564 research outputs found

    Systems Analysis Approach for Carbon Science Economics Convergence Research for Mid-Latitude Ecotone

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    The mid-latitude zone can be broadly defined as part of the hemisphere between 30° - 60° latitude. In terms of demographics and level of economic development in the mid-latitude region, approximately 50% of population live in this region, and the scope of research is adjusted to the area particularly between 20°N - 40°N. A number of countries in the mid-latitude region host most of the world’s development and poverty related problems (Varis et al., 2011). According to climatic predictions, ongoing climate change reveals substantial increase in temperature and simultaneous decrease in (basically summer) precipitation across vast continental regions. These tendencies will increase during the 21st century will likely increase the frequency of droughts and water stress of vegetation. Even small changes of climatic indicators (temperature, precipitation) may provide substantial impacts on ecosystems in this zone since the land cover of a number of countries within the mid-latitude region are comprised mostly of dryland or desert. In order to tackle the complicated problems arising in the mid-latitudes, a newly initiated project—Carbon Science Economics Convergence Research—will use the systems analysis approach. The crux of this initiative is to examine the social benefits and costs of different strategies for facing climate change while taking into account carbon use. Tacking climate change requires better knowledge of regions and processes, and research findings should consider the benefits, in terms of damages averted, and propose alternative policies, which can be used to design strategies to deal with complex problems coupled with climate change

    Benefits of active middle ear implants over hearing aids in patients with sloping high tone hearing loss: comparison with hearing aids

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    In questo studio retrospettivo, abbiamo confrontato i benefici oggettivi e soggettivi degli impianti attivi dell’orecchio medio (AMEI) rispetto alle tradizionali protesi acustiche (HA) nei pazienti con perdita dell’udito per le frequenze acute. Trentaquattro pazienti con ipoacusia neurosensoriale sono stati trattati con l’impianto di AMEI. Tra questi, sei avevano un audiogramma “in discesa” con perdita dell’udito per le frequenze acute, ed avevano usato per più di sei mesi HA. È stata quindi eseguita una valutazione oggettiva, tramite l’audiometria tonale e il test di riconoscimento delle parole, una versione coreana del “Hearing in Noise Test” (K-HINT), ed una valutazione soggettiva tramite il seguente questionario: Abbreviated Profile of Hearing Aid Benefit (APHAB). I pazienti sono stati sottoposti ai suddetti test in tre occasioni distinte: 1) prima della chirurgia, senza protesi; 2) prima della chirurgia, con HA; 3) tre mesi dopo l’impianto di AMEI. Il guadagno medio per le alte frequenze (≥ 2 kHz) si è rivelato migliore con AMEI che con HA. Sebbene il risultato non ha raggiunto un livello di significatività statistica, gli impianti attivi dell’orecchio medio hanno mostrato un punteggio di riconoscimento delle parole superiore rispetto a HA. Ad ogni modo, il livello di comoda udibilità al quale il punteggio di riconoscimento delle parole è stato testato si è rivelato significativamente più basso con AMEI rispetto ad HA. Al K-HINT i pazienti con AMEI hanno mostrato un migliore riconoscimento rispetto ai risultati ottenuti con HA, sia in condizione di quiete sia di rumore. Gli score APAHB hanno rivelato che i pazienti erano più soddisfatti con AMEI. L’uso degli impianti attivi dell’orecchio medio in pazienti con perdita dell’udito per le frequenze acute ha permesso di ottenere risultati migliori rispetto all’utilizzo delle protesi tradizionali. Basandoci su questi dati, gli AMEI hanno offerto risultati oggettivi e soggettivi migliori, e pertanto, potrebbero rappresentare una valida alternativa per il trattamento delle ipoacusie con audiogramma in discesa

    Rising Mortality from Alcohol-Associated Liver Disease in the United States in the 21st Century

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    OBJECTIVES: In contrast with other developed nations, life expectancy is decreasing in the United States, in part due to increasing mortality from alcohol-associated liver disease (ALD). Up-to-date estimates of ALD mortality are necessary for setting public health priorities to reverse this concerning trend. We therefore aimed to assess current (2017) estimates of ALD mortality and temporal trends from 1999 to 2017. METHODS: Using national data from the Centers for Disease Control and Prevention, we analyzed stratified ALD mortality rates between 1999 and 2017. We determined the age-adjusted death rates, stratified by sex and categorized by age, race/ethnicity, urbanization, and census region. We also identified statistically significant changes in the annual rate difference (ARD), annual percentage change (APC), and average APC in ALD mortality. RESULTS: In 2017, mortality from ALD was higher than any other year since 1999 with age-adjusted rates of 13.1 per 100,000 (95% confidence interval [CI] 12.9-13.3) in men and 5.6 per 100,000 (95% CI 5.4-5.7) in women. Mortality was highest among men and women who were middle aged, Native American, and from rural areas. Since 2006, ALD mortality has increased in almost every age group and race with the exception of non-Hispanic black men. Absolute increases in mortality rates have been particularly pronounced in Native American women (2005-2017 ARD 0.8, 95% CI 0.6-0.9), non-Hispanic/white men (2006-2017 ARD 0.4, 95% CI 0.3-0.4), and non-Hispanic/white women (2013-2017 ARD 0.4, 95% CI 0.3-0.5). DISCUSSION: Mortality from ALD is increasing over time in most demographic groups. Increased effort is needed to develop targeted public health strategies to address high and increasing ALD mortality

    Newer second-line glucose-lowering drugs versus thiazolidinediones on cirrhosis risk among older US adult patients with type 2 diabetes

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    Aims: Type 2 diabetes (T2D) accelerates progression of chronic liver disease to cirrhosis, yet the effects of most glucose-lowering drugs (GLDs) on cirrhosis risk in T2D are unknown. To address this gap, we compared cirrhosis risk following initiation of newer second-line GLDs vs. thiazolidinediones (TZDs), which improve histology in non-alcoholic fatty liver disease. Materials and methods: Using the US Medicare Fee-for-Service database (2007–2015) and an active comparator, new-user design, we estimated crude incidence rates (IRs) and propensity-score adjusted hazard ratios (aHR) for incident cirrhosis, comparing newer GLDs (dipeptidyl peptidase-4 inhibitors (DPP4i), glucagon-like peptide-1 receptor agonists (GLP1RA), and sodium-glucose co-transporter 2 inhibitors (SGLT2i)) vs. TZDs. Results: Among 239,549 total initiators, we observed 318, 151, and < 30 cirrhosis events when comparing DPP4i vs. TZD, GLP1RA vs. TZD, and SGLT2i vs. TZD, respectively. IRs ranged from 1.7 [95% CI, 0.8–3.6] to 3.6 [2.5–5.2] events per 1000 person-years. Point aHR estimates for cirrhosis were elevated among newer GLD initiators vs. TZD (DPP4i: 1.15 [0.89–1.50]; GLP1RA: 1.34 [0.82–2.20]; SGLT2i: 1.16, [0.44–3.08]), although estimates were imprecise due to short durations of drug exposure. Conclusions: We observed mildly elevated cirrhosis risk with newer GLDs vs. TZD; however, uncertainty remains due to imprecise and statistically non-significant effect estimates

    Critical Currents and Vortex States at Fractional Matching Fields in Superconductors with Periodic Pinning

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    We study vortex states and dynamics in 2D superconductors with periodic pinning at fractional sub-matching fields using numerical simulations. For square pinning arrays we show that ordered states form at 1/1, 1/2, and 1/4 filling fractions while only partially ordered states form at other filling fractions, such as 1/3 and 1/5, in agreement with recent imaging experiments. For triangular pinning arrays we observe matching effects at filling fractions of 1/1, 6/7, 2/3, 1/3, 1/4, 1/6, and 1/7. For both square and triangular pinning arrays we also find that, for certian sub-matching fillings, vortex configurations depend on pinning strength. For weak pinning, ordering in which a portion of the vortices are positioned between pinning sites can occur. Depinning of the vortices at the matching fields, where the vortices are ordered, is elastic while at the incommensurate fields the motion is plastic. At the incommensurate fields, as the applied driving force is increased, there can be a transition to elastic flow where the vortices move along the pinning sites in 1D channels and a reordering transition to a triangular or distorted triangular lattice. We also discuss the current-voltage curves and how they relate to the vortex ordering at commensurate and incommensurate fields.Comment: 14 figure

    Search for sterile neutrino oscillation using RENO and NEOS data

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    We present a reactor model independent search for sterile neutrino oscillation using 2\,509\,days of RENO near detector data and 180 days of NEOS data. The reactor related systematic uncertainties are significantly suppressed as both detectors are located at the same reactor complex of Hanbit Nuclear Power Plant. The search is performed by electron antineutrino\,(νe\overline{\nu}_e) disappearance between six reactors and two detectors with baselines of 294\,m\,(RENO) and 24\,m\,(NEOS). A spectral comparison of the NEOS prompt-energy spectrum with a no-oscillation prediction from the RENO measurement can explore reactor νe\overline{\nu}_e oscillations to sterile neutrino. Based on the comparison, we obtain a 95\% C.L. excluded region of 0.1<Δm412<70.1<|\Delta m_{41}^2|<7\,eV2^2. We also obtain a 68\% C.L. allowed region with the best fit of Δm412=2.41±0.03|\Delta m_{41}^2|=2.41\,\pm\,0.03\,\,eV2^2 and sin22θ14\sin^2 2\theta_{14}=0.08±\,\pm\,0.03 with a p-value of 8.2\%. Comparisons of obtained reactor antineutrino spectra at reactor sources are made among RENO, NEOS, and Daya Bay to find a possible spectral variation.Comment: 6 pages, 5 figures: This manuscript has been significantly revised by the joint reanalysis by RENO and NEOS Collaborations. (In the previous edition, the RENO collaboration used publicly available NEOS data to evaluate the expected neutrino spectrum at NEOS.

    Microstructural and mechanical characterization of annealed tungsten (W) and potassium-doped tungsten foils

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    Here we show that potassium-doped tungsten foil should be preferred to pure tungsten foil when considering tungsten laminate pipes for structural divertor applications. Potassium-doped tungsten materials are well known from the bulb industry and show an enhanced creep and recrystallization behaviour that can be explained by the formation of potassium-filled bubbles that are surrounding the elongated grains, leading to an interlocking of the microstructure. In this way, the ultra-fine grained (UFG) microstructure of tungsten foil can be stabilized and with it the extraordinary mechanical properties of the foil in terms of ductility, toughness, brittle-to-ductile transition, and radiation resistance. In this paper we show the results of three-point bending tests performed at room temperature on annealed pure tungsten and potassium-doped tungsten foils (800, 900, 1000, 1100, 1200, 1300, 1400, 1600, 1800, 2000, 2200, and 2400 °C for 1 h in vacuum). The microstructural assessment covers the measurement of the hardness and analyses of fractured surfaces as well as a comparison of the microstructure by optical microscopy. The results show that there is a positive effect of potassium-doped tungsten foils compared to pure tungsten foil and demonstrate the potential of the doped foi

    Large-scale association analyses identify host factors influencing human gut microbiome composition

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    To study the effect of host genetics on gut microbiome composition, the MiBioGen consortium curated and analyzed genome-wide genotypes and 16S fecal microbiome data from 18,340 individuals (24 cohorts). Microbial composition showed high variability across cohorts: only 9 of 410 genera were detected in more than 95% of samples. A genome-wide association study of host genetic variation regarding microbial taxa identified 31 loci affecting the microbiome at a genome-wide significant (P < 5 x 10(-8)) threshold. One locus, the lactase (LCT) gene locus, reached study-wide significance (genome-wide association study signal: P = 1.28 x 10(-20)), and it showed an age-dependent association with Bifidobacterium abundance. Other associations were suggestive (1.95 x 10(-10) < P < 5 x 10(-8)) but enriched for taxa showing high heritability and for genes expressed in the intestine and brain. A phenome-wide association study and Mendelian randomization identified enrichment of microbiome trait loci in the metabolic, nutrition and environment domains and suggested the microbiome might have causal effects in ulcerative colitis and rheumatoid arthritis
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