Judging the morality of utilitarian actions: How poor utilitarian accessibility makes judges irrational.

Is it acceptable and moral to sacrifice a few people's lives to save many others? Research on moral dilemmas in psychology, experimental philosophy, and neuropsychology has shown that respondents judge utilitarian personal moral actions (footbridge dilemma) as less appropriate than equivalent utilitarian impersonal moral actions (trolley dilemma). Accordingly, theorists (e.g., Greene et al., 2001) have argued that judgments of appropriateness in personal moral dilemmas are more emotionally salient and cognitively demanding (taking more time to be rational) than impersonal moral dilemmas. Our novel findings show an effect of psychological accessibility (driven by partial contextual information; Kahneman, 2003) on utilitarian moral behavior and response time for rational choices. Enhanced accessibility of utilitarian outcomes through comprehensive information about moral actions and consequences boosted utility maximization in moral choices, with rational choices taking less time. Moreover, our result suggests that previous results indicating emotional interference, with rational choices taking more time to make, may have been artifacts of presenting partial information

Chrysotile detection in soils with proximal hyperspectral sensing and chemometrics

In this work the authors present an innovative methodology, based on proximal hyperspectral sensing and chemometric techniques, aimed at detecting asbestos containing soils. Short Wave InfraRed (SWIR) reflectance spectra of reference samples containing known chrysotile fractions were collected in laboratory. Since the identification of asbestos containing soils depends on the contaminant mass percentage (weight/weight), two supervised multivariate data projection methods were evaluated for asbestos concentration prediction. The first results are reported here, together with advantages and limits of the analytical methods. Orthogonal Partial Least Squares (PLS) regression showed the lowest error in prediction and the highest coefficient of determination in prediction. This technique would support screening activities frequently conducted during environmental assessment and remediation projects

Stationary excitation waves and multimerization in arrays of quantum emitters

We explore the features of an equally-spaced array of two-level quantum emitters, that can be either natural atoms (or molecules) or artificial atoms, coupled to a field with a single continuous degree of freedom (such as an electromagnetic mode propagating in a waveguide). We investigate the existence and characteristics of bound states, in which a single excitation is shared among the emitters and the field. We focus on bound states in the continuum, occurring in correspondence of excitation energies in which a single excited emitter would decay. We characterize such bound states for an arbitrary number of emitters, and obtain two main results, both ascribable to the presence of evanescent fields. First, the excitation profile of the emitter states is a sinusoidal wave. Second, we discuss the emergence of multimers, consisting in subsets of emitters separated by two lattice spacings in which the electromagnetic field is approximately vanishing

Laboratory findings in psoriatic arthritis.

Psoriatic arthritis (PsA) has been classically defined as an inflammatory arthritis associated with psoriasis. However, in comparison with other relevant inflammatory arthropathies, in which a definite diagnosis is frequently possible only by means of laboratory investigations, in PsA true laboratory diagnostic markers are lacking. Some markers are utilised more to differentiate other diseases than to characterise PsA. For example in polyarticular PsA, which may be in some cases indistinguishable from RA, the rheumatoid factor (RF) or the more specific and recently introduced antibodies to cyclic citrullinated peptides (anti-CCP), may be useful to better identify RA. However, RF was found in 5% to 13% of patients with PsA, and anti-CCP may be observed in almost similar percentage. The determination of ESR and/or CRP is frequently disappointing in PsA, since they are both elevated in only half of the patients with PsA. However, ESR and/or CRP are included in the most utilised response criteria for RA, such as ACR and DAS, and, in addition are also considered reliable in the assessment of PsA. Furthermore, elevated levels of ESR have been proposed as one of the best predictors of damage progression and, in addition, a low ESR seems protective, while an ESR >15 mm/h is one of the factors associated with an increased mortality in PsA. The synovial fluid (SF) effusion is much higher in PsA, in comparison with other arthropathies. When available, SF analysis may offer additive information useful for the diagnosis, such as the increased number of leukocytes, which underlines the inflammatory nature of the effusion even in a patient with normal serum levels of acute phase response. We found that elevated IL-1 levels in SF of patients with early disease (<6 months), may be predictive of an evolution in polyarticular form at follow-up. This observation is in keeping with the crucial role that inflammatory cytokines play in PsA, probably related to a genetic predisposition. The recent introduction in PsA of anti-TNF-α agents and the demonstration of their efficacy in the management of many clinical disease expressions including peripheral arthropathy, axial involvement, enthesopathy and skin manifestations, have stimulated the research also in the field of the possible laboratory markers. Key words: Psoriatic arthritis, laboratory investigations arthriti

Dimensional reduction of the Dirac equation in arbitrary spatial dimensions

We investigate the general properties of the dimensional reduction of the Dirac theory, formulated in a Minkowski spacetime with an arbitrary number of spatial dimensions. This is done by applying Hadamard’s method of descent, which consists in conceiving low-dimensional theories as a specialization of high-dimensional ones that are uniform along the additional space coordinate. We show that the Dirac equation reduces to either a single Dirac equation or two decoupled Dirac equations, depending on whether the higher-dimensional manifold has even or odd spatial dimensions, respectively. Furthermore, we construct and discuss an explicit hierarchy of representations in which this procedure becomes manifest and can easily be iterated

Rapid, ultra low coverage copy number profiling of cell-free DNA as a precision oncology screening strategy.

Current cell-free DNA (cfDNA) next generation sequencing (NGS) precision oncology workflows are typically limited to targeted and/or disease-specific applications. In advanced cancer, disease burden and cfDNA tumor content are often elevated, yielding unique precision oncology opportunities. We sought to demonstrate the utility of a pan-cancer, rapid, inexpensive, whole genome NGS of cfDNA approach (PRINCe) as a precision oncology screening strategy via ultra-low coverage (~0.01x) tumor content determination through genome-wide copy number alteration (CNA) profiling. We applied PRINCe to a retrospective cohort of 124 cfDNA samples from 100 patients with advanced cancers, including 76 men with metastatic castration-resistant prostate cancer (mCRPC), enabling cfDNA tumor content approximation and actionable focal CNA detection, while facilitating concordance analyses between cfDNA and tissue-based NGS profiles and assessment of cfDNA alteration associations with mCRPC treatment outcomes. Therapeutically relevant focal CNAs were present in 42 (34%) cfDNA samples, including 36 of 93 (39%) mCRPC patient samples harboring AR amplification. PRINCe identified pre-treatment cfDNA CNA profiles facilitating disease monitoring. Combining PRINCe with routine targeted NGS of cfDNA enabled mutation and CNA assessment with coverages tuned to cfDNA tumor content. In mCRPC, genome-wide PRINCe cfDNA and matched tissue CNA profiles showed high concordance (median Pearson correlation = 0.87), and PRINCe detectable AR amplifications predicted reduced time on therapy, independent of therapy type (Kaplan-Meier log-rank test, chi-square = 24.9, p &lt; 0.0001). Our screening approach enables robust, broadly applicable cfDNA-based precision oncology for patients with advanced cancer through scalable identification of therapeutically relevant CNAs and pre-/post-treatment genomic profiles, enabling cfDNA- or tissue-based precision oncology workflow optimization

Maternal neurofascin-specific autoantibodies bind to structures of the fetal nervous system during pregnancy, but have no long term effect on development in the rat

Neurofascin was recently reported as a target for axopathic autoantibodies in patients with multiple sclerosis (MS), a response that will exacerbate axonal pathology and disease severity in an animal model of multiple sclerosis. As transplacental transfer of maternal autoantibodies can permanently damage the developing nervous system we investigated whether intrauterine exposure to this neurofascin-specific response had any detrimental effect on white matter tract development. To address this question we intravenously injected pregnant rats with either a pathogenic anti-neurofascin monoclonal antibody or an appropriate isotype control on days 15 and 18 of pregnancy, respectively, to mimic the physiological concentration of maternal antibodies in the circulation of the fetus towards the end of pregnancy. Pups were monitored daily with respect to litter size, birth weight, growth and motor development. Histological studies were performed on E20 embryos and pups sacrificed on days 2, 10, 21, 32 and 45 days post partum. Results: Immunohistochemistry for light and confocal microscopy confirmed passively transferred anti-neurofascin antibody had crossed the placenta to bind to distinct structures in the developing cortex and cerebellum. However, this did not result in any significant differences in litter size, birth weight, or general physical development between litters from control mothers or those treated with the neurofascin-specific antibody. Histological analysis also failed to identify any neuronal or white matter tract abnormalities induced by the neurofascin-specific antibody. Conclusions: We show that transplacental transfer of circulating anti-neurofascin antibodies can occur and targets specific structures in the CNS of the developing fetus. However, this did not result in any pre- or post-natal abnormalities in the offspring of the treated mothers. These results assure that even if anti-neurofascin responses are detected in pregnant women with multiple sclerosis these are unlikely to have a negative effect on their children

Distally based sural fasciomusculocutaneous flap for treatment of wounds of the distal third of the leg and ankle with exposed internal hardware

Soft tissue reconstruction of the distal third of the lower limb with exposure of the internal hardware is a challenging problem with several potential complications, such as exposure of the fracture line, fracture instability and bacterial contamination. The treatment of these lesions usually consists of substitution of the internal hardware with external fixation devices and further flap coverage. We propose a different reconstructive approach, characterized by harvesting a sural fasciomusculocutaneous flap on the exposed internal hardware once a sterile ground has been obtained. Four patients were retrospectively analyzed. Soft tissue reconstruction was achieved in all cases. In one case hardware removal was necessary for complete healing. The sural fasciomusculocutaneous flap is a safe alternative to other pedicled and free flaps. Moreover, it allows direct coverage of internal fixators, thus completing the reconstruction in less time. This flap fits best to the morphology of the wound and internal hardware, leaving the main vascular trunk of the leg intact and at the same time providing a reliable vascular supply

Impact of Divertor Shape on Divertor Performance in strongly Baffled Divertors on MAST Upgrade

Harnessing fusion energy efficiently requires optimising heat and particle exhaust in the edge from the fusion core plasma, which can be achieved through magnetic shaping of the divertor into Alternative Divertor Configurations (ADCs). In this study, we leverage MAST-U's unique shaping capabilities, which allow for a $\sim \times 2$ variation in the ratio of the magnetic field at the X-point and target ($B_{xpt}/B_t$), to investigate the power exhaust and core-edge compatibility of ADCs. Experiments show ADCs with large $B_{xpt}/B_t$ ratios drastically enhance divertor performance, with heat and particle loads reduced by factors up to $\sim 20$ and a 120 \% reduction in detachment onset. Notably, these benefits are achieved without compromising core plasma conditions. Our analysis attributes these improvements to the extra volume available below the ionisation front in longer leg-length divertors. This facilitates power dissipation and reduced particle loads through ion sinks from atomic (Electron-Ion Recombination) and molecular (Molecular-Activated Recombination) processes. The onset of divertor detachment and the evolution of the detachment front agrees with analytic models and divertor exhaust simulations. These insights emphasise the potential minor divertor geometry adjustments can have on power exhaust. This study illuminates pathways for devising optimised exhaust strategies in future fusion devices

Family coordination in families who have a child with autism spectrum disorder

Little is known about the interactions of families where there is a child with autism spectrum disorder (ASD). The present study applies the Lausanne Trilogue Play (LTP) to explore both its applicability to this population as well as to assess resources and areas of deficit in these families. The sample consisted of 68 families with a child with ASD, and 43 families with a typically developing (TD) child. With respect to the global score for family coordination there were several negative correlations: the more severe the symptoms (based on the child’s ADOS score), the more family coordination was dysfunctional. This correlation was particularly high when parents had to play together with the child. In the parts in which only one of the parents played actively with the child, while the other was simply present, some families did achieve scores in the functional range, despite the child’s symptom severity. The outcomes are discussed in terms of their clinical implications both for assessment and for interventio