Perceptual and ventilatory responses to hypercapnia in athletes and sedentary individuals

Purpose: Hypercapnic chemosensitivity traditionally captures the ventilatory response to elevated pressures of carbon dioxide in the blood. However, hypercapnia also contributes to subjective breathing perceptions, and previously we demonstrated a closer matching of perception to changes in ventilation in athletes compared to controls. Here we investigated any potential underlying hypercapnic chemosensitivity differences between groups, and explored whether these measures relate to ventilatory and perceptual responses during exercise as well as trait levels of affect. Methods: A hypercapnic challenge, incremental maximal exercise test and affective questionnaires were completed by 20 endurance athletes and 20 age-/sex-matched sedentary controls. The hypercapnic challenge involved elevating end-tidal PCO2 by 0.8% (6.1 mmHg) and 1.5% (11.2 mmHg) for 3 min each (randomised), with constant end-tidal oxygen. Ventilatory and perceptual responses to hypercapnia were compared between groups, and within each group the relationships between hypercapnic chemosensitivity (slope analyses) and exercising ventilation and perceptions were calculated using Spearman’s non-parametric correlations. Results: While absolute ventilation differences during hypercapnia and exercise were observed, no group differences were found across hypercapnic chemosensitivity (slope) measures. Correlation analyses revealed the anxiety hypercapnic response was related to maximal exercise anxiety, but only in sedentary individuals. Conclusion: Ventilatory and perceptual hypercapnic chemosensitivity do not differ between athletes and sedentary individuals. However, ventilatory and anxiety hypercapnic chemosensitivities were related to ventilatory and anxiety responses during exercise in untrained individuals only. Athletes may employ additional strategies during exercise to reduce the influence of chemosensitivity on ventilatory and perceptual responses

Coulomb interactions within Halo Effective Field Theory

I present preliminary results of effective field theory applied to nuclear cluster systems, where Coulomb interactions play a significant role.Comment: Talk given at the 20th European Conference on Few-Body Problems in Physics, Pisa, Italy, September 10-14, 200

A new bound on axion-like particles

Axion-like particles (ALPs) and photons can quantum mechanically interconvert when propagating through magnetic fields, and ALP-photon conversion may induce oscillatory features in the spectra of astrophysical sources. We use deep (370 ks), short frame time Chandra observations of the bright nucleus at the centre of the radio galaxy M87 in the Virgo cluster to search for signatures of light ALPs. The absence of substantial irregularities in the X-ray power-law spectrum leads to a new upper limit on the photon-ALP coupling, $g_{a\gamma}$: using a conservative model of the cluster magnetic field consistent with Faraday rotation measurements from M87 and M84, we find $g_{a \gamma} < 2.6\times10^{-12}$ GeV$^{-1}$ at 95% confidence level for ALP masses $m_a \leq 10^{-13}$ eV. Other consistent magnetic field models lead to stronger limits of $g_{a \gamma} \lesssim 1.1$--$1.5 \times 10^{-12}$ GeV$^{-1}$. These bounds are all stronger than the limit inferred from the absence of a gamma-ray burst from SN1987A, and rule out a substantial fraction of the parameter space accessible to future experiments such as ALPS-II and IAXO

The imprints of AGN feedback within a supermassive black hole's sphere of influence

We present a new 300 ks Chandra observation of M87 that limits pileup to only a few per cent of photon events and maps the hot gas properties closer to the nucleus than has previously been possible. Within the supermassive black hole's gravitational sphere of influence, the hot gas is multiphase and spans temperatures from 0.2 to 1 keV. The radiative cooling time of the lowest temperature gas drops to only 0.1-0.5 Myr, which is comparable to its free fall time. Whilst the temperature structure is remarkably symmetric about the nucleus, the density gradient is steep in sectors to the N and S, with $\rho{\propto}r^{-1.5\pm0.1}$, and significantly shallower along the jet axis to the E, where $\rho{\propto}r^{-0.93\pm0.07}$. The density structure within the Bondi radius is therefore consistent with steady inflows perpendicular to the jet axis and an outflow directed E along the jet axis. By putting limits on the radial flow speed, we rule out Bondi accretion on the scale resolved at the Bondi radius. We show that deprojected spectra extracted within the Bondi radius can be equivalently fit with only a single cooling flow model, where gas cools from 1.5 keV down below 0.1 keV at a rate of 0.03 M$_{\odot}$/yr. For the alternative multi-temperature spectral fits, the emission measures for each temperature component are also consistent with a cooling flow model. The lowest temperature and most rapidly cooling gas in M87 is therefore located at the smallest radii at ~100 pc and may form a mini cooling flow. If this cooling gas has some angular momentum, it will feed into the cold gas disk around the nucleus, which has a radius of ~80 pc and therefore lies just inside the observed transition in the hot gas structure

Driving massive molecular gas flows in central cluster galaxies with AGN feedback

We present an analysis of new and archival ALMA observations of molecular gas in 12 central cluster galaxies. We examine emerging trends in molecular filament morphology and gas velocities to understand their origins. Molecular gas masses in these systems span 109−−1011M⊙⁠, far more than most gas-rich galaxies. ALMA images reveal a distribution of morphologies from filamentary to disc-dominated structures. Circumnuclear discs on kiloparsec scales appear rare. In most systems, half to nearly all of the molecular gas lies in filamentary structures with masses of a few ×108--10M⊙ that extend radially several to several tens of kpc. In nearly all cases the molecular gas velocities lie far below stellar velocity dispersions, indicating youth, transience, or both. Filament bulk velocities lie far below the galaxy’s escape and free-fall speeds indicating they are bound and being decelerated. Most extended molecular filaments surround or lie beneath radio bubbles inflated by the central active galactic nuclei (AGNs). Smooth velocity gradients found along the filaments are consistent with gas flowing along streamlines surrounding these bubbles. Evidence suggests most of the molecular clouds formed from low entropy X-ray gas that became thermally unstable and cooled when lifted by the buoyant bubbles. Uplifted gas will stall and fall back to the galaxy in a circulating flow. The distribution in morphologies from filament to disc-dominated sources therefore implies slowly evolving molecular structures driven by the episodic activity of the AGNs

Insufficient Impact: Limited Implementation of Federal Regulatory Changes to Methadone and Buprenorphine Access in Arizona During COVID-19

Introduction: This study examined the impact of federal regulatory changes on methadone and buprenorphine treatment during COVID-19 in Arizona. Methods: A cohort study of methadone and buprenorphine providers from September 14, 2021 to April 15, 2022 measured the proportion of 6 treatment accommodations implemented at 3 time periods: before COVID-19, during Arizona's COVID-19 shutdown, and at the time of the survey completion. Accommodations included (1) telehealth, (2) telehealth buprenorphine induction, (3) increased multiday dosing, (4) license reciprocity, (5) home medications delivery, and (6) off-site dispensing. A multilevel model assessed the association of treatment setting, rurality, and treatment with accommodation implementation time. Results: Over half (62.2%) of the 74-provider sample practiced in healthcare settings not primarily focused on addiction treatment, 19% practiced in methadone clinics, and 19% practiced in treatment clinics not offering methadone. Almost half (43%) were unaware of the regulatory changes allowing treatment accommodation. Telehealth was most frequently reported, increasing from 30% before COVID-19 to 80% at the time of the survey. Multiday dosing was the only accommodation substantially retracted after COVID-19 shutdown: from 41% to 23% at the time of the survey. Providers with higher patient limits were 2.5–3.2 times as likely to implement telehealth services, 4.4 times as likely to implement buprenorphine induction through telehealth, and 15.2–20.9 times as likely to implement license reciprocity as providers with lower patient limits. Providers of methadone implemented 12% more accommodations and maintained a higher average proportion of implemented accommodations during the COVID-19 shutdown period but were more likely to reduce the proportion of implemented accommodations (a 17-percentage point gap by the time of the survey). Conclusions: Federal regulatory changes are not sufficient to produce a substantive or sustained impact on provider accommodations, especially in methadone medical treatment settings. Practice change interventions specific to treatment settings should be implemented and studied for their impact

Heat and fluid flow in a scraped-surface heat exchanger containing a fluid with temperature-dependent viscosity

Scraped-surface heat exchangers (SSHEs) are extensively used in a wide variety of industrial settings where the continuous processing of fluids and fluid-like materials is involved. The steady non-isothermal flow of a Newtonian fluid with temperature-dependent viscosity in a narrow-gap SSHE when a constant temperature difference is imposed across the gap between the rotor and the stator is investigated. The mathematical model is formulated and the exact analytical solutions for the heat and fluid flow of a fluid with a general dependence of viscosity on temperature for a general blade shape are obtained. These solutions are then presented for the specific case of an exponential dependence of viscosity on temperature. Asymptotic methods are employed to investigate the behaviour of the solutions in several special limiting geometries and in the limits of weak and strong thermoviscosity. In particular, in the limit of strong thermoviscosity (i.e., strong heating or cooling and/or strong dependence of viscosity on temperature) the transverse and axial velocities become uniform in the bulk of the flow with boundary layers forming either just below the blade and just below the stationary upper wall or just above the blade and just above the moving lower wall. Results are presented for the most realistic case of a linear blade which illustrate the effect of varying the thermoviscosity of the fluid and the geometry of the SSHE on the flow

Opportunities and Challenges: Hepatitis C Testing and Treatment Access Experiences Among People in Methadone and Buprenorphine Treatment During COVID-19, Arizona, 2021

Introduction: The purpose of this study was to characterize hepatitis C virus screening and treatment access experiences among people in treatment for opioid use disorder in Arizona during COVID-19. Methods: Arizonans receiving treatment for opioid use disorder from methadone clinics and buprenorphine providers during COVID-19 were interviewed about hepatitis C virus testing, curative treatment, and knowledge about screening recommendations. Interviews were conducted with 121 people from August 4, 2021 to October 10, 2021. Qualitative data were coded using the categories of hepatitis C virus testing, knowledge of screening recommendations, diagnosis, and experiences seeking curative treatment. Data were also quantitated for bivariate testing with outcome variables of last hepatitis C virus test, diagnosis, and curative treatment process. Findings were arrayed along an adapted hepatitis C virus cascade framework to inform program and policy improvements. Results: Just over half of the sample reported ever having tested for hepatitis C virus (51.2%, n=62) and of this group, 58.1% were tested in the past 12 months. Among those who were ever tested, 54.8% reported a hepatitis C virus diagnosis and 16.1% reported either being in treatment or having been declared cured of the hepatitis C virus. Among those who were diagnosed with hepatitis C, 14.7% indicated that they unsuccessfully tried to access curative treatment and would not attempt to again. Reasons cited for not accessing or receiving curative treatment included beliefs about treatment safety, barriers created by access requirements, natural resolution of the infection, and issues with healthcare coverage and authorization. Conclusions: Structural barriers continue to prevent curative hepatitis C virus treatment access. Given that methadone and buprenorphine treatment providers serve patients who are largely undiagnosed or treated for hepatitis C virus, opportunities exist for them to screen their patients regularly and provide support for and/or navigation to hepatitis C virus curative treatment

Functional network dysconnectivity as a biomarker of treatment resistance in schizophrenia

Schizophrenia may develop from disruptions in functional connectivity regulated by neurotransmitters such as dopamine and acetylcholine. The modulatory effects of these neurotransmitters might explain how antipsychotics attenuate symptoms of schizophrenia and account for the variable response to antipsychotics observed in clinical practice. Based on the putative mechanisms of antipsychotics and evidence of disrupted connectivity in schizophrenia, we hypothesised that functional network connectivity, as assessed using network-based statistics, would exhibit differences between treatment response subtypes of schizophrenia and healthy controls. Resting-state functional MRI data were obtained from 17 healthy controls as well as individuals with schizophrenia who responded well to first-line atypical antipsychotics (first-line responders; FLR, n=18), had failed at least two trials of antipsychotics but responded to clozapine (treatment-resistant schizophrenia; TRS, n=18), or failed at least two trials of antipsychotics and a trial of clozapine (ultra-treatment-resistant schizophrenia; UTRS, n=16). Data were pre-processed using the Advanced Normalisation Toolkit and BrainWavelet Toolbox. Network connectivity was assessed using the Network-Based Statistics toolbox in Matlab. ANOVA revealed a significant difference in functional connectivity between groups that extended between cerebellar and parietal regions to the frontal cortex (p<0.05). Post-hoc T-tests revealed weaker network connectivity in individuals with UTRS compared with healthy controls but no other differences between groups. Results demonstrated distinct differences in functional connectivity between individuals with UTRS and healthy controls. Future work must determine whether these changes occur prior to the onset of treatment and if they can be used to predict resistance to antipsychotics during first-episode psychosis.This work was supported by The University of Auckland Faculty Research and Development Fund Project number 3624739, with support from the New Zealand Pharmacy Education and Research Fund Grant number 263, the New Zealand Schizophrenia Research Group Donation and the Oakley Mental Health Research Foundation. Carolyn McNabb was supported by a Vernon Tews Education Trust scholarship. Meghan McIlwain was supported by a University of Auckland Doctoral Scholarship and a New Zealand Federation of Graduate Women Fellowship. Valerie Anderson was supported by an Edith C. Coan Research Fellowship from The Auckland Medical Research Foundation