1,314 research outputs found
Reliability and accuracy of delirium assessments among investigators at multiple international centres
First Observation of 15Be
The neutron-unbound nucleus 15Be was observed for the ïŹrst time. It was populated using neutron transfer from a deuterated polyethylene target with a 59 MeV/u 14Be beam. Neutrons were measured in coincidence with outgoing 14Be particles and the reconstructed decay energy spectrum exhibits a resonance at 1.8(1) MeV. This corresponds to 15Be being unbound by 0.45 MeV more then 16Be thus signiïŹcantly hindering the sequential two-neutron decay of 16Be to 14Be through this state
Pan-genomic perspective on the evolution of the Staphylococcus aureus USA300 epidemic.
Staphylococcus aureus USA300 represents the dominant community-associated methicillin-resistant S. aureus lineage in the USA, where it is a major cause of skin and soft tissue infections. Previous comparative genomic studies have described the population structure and evolution of USA300 based on geographically restricted isolate collections. Here, we investigated the USA300 population by sequencing genomes of a geographically distributed panel of 191 clinical S. aureus isolates belonging to clonal complex 8 (CC8), derived from the Tigecycline Evaluation and Surveillance Trial program. Isolates were collected at 12 healthcare centres across nine USA states in 2004, 2009 or 2010. Reconstruction of evolutionary relationships revealed that CC8 was dominated by USA300 isolates (154/191,â81â%), which were heterogeneous and demonstrated limited phylogeographic clustering. Analysis of the USA300 core genomes revealed an increase in median pairwise SNP distance from 62 to 98 between 2004 and 2010, with a stable pattern of above average dN/dS ratios. The phylogeny of the USA300 population indicated that early diversification events led to the formation of nested clades, which arose through cumulative acquisition of predominantly non-synonymous SNPs in various coding sequences. The accessory genome of USA300 was largely homogenous and consisted of elements previously associated with this lineage. We observed an emergence of SCCmec negative and ACME negative USA300 isolates amongst more recent samples, and an increase in the prevalence of ÏSa5 prophage. Together, the analysed S. aureus USA300 collection revealed an evolving pan-genome through increased core genome heterogeneity and temporal variation in the frequency of certain accessory elements
Spatial and isotopic niche partitioning during winter in chinstrap and Adélie penguins from the South Shetland Islands
© The Author(s), 2015. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Ecosphere 6 (2015): art125, doi:10.1890/ES14-00287.1.Closely related species with similar ecological requirements should exhibit segregation along spatial, temporal, or trophic niche axes to limit the degree of competitive overlap. For migratory marine organisms like seabirds, assessing such overlap during the non-breeding period is difficult because of long-distance dispersal to potentially diffuse foraging habitats. Miniaturization of geolocation devices and advances in stable isotope analysis (SIA), however, provide a robust toolset to quantitatively track the movements and foraging niches of wide ranging marine animals throughout much of their annual cycle. We used light-based geolocation tags and analyzed stable carbon and nitrogen isotopes from tail feathers to simultaneously characterize winter movements, habitat utilization, and overlap of spatial and isotopic niches of migratory chinstrap (Pygoscelis antarctica) and Adélie (P. adeliae) penguins during the austral winter of 2012. Chinstrap penguins exhibited a higher diversity of movements and occupied portions of the Southern Ocean from 138° W to 30° W within a narrow latitudinal band centered on 60° S. In contrast, all tracked Adélie penguins exhibited smaller-scale movements into the Weddell Sea and then generally along a counter-clockwise path as winter advanced. Inter-specific overlap during the non-breeding season was low except during the months immediately adjacent to the summer breeding season. Intra-specific overlap by chinstraps from adjacent breeding colonies was higher throughout the winter. Spatial segregation appears to be the primary mechanism to maintain inter- and intra-specific niche separation during the non-breeding season for chinstrap and Adélie penguins. Despite low spatial overlap, however, the data do suggest that a narrow pelagic corridor in the southern Scotia Sea hosted both chinstrap and Adélie penguins for most months of the year. Shared occupancy and similar isotopic signatures of the penguins in that region suggests that the potential for inter-specific competition persists during the winter months. Finally, we note that SIA was able to discriminate eastward versus westward migrations in penguins, suggesting that SIA of tail feathers may provide useful information on population-level distribution patterns for future studies.Funds for the GLS tags were provided by the National Marine Sanctuary Foundation. Additional support for this project was provided by a Woods Hole Oceanographic Devonshire Scholarship as well as funding from the Ocean Life Institute and SeaWorld Bush Gardens Conservation Fund to MJP
Drugs-related death soon after hospital discharge among drug treatment clients in Scotland:record linkage, validation and investigation of risk factors.
We validate that the 28 days after hospital-discharge are high-risk for drugs-related death (DRD) among drug users in Scotland and investigate key risk-factors for DRDs soon after hospital-discharge. Using data from an anonymous linkage of hospitalisation and death records to the Scottish Drugs Misuse Database (SDMD), including over 98,000 individuals registered for drug treatment during 1 April 1996 to 31 March 2010 with 705,538 person-years, 173,107 hospital-stays, and 2,523 DRDs. Time-at-risk of DRD was categorised as: during hospitalization, within 28 days, 29-90 days, 91 days-1 year, >1 year since most recent hospital discharge versus 'never admitted'. Factors of interest were: having ever injected, misuse of alcohol, length of hospital-stay (0-1 versus 2+ days), and main discharge-diagnosis. We confirm SDMD clients' high DRD-rate soon after hospital-discharge in 2006-2010. DRD-rate in the 28 days after hospital-discharge did not vary by length of hospital-stay but was significantly higher for clients who had ever-injected versus otherwise. Three leading discharge-diagnoses accounted for only 150/290 DRDs in the 28 days after hospital-discharge, but ever-injectors for 222/290. Hospital-discharge remains a period of increased DRD-vulnerability in 2006-2010, as in 1996-2006, especially for those with a history of injecting
Medicalization and beyond: the social construction of insomnia and snoring in the news
What role do the media play in the medicalization of sleep problems? This article, based on a British Academy funded project, uses qualitative textual analysis to examine representations of insomnia and snoring in a large representative sample of newspaper articles taken from the UK national press from the mid-1980s to the present day. Constructed as `common problems' in the population at large, insomnia and snoring we show are differentially located in terms of medicalizingâhealthicizing discourses and debates. Our findings also suggest important differences in the gendered construction of these problems and in terms of tabloid and `broadsheet' newspaper coverage of these issues. Newspaper constructions of sleep, it is concluded, are complex, depending on both the `problem' and the paper in question
Recommended from our members
The validity and reliability of the CAMDEX-DS for assessing dementia in adults with Down syndrome in Brazil.
OBJECTIVE: Alzheimer's disease occurs at a higher prevalence and an earlier age in individuals with Down syndrome (DS) than typically developing individuals. However, diagnosing dementia in individuals with intellectual disability remains a challenge due to pre-existing cognitive deficits. The aim of this study was to investigate the validity and reliability of the Brazilian version of the Cambridge Examination for Mental Disorders of Older People with Down's syndrome and Others with Intellectual Disabilities (CAMDEX-DS) for individuals with DS. METHODS: Two psychiatrists, working independently, evaluated 92 adults with DS â„ 30 years of age. The concurrent validity of the CAMDEX-DS was analyzed in relation to the gold standard of established international criteria. In a subgroup of 20 subjects, the concurrent validity of the CAMDEX-DS was analyzed in relation to an independent objective assessment of cognitive decline over three years. We analyzed the inter-rater reliability of cognitive assessment. RESULTS: The diagnostic accuracy of the CAMDEX-DS compared to the gold standard was 96.7%. CAMDEX-DS-based diagnosis was considered consistent with cognitive decline. The probability of a participant with dementia having cognitive decline was 83%. Inter-rater reliability for the participant assessment was good, with a kappa of > 0.8 for 93% of the CAMDEX-DS items. CONCLUSION: The CAMDEX-DS can be considered the first valid and reliable instrument for evaluating dementia in adults with DS in Brazil. Its use in such individuals could improve clinical practice and research
The validity and reliability of the CAMDEX-DS for assessing dementia in adults with Down syndrome in Brazil.
OBJECTIVE: Alzheimer's disease occurs at a higher prevalence and an earlier age in individuals with Down syndrome (DS) than typically developing individuals. However, diagnosing dementia in individuals with intellectual disability remains a challenge due to pre-existing cognitive deficits. The aim of this study was to investigate the validity and reliability of the Brazilian version of the Cambridge Examination for Mental Disorders of Older People with Down's syndrome and Others with Intellectual Disabilities (CAMDEX-DS) for individuals with DS. METHODS: Two psychiatrists, working independently, evaluated 92 adults with DS â„ 30 years of age. The concurrent validity of the CAMDEX-DS was analyzed in relation to the gold standard of established international criteria. In a subgroup of 20 subjects, the concurrent validity of the CAMDEX-DS was analyzed in relation to an independent objective assessment of cognitive decline over three years. We analyzed the inter-rater reliability of cognitive assessment. RESULTS: The diagnostic accuracy of the CAMDEX-DS compared to the gold standard was 96.7%. CAMDEX-DS-based diagnosis was considered consistent with cognitive decline. The probability of a participant with dementia having cognitive decline was 83%. Inter-rater reliability for the participant assessment was good, with a kappa of > 0.8 for 93% of the CAMDEX-DS items. CONCLUSION: The CAMDEX-DS can be considered the first valid and reliable instrument for evaluating dementia in adults with DS in Brazil. Its use in such individuals could improve clinical practice and research
Unresolved Question of the 10He Ground State Resonance
The group state of 10He was populated using a 2p2n-removal from a 59 MeV/u 14Be beam. The decay energy of the three body system, 8He + n + n, was measured and a resonance was observed at E = 1.60(25) MeV with a 1.8(4) MeV width. This result is in agreement with previous invariant mass spectroscopy measurements, using the 11Li(-p) reaction, but is consistent with recent transfer reaction results. The proposed explanation that the difference, about 500 keV, is due to the effect of the extended halo nature of 11Li in the one-proton knockout reaction is no longer valid as the present work demonstrates that the discrepancy between the transfer reaction is no longer valid as the present work demonstrates that the discrepancy between the transfer reaction results persists despite using a very different reaction mechanism, 14Be(-2p2n)
- âŠ