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Breastfeeding and timing of pubertal onset in girls: a multiethnic population-based prospective cohort study.
BackgroundEarly puberty is associated with higher risk of adverse health and behavioral outcomes throughout adolescence and adulthood. US girls are experiencing earlier puberty with substantial racial/ethnic differences. We examined the association between breastfeeding and pubertal timing to identify modifiable risk factors of early puberty and potential sources of racial/ethnic differences in the timing of pubertal development.MethodsA prospective cohort study of 3331 racially/ethnically diverse girls born at Kaiser Permanente Northern California (KPNC) between 2004 and 06. All data were obtained from KPNC electronic clinical and administrative datasets. Mother-reported duration of breastfeeding was obtained from questionnaires administered at each 'well-baby' check-up exam throughout the baby's first year and categorized as 'Not breastfed', 'Breastfed < 6 months', and 'Breastfed ≥ 6 months'. Pubertal development data used Tanner stages assessed by pediatricians during routine pediatric checkups starting at age 6. Pubertal onset was defined as transition from Tanner Stage 1 to Tanner Stage 2+ for breast (thelarche) and pubic hair (pubarche). Weibull regression models accommodating for left, right, and interval censoring were used in all analyses. Models were adjusted for maternal age, education, race/ethnicity, parity and prepubertal body mass index (BMI). We also examined race/ethnicity as a potential effect modifier of these associations.ResultsNot breastfeeding was associated with earlier onset of breast and pubic hair development compared to breastfeeding ≥6 months (adjusted hazard ratio [HR]: 1.25; 95% confidence interval [CI]: 1.07-1.46; HR: 1.24; 95% CI: 1.05-1.46, respectively). Breastfeeding for < 6 months was also associated with the risk of earlier pubic hair development (HR: 1.14; 95% CI: 1.00-1.30, compared to breastfeeding ≥6 months). Inclusion of girls' prepubertal BMI slightly attenuated the association between breastfeeding and timing of breast onset but remained significant. The association between not breastfeeding and early breast development may be stronger among African American girls (HR: 1.92; 95% CI: 1.01-3.66, no breastfeeding vs. ≥6 months) than other racial/ethnic groups.ConclusionsBreastfeeding is an independent predictor of pubertal onset in girls, and the strength of the association may vary by race/ethnicity. Providing breastfeeding support and lactation education for high risk mothers may help prevent earlier pubertal onset and promote positive health outcomes later in life
Outcome-related metabolomic patterns from 1H/31P NMR after mild hypothermia treatments of oxygen–glucose deprivation in a neonatal brain slice model of asphyxia
Human clinical trials using 72 hours of mild hypothermia (32°C–34°C) after neonatal asphyxia have found substantially improved neurologic outcomes. As temperature changes differently modulate numerous metabolite fluxes and concentrations, we hypothesized that 1H/31P nuclear magnetic resonance (NMR) spectroscopy of intracellular metabolites can distinguish different insults, treatments, and recovery stages. Three groups of superfused neonatal rat brain slices underwent 45 minutes oxygen–glucose deprivation (OGD) and then were: treated for 3 hours with mild hypothermia (32°C) that began with OGD, or similarly treated with hypothermia after a 15-minute delay, or not treated (normothermic control group, 37°C). Hypothermia was followed by 3 hours of normothermic recovery. Slices collected at different predetermined times were processed, respectively, for 14.1 Tesla NMR analysis, enzyme-linked immunosorbent assay (ELISA) cell-death quantification, and superoxide production. Forty-nine NMR-observable metabolites underwent a multivariate analysis. Separated clustering in scores plots was found for treatment and outcome groups. Final ATP (adenosine triphosphate) levels, severely decreased at normothermia, were restored equally by immediate and delayed hypothermia. Cell death was decreased by immediate hypothermia, but was equally substantially greater with normothermia and delayed hypothermia. Potentially important biomarkers in the 1H spectra included PCr-1H (phosphocreatine in the 1H spectrum), ATP-1H (adenosine triphosphate in the 1H spectrum), and ADP-1H (adenosine diphosphate in the 1H spectrum). The findings suggest a potential role for metabolomic monitoring during therapeutic hypothermia
Supersymmetric QCD: Exact Results and Strong Coupling
We revisit two longstanding puzzles in supersymmetric gauge theories. The
first concerns the question of the holomorphy of the coupling, and related to
this the possible definition of an exact (NSVZ) beta function. The second
concerns instantons in pure gluodynamics, which appear to give sensible, exact
results for certain correlation functions, which nonetheless differ from those
obtained using systematic weak coupling expansions. For the first question, we
extend an earlier proposal of Arkani-Hamed and Murayama, showing that if their
regulated action is written suitably, the holomorphy of the couplings is
manifest, and it is easy to determine the renormalization scheme for which the
NSVZ formula holds. This scheme, however, is seen to be one of an infinite
class of schemes, each leading to an exact beta function; the NSVZ scheme,
while simple, is not selected by any compelling physical consideration. For the
second question, we explain why the instanton computation in the pure
supersymmetric gauge theory is not reliable, even at short distances. The
semiclassical expansion about the instanton is purely formal; if infrared
divergences appear, they spoil arguments based on holomorphy. We demonstrate
that infrared divergences do not occur in the perturbation expansion about the
instanton, but explain that there is no reason to think this captures all
contributions from the sector with unit topological charge. That one expects
additional contributions is illustrated by dilute gas corrections. These are
infrared divergent, and so difficult to define, but if non-zero give order one,
holomorphic, corrections to the leading result. Exploiting an earlier analysis
of Davies et al, we demonstrate that in the theory compactified on a circle of
radius beta, due to infrared effects, finite contributions indeed arise which
are not visible in the formal limit that beta goes to infinity.Comment: 28 pages, two references added, one typo correcte
Host-Associated Bacteriophage Isolation and Preparation for Viral Metagenomics.
Prokaryotic viruses, or bacteriophages, are viruses that infect bacteria and archaea. These viruses have been known to associate with host systems for decades, yet only recently have their influence on the regulation of host-associated bacteria been appreciated. These studies have been conducted in many host systems, from the base of animal life in the Cnidarian phylum to mammals. These prokaryotic viruses are useful for regulating the number of bacteria in a host ecosystem and for regulating the strains of bacteria useful for the microbiome. These viruses are likely selected by the host to maintain bacterial populations. Viral metagenomics allows researchers to profile the communities of viruses associating with animal hosts, and importantly helps to determine the functional role these viruses play. Further, viral metagenomics show the sphere of viral involvement in gene flow and gene shuffling in an ever-changing host environment. The influence of prokaryotic viruses could, therefore, have a clear impact on host health
Is IRAS 01072+4954 a True-Seyfert 2? Hints from Near Infrared Integral Field Spectroscopy
In contrast to the predictions of the unified model, some X-ray unobscured
Seyfert 2 galaxies have been discovered in the last decade. One of them, the
starburst/Seyfert composite galaxy IRAS 01072+4954 (z=0.0236), has a typical
Type~1 X-ray emission, while its optical spectrum resembles an HII galaxy and
lacks the expected broad lines. We performed near-infrared integral-field
observations of this object with the aim to determine the nature of its nuclear
emission and to find indications for the existence or absence of a broad-line
region. Several reasons have been proposed to explain such peculiar emission.
We studied the validity of such hypotheses, including the possibility for it to
be True-Seyfert~2. We found little obscuration towards the nucleus A_V = 2.5
mag, and a nuclear star-formation rate Sigma_SFR < 11.6 Msun yr^{-1} kpc^{-2},
which is below the average in Seyferts. Unresolved hot-dust emission with T ~
1150 K seems to indicate the presence of a torus with its axis close to the
line of sight. We found that IRAS 01072+4954 hosts a low mass black hole with
an estimated mass of M_BH ~ 10^5 Msun and an upper limit of 2.5x10^6 Msun. Its
bolometric luminosity is L_bol ~ 2.5x10^{42} erg/s, which yields a high
accretion rate with an Eddington ratio ~ 0.2. If the relations found in more
massive systems also apply to this case, then IRAS 01072+4954 should show broad
emission lines with FWHM_{broad} ~(400-600) km/s. Indeed, some indications for
such narrow broad-line components are seen in our data, but the evidence is not
yet conclusive. This source thus seems not to be a True-Seyfert 2, but an
extreme case of a narrow line Seyfert 1, which, due to the faintness of the
active nucleus, does not have strong FeII emission in the optical.Comment: 16 pages, 11 figures. A&A Accepted versio
Polyhedra Circuits and Their Applications
To better compute the volume and count the lattice points in geometric objects, we propose polyhedral circuits. Each polyhedral circuit characterizes a geometric region in Rd . They can be applied to represent a rich class of geometric objects, which include all polyhedra and the union of a finite number of polyhedron. They can be also used to approximate a large class of d-dimensional manifolds in Rd . Barvinok [3] developed polynomial time algorithms to compute the volume of a rational polyhedron, and to count the number of lattice points in a rational polyhedron in Rd with a fixed dimensional number d. Let d be a fixed dimensional number, TV(d,n) be polynomial time in n to compute the volume of a rational polyhedron, TL(d,n) be polynomial time in n to count the number of lattice points in a rational polyhedron, where n is the total number of linear inequalities from input polyhedra, and TI(d,n) be polynomial time in n to solve integer linear programming problem with n be the total number of input linear inequalities. We develop algorithms to count the number of lattice points in geometric region determined by a polyhedral circuit in O(nd⋅rd(n)⋅TV(d,n)) time and to compute the volume of geometric region determined by a polyhedral circuit in O(n⋅rd(n)⋅TI(d,n)+rd(n)TL(d,n)) time, where rd(n) is the maximum number of atomic regions that n hyperplanes partition Rd . The applications to continuous polyhedra maximum coverage problem, polyhedra maximum lattice coverage problem, polyhedra (1−β) -lattice set cover problem, and (1−β) -continuous polyhedra set cover problem are discussed. We also show the NP-hardness of the geometric version of maximum coverage problem and set cover problem when each set is represented as union of polyhedra
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