2,692 research outputs found

    Late-Life Depression: Essential Features, Assessment and Treatment

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    Key Points Major Depressive Disorder (MDD) not a normal part of aging. Age influences demographics, etiology, presentation, assessment, acute and maintenance treatment, and outcome. Depressive syndromes in later life are significant and very treatable and recent advances in psychotherapies and somatic therapies improve treatment effectiveness

    An Efficient, Green Chemical Synthesis of the Malaria\ud Drug, Piperaquine

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    To provide a robust, efficient synthesis of the malaria drug piperaquine for potential use in resource-poor settings. We used in-process analytical technologies (IPAT; HPLC) and a program of experiments to develop a synthesis of piperaquine that avoids the presence of a toxic impurity in the API and is optimized for overall yield and operational simplicity. A green-chemical synthesis of piperaquine is described that proceeds in 92 ā€“ 93 % overall yield. The chemistry is robust and provides very pure piperaquine tetraphosphate salt (> 99.5 %). The overall process utilizes modest amounts (about 8 kg/kg) of 2-propanol and ethyl acetate as the only organic materials not incorporated into the API; roughly 60 % of this waste can be recycled into the production process. This process also completely avoids the formation of a toxic impurity commonly seen in piperaquine that is otherwise difficult to remove. An efficient synthesis of piperaquine is described that may be useful for application in resource-poor settings as a means of expanding access to and reducing the cost of ACTs

    The ALMaQUEST Survey - V. The non-universality of kpc-scale star formation relations and the factors that drive them

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    ABSTRACT Using a sample of āˆ¼15ā€‰000Ā kpc-scale star-forming spaxels in 28 galaxies drawn from the ALMA-MaNGA QUEnching and STar formation (ALMaQUEST) survey, we investigate the galaxy-to-galaxy variation of the ā€˜resolvedā€™ Schmidtā€“Kennicutt relation (rSK; Ī£H2\Sigma _{\rm H_2}ā€“Ī£SFR), the ā€˜resolvedā€™ star-forming main sequence (rSFMS; Ī£ā‹†ā€“Ī£SFR), and the ā€˜resolvedā€™ molecular gas main sequence (rMGMS; Ī£ā‹†ā€“Ī£H2\Sigma _{\rm H_2}). The rSK relation, rSFMS, and rMGMS all show significant galaxy-to-galaxy variation in both shape and normalization, indicating that none of these relations is universal between galaxies. The rSFMS shows the largest galaxy-to-galaxy variation and the rMGMS the least. By defining an ā€˜offsetā€™ from the average relations, we compute a Ī”rSK, Ī”rSFMS, Ī”rMGMS for each galaxy, to investigate correlations with global properties. We find the following correlations with at least 2Ļƒ significance: The rSK is lower (i.e. lower star formation efficiency) in galaxies with higher Mā‹†, larger Sersic index, and lower specific SFR (sSFR); the rSFMS is lower (i.e. lower sSFR) in galaxies with higher Mā‹† and larger Sersic index; and the rMGMS is lower (i.e. lower gas fraction) in galaxies with lower sSFR. In the ensemble of all 15ā€‰000 data points, the rSK relation and rMGMS show equally tight scatters and strong correlation coefficients, compared with a larger scatter and weaker correlation in the rSFMS. Moreover, whilst there is no correlation between Ī”rSK and Ī”rMGMS in the sample, the offset of a galaxyā€™s rSFMS does correlate with both of the other two offsets. Our results therefore indicate that the rSK and rMGMS are independent relations, whereas the rSFMS is a result of their combination.ERC STF

    The ALMaQUEST Survey: The Molecular Gas Main Sequence and the Origin of the Star-forming Main Sequence

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    The origin of the star forming main sequence ( i.e., the relation between star formation rate and stellar mass, globally or on kpc-scales; hereafter SFMS) remains a hotly debated topic in galaxy evolution. Using the ALMA-MaNGA QUEnching and STar formation (ALMaQUEST) survey, we show that for star forming spaxels in the main sequence galaxies, the three local quantities, star-formation rate surface density (\sigsfr), stellar mass surface density (\sigsm), and the \h2~mass surface density (\sigh2), are strongly correlated with one another and form a 3D linear (in log) relation with dispersion. In addition to the two well known scaling relations, the resolved SFMS (\sigsfr~ vs. \sigsm) and the Schmidt-Kennicutt relation (\sigsfr~ vs. \sigh2; SK relation), there is a third scaling relation between \sigh2~ and \sigsm, which we refer to as the `molecular gas main sequence' (MGMS). The latter indicates that either the local gas mass traces the gravitational potential set by the local stellar mass or both quantities follow the underlying total mass distributions. The scatter of the resolved SFMS (Ļƒāˆ¼0.25\sigma \sim 0.25 dex) is the largest compared to those of the SK and MGMS relations (Ļƒāˆ¼\sigma \sim 0.2 dex). A Pearson correlation test also indicates that the SK and MGMS relations are more strongly correlated than the resolved SFMS. Our result suggests a scenario in which the resolved SFMS is the least physically fundamental and is the consequence of the combination of the SK and the MGMS relations

    The Adventure of Relevance: Speculative Reconstructions in Contemporary Social Science

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    At a time when the institutional and intellectual futures of the social sciences are under threat, there has been growing concern among researchers and policy makers around the question of how to foster and enhance the relevance of their knowledge-practices. This thesis problematises such demands by elaborating a concept of ā€˜relevanceā€™ that renders it not the product of a subjective act of interpretation, but an event that is part and parcel of the immanent processes by which the facts that compose situations come (in)to matter. By expanding on the work of William Connolly, Gilles Deleuze, John Dewey, Donna Haraway, William James, Michel Serres, Isabelle Stengers and Alfred North Whitehead, among others, I follow the implications of the concept of relevance through a speculative exploration of modes of knowledge-making in contemporary social science. As I show, such an exploration requires a transformation of the ethos with which social scientific inquiries are identified. If the former could be characterised as an ā€˜ethics of estrangementā€™ whereby to inquire is to estrange oneself from an apparent reality in order to gain access to a realm of social causes and reasons, an ethos oriented by the concept of relevance must reject that bifurcation of reality and cultivate, instead, a deep empiricism that is both singularly attentive to the coming into matter of the facts that compose a situation, and inventive of propositions that may contribute to the possible transformation of those situations that demand inquiry. It is this latter ethos, one which I call an ā€˜adventureā€™, that my thesis develops

    Molecular subgroups of medulloblastoma: the current consensus

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    Medulloblastoma, a small blue cell malignancy of the cerebellum, is a major cause of morbidity and mortality in pediatric oncology. Current mechanisms for clinical prognostication and stratification include clinical factors (age, presence of metastases, and extent of resection) as well as histological subgrouping (classic, desmoplastic, and large cell/anaplastic histology). Transcriptional profiling studies of medulloblastoma cohorts from several research groups around the globe have suggested the existence of multiple distinct molecular subgroups that differ in their demographics, transcriptomes, somatic genetic events, and clinical outcomes. Variations in the number, composition, and nature of the subgroups between studies brought about a consensus conference in Boston in the fall of 2010. Discussants at the conference came to a consensus that the evidence supported the existence of four main subgroups of medulloblastoma (Wnt, Shh, Group 3, and Group 4). Participants outlined the demographic, transcriptional, genetic, and clinical differences between the four subgroups. While it is anticipated that the molecular classification of medulloblastoma will continue to evolve and diversify in the future as larger cohorts are studied at greater depth, herein we outline the current consensus nomenclature, and the differences between the medulloblastoma subgroups

    Promoting Pre-conceptional use of folic acid to Hispanic women: A social marketing approach

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    Objective: To develop a culturally appropriate communication initiative in an effort to promote the use of pre-conceptional folic acid among Hispanic women of childbearing age. The materials were designed to communicate information about the risks of neural tube defects and the value of folic acid supplementation before conception. Methods: The initiative was developed using a social marketing approach. A series of focus groups were conducted with Hispanic women, particularly Mexican and Mexican-American women, to gain an understanding of their knowledge, attitudes, and behaviors regarding birth defects and folic acid. Additionally focus groups assessed women's preferences for existing folic acid education materials. Qualitative analysis of coded transcripts revealed key themes which were incorporated into a multi-media initiative. Results: Critical themes of the research highlighted the need to include the role of partners and a sense of family in the promotions aimed at these groups. Another key component was the need to dispel myths which act as barriers to preconceptional folic acid use. Other important elements included in the media products were the need for Spanish and English versions, an explanation of neural tube defects, and a reference to the cost of the supplements. Conclusion: The final products of the initiative included Spanish and English versions of a brochure, photo-novella, and radio public service announcement. Pre-testing results showed women understood the message, thought the message was for women like them, and expected to begin taking a folic acid supplement. Results of the overall evaluation of the initiative are on-going
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