The ACTIVE cognitive training trial and predicted medical expenditures

<p>Abstract</p> <p>Background</p> <p>Health care expenditures for older adults are disproportionately high and increasing at both the individual and population levels. We evaluated the effects of the three cognitive training interventions (memory, reasoning, or speed of processing) in the ACTIVE study on changes in predicted medical care expenditures.</p> <p>Methods</p> <p>ACTIVE was a multisite randomized controlled trial of older adults (≥ 65). Five-year follow-up data were available for 1,804 of the 2,802 participants. Propensity score weighting was used to adjust for potential attrition bias. Changes in predicted annual<b/>medical expenditures were calculated at the first and fifth annual follow-up assessments using a new method for translating functional status scores. Multiple linear regression methods were used in this cost-offset analysis.</p> <p>Results</p> <p>At one and five years post-training, annual predicted expenditures declined<b/>by $223 (p = .024) and$128 (p = .309), respectively, in the speed of processing treatment group, but there were no statistically significant changes in the memory or reasoning treatment groups compared to the no-contact control group at either period. Statistical adjustment for age, race, education, MMSE scores, ADL and IADL performance scores, EPT scores, chronic condition counts, and the SF-36 PCS and MCS scores at baseline did not alter the one-year ($244; p = .012) or five-year ($143; p = .250) expenditure declines in the speed of processing treatment group.</p> <p>Conclusion</p> <p>The speed of processing intervention significantly reduced subsequent annual predicted medical care expenditures at the one-year post-baseline comparison, but annual savings were no longer statistically significant at the five-year post-baseline comparison.</p

What the Tevatron Found?

The CDF collaboration has reported a 4.1\sigma\ excess in their lepton, missing energy, and dijets channel. This excess, which takes the form of an approximately Gaussian peak centered at a dijet invariant mass of 147 GeV, has provoked a great deal of experimental and theoretical interest. Although the D\O\ collaboration has reported that they do not observe a signal consistent with CDF, there is currently no widely accepted explanation for the discrepancy between these two experiments. A resolution of this issue is of great importance---not least because it may teach us lessons relevant for future searches at the LHC---and it will clearly require additional information. In this paper, we consider the ability of the Tevatron and LHC detectors to observe evidence associated with the CDF excess in a variety of channels. We also discuss the ability of selected kinematic distributions to distinguish between Standard Model explanations of the observed excess and various new physics scenarios.Comment: 14 pages, 4 figures, 2 tables. Accepted for publication by JHEP. v2: minor changes to text and figure

LHC Test of CDF WjjWjj anomaly

We discuss a test of the CDF dijet anomaly at the LHC. The recent observed dijet mass peak at the CDF is well fitted by a new particle with a mass of around 150 GeV, which decays into two jets. In this paper, we focus on only $Wjj$ signal to avoid model dependence, and comprehensively study the LHC discovery/exclusion reach. We found almost all the models are inconsistent with the result of the LHC, unless only valence quarks contribute the new process. We also discuss further prospects of the LHC search for this anomaly.Comment: 21 pages, 2 figures, 17 tables; v4:typos are correcte

Molecular and Behavioral Differentiation among Brazilian Populations of Lutzomyia longipalpis (Diptera: Psychodidae: Phlebotominae)

Lutzomyia longipalpis is the main vector of visceral leishmaniasis in the Americas. There is strong evidence that L. longipalpis is a species complex, but there is still no consensus regarding the number of species occurring in Brazil. We combined molecular and behavioral analyses of a number of L. longipalpis populations in order to help clarify this question. This approach has allowed us to identify two main groups of populations in Brazil. One group probably represents a single species distributed mainly throughout the coastal regions of North and Northeast Brazil and whose males produce the same type of copulation song and pheromone. The second group is more heterogeneous, probably represented by a number of incipient species with different levels of genetic divergence among the siblings that produce different combinations of copulation songs and pheromones. The high level of complexity observed raises important questions concerning the epidemiological consequences of this incipient speciation process

Interactions between metal ions and DNA

84 years elapsed between the announcements of the periodic table and that of the DNA double helix in 1953, and the two have been combined in many ways since then. In this chapter an outline of the fundamentals of DNA structure leads into a range of examples showing how the natural magnesium and potassium ions found in nature can be substituted in a diversity of applications. The dynamic structures found in nature have been studied in the more controlled but artificial environment of the DNA crystal using examples from sodium to platinum and also in a range of DNA-binding metal complexes. While NMR is an essential technique for studying nucleic acid structure and conformation, most of our knowledge of metal ion binding has come from X-ray crystallography. These days the structures studied, and therefore also the diversity of metal binding, go beyond the double helix to triplexes, hairpin loops, junctions and quadruplexes, and the chapter describes briefly how these pieces fit into the DNA jigsaw. In a final section, the roles of metal cations in the crystallisation of new DNA structures are discussed, along with an introduction to the versatility of the periodic table of absorption edges for nucleic acid structure determination