Smoking makes Marlboro cowboy 'unfit'

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Depressive symptoms predict memory decline over subsequent 4 years: longitudinal analysis of the Guangzhou Biobank Cohort Study

Platform Presentations: Friday, Session 1 - Psychiatry and Mental HealthINTRODUCTION: Late-life depression may increase dementia risk, raising the possibility of overlapping pathophysiology and potential preventive strategies. We examined whether: a) baseline depressive symptoms predicted memory decline, and b) baseline memory function predicted mood decline, in an older Chinese cohort …published_or_final_versio

Optical spectroscopy of EX Lupi during quiescence and outburst: Infall, wind, and dynamics in the accretion flow

We explore the accretion mechanisms in EX Lupi, prototype of EXor variables, during its quiescence and outburst phases. We analyse high-resolution optical spectra taken before, during, and after its 2008 outburst. In quiescence and outburst, the star presents many permitted emission lines, including typical CTTS lines and numerous neutral and ionized metallic lines. During the outburst, the number of emission lines increases to over a thousand, with narrow plus broad component structure (NC+BC). The BC profile is highly variable on short timescales (24-72h). An active chromosphere can explain the metallic lines in quiescence and the outburst NC. The dynamics of the BC line profiles suggest an origin in a hot, dense, non-axisymmetric, and non-uniform accretion column that suffers velocity variations along the line-of-sight on timescales of days. Assuming Keplerian rotation, the emitting region would be located at ~0.1-0.2 AU, consistent with the inner disk rim, but the velocity profiles of the lines reveal a combination of rotation and infall. Line ratios of ions and neutrals can be reproduced with a temperature of T~6500 K for electron densities of a few times 10$^{12}$cm$^{-3}$ in the line-emitting region. The data confirm that the 2008 outburst was an episode of increased accretion, albeit much stronger than previous EX Lupi and typical EXors outbursts. The line profiles are consistent with the infall/rotation of a non-axisymmetric structure that could be produced by clumpy accretion during the outburst phase. A strong inner disk wind appears in the epochs of higher accretion. The rapid recovery of the system after the outburst and the similarity between the pre-outburst and post-outburst states suggest that the accretion channels are similar during the whole period, and only the accretion rate varies, providing a superb environment for studying the accretion processes.Comment: 15 pages plus 26 pages online material, accepted by A&

Metals in Particulate Pollutants Affect Peak Expiratory Flow of Schoolchildren

BACKGROUND: The contribution of the metal components of particulate pollutants to acute respiratory effects has not been adequately evaluated. Moreover, little is known about the effects of genetic polymorphisms of xenobiotic metabolism on pulmonary function. OBJECTIVES: This study was conducted to assess lung function decrement associated with metal components in particulate pollutants and genetic polymorphisms of glutathione S-transferase M1 and T1. METHODS: We studied 43 schoolchildren who were in the 3rd to 6th grades. Each student measured peak expiratory flow rate three times a day for 42 days. Particulate air concentrations were monitored every day, and the concentrations of iron, manganese, lead, zinc, and aluminum in the particles were measured. Glutathione S-transferase M1 and T1 genetic polymorphisms were determined using DNA extracted from participant buccal washings. We used a mixed linear regression model to estimate the association between peak expiratory flow rate and particulate air pollutants. RESULTS: We found significant reduction in the peak expiratory flow rate after the children’s exposure to particulate pollutants. The effect was shown most significantly 1 day after exposure to the ambient particles. Manganese and lead in the particles also reduced the peak expiratory flow rate. Genetic polymorphisms of glutathione S-transferase M1 and T1 did not significantly affect peak expiratory flow rate. CONCLUSIONS: This study demonstrated that particulate pollutants and metals such as manganese and lead in the particles are associated with a decrement of peak expiratory flow rate. These effects were robust even with consideration of genetic polymorphisms of glutathione S-transferase

Long-term full-scale intelligent quotient outcomes following pediatric and childhood epilepsy surgery: A systematic review and meta-analysis

OBJECTIVE: Cognitive measures are an important primary outcome of pediatric, adolescents, and childhood epilepsy surgery. The purpose of this systematic review and meta-analysis is to assess whether there are long-term alterations (≥ 5 years) in the Full-Scale Intelligence Quotient (FSIQ) of pediatric patients undergoing epilepsy surgery. METHODS: Electronic databases (EMBASE, MEDLINE, and Scopus) were searched for English articles from inception to October 2022 that examined intelligence outcomes in pediatric epilepsy surgery patients. Inclusion criteria were defined as the patient sample size of ≥ 5, average follow- up of ≥5 years, and surgeries performed on individuals ≤ 18 years old at the time of surgery. Exclusion criteria consisted of palliative surgery, animal studies, and studies not reporting surgical or FSIQ outcomes. Publication bias was assessed using a funnel plot and the Quality in Prognosis Studies (QUIPS) toolset was used for quality appraisal of the selected articles. A random-effects network meta-analysis was performed to compare FSIQ between surgical patients at baseline and follow-up and Mean Difference (MD) was used to calculate the effect size of each study. Point estimates for effects and 95% confidence intervals for moderation analysis were performed on variables putatively associated with the effect size. RESULTS: 21,408 studies were screened for abstract and title. Of these, 797 fit our inclusion and exclusion criteria and proceeded to full-text screening. Overall, seven studies met our requirements and were selected. Quantitative analysis was performed on these studies (N = 330). The mean long-term difference between pre- and post- operative FSIQ scores across all studies was noted at 3.36 [95% CI: (0.14, 6.57), p = 0.04, I2 = 0%] and heterogeneity was low. CONCLUSION: To our knowledge, this is the first meta-analysis to measure the long-term impacts of FSIQ in pediatric and adolescent epilepsy patients. Our overall results in this meta-analysis indicate that while most studies do not show long-term FSIQ deterioration in pediatric patients who underwent epilepsy surgery, there was an increase of 3.36 FSIQ points, however, the observed changes were not clinically significant. Moreover, at the individual patient level analysis, while most children did not show long-term FSIQ deterioration, few had significant decline. These findings indicate the importance of surgery as a viable option for pediatric patients with medically refractory epilepsy

Motor neuron disease in Hong Kong Chinese: Epidemiology and clinical picture

This study documents the clinical features, incidence and prevalence of motor neuron disease (MND) in Hong Kong Chinese. Patients with MND who were alive between 1989 and 1992 were recruited by retrieval of medical records from the four major hospitals in Hong Kong, and by referral of neurologists, neurosurgeons and medical consultants. Mortality statistics was provided by the Census and Statistics Department. A total of 84 cases were identified with a male preponderance of 1.98:1. The average annual period incidence was 0.31/100,000 and the point prevalence on December 31, 1992, was 0.95/100,000. The mean age at onset was 55.5 years (range 19-81) with a peak observed from 55 to 65 years. The clinical features are similar to other reported series of MND. The incidence and mortality of MND in Hong Kong are therefore lower than the worldwide figures of 2.0/100,000 and 1.5/100,000, respectively.published_or_final_versio

COVID-19 Vaccination Preferences of University Students and Staff in Hong Kong

IMPORTANCE: COVID-19 has required universities to rapidly develop vaccination policies for students and staff, yet little is known about the preferences of these individuals toward vaccination. OBJECTIVE: To quantify student and staff preferences for COVID-19 vaccination at a university in Hong Kong. DESIGN, SETTING, AND PARTICIPANTS: A cross-sectional online survey study was conducted from July 20 to September 21, 2021, before the announcement of a campus-wide vaccine mandate. A survey of 42 451 eligible university students and staff used discrete-choice experiment methods to quantify 7 attributes of COVID-19 vaccination: risk of a mild or moderate adverse event after vaccination, risk of a severe adverse event after vaccination, efficacy against COVID-19 infection, efficacy against severe manifestation of COVID-19 infection, duration of protection after vaccination, incentive for completing vaccination, and out-of-pocket costs. MAIN OUTCOMES AND MEASURES: A mixed logit regression model was used to estimate the preferences of attributes for COVID-19 vaccines and marginal willingness to pay (mWTP) adjusted for background characteristics, role, vaccination, and COVID-19 infection status of family or friends, adverse event status after vaccination among family and friends of participants, and scenario block. RESULTS: Among 42 451 eligible university students and staff invited, 3423 individuals completed the survey (mean [SD] age, 27.1 [9.9] years; 2053 [60.0%] women). Participants included 2506 students (73.2%) and 917 staff (26.8%), with a response rate of 8.1%. Quarantine-free travel was preferred (β = 0.86; 95% CI, 0.72-0.99; mWTP: $235.9; 95$190.3-$294.2), followed by efficacy against any COVID-19 infection (β = 0.30; 95$84.1; 95% CI, $71.8-$100.8), against severe manifestation of COVID-19 infection (β = 0.25; 95% CI, 0.24-0.27; mWTP: $69.7; 95$465-$653), and risk of severe adverse events following vaccination (β = −0.24; 95$66.8; 95% CI, −$81.5 to −$55.3). Participants were less concerned about protection duration (β = 0.17; 95% CI, 0.15-0.18; mWTP: $46.0; 95$38.6-$56.2) and risk of mild to moderate adverse events (β = −0.12; 95$32.7; 95% CI, −$41.2 to −$26.4). CONCLUSIONS AND RELEVANCE: Preference of all attributes were significant and were considered important by the participants for vaccine decision-making. Insights drawn could assist policy makers in future vaccination decisions, such as campus vaccine mandate and requirement of a third dose

Star and protoplanetary disk properties in Orion's suburbs

(Note: this is a shortened version of the original "structured" A&A format abstract.) We performed a large optical spectroscopic and photometric survey of the Lynds~1630N and 1641 clouds. We provide a catalog of 132 confirmed young stars in L1630N and 267 such objects in L1641. We identify 28 transition disk systems, 20 of which were previously unknown, as well as 42 new transition disk candidates for which we have broad-band photometry but no optical spectroscopy. We estimate mass accretion rates M_acc from the equivalent widths of the H_alpha, H_beta, and HeI 5876\AA emission lines, and find a dependence on stellar mass of M_acc propto Mstar^alpha, with alpha~3.1 in the subsolar mass range that we probe. An investigation of a large literature sample of mass accretion rate estimates yields a similar slope of alpha~2.8 in the subsolar regime, but a shallower slope of alpha~2.0 if the whole mass range of 0.04 M_sun-5 Msun is included. Among the transition disk objects, the fraction of stars that show significant accretion activity is relatively low compared to stars with still optically thick disks (26\pm11% vs. 57\pm6%, respectively). However, those transition disks that do show significant accretion have the same median accretion rate as normal optically thick disks of 3-4*10^{-9} M_sun/yr. We find that the ages of the transition disks and the WTTSs without disks are statistically indistinguishable, and both groups are significantly older than the CTTSs. These results argue against disk-binary interaction or gravitational instability as mechanisms causing a transition disk appearance. Our observations indicate that disk lifetimes in the clustered population are shorter than in the distributed population. We propose refined Halpha equivalent width criteria to distinguish WTTSs from CTTSs.Comment: 52 pages, 16 tables, 29 figures. Accepted by A&A. Table numbering error correcte

Measurement of cosmic-ray muons and muon-induced neutrons in the Aberdeen Tunnel Underground Laboratory

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An apparatus for studying spallation neutrons in the Aberdeen Tunnel laboratory

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