Telemedicine of family-based treatment for adolescent anorexia nervosa: A protocol of a treatment development study.

BackgroundFamily-based treatment is an efficacious treatment available for adolescents with anorexia nervosa. Yet the implementation of this treatment, at least in the United States, is challenging due to a limited number of trained family-based treatment therapists and the concentration of these therapists in a limited number of urban centers. The use of telemedicine in the delivery of family-based treatment can increase access to this therapy for this patient population.Methods/designThis two-year treatment development study (December 2013-November 2015) follows a two-wave iterative case series design. The study is ongoing and addresses the treatment needs of families in remote, rural, or underrepresented parts of the United States by delivering family-based treatment via telemedicine (video chat). The first six months of the study was dedicated to selecting a cloud-based secure telemedicine portal for use with participants. Recruitment for the first of two consecutive case series (N = 5) began during month seven. After these five patients completed treatment, a systematic review of treatment via feedback from participants and therapists related to the delivery of this model and use of technology was completed. A second wave of recruitment is underway (N = 5). At the end of both waves (N = 10), and after a second review of treatment, we should be able to establish the feasibility and acceptability of family-based treatment delivered via telemedicine for this patient population.DiscussionThis study is the first attempt to deliver family-based treatment for adolescents with anorexia nervosa via telemedicine. If delivering family-based treatment in this format is feasible, it will provide access to an evidence-based treatment for families heretofore unable to participate in specialist treatment for their child's eating disorder

Predicting molecular vibronic spectra using time-domain analog quantum simulation

Spectroscopy is one of the most accurate probes of the molecular world. However, predicting molecular spectra accurately is computationally difficult because of the presence of entanglement between electronic and nuclear degrees of freedom. Although quantum computers promise to reduce this computational cost, existing quantum approaches rely on combining signals from individual eigenstates, an approach that is difficult to scale because the number of eigenstates grows exponentially with molecule size. Here, we introduce a method for scalable analog quantum simulation of molecular spectroscopy, by performing simulations in the time domain. Our approach can treat more complicated molecular models than previous ones, requires fewer approximations, and can be extended to open quantum systems with minimal overhead. We present a direct mapping of the underlying problem of time-domain simulation of molecular spectra to the degrees of freedom and control fields available in a trapped-ion quantum simulator. We experimentally demonstrate our algorithm on a trapped-ion device, exploiting both intrinsic electronic and motional degrees of freedom, showing excellent quantitative agreement for a single-mode vibronic photoelectron spectrum of SO$_2$.Comment: 13 pages, 8 figure

The last reconnection of the Marmara Sea (Turkey) to the World Ocean : A paleoceanographic and paleoclimatic perspective

Author Posting. © Elsevier B.V., 2008. This is the author's version of the work. It is posted here by permission of Elsevier B.V. for personal use, not for redistribution. The definitive version was published in Marine Geology 255 (2008): 64-82, doi:10.1016/j.margeo.2008.07.005.During the late glacial, marine isotope Stage 2, the Marmara Sea transformed into a brackish lake as global sea level fell below the sill in the Dardanelles Strait. A record of the basin’s reconnection to the global ocean is preserved in its sediments permitting the extraction of the paleoceanographic and paleoclimatic history of the region. The goal of this study is to develop a high-resolution record of the lacustrine to marine transition of Marmara Sea in order to reconstruct regional and global climatic events at 24 a millennial scale. For this purpose, we mapped the paleoshorelines of Marmara Sea along the northern, eastern, and southern shelves at Çekmece, Prince Islands, and Imrali, using data from multibeam bathymetry, high-resolution subbottom profiling (chirp) and ten sediment cores. Detailed sedimentologic, biostratigraphic (foraminifers, mollusk, diatoms), X-ray fluorescence geochemical scanning, and oxygen and carbon stable isotope analyses correlated to a calibrated radiocarbon chronology provided evidence for cold and dry conditions prior to 15 ka BP, warm conditions of the Bolling-Allerod from ~15 to 13 ka BP, a rapid marine incursion at 12 ka BP, still stand of Marmara Sea and sediment reworking of the paleoshorelines during the Younger Dryas at ~11.5 to 10.5 ka BP, and development of strong stratification and influx of nutrients as Black Sea waters spilled into Marmara Sea at 9.2 ka BP. Stable environmental conditions developed in Marmara Sea after 6.0 ka BP as sea-level reached its present shoreline and the basin floors filled with sediments achieving their present configuration.Support for the analyses was from NSF-OCE-0222139; OCE-9807266 and PSC-CUNY 69138-00 38

Comparative genome analysis of lignin biosynthesis gene families across the plant kingdom

<p>Abstract</p> <p>Background</p> <p>As a major component of plant cell wall, lignin plays important roles in mechanical support, water transport, and stress responses. As the main cause for the recalcitrance of plant cell wall, lignin modification has been a major task for bioenergy feedstock improvement. The study of the evolution and function of lignin biosynthesis genes thus has two-fold implications. First, the lignin biosynthesis pathway provides an excellent model to study the coordinative evolution of a biochemical pathway in plants. Second, understanding the function and evolution of lignin biosynthesis genes will guide us to develop better strategies for bioenergy feedstock improvement.</p> <p>Results</p> <p>We analyzed lignin biosynthesis genes from fourteen plant species and one symbiotic fungal species. Comprehensive comparative genome analysis was carried out to study the distribution, relatedness, and family expansion of the lignin biosynthesis genes across the plant kingdom. In addition, we also analyzed the comparative synteny map between rice and sorghum to study the evolution of lignin biosynthesis genes within the <it>Poaceae </it>family and the chromosome evolution between the two species. Comprehensive lignin biosynthesis gene expression analysis was performed in rice, poplar and <it>Arabidopsis</it>. The representative data from rice indicates that different fates of gene duplications exist for lignin biosynthesis genes. In addition, we also carried out the biomass composition analysis of nine <it>Arabidopsis </it>mutants with both MBMS analysis and traditional wet chemistry methods. The results were analyzed together with the genomics analysis.</p> <p>Conclusion</p> <p>The research revealed that, among the species analyzed, the complete lignin biosynthesis pathway first appeared in moss; the pathway is absent in green algae. The expansion of lignin biosynthesis gene families correlates with substrate diversity. In addition, we found that the expansion of the gene families mostly occurred after the divergence of monocots and dicots, with the exception of the C4H gene family. Gene expression analysis revealed different fates of gene duplications, largely confirming plants are tolerant to gene dosage effects. The rapid expansion of lignin biosynthesis genes indicated that the translation of transgenic lignin modification strategies from model species to bioenergy feedstock might only be successful between the closely relevant species within the same family.</p

Up in smoke? The impact of smog on risk perception and satisfaction of international tourists in Beijing

The topic of concern of this research is smog, and the destination of interest is Beijing, China. The present study investigated the attitudes and behaviours of international on‐site tourists to the worrying issue of smog in China's capital. The work is embedded in previous theoretical and conceptual studies of risk and hazard perception. Social and natural disasters affecting tourism are widely reported in various media formats (Kozak et al., 2007). Tourism research concerning such disasters has become an important concern of tourism analysis (Reisinger & Mavondo, 2005; Tan & Tang, 2013). Previous studies have tended to explore attitudinal and behavioural patterns of people who plan to travel, thus concentrating on their decision‐making processes. However, tourists' risk perception and in turn their moderating strategies may change according to different stages across the travel consumption sequence (Choi et al., 2012). Therefore, it is necessary to investigate tourists' risk perception in different travel stages including pre‐travel decision making, on‐site reactions and post‐trip recollections (Mansfeld, 2006). By focusing on smog – a relatively persistent and somewhat predictable form of hazard – and accessing tourists' on‐site views, the present study may illuminate the existing studies of tourist risk perception. In the past two years, dangerous smog conditions have been experienced in most cities in China. Smog is a frequently visible, sometimes literally tangible, generic term for air pollution deriving from multiple human activities including but not limited to the burning of fossil fuels and industrial processes (Watts, 2010). The National Disaster Relief Department of China has listed smog as a natural disaster due to the rising numbers of deaths attributed directly to severe incidents of the problem. Further, the overall harmful effects of smog on human health justify public concern and research interest (Bickerstaff & Walker, 1999; Semenza et al., 2008). According to Tasci and Boylu (2010), disasters (and smog can now be included in the list of disasters) exert immediate and continuing effects on tourist choices through affecting a destination's image. Such effects are dramatically enhanced when the topic of concern is frequently reported in mass media. The available statistical data show declines in inbound and domestic tourists visiting the worst smog‐affected areas in China. Beijing is the Chinese city with perhaps the most serious and widely publicized smog conditions. It is also one of China's most popular tourist destinations. The city and its region have been one of the hardest‐hit locations in terms of the frequency of smog and the severity of fine particle matter in the atmosphere. However, there has been very limited research directly exploring the impact of smog on tourists. Tourists' decision‐making, in terms of choosing this destination, and their travel experiences in smog‐affected cities such as Beijing have not been considered. It is generally accepted that understanding tourists' concerns, including their anxiety about health and safety issues, are of paramount importance to travel destinations (Kozak et al., 2007; Law, 2006). Building on these concerns, this research analysed the views of international tourists travelling to Beijing. The present research has three broad objectives: 1. To explore international tourists' overall and specific concerns with the issue of smog in Beijing; 2. To examine whether there are associations among key tourist attitudes and perceptions including smog concern, risk perception, tourist satisfaction and intention to return to Beijing. 3. To consider whether the relationships found for risk in other content areas also exist for smog. In meeting these objectives, the work seeks to provide conceptual linkages and explore theoretical connections among key influential variables rather than simply describing tourists' concern about smog. Additionally, the marketing and management consequences of this study and allied research are portrayed

Telemedicine of family-based treatment for adolescent anorexia nervosa: A protocol of a treatment development study.

BackgroundFamily-based treatment is an efficacious treatment available for adolescents with anorexia nervosa. Yet the implementation of this treatment, at least in the United States, is challenging due to a limited number of trained family-based treatment therapists and the concentration of these therapists in a limited number of urban centers. The use of telemedicine in the delivery of family-based treatment can increase access to this therapy for this patient population.Methods/designThis two-year treatment development study (December 2013-November 2015) follows a two-wave iterative case series design. The study is ongoing and addresses the treatment needs of families in remote, rural, or underrepresented parts of the United States by delivering family-based treatment via telemedicine (video chat). The first six months of the study was dedicated to selecting a cloud-based secure telemedicine portal for use with participants. Recruitment for the first of two consecutive case series (N = 5) began during month seven. After these five patients completed treatment, a systematic review of treatment via feedback from participants and therapists related to the delivery of this model and use of technology was completed. A second wave of recruitment is underway (N = 5). At the end of both waves (N = 10), and after a second review of treatment, we should be able to establish the feasibility and acceptability of family-based treatment delivered via telemedicine for this patient population.DiscussionThis study is the first attempt to deliver family-based treatment for adolescents with anorexia nervosa via telemedicine. If delivering family-based treatment in this format is feasible, it will provide access to an evidence-based treatment for families heretofore unable to participate in specialist treatment for their child's eating disorder