The most plausible explanation of the cyclical period changes in close binaries: the case of the RS CVn-type binary WW Dra

We searched the orbital period changes in 182 EA-type (including the 101 Algol systems used by \cite{hal89}), 43 EB-type and 53 EW-type binaries with known both the mass ratio and the spectral type of their secondary components. We reproduced and improved the same diagram as Hall's (1989) according to the new collected data. Our plots do not support the conclusion derived by \cite{hal89} that all cases of cyclical period changes are restricted to binaries having the secondary component with spectral types later than F5. The presence of period changes also among stars with secondary component of early type indicates that the magnetic activity is one cause, but not the only one, for the period variation. It is discovered that cyclic period changes, likely due to the presence of a third body are more frequent in EW-type binaries among close binaries. Therefore, the most plausible explanation of the cyclical period changes is the LTTE via the presence of a third body. By using the century-long historical record of the times of light minimum, we analyzed the cyclical period change in the Algol binary WW Dra. It is found that the orbital period of the binary shows a $\sim112.2 \textbf{\textrm{yr}}$ cyclic variation with an amplitude of $\sim0.1977\textbf{\textrm{days}}$. The cyclic oscillation can be attributed to the LTTE via a third body with a mass no less than $6.43 M_{\odot}$. However, no spectral lines of the third body were discovered indicating that it may be a candidate black hole. The third body is orbiting the binary at a distance shorter than 14.4 AU and it may play an important role in the evolution of this system.Comment: 9 pages, 5 figures, published by MNRA

Machine learning‐based classification of Alzheimer's disease and its at‐risk states using personality traits, anxiety, and depression

Background Alzheimer's disease (AD) is often preceded by stages of cognitive impairment, namely subjective cognitive decline (SCD) and mild cognitive impairment (MCI). While cerebrospinal fluid (CSF) biomarkers are established predictors of AD, other non-invasive candidate predictors include personality traits, anxiety, and depression, among others. These predictors offer non-invasive assessment and exhibit changes during AD development and preclinical stages. Methods In a cross-sectional design, we comparatively evaluated the predictive value of personality traits (Big Five), geriatric anxiety and depression scores, resting-state functional magnetic resonance imaging activity of the default mode network, apoliprotein E (ApoE) genotype, and CSF biomarkers (tTau, pTau181, Aβ42/40 ratio) in a multi-class support vector machine classification. Participants included 189 healthy controls (HC), 338 individuals with SCD, 132 with amnestic MCI, and 74 with mild AD from the multicenter DZNE-Longitudinal Cognitive Impairment and Dementia Study (DELCODE). Results Mean predictive accuracy across all participant groups was highest when utilizing a combination of personality, depression, and anxiety scores. HC were best predicted by a feature set comprised of depression and anxiety scores and participants with AD were best predicted by a feature set containing CSF biomarkers. Classification of participants with SCD or aMCI was near chance level for all assessed feature sets. Conclusion Our results demonstrate predictive value of personality trait and state scores for AD. Importantly, CSF biomarkers, personality, depression, anxiety, and ApoE genotype show complementary value for classification of AD and its at-risk stages

Striae gravidarum in primigravid women: prevalence, risk factors, prevention interventions and body image

Objectives: The study was conducted to identify the striae gravidarum (SG) prevalence in primigravid women, the influencing risk factors and the preventive interventions, and also to investigate its effect on body perception. Methods: This cross-sectional and descriptive study was conducted on 421 primigravid women who presented to a training and research hospital to have a nonstress test during routine follow-up. The data of the study were collected with the “Data Collection Form”, “Fitzpatrick Skin Type Scale”, “Davey’s Severity Score of Striae Gravidarum” and “Body Image Scale (BIS)”. Results: SG was found to be present in 67% of primigravid women. According to the results of the logistic regression analysis conducted, the presence of social security, sleep duration, BMI in pregnancy, and a history of striae in the mother and/or sister were found to be associated with SG presence (p < 0.05). A very weak positive relationship was found between SG severity in primigravidas and the score obtained from BIS (p < 0.05). The body perception of the pregnant women worsened in the presence of SG and a very weak negative relationship was found between the number of interventions used for prevention and the BIS score (p < 0.05). Conclusion: SG is seen in 7 of 10 women and affects body perception negatively. We recommend providing training and consultancy services both before and during pregnancy on the interventions and lifestyle changes required and topical preparations that can be used to prevent or decrease the severity of SG while taking the risk factors causing the problem into account. © 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group

Venous thromboembolism prophylaxis after head and spinal trauma: Intermittent pneumatic compression devices versus low molecular weight heparin

Although there are alternative methods and drugs for preventing venous thromboembolism (WE), it is not clear which modality is most suitable and efficacious for patients with severe (stable or unstable) head/spinal injures. The aim of this study was to compare intermittent pneumatic compression devices (IPC) with low-molecular-weight heparin (LMWH) for preventing VTE. We prospectively randomized 120 head/spinal traumatized patients for comparison of IPC with LMWH as a prophylaxis modality against VIE. Venous duplex color-flow Doppler sonography of the lower extremities was performed each week of hospitalization and 1 week after discharge. When there was a suspicion of pulmonary embolism (PE), patients were evaluated with spiral computed tomography. Patients Were analyzed for demographic features, injury severity scores, associated injuries, type of head/spinal trauma, complications, transfusion, and incidence of deep venous thrombosis (DVT) and PE. Two patients (3.33%) from the IPC group and 4 patients (6.66%) from the LMWH group died, with their deaths due to PE. Nine other patients also succumbed, unrelated to PE. DVT developed in 4 patients (6.66%) in the IPC group and in 3 patients (5%) in the LMWH group. There was no statistically significant difference regarding a reduction in DW, PE, or mortality between groups (p=0.04, p>0.05, p>0.05, respectively). IPC can be used safely for prophylaxis of VTE in head/spinal trauma patients

Enzymatic properties and substrate specificity of a bacterial phosphatidylcholine synthase

Phosphatidylcholine (PC) is a rare membrane lipid in bacteria, but is crucial for virulence of the plant pathogen Agrobacterium tumefaciens and various other pathogens. Agrobacterium tumefaciens uses two independent PC biosynthesis pathways. One is dependent on the integral membrane protein PC synthase (Pcs), which catalyzes the conversion of cytidine diphosphate-diacylglycerol (CDP-DAG) and choline to PC, thereby releasing a cytidine monophosphate (CMP). Here, we show that Pcs consists of eight transmembrane segments with its N- and C-termini located in the cytoplasm. A cytoplasmic loop between the second and third membrane helix contains the majority of the conserved amino acids of a CDP-alcohol phosphotransferase motif (DGX2 ARX12 GX3 DX3 D). Using point mutagenesis, we provide evidence for a crucial role of this motif in choline binding and enzyme activity. To study the catalytic features of the enzyme, we established a purification protocol for recombinant Pcs. The enzyme forms stable oligomers and exhibits broad substrate specificity towards choline derivatives. The presence of CDP-DAG and manganese is a prerequisite for cooperative binding of choline. PC formation by Pcs is reversible and proceeds via two successive reactions. In a first choline- and manganese-independent reaction, CDP-DAG is hydrolyzed releasing a CMP molecule. The resulting phosphatidyl intermediate reacts with choline in a second manganese-dependent step to form PC