Does early introduction of peanuts to an infant's diet reduce the risk for peanut allergy?

Q: Does early introduction of peanuts to an infant's diet reduce the risk for peanut allergy? Evidence-based answer: Probably not, unless the child has severe eczema or egg allergy. In a general pediatric population, introducing peanuts early (at age 3 to 6 months) doesn't appear to alter rates of subsequent peanut allergy compared with introduction after age 6 months (strength of recommendation [SOR]: B, randomized clinical trial [RCT] using multiple potential food allergens). In children with severe eczema, egg allergy, or both, however, the risk for a peanut allergy is 12% to 24% lower when peanut-containing foods are introduced at age 4 to 11 months than after age 1 year. Early introduction of peanuts is associated with about 1 additional mild virus-associated syndrome (upper respiratory infection [URI], exanthem, conjunctivitis, or gastroenteritis) per patient (SOR: B, RCT). Introducing peanuts before age 1 year is recommended for atopic children without evidence of pre-existing peanut allergy; an earlier start, at age 4 to 6 months, is advised for infants with severe eczema or egg allergy (SOR: C, expert opinion).Greg Jungwirth, MD; Kevin Stock, PharmD; Jon O. Neher, MD (Valley Family Medicine Residency, University of Washington at Valley in Renton); Sarah Safranek, MLIS (University of Washington Health Sciences Library, Seattle)Includes bibliographical reference

Bonding and the agency risk premium: An analysis of migrations between the AIM and the Official List of the London Stock Exchange

Firms that change their listing from the less regulated AIM to the more regulated main section of the London Stock Exchange exhibit positive abnormal returns on the announcement day. For firms moving in the opposite direction, both announcement and implementation day abnormal returns are negative. Following implementation, the pattern is reversed for both categories of firm. We show that differences in liquidity, conventional risk factors and in medium to long term firm survival rates between the two listing regimes do not explain the observed patterns of returns, suggesting that the answer lies in the different bonding requirements of the two market segments and an agency risk premium.JEL Codes: G12, G14, G15, G30, G32, G3

A spectral survey of an ultra-hot Jupiter: Detection of metals in the transmission spectrum of KELT-9 b

Context: KELT-9 b exemplifies a newly emerging class of short-period gaseous exoplanets that tend to orbit hot, early type stars - termed ultra-hot Jupiters. The severe stellar irradiation heats their atmospheres to temperatures of $\sim 4,000$ K, similar to the photospheres of dwarf stars. Due to the absence of aerosols and complex molecular chemistry at such temperatures, these planets offer the potential of detailed chemical characterisation through transit and day-side spectroscopy. Studies of their chemical inventories may provide crucial constraints on their formation process and evolution history. Aims: To search the optical transmission spectrum of KELT-9 b for absorption lines by metals using the cross-correlation technique. Methods: We analyse 2 transits observed with the HARPS-N spectrograph. We use an isothermal equilibrium chemistry model to predict the transmission spectrum for each of the neutral and singly-ionized atoms with atomic numbers between 3 and 78. Of these, we identify the elements that are expected to have spectral lines in the visible wavelength range and use those as cross-correlation templates. Results: We detect absorption of Na I, Cr II, Sc II and Y II, and confirm previous detections of Mg I, Fe I, Fe II and Ti II. In addition, we find evidence of Ca I, Cr I, Co I, and Sr II that will require further observations to verify. The detected absorption lines are significantly deeper than model predictions, suggesting that material is transported to higher altitudes where the density is enhanced compared to a hydrostatic profile. There appears to be no significant blue-shift of the absorption spectrum due to a net day-to-night side wind. In particular, the strong Fe II feature is shifted by $0.18 \pm 0.27$ km~s$^{-1}$, consistent with zero. Using the orbital velocity of the planet we revise the steller and planetary masses and radii.Comment: Submitted to Astronomy and Astrophysics on January 18, 2019. Accepted on May 3, 2019. 26 pages, 11 figure

Spring bloom dynamics and zooplankton biomass response on the US Northeast Continental Shelf

This paper is not subject to U.S. copyright. The definitive version was published in Continental Shelf Research 102 (2015): 47-61, doi:10.1016/j.csr.2015.04.005.The spring phytoplankton bloom on the US Northeast Continental Shelf is a feature of the ecosystem production cycle that varies annually in timing, spatial extent, and magnitude. To quantify this variability, we analyzed remotely-sensed ocean color data at two spatial scales, one based on ecologically defined sub-units of the ecosystem (production units) and the other on a regular grid (0.5°). Five units were defined: Gulf of Maine East and West, Georges Bank, and Middle Atlantic Bight North and South. The units averaged 47×103 km2 in size. The initiation and termination of the spring bloom were determined using change-point analysis with constraints on what was identified as a bloom based on climatological bloom patterns. A discrete spring bloom was detected in most years over much of the western Gulf of Maine production unit. However, bloom frequency declined in the eastern Gulf of Maine and transitioned to frequencies as low as 50% along the southern flank of the Georges Bank production unit. Detectable spring blooms were episodic in the Middle Atlantic Bight production units. In the western Gulf of Maine, bloom duration was inversely related to bloom start day; thus, early blooms tended to be longer lasting and larger magnitude blooms. We view this as a phenological mismatch between bloom timing and the “top-down” grazing pressure that terminates a bloom. Estimates of secondary production were available from plankton surveys that provided spring indices of zooplankton biovolume. Winter chlorophyll biomass had little effect on spring zooplankton biovolume, whereas spring chlorophyll biomass had mixed effects on biovolume. There was evidence of a “bottom up” response seen on Georges Bank where spring zooplankton biovolume was positively correlated with the concentration of chlorophyll. However, in the western Gulf of Maine, biovolume was uncorrelated with chlorophyll concentration, but was positively correlated with bloom start and negatively correlated with magnitude. This observation is consistent with both a “top-down” mechanism of control of the bloom and a “bottom-up” effect of bloom timing on zooplankton grazing. Our inability to form a consistent model of these relationships across adjacent systems underscores the need for further research

Untangling effects of proteins as stabilizers for foam films

Foam film’s properties have a high impact on the properties of the macroscopic foams. This work focusses on protein stabilized foam films. The direct comparison of three different proteins with a concentration normalized to the protein surface enables to distinguish between electrostatic, steric and network stabilization effects. In order to untangle those effects, we study and compare two globular proteins (β − lactoglobulin, BLG, and bovine serum albumin, BSA) and a disordered, flexible protein (whole casein, CN) at low ionic strengths with varying solution pH. Image intensity measurement as a recently developed image analysis method in this field allows to record spatially resolved disjoining pressure isotherms in a Thin Film Pressure Balance (TFPB). This reveals insights into the structure formation in inhomogeneous protein films. As a novel method we introduce tracking inhomogeneities (features) which enables the measurement of interfacial mobility and stiffness of foam films. Around the isoelectric point (IEP), Newton Black Films (NBF) form which are stable for the globular proteins while they are unstable for the disordered flexible one. This difference in film stability is explained by different characteristics of the network structures which is supported by findings in the bulk and at the surface of the respective protein solutions

Impact of minimal residual disease status in patients with relapsed/refractory acute lymphoblastic leukemia treated with inotuzumab ozogamicin in the phase III INO-VATE trial.

Minimal residual disease (MRD) negativity is a key prognostic indicator of outcome in acute lymphocytic leukemia. In the INO-VATE trial (clinicaltrials.gov identifier: NCT01564784), patients with relapsed/refractory acute lymphocytic leukemia who received inotuzumab versus standard chemotherapy achieved greater remission and MRD-negativity rates as well as improved overall survival: hazard ratio 0.75, one-sided P = 0.0105. The current analysis assessed the prognostic value of MRD negativity at the end of inotuzumab treatment. All patients who received inotuzumab (n = 164) were included. Among patients with complete remission/complete remission with incomplete hematologic response (CR/CRi; n = 121), MRD-negative status (by multiparametric flow cytometry) was defined as <1 × 10-4 blasts/nucleated cells. MRD negativity was achieved in 76 patients at the end of treatment. Compared with MRD-positive, MRD-negative status with CR/CRi was associated with significantly improved overall survival and progression-free survival, respectively: hazard ratio (97.5% confidence interval; one-sided P-value) 0.512 (97.5% CI [0.313-0.835]; P = 0.0009) and 0.423 (97.5% CI [0.256-0.699]; P < 0.0001). Median overall survival was 14.1 versus 7.2 months, in the MRD-negative versus MRD-positive groups. Patients in first salvage who achieved MRD negativity at the end of treatment experienced significantly improved survival versus that seen in MRD-positive patients, particularly for those patients who proceeded to stem cell transplant. Among patients with relapsed/refractory acute lymphocytic leukemia who received inotuzumab, those with MRD-negative CR/CRi had the best survival outcomes

Comprehensive evidence implies a higher social cost of CO2

The social cost of carbon dioxide (SC-CO2) measures the monetized value of the damages to society caused by an incremental metric tonne of CO2 emissions and is a key metric informing climate policy. Used by governments and other decision-makers in beneft–cost analysis for over a decade, SC-CO2 estimates draw on climate science, economics, demography and other disciplines. However, a 2017 report by the US National Academies of Sciences, Engineering, and Medicine1 (NASEM) highlighted that current SC-CO2 estimates no longer refect the latest research. The report provided a series of recommendations for improving the scientifc basis, transparency and uncertainty characterization of SC-CO2 estimates. Here we show that improved probabilistic socioeconomic projections, climate models, damage functions, and discounting methods that collectively refect theoretically consistent valuation of risk, substantially increase estimates of the SC-CO2. Our preferred mean SC-CO2 estimate is $185 per tonne of CO2 ($44–$413 per tCO2: 5$51 per tCO2. Our estimates incorporate updated scientifc understanding throughout all components of SC-CO2 estimation in the new open-source Greenhouse Gas Impact Value Estimator (GIVE) model, in a manner fully responsive to the near-term NASEM recommendations. Our higher SC-CO2 values, compared with estimates currently used in policy evaluation, substantially increase the estimated benefts of greenhouse gas mitigation and thereby increase the expected net benefts of more stringent climate policies

A spectral survey of an ultra-hot Jupiter

Context. KELT-9 b exemplifies a newly emerging class of short-period gaseous exoplanets that tend to orbit hot, early type stars – termed ultra-hot Jupiters. The severe stellar irradiation heats their atmospheres to temperatures of ~4000 K, similar to temperatures of photospheres of dwarf stars. Due to the absence of aerosols and complex molecular chemistry at such temperatures, these planets offer the potential of detailed chemical characterization through transit and day-side spectroscopy. Detailed studies of their chemical inventories may provide crucial constraints on their formation process(es) and evolution history. Aims. We aim to search the optical transmission spectrum of KELT-9 b for absorption lines by metals using the cross-correlation technique. Methods. We analysed two transit observations obtained with the HARPS-N spectrograph. We used an isothermal equilibrium chemistry model to predict the transmission spectrum for each of the neutral and singly ionized atoms with atomic numbers between three and 78. Of these, we identified the elements that are expected to have spectral lines in the visible wavelength range and used those as cross-correlation templates. Results. We detect (>5σ) absorption by Na I, Cr II, Sc II and Y II, and confirm previous detections of Mg I, Fe I, Fe II, and Ti II. In addition, we find evidence of Ca I, Cr I, Co I, and Sr II that will require further observations to verify. The detected absorption lines are significantly deeper than predicted by our model, suggesting that the material is transported to higher altitudes where the density is enhanced compared to a hydrostatic profile, and that the material is part of an extended or outflowing envelope. There appears to be no significant blue-shift of the absorption spectrum due to a net day-to-night side wind. In particular, the strong Fe II feature is shifted by 0.18 ± 0.27 km s−1, consistent with zero. Using the orbital velocity of the planet we derive revised masses and radii of the star and the planet: M* = 1.978 ± 0.023 M⊙, R* = 2.178 ± 0.011 R⊙, mp = 2.44 ± 0.70 MJ and Rp = 1.783 ± 0.009 RJ