Assessment of mood in aphasia following stroke: validation of the Dynamic Visual Analogue Mood Scales (D-VAMS)

OBJECTIVES: To validate a non-verbal self-report measure of mood - the Dynamic Visual Analogue Mood Scales (D-VAMS) - against the Hospital Anxiety and Depression Scale (HADS) and assess its suitability as an outcome measure or screening measure for depressed mood following stroke. DESIGN: Cross-sectional observational cohort study. PARTICIPANTS: Forty-six stroke survivors (24% with aphasia) recruited from online, from stroke clubs and via an NHS rehabilitation service. METHODS: A set of seven bipolar scales was developed enabling users to report mood by modifying facial expression images using a slider. Participants completed a tablet/computer task, reporting their mood on these scales mixed randomly with versions which used only words. The HADS was then completed, followed by a repeat run of the two versions in a different, random sequence. RESULTS: Exploratory factor analysis identified one factor consistent with pleasantness of mood accounting for 80% of the variance. Internal consistency of D-VAMS was high ( α = 0.95), and there was a high correlation between face-only D-VAMS scores and HADS total scores ( r = -0.80, P < 0.001), as well as HADS-D/HADS-A subscale scores ( r = -0.73, P < 0.001; r = -0.71, P < 0.001). D-VAMS showed good sensitivity and specificity against HADS, with means of 85%/77% (sensitivity/specificity) against the HADS-D and 80%/77% against the HADS-A across nine cut-offs. CONCLUSION: D-VAMS is a valid and reliable measure likely suitable for assessment of depressed mood in aphasia following stroke. Though D-VAMS performed well as a screening measure in this study sample, further study is needed in the acute stage post-stroke

Hydroclimatic changes in the British Isles through the Last-Glacial-Interglacial Transition:Multiproxy reconstructions from the Vale of Pickering, NE England

European paleoenvironmental records through the Last Glacial-Interglacial Transition (LGIT; ca 16-8 cal ka BP) record a series of climatic events occurring over decadal to multi-centennial timescales. Changes in components of the climatic system other than temperature (e.g. hydrology) through the LGIT are relatively poorly understood however, and further records of hydroclimatic changes are required in order to develop a more complete understanding on the phasing of environmental and anthropogenic responses in Europe to abrupt climate change. Here, we present a multiproxy palaeoenvironmental record (macroscale and microscale sedimentology, macrofossils, and carbonate stable isotopes) from a palaeolake sequence in the Vale of Pickering (VoP), NE England, which enables the reconstruction of hydroclimatic changes constrained by a radiocarbon-based chronology. Relative lake-level changes in the VoP occurred in close association (although not necessarily in phase) to threshold shifts across abrupt climate change transitions, most notably lowering during cooling intervals of the LGIT (∼GI-1d, ∼GI-1b, and ∼GS-1). This reflects more arid hydroclimates associated with these cooling episodes in the British Isles. Comparisons to hydrological records elsewhere in Europe show a latitudinal bifurcation, with Northern Europe (50–60°N) becoming more arid (humid), and Southern Europe (40–50°N) becoming more humid (arid) in response to these cooling (warming) intervals. We attribute these bifurcating signals to the relative positions of the Atlantic storm tracks, sea-ice margin, and North Atlantic Polar Front (NAPF) during the climatic events of the LGIT

Temporal variations in river water surface elevation and slope captured by AirSWOT

The Surface Water and Ocean Topography (SWOT) satellite mission aims to improve the frequency and accuracy of global observations of river water surface elevations (WSEs) and slopes. As part of the SWOT mission, an airborne analog, AirSWOT, provides spatially-distributed measurements of WSEs for river reaches tens to hundreds of kilometers in length. For the first time, we demonstrate the ability of AirSWOT to consistently measure temporal dynamics in river WSE and slope. We evaluate data from six AirSWOT flights conducted between June 7–22, 2015 along a ~90 km reach of the Tanana River, AK. To validate AirSWOT measurements, we compare AirSWOT WSEs and slopes against an in situ network of 12 pressure transducers (PTs). Assuming error-free in situ data, AirSWOT measurements of river WSEs have an overall root mean square difference (RMSD) of 11.8 cm when averaged over 1 km2 areas while measurements of river surface slope have an RMSD of 1.6 cm/km for reach lengths &gt;5 km. AirSWOT is also capable of recording accurate river WSE changes between flight dates, with an RMSD of 9.8 cm. Regrettably, observed in situ slope changes that transpired between the six flights are well below AirSWOT's accuracy, limiting the evaluation of AirSWOT's ability to capture temporal changes in slope. In addition to validating the direct AirSWOT measurements, we compare discharge values calculated via Manning's equation using AirSWOT WSEs and slopes to discharge values calculated using PT WSEs and slopes. We define or calibrate the remaining discharge parameters using a combination of in situ and remotely sensed observations, and we hold these remaining parameters constant between the two types of calculations to evaluate the impact of using AirSWOT versus the PT observations of WSE and slope. Results indicate that AirSWOT-derived discharge estimates are similar to the PT-derived discharge estimates, with an RMSD of 13.8%. Additionally, 42% of the AirSWOT-based discharge estimates fall within the PT discharge estimates' uncertainty bounds. We conclude that AirSWOT can measure multitemporal variations in river WSE and spatial variations in slope with both high accuracy and spatial sampling, providing a compelling alternative to in situ measurements of regional-scale, spatiotemporal fluvial dynamics

An examination of business occupier relocation decision making : distinguishing small and large firm behaviour

This paper explores how business occupiers decide whether and where to relocate. It captures the experience and behaviour of a range of sizes and types of business occupier and subjects their decision-making processes to detailed scrutiny. A linear three-stage decision model is used to sequence and structure interviews with individuals who have intimate involvement with the relocation of 28 firms and organizations in Tyne and Wear, in the north-east of England. The 'constant comparative' method is used to analyse the interview data, from which emerges 18 key concepts, comprising 51 characteristic components. Using an axial approach, these are organized into 10 cross-cutting themes that represent the main areas of consideration or influence on the thinking of the people involved in determining whether a firm or organization should relocate and, if so, where to. The resulting analysis finds that organizations adopt varying degrees of sophistication when making relocation decisions; small firms are more inclined to make decisions based on constrained information; larger organizations adopt a more complex approach. Regardless of firm size, key individuals exert considerable influence over the decision-making process and its outcome

Discovery of Water Maser Emission in Five AGN and a Possible Correlation Between Water Maser and Nuclear 2-10 keV Luminosities

We report the discovery of water maser emission in five active galactic nuclei (AGN) with the 100-m Green Bank Telescope (GBT). The positions of the newly discovered masers, measured with the VLA, are consistent with the optical positions of the host nuclei to within 1 sigma (0.3 arcsec radio and 1.3 arcsec optical) and most likely mark the locations of the embedded central engines. The spectra of three sources, 2MASX J08362280+3327383, NGC 6264, and UGC 09618 NED02, display the characteristic spectral signature of emission from an edge-on accretion disk with maximum orbital velocity of ~700, ~800, and ~1300 km s^-1, respectively. We also present a GBT spectrum of a previously known source MRK 0034 and interpret the narrow Doppler components reported here as indirect evidence that the emission originates in an edge-on accretion disk with orbital velocity of ~500 km s^-1. We obtained a detection rate of 12 percent (5 out of 41) among Seyfert 2 and LINER systems with 10000 km s^-1 < v_sys < 15000 km s^-1. For the 30 nuclear water masers with available hard X-ray data, we report a possible relationship between unabsorbed X-ray luminosity (2-10 keV) and total isotropic water maser luminosity, L_{2-10} proportional to L_{H2O}^{0.5+-0.1}, consistent with the model proposed by Neufeld and Maloney in which X-ray irradiation and heating of molecular accretion disk gas by the central engine excites the maser emission.Comment: 16 pages, 5 tables, 3 figures, to appear in the November 10, 2006, v651n2 issue of the Astrophysical Journa

Macrofossil evidence of alder ( Alnus sp.) in Britain early in the Late Glacial Interstadial: implications for the northern cryptic refugia debate

Wood macrofossil remains of alder and willow/poplar have been recovered from a sediment sequence in the valley of the Turker Beck in the Vale of Mowbray, North Yorkshire. These remains have yielded radiocarbon dates early in the Devensian Lateglacial (14.7-14k cal a BP), equivalent to the early part of the Greenland Interstadial (GI-1e) of the GRIP ice-core record. These are the earliest dates recorded for the presence of alder in the Lateglacial in the British Isles. Associated biological remains have provided a palaeoenvironmental record for this early part of the Greenland Interstadial, generally indicative of open environments dominated by herbaceous taxa on both the wetland and dryland surfaces. However, stands of alder, birch and willow woodland were also present, and indicate the possibility that such tree species survived in cryptic refugia in Britain as elsewhere in northern Europe during the Last Glacial Maximum. The absence of alder pollen at Turker Beck, in a sequence in which its macrofossil remains are relatively abundant, lends support to the view that pollen can be a poor indicator of the presence of tree species in Lateglacial sequences in northern and western Europe

Identification of genes expressed by immune cells of the colon that are regulated by colorectal cancer-associated variants.

A locus on human chromosome 11q23 tagged by marker rs3802842 was associated with colorectal cancer (CRC) in a genome-wide association study; this finding has been replicated in case-control studies worldwide. In order to identify biologic factors at this locus that are related to the etiopathology of CRC, we used microarray-based target selection methods, coupled to next-generation sequencing, to study 103 kb at the 11q23 locus. We genotyped 369 putative variants from 1,030 patients with CRC (cases) and 1,061 individuals without CRC (controls) from the Ontario Familial Colorectal Cancer Registry. Two previously uncharacterized genes, COLCA1 and COLCA2, were found to be co-regulated genes that are transcribed from opposite strands. Expression levels of COLCA1 and COLCA2 transcripts correlate with rs3802842 genotypes. In colon tissues, COLCA1 co-localizes with crystalloid granules of eosinophils and granular organelles of mast cells, neutrophils, macrophages, dendritic cells and differentiated myeloid-derived cell lines. COLCA2 is present in the cytoplasm of normal epithelial, immune and other cell lineages, as well as tumor cells. Tissue microarray analysis demonstrates the association of rs3802842 with lymphocyte density in the lamina propria (p = 0.014) and levels of COLCA1 in the lamina propria (p = 0.00016) and COLCA2 (tumor cells, p = 0.0041 and lamina propria, p = 6 × 10(-5)). In conclusion, genetic, expression and immunohistochemical data implicate COLCA1 and COLCA2 in the pathogenesis of colon cancer. Histologic analyses indicate the involvement of immune pathways

Evaluation of a Heat Vulnerability Index on Abnormally Hot Days: An Environmental Public Health Tracking Study

Background: Extreme hot weather conditions have been associated with increased morbidity and mortality, but risks are not evenly distributed throughout the population. Previously, a heat vulnerability index (HVI) was created to geographically locate populations with increased vulnerability to heat in metropolitan areas throughout the United States

Evidence for a Geometrically Thick Self-Gravitating Accretion Disk in NGC 3079

We have mapped, for the first time, the full velocity extent of the water maser emission in NGC 3079. The largely north-south distribution of emission, aligned with a kpc-scale molecular disk, and the segregation of blue- and red-shifted emission on the sky are suggestive of a nearly edge-on molecular disk on pc-scales. Positions and line-of-sight velocities of blue- and red-shifted maser emission are consistent with a central mass of ~2 x 10^6 Msun enclosed within a radius of ~0.4 pc. The corresponding mean mass density of 10^6.8 Msun pc^-3 is suggestive of a central black hole, which is consistent with the detection of hard X-ray excess (20-100 keV) and an Fe Kalpha line from the nucleus. Because the rotation curve traced by the maser emission is flat, the mass of the pc-scale disk is significant with respect to the central mass. Since the velocity dispersion of the maser features does not decrease with radius and constitutes a large fraction of the orbital velocity, the disk is probably thick and flared. The rotation curve and the physical conditions necessary to support maser emission imply a Toomre Q-parameter that is << 1. Thus, the disk is most likely clumpy, and we argue that it is probably forming stars. Overall, the accretion disk in NGC 3079 stands in contrast to the compact, thin, warped, differentially rotating disk in the archetypal maser galaxy NGC 4258 (abridged).Comment: 41 pages, 13 figures, to appear in the 2005 January 10 issue of the Astrophysical Journal. High resolution versions of the figures and of the paper are available at http://cfa-www.harvard.edu/~pkondratko/publications/NGC3079