Adolescents who Perceive their Diet as Healthy Consume More Fruits, Vegetables and Milk and Fewer Sweet Drinks

This study assessed whether adolescents’ perception of the healthfulness of their diet was related to dietary behaviors over the past week, controlling for demographic characteristics. Participants (n=391) completed an online survey on the frequency of specific dietary behaviors over the past week and the perceived healthfulness of their own diet compared to their peers’ diets. Mean intakes of juice, fruit, vegetables, milk, sugar-sweetened beverages, and diet beverages, were compared by perceived healthfulness of diet categories using analysis of covariance. Participants with higher perceived healthfulness of diet reported significantly higher mean fruit and vegetable intakes and a lower mean intake of sugar sweetened beverages over the past week than participants with the same or lower perceived healthfulness of diet (all p< 0.001). Participants who reported a higher perceived healthfulness of diet reported a significantly higher frequency of milk intake (p< 0.05) than those who reported the same perceived healthfulness of diet. Those with lower perceived healthfulness of diet reported higher mean frequencies of diet beverage intakes than those with higher perceived healthfulness (p<0.05). Further research should include qualitative studies with adolescents to explore how individuals rate their diets and how these perceptions influence dietary choices

Spiral Evolution in a Confined Geometry

Supported nanoscale lead crystallites with a step emerging from a non-centered screw dislocation on the circular top facet were prepared by rapid cooling from just above the melting temperature. STM observations of the top facet show a nonuniform rotation rate and shape of the spiral step as the crystallite relaxes. These features can be accurately modeled using curvature driven dynamics, as in classical models of spiral growth, with boundary conditions fixing the dislocation core and regions of the step lying along the outer facet edge.Comment: 4 pages, 3 figures, to be published in Physical Review Letter

Neutrino-Induced Giant Air Showers in Large Extra Dimension Models

In models based on large extra dimensions where massive spin 2 exchange can dominate at high energies, the neutrino-proton cross section can rise to typical hadronic values at energies above 10^20 eV. The neutrino then becomes a candidate for the primary that initiates the highest energy cosmic ray showers. We investigate characteristics of neutrino-induced showers compared to proton-induced showers. The comparison includes study of starting depth, profile with depth, lateral particle distribution at ground and muon lateral distribution at ground level. We find that for cross sections above 20 mb there are regions of parameter space where the two types of showers are essentially indistinguishable. We conclude that the neutrino candidate hypothesis cannot be ruled out on the basis of shower characteristics.Comment: 24 pages, latex, 19 figures; text discussion and references added, typos corrected; figures and conclusions unchange

Heart Fatty Acid Binding Protein and cardiac troponin: development of an optimal rule-out strategy for acute myocardial infarction

Background: Improved ability to rapidly rule-out Acute Myocardial Infarction (AMI) in patients presenting with chest pain will promote decongestion of the Emergency Department (ED) and reduce unnecessary hospital admissions. We assessed a new commercial Heart Fatty Acid Binding Protein (H-FABP) assay for additional diagnostic value when combined with cardiac troponin (using a high sensitivity assay). Methods: H-FABP and high-sensitivity troponins I (hs-cTnI) and T (hs-cTnT) were measured in samples taken on-presentation from patients, attending the ED, with symptoms triggering investigation for possible acute coronary syndrome. The optimal combination of H-FABP with each hs-cTn was defined as that which maximized the proportion of patients with a negative test (low-risk) whilst maintaining at least 99 % sensitivity for AMI. A negative test comprised both H-FABP and hs-cTn below the chosen threshold in the absence of ischemic changes on the ECG. Results: One thousand seventy-nine patients were recruited including 248 with AMI. H-FABP 99 % sensitivity for AMI whilst classifying 40.9 % of patients as low-risk. The combination of H-FABP < 3.9 ng/mL and hs-cTnT < 7.6 ng/L with a negative ECG maintained the same sensitivity whilst classifying 32.1 % of patients as low risk. Conclusions: In patients requiring rule-out of AMI, the addition of H-FABP to hs-cTn at presentation (in the absence of new ischaemic ECG findings) may accelerate clinical diagnostic decision making by identifying up to 40 % of such patients as low-risk for AMI on the basis of blood tests performed on presentation. If implemented this has the potential to significantly accelerate triaging of patients for early discharge from the ED

Climate change increases the risk of fisheries conflict

The effects of climate change on the ocean environment – especially ocean warming, acidification, and sea level rise – will impact fish stocks and fishers in important ways. Likely impacts include changes in fish stocks’ productivity and distribution, human migration to and away from coastal areas, stresses on coastal fisheries infrastructure, and challenges to prevailing maritime boundaries. In this paper, we explore these and other related phenomena, in order to assess whether and how the impacts of climate change on fisheries will contribute to the risk of fisheries conflict. We argue that climate change will entail an increase in the conditions that may precipitate fisheries conflict, and thereby create new challenges for existing fisheries management institutions. Several potential changes in fisheries management policy are recommended to avert the growing risk of fisheries-related conflicts

A Study of the Sediments of Narragansett Bay, Volume 1: The Surface Sediments of Narragansett Bay

This report is divided into two volumes. The focus of Volume I is the surface sediments of Narragansett Bay. Volume I contains a study of the surface sediments of Narragansett Bay (Chapter 1), a study of suspended sediments in the northwestern section of the Narragansett Bay System (Chapter 2), a study of the relationship between contaminant concentrations in the surface sediments and soft tissues of the hard clam, Mercenaria mercenaria in Narragansett Bay (Chapter 3), and the results of a side-scan sonar survey of the Providence River dredged channel (Chapter 4). The focus of Volume II is a study of sediment cores from the Narragansett Bay System. Chapter 5 contains the results of geophysical (side-scan and sub-bottom sonar) that support the core studies. The results of studies of sediment cores from Narragansett Bay are contained in Chapter 6, and the results of sediment core studies from its freshwater tributaries (i.e., the Blackstone and Pawtuxet Rivers) are contained in Chapter 7. (Text taken from report preface

Mental health in UK Biobank - development, implementation and results from an online questionnaire completed by 157 366 participants: a reanalysis

Background UK Biobank is a well-characterised cohort of over 500 000 participants including genetics, environmental data and imaging. An online mental health questionnaire was designed for UK Biobank participants to expand its potential. Aims Describe the development, implementation and results of this questionnaire. Method An expert working group designed the questionnaire, using established measures where possible, and consulting a patient group. Operational criteria were agreed for defining likely disorder and risk states, including lifetime depression, mania/hypomania, generalised anxiety disorder, unusual experiences and self-harm, and current post-traumatic stress and hazardous/harmful alcohol use. Results A total of 157 366 completed online questionnaires were available by August 2017. Participants were aged 45–82 (53% were ≥65 years) and 57% women. Comparison of self-reported diagnosed mental disorder with a contemporary study shows a similar prevalence, despite respondents being of higher average socioeconomic status. Lifetime depression was a common finding, with 24% (37 434) of participants meeting criteria and current hazardous/harmful alcohol use criteria were met by 21% (32 602), whereas other criteria were met by less than 8% of the participants. There was extensive comorbidity among the syndromes. Mental disorders were associated with a high neuroticism score, adverse life events and long-term illness; addiction and bipolar affective disorder in particular were associated with measures of deprivation. Conclusions The UK Biobank questionnaire represents a very large mental health survey in itself, and the results presented here show high face validity, although caution is needed because of selection bias. Built into UK Biobank, these data intersect with other health data to offer unparalleled potential for crosscutting biomedical research involving mental health

Indications and practical approach to non-invasive ventilation in acute heart failure

In acute heart failure (AHF) syndromes significant respiratory failure (RF) is essentially seen in patients with acute cardiogenic pulmonary oedema (ACPE) or cardiogenic shock (CS). Non-invasive ventilation (NIV), the application of positive intrathoracic pressure through an interface, has shown to be useful in the treatment of moderate to severe RF in several scenarios. There are two main modalities of NIV: continuous positive airway pressure (CPAP) and pressure support ventilation (NIPSV) with positive end expiratory pressure. Appropriate equipment and experience is needed for NIPSV, whereas CPAP may be administered without a ventilator, not requiring special training. Both modalities have shown to be effective in ACPE, by a reduction of respiratory distress and the endotracheal intubation rate compared to conventional oxygen therapy, but the impact on mortality is less conclusive. Non-invasive ventilation is also indicated in patients with AHF associated to pulmonary disease and may be considered, after haemodynamic stabilization, in some patients with CS. There are no differences in the outcomes in the studies comparing both techniques, but CPAP is a simpler technique that may be preferred in low-equipped areas like the pre-hospital setting, while NIPSV may be preferable in patients with significant hypercapnia. The new modality 'high-flow nasal cannula' seems promising in cases of AHF with less severe RF. The correct selection of patients and interfaces, early application of the technique, the achievement of a good synchrony between patients and the ventilator avoiding excessive leakage, close monitoring, proactive management, and in some cases mild sedation, may warrant the success of the technique

The utility of presentation and 4-hour high sensitivity troponin I to rule-out acute myocardial infarction in the emergency department

Objectives: International guidance recommends that early serial sampling of high sensitivity troponin be used to accurately identify acute myocardial infarction (AMI) in chest pain patients. The background evidence for this approach is limited. We evaluated whether on presentation and 4-hour high-sensitivity troponin I (hs-cTnI) could be used to accurately rule-out AMI. Design and methods: hs-cTnI was measured on presentation and at 4-hours in adult patients attending an emergency department with possible acute coronary syndrome. We determined the sensitivity for AMI for at least one hs-cTnI above the 99th percentile for a healthy population or alone or in combination with new ischemic ECG changes. Both overall and sex-specific 99th percentiles were assessed. Patients with negative tests were designated low-risk. Results: 63 (17.1%) of 368 patients had AMI. The median (interquartile range) time from symptom onset to first blood sampling was 4.8. h (2.8-8.6). The sensitivity of the presentation and 4. h hs-cTnI using the overall 99th percentile was 92.1% (95% CI 82.4% to 97.4%) and negative predictive value 95.4% (92.3% to 97.4%) with 78.3% low-risk. Applying the sex-specific 99th percentile did not change the sensitivity. The addition of ECG did not change the sensitivity. Conclusion: Hs-cTnI >. 99th percentile thresholds measured on presentation and at 4-hours was not a safe strategy to rule-out AMI in this clinical setting irrespective of whether sex-specific 99th percentiles were used, or whether hs-cTnI was combined with ECG results

Compact Hyperbolic Extra Dimensions: Branes, Kaluza-Klein Modes and Cosmology

We reconsider theories with low gravitational (or string) scale M_* where Newton's constant is generated via new large-volume spatial dimensions, while Standard Model states are localized to a 3-brane. Utilizing compact hyperbolic manifolds (CHM's) we show that the spectrum of Kaluza-Klein (KK) modes is radically altered. This allows an early universe cosmology with normal evolution up to substantial temperatures, and completely negates the constraints on M_* arising from astrophysics. Furthermore, an exponential hierarchy between the usual Planck scale and the true fundamental scale of physics can emerge with only order unity coefficients. The linear size of the internal space remains small. The proposal has striking testable signatures.Comment: 4 pages, no figure