A comparison of substance use stigma and health stigma in a population of veterans with co-occurring mental health and substance use disorders

OBJECTIVE: This pilot study examined whether substance use or mental illness was more stigmatizing among individuals with co-occurring mental health and substance abuse problems. METHODS: This study included 48 individuals with co-occurring substance use and mental health problems enrolled in a Substance Abuse and Mental Health Services funded treatment program. Subjects received a baseline assessment that included addiction, mental health, and stigma measures. RESULTS: The sample consisted primarily of White males with an average age of 38 years. Substance abuse was found to be more stigmatizing than mental illness, F(1, 47) = 14.213, p < .001, and stigma varied across four different levels of stigma (Aware, Agree, Apply, and Harm), F(2.099, 98.675) = 117.883, p < .001. The interaction between type and level of stigma was also significant, F(2.41, 113.284) = 20.250, p < .001, indicating that differences in reported stigma between types varied across levels of stigma. Post hoc tests found a significant difference between all levels of stigma except for the comparison between Apply and Harm. Reported stigma was significantly higher for substance abuse than mental illness at the Aware and Agree levels. In addition, pairwise comparisons found significant differences between all levels of stigma with the exception of the comparison between Apply and Harm, indicating a pattern whereby reported stigma generally decreased from the first level (Aware stage) to subsequent levels. CONCLUSIONS: These results have important implications for treatment, suggesting the need to incorporate anti-stigma interventions for individuals with co-occurring disorders with a greater focus on substance abuse

Obstacle detection and avoidance on sidewalks

We present part of a vision system for blind and visually impaired people. It detects obstacles on sidewalks and provides guidance to avoid them. Obstacles are trees, light poles, trash cans, holes, branches, stones and other objects at a distance of 3 to 5 meters from the camera position. The system first detects the sidewalk borders, using edge information in combination with a tracking mask, to obtain straight lines with their slopes and the vanishing point. Once the borders are found, a rectangular window is defined within which two obstacle detection methods are applied. The first determines the variation of the maxima and minima of the gray levels of the pixels. The second uses the binary edge image and searches in the vertical and horizontal histograms for discrepancies of the number of edge points. Together, these methods allow to detect possible obstacles with their position and size, such that the user can be alerted and informed about the best way to avoid them. The system works in realtime and complements normal navigation with the cane

Phenotypic divergence in two sibling species of shorebird: Common Snipe and Wilson’s Snipe (Charadriiformes: Scolopacidae)

Natural and social selection are among the main shapers of biological diversity but their relative importance in divergence remains understudied. Additionally, although neutral evolutionary processes may promote phenotypic divergence, their potential contribution in speciation is often overlooked in studies of comparative morphology. In this study, we investigated phenotypic differentiation in two allopatric shorebirds: the Palaearctic Common Snipe Gallinago gallinago and the Nearctic Wilson’s Snipe Gallinago delicata. Specimens of Common Snipe (n = 355 skins, n = 163 skeletons) and Wilson’s Snipe (n = 403 skins, n = 141 skeletons) in natural history collections were examined to quantify differences in skeletal and external measurements, and measures of wing and tail plumage variables. The species do not differ in skeletal variables except for the relatively larger sternum of the Common Snipe. The two species do not differ in multivariate wing size or shape (pointedness). Previously known plumage differences between these species were confirmed: the Common Snipe has fewer rectrices, longer and wider outermost rectrices, more extensive white on tips of the secondary feathers, and more white in the axillaries. Between-species variance in skeleton, primary length and plumage variables was greater than expected if drift was mainly responsible for phenotypic divergence, suggesting a role of selective processes. However, drift could not be rejected after adjusting for multiple comparisons. Differences in plumage traits were greater than in skeletal or external measurements. Because snipe use plumage traits in signalling, the results suggest a more rapid divergence in socially selected traits between these species than in traits related to resource use

Vancouver simplified grading system with computed tomographic angiography for blunt aortic injury

ObjectiveDelineation of blunt aortic injury by computed tomographic angiography guides management of this potentially fatal injury. Two existing grading systems are problematic to apply and not linked to outcomes. A simplified computed tomographic angiography–based grading system, linked to clinical outcomes, was developed, and feasibility and reliability were evaluated.MethodsRetrospective review was performed of all blunt aortic injury cases presenting to a single provincial quaternary referral center designated for blunt aortic injury management between 2001 and 2009. Management, associated injuries, hospital survival, and cause of death were determined. Initial computed tomographic angiography was reviewed, and injuries were graded according to the new Vancouver simplified grading system by 2 study authors. Three additional trauma radiologists then graded the aortic injuries with the 2 existing systems and the simplified system. Interrater reliability was determined.ResultsForty-eight patients were identified. Two had minimal aortic injury (grade I), 7 had an intimal flap larger than 1 cm (grade II), 32 had traumatic pseudoaneurysm (grade III), 6 had active contrast extravasation (grade IV), and 1 could not be rated. Survivals were 100%, 90%, and 33% for grades I and II, III, and IV, respectively. Of grade III injuries, 14% were medically managed, 68% repaired endovascularly, and 18% repaired with open surgery. Interrater correlation was best with the simplified score, with only 0.5% of cases unable to be classified.ConclusionsThe Vancouver simplified blunt aortic injury grading system is easy to use and correlates with clinical outcomes. Prospective external validation is required

Structure-guided machine learning prediction of drug resistance mutations in Abelson 1 kinase.

Funder: State Government of VictoriaKinases play crucial roles in cellular signalling and biological processes with their dysregulation associated with diseases, including cancers. Kinase inhibitors, most notably those targeting ABeLson 1 (ABL1) kinase in chronic myeloid leukemia, have had a significant impact on cancer survival, yet emergence of resistance mutations can reduce their effectiveness, leading to therapeutic failure. Limited effort, however, has been devoted to developing tools to accurately identify ABL1 resistance mutations, as well as providing insights into their molecular mechanisms. Here we investigated the structural basis of ABL1 mutations modulating binding affinity of eight FDA-approved drugs. We found mutations impair affinity of type I and type II inhibitors differently and used this insight to developed a novel web-based diagnostic tool, SUSPECT-ABL, to pre-emptively predict resistance profiles and binding free-energy changes (ΔΔG) of all possible ABL1 mutations against inhibitors with different binding modes. Resistance mutations in ABL1 were successfully identified, achieving a Matthew's Correlation Coefficient of up to 0.73 and the resulting change in ligand binding affinity with a Pearson's correlation of up to 0.77, with performances consistent across non-redundant blind tests. Through an in silico saturation mutagenesis, our tool has identified possibly emerging resistance mutations, which offers opportunities for in vivo experimental validation. We believe SUSPECT-ABL will be an important tool not just for improving precision medicine efforts, but for facilitating the development of next-generation inhibitors that are less prone to resistance. We have made our tool freely available at http://biosig.unimelb.edu.au/suspect_abl/

Emergent geometry from q-deformations of N=4 super Yang-Mills

We study BPS states in a marginal deformation of super Yang-Mills on R x S^3 using a quantum mechanical system of q-commuting matrices. We focus mainly on the case where the parameter q is a root of unity, so that the AdS dual of the field theory can be associated to an orbifold of AdS_5x S^5. We show that in the large N limit, BPS states are described by density distributions of eigenvalues and we assign to these distributions a geometrical spacetime interpretation. We go beyond BPS configurations by turning on perturbative non-q-commuting excitations. Considering states in an appropriate BMN limit, we use a saddle point approximation to compute the BMN energy to all perturbative orders in the 't Hooft coupling. We also examine some BMN like states that correspond to twisted sector string states in the orbifold and we show that our geometrical interpretation of the system is consistent with the quantum numbers of the corresponding states under the quantum symmetry of the orbifold.Comment: 22 pages, 1 figure. v2: added references. v3:final published versio

Janus monolayers of transition metal dichalcogenides.

Structural symmetry-breaking plays a crucial role in determining the electronic band structures of two-dimensional materials. Tremendous efforts have been devoted to breaking the in-plane symmetry of graphene with electric fields on AB-stacked bilayers or stacked van der Waals heterostructures. In contrast, transition metal dichalcogenide monolayers are semiconductors with intrinsic in-plane asymmetry, leading to direct electronic bandgaps, distinctive optical properties and great potential in optoelectronics. Apart from their in-plane inversion asymmetry, an additional degree of freedom allowing spin manipulation can be induced by breaking the out-of-plane mirror symmetry with external electric fields or, as theoretically proposed, with an asymmetric out-of-plane structural configuration. Here, we report a synthetic strategy to grow Janus monolayers of transition metal dichalcogenides breaking the out-of-plane structural symmetry. In particular, based on a MoS2 monolayer, we fully replace the top-layer S with Se atoms. We confirm the Janus structure of MoSSe directly by means of scanning transmission electron microscopy and energy-dependent X-ray photoelectron spectroscopy, and prove the existence of vertical dipoles by second harmonic generation and piezoresponse force microscopy measurements

A study of open strings ending on giant gravitons, spin chains and integrability

We systematically study the spectrum of open strings attached to half BPS giant gravitons in the N=4 SYM AdS/CFT setup. We find that some null trajectories along the giant graviton are actually null geodesics of AdS_5x S^5, so that we can study the problem in a plane wave limit setup. We also find the description of these states at weak 't Hooft coupling in the dual CFT. We show how the dual description is given by an open spin chain with variable number of sites. We analyze this system in detail and find numerical evidence for integrability. We also discover an interesting instability of long open strings in Ramond-Ramond backgrounds that is characterized by having a continuum spectrum of the string, which is separated from the ground state by a gap. This instability arises from accelerating the D-brane on which the strings end via the Ramond-Ramond field. From the integrable spin chain point of view, this instability prevents us from formulating the integrable structure in terms of a Bethe Ansatz construction.Comment: 38 pages+appendices, 9 figures. Uses JHEP3. v2: added reference