluate this hypothesis, cement paste samples were prepared using CNC of 0%, 0.2%, and 1.0% by volume and alkali content of 0.19%, 0.61%, and 1.01% by weight. Heat of hydration quantities was related to specimen ages and mechanical properties at given ages. Results showed that specimens containing CNCs with additional alkali content greatly increased strength at the same degree of hydration. Results indicate that CNCs are improving the strength of the cement paste by mobility of the microstructure

Is Rust Used Safely by Software Developers?

Rust, an emerging programming language with explosive growth, provides a robust type system that enables programmers to write memory-safe and data-race free code. To allow access to a machine's hardware and to support low-level performance optimizations, a second language, Unsafe Rust, is embedded in Rust. It contains support for operations that are difficult to statically check, such as C-style pointers for access to arbitrary memory locations and mutable global variables. When a program uses these features, the compiler is unable to statically guarantee the safety properties Rust promotes. In this work, we perform a large-scale empirical study to explore how software developers are using Unsafe Rust in real-world Rust libraries and applications. Our results indicate that software engineers use the keyword unsafe in less than 30% of Rust libraries, but more than half cannot be entirely statically checked by the Rust compiler because of Unsafe Rust hidden somewhere in a library's call chain. We conclude that although the use of the keyword unsafe is limited, the propagation of unsafeness offers a challenge to the claim of Rust as a memory-safe language. Furthermore, we recommend changes to the Rust compiler and to the central Rust repository's interface to help Rust software developers be aware of when their Rust code is unsafe

Relationship between urinary energy and urinary nitrogen or carbon excretion in lactating Jersey cows

Measurement of urinary energy (UE) excretion is essential to determine metabolizable energy (ME) supply. Our objectives were to evaluate the accuracy of using urinary N (UN) or C (UC) to estimate UE and ultimately improve the accuracy of estimating ME. Individual animal data (n = 433) were used from 11 studies with Jersey cows at the University of Nebraska–Lincoln, where samples were analyzed after drying (n = 299) or on an as-is basis (n = 134). Dried samples resulted in greater estimated error variance compared with as-is samples, and thus only as-is samples were used for final models. The as-is data set included a range (min to max) in dry matter intake (11.6–24.6 kg/d), N intake (282–642 g/d), UE excretion (1,390–3,160 kcal/d), UN excretion (85–220 g/d or 20.6–59.5% of N intake), and UC excretion (130–273 g/d). As indicated by a bias in residuals between observed and predicted ME as dietary crude protein (CP; range of 14.9–19.1%) increased, the National Research Council dairy model did not accurately predict ME of diets, as dietary CP varied. The relationship between UE (kcal/d) and UN (g/d) excretion was linear and had an intercept of 880 ± 140 kcal. Because an intercept of 880 is biologically unlikely, the intercept was forced through 0, resulting in linear and quadratic relationships. The regressions of UE (kcal/d) on UN (g/d) excretion were UE = 14.6 ± 0.32 × UN, and UE = 20.9 ± 1.0 × UN − 0.0357 ± 0.0056 × UN2. In the quadratic regression, UE increased, but at a diminishing rate as UN excretion increased. As UC increased, UE linearly and quadratically increased. However, error variance was greater for regression with UC compared with UN as explanatory variables (8.42 vs. 7.42% of mean UE). The use of the quadratic regression between UN and UE excretion to predict ME resulted in a slope bias in ME predictions as dietary CP increased. The linear regression between UE and UN excretion removed slope bias between predicted ME and CP, and thus may be more appropriate for predicting UE across a wider range of dietary CP. Using equations to predict UE from UN should improve our ability to predict diet ME in Jersey cows compared with calculating ME directly from digestible energy

An Initial Application of a Biopsychosocial Framework to Predict Posttraumatic Stress Following Pediatric Injury

Objectives—Each year millions of children suffer from unintentional injuries that result in poor emotional and physical health. This study examined selected biopsychosocial factors (i.e., child heart rate, peritrauma appraisals, early coping, trauma history) to elucidate their roles in promoting emotional recovery following injury. The study evaluated specific hypotheses that threat appraisals (global and trauma-specific) and coping would predict subsequent posttraumatic stress symptoms (PTSS), that coping would mediate the association between early and later PTSS, and that heart rate would predict PTSS and appraisals would mediate this association. Method—Participants were 96 children hospitalized for injury and assessed at 3 time points: T1 (within 2 weeks of injury), T2 (6-week follow-up), and T3 (12-week follow-up). Participants completed measures of trauma history and appraisals at T1, coping at T2, and PTSS at T1, T2, and T3. Heart rate was abstracted from medical records. Structural equation modeling was employed to evaluate study hypotheses. Results—Heart rate was not associated with PTSS or appraisals. Models including trauma history, appraisals, coping, and PTSS were constructed to test other study hypotheses and fit the data well. T1 global and trauma-specific threat appraisals were associated with T1 PTSS; T2 avoidant coping was a significant mediator of the relation between T1 and T3 PTSS. Conclusions—Findings confirm a role for appraisals and coping in the development of PTSS over the weeks following pediatric injury. Early appraisals and avoidant coping may be appropriate targets for prevention and early intervention. Future researchers should further explicate the utility of a biopsychosocial framework in predicting PTSS

Total and Monomethyl Mercury in Fog Water from the Central California Coast

[1] Total mercury (HgT) and monomethyl mercury (MMHg) concentrations in fog collected from 4 locations in and around Monterey Bay, California during June-August of 2011 were 10.7 ± 6.8 and 3.4 ± 3.8 ng L−1respectively. In contrast, mean HgT and MMHg concentrations in rain water from March-June, 2011 were 1.8 ± 0.9 and 0.1 ± 0.04 ng L−1 respectively. Using estimates of fog water deposition from 6 sites in the region using a standard fog water collector (SFC), depositions of HgT and MMHg via fog were found to range from 42–4600 and 14–1500 ng m−2 y−1, which accounted for 7–42% of HgT and 61–99% of MMHg in total atmospheric deposition (fog, rain, and dry deposition), estimated for the coastal area. These initial measurements suggest that fog precipitation may constitute an important but previously overlooked input of MMHg to coastal environments. Preliminary comparisons of these data with associated chemical, meteorological and oceanic data suggest that biotically formed MMHg from coastal upwelling may contribute to the MMHg in fog water

Dietary considerations in the evaluation and management of nocturia

Aim: This narrative review investigates the effect of dietary intake on nocturnal voiding severity. The primary aims of this review are to provide a framework for future research and ultimately contribute to more comprehensive, lifestyle-centered guidelines for the management of nocturia. Methods: A literature search was conducted in Web of Science, PubMed, and Google Scholar databases using the keywords “nocturia”, “diuresis”, “natriuresis”, “food”, “diet”, and “nutrients”. Results: High fruit and vegetable consumption was negatively associated with nocturia. High intake of tea and dietary sodium showed a positive association with nocturia. Several foods have also been directly linked to changes in diuresis rate, glycemic control, and endogenous serum melatonin concentration, offering potential mechanisms for this observed effect. Overall quality of the evidence was low. Conclusion: At present, there is limited evidence to suggest that certain foods, electrolytes, and specific compounds may contribute to the pathogenesis of nocturia. A greater understanding of the impact of food and nutrients on body fluid metabolism is needed to further refine the evaluation and treatment of nocturia

Slaying little dragons: the impact of the Guinea Worm Eradication Program on dracunculiasis disability averted from 1990 to 2016

Background: The objective of this study was to document the worldwide decline of dracunculiasis (Guinea worm disease, GWD) burden, expressed as disability-adjusted life years (DALYs), from 1990 to 2016, as estimated in the Global Burden of Disease study 2016 (GBD 2016). While the annual number of cases of GWD have been consistently reported by WHO since the 1990s, the burden of disability due to GWD has not previously been quantified in GBD.Methods: The incidence of GWD was modeled for each endemic country using annual national case reports. A literature search was conducted to characterize the presentation of GWD, translate the clinical symptoms into health sequelae, and then assign an average duration to the infection. Prevalence measures by sequelae were multiplied by disability weights to estimate DALYs.Results: The total DALYs attributed to GWD across all endemic countries (n=21) in 1990 was 50,725 (95% UI: 35,265–69,197) and decreased to 0.9 (95% UI: 0.5–1.4) in 2016. A cumulative total of 12,900 DALYs were attributable to GWD from 1990 to 2016.Conclusions: Using 1990 estimates of burden propagated forward, this analysis suggests that between 990,000 to 1.9 million DALYs have been averted as a result of the eradication program over the past 27 year