The Association Between the Body Mass Index and 4-Year All-Cause Mortality in Older Hospitalized Patients

Background. Association between body mass index (BMI) and long-term mortality is poorly studied in older hospitalized populations. Methods. The researchers prospectively studied the impact of the BMI, comorbidities, and malnutrition on long-term mortality in 444 patients (mean age 85.3±6.7 years; 74.0% women) receiving geriatric inpatient care. All-cause mortality was determined using simple and multiple Cox proportional hazard models. Results. Higher BMI was associated with a higher prevalence of diabetes, hypertension, and heart failure, but with a lower prevalence of malignancies. Four-year all-cause mortality was inversely associated with a BMI greater than or equal to 30kg/m2 (hazard ratio = 0.59, p = .037) and positively associated with age, male gender, several individual comorbidities, and the global disease load determined by the Cumulative Illness Rating scale. The inverse association between a BMI greater than or equal to 30 and mortality remained significant after adjustment for age, gender, smoking, individual comorbidities (including heart failure and malignancies), Cumulative Illness Rating scale scores, and malnutrition parameters (hazard ratio = 0.52, p = .015). One-year mortality was associated with the Cumulative Illness Rating scale score but not with BMI categories. There were no survival differences between patients in low (<20.0) and intermediate (20.0-24.9 and 25.0-29.9) BMI categories. Conclusions. A BMI greater than or equal to 30 is associated with better long-term survival in hospitalized older patients, even after extensive adjustment for comorbidities, malnutrition, and smoking. Conversely, a low BMI (<20-25) is not associated with excess mortality, likely due to the overriding impact of multiple comorbidities. The researchers' observations have important implications for the mortality risk stratification in older high-risk patient

Properties of Exotic Matter for Heavy Ion Searches

We examine the properties of both forms of strange matter, small lumps of strange quark matter (strangelets) and of strange hadronic matter (Metastable Exotic Multihypernuclear Objects: MEMOs) and their relevance for present and future heavy ion searches. The strong and weak decays are discussed separately to distinguish between long-lived and short-lived candidates where the former ones are detectable in present heavy ion experiments while the latter ones in future heavy ion experiments, respectively. We find some long-lived strangelet candidates which are highly negatively charged with a mass to charge ratio like a anti deuteron (M/Z=-2) but masses of A=10 to 16. We predict also many short-lived candidates, both in quark and in hadronic form, which can be highly charged. Purely hyperonic nuclei are bound and have a negative charge while carrying a positive baryon number. We demonstrate also that multiply charmed exotics (charmlets) might be bound and can be produced at future heavy ion colliders.Comment: 10 pages, 4 figures, uses IOP style and epsf.sty, to be published in Journal of Physics, Proceedings of the International Symposium on Strangeness in Quark Matter 1997, April 14-18, Thera (Santorini), Hellas. Corrected typos, added comment about bag constant

Development of a conformational histamine H(3) receptor biosensor for the synchronous screening of agonists and inverse agonists

The histamine H(3) receptor (H(3)R) represents a highly attractive drug target for the treatment of various central nervous system disorders, but the discovery of novel H(3)R targeting compounds relies on the assessment of highly amplified intracellular signaling events that do not only reflect H(3)R modulation and carry the risk of high false-positive and -negative screening rates. To address these limitations, we designed an intramolecular H(3)R biosensor based on the principle of bioluminescence resonance energy transfer (BRET) that reports the receptor's real-time conformational dynamics and provides an advanced tool to screen for both H(3)R agonists and inverse agonists in a live cell screening-compatible assay format. This conformational G-protein-coupled receptor (GPCR) sensor allowed us to characterize the pharmacological properties of known and new H(3) receptor ligands with unprecedented accuracy. Interestingly, we found that one newly developed H(3) receptor ligand possesses even stronger inverse agonistic activity than reference H(3)R inverse agonists including the current gold standard pitolisant. Taken together, we describe here the design and validation of the first screening-compatible H(3)R conformational biosensor that will aid in the discovery of novel H(3)R ligands and can be employed to gain deeper insights into the (in-)activation mechanism of this highly attractive drug target

Inhomogeneous Nucleation of Quark-Gluon Plasma in High Energy Nuclear Collisions

We estimate the probability that a hard nucleon-nucleon collision is able to nucleate a seed of quark--gluon plasma in the surrounding hot and dense hadronic matter formed during a central collision of two large nuclei at AGS energies. The probability of producing at least one such seed is on the order of 1-100\%. We investigate the influence of quark--gluon plasma formation on the observed multiplicity distribution and find that it may lead to noticable structure in the form of a bump or shoulder.Comment: 16 pages, latex and 12 ps figures available on reques

Nucleation of Quark--Gluon Plasma from Hadronic Matter

The energy densities achieved during central collisions of large nuclei at Brookhaven's AGS may be high enough to allow the formation of quark--gluon plasma. Calculations based on relativistic nucleation theory suggest that rare events, perhaps one in every 10$^2$ or 10$^3$, undergo the phase transition. Experimental ramifications may include an enhancement in the ratio of pions to baryons, a reduction in the ratio of deuterons to protons, and a larger source size as seen by hadron interferometry.Comment: 22 pages, 7 figures available upon request, NUC--MINN--94/5--

Designing creative spaces: An experimental examination of the effect of a nature poster on divergent thinking

This paper reports the results of an independent samples experiment designed to examine the effects of the presence of a large poster depicting a natural woodland scene on individual performance on two Divergent Thinking tasks. In comparison to the no-poster control condition, the presentation of a large poster depicting a nature scene was found to lead to greater levels of creativity as rated by judges who were blind to the experimental design. The effects of the large poster on Divergent Thinking were found to hold when controlling for Openness-to-Experience and Mood. Exploratory analyses of participant ratings of room characteristics indicated that the mechanism underlying the posters’ effect related to elevated stimulation

Scattering in the Presence of Electroweak Phase Transition Bubble Walls

We investigate the motion of fermions in the presence of an electro\-weak phase transition bubble wall. We derive and solve the Dirac equation for such fer\-mions, and compute the transmission and reflection coefficients for fermions traveling from the symmetric to the asymmetric phases separated by the domain wall.Comment: TPI--MINN--54, NUC--MINN--93/30--T, UMN--TH--1226/93, LaTex, 29 page

Empathy, engagement, entrainment: the interaction dynamics of aesthetic experience

A recent version of the view that aesthetic experience is based in empathy as inner imitation explains aesthetic experience as the automatic simulation of actions, emotions, and bodily sensations depicted in an artwork by motor neurons in the brain. Criticizing the simulation theory for committing to an erroneous concept of empathy and failing to distinguish regular from aesthetic experiences of art, I advance an alternative, dynamic approach and claim that aesthetic experience is enacted and skillful, based in the recognition of others’ experiences as distinct from one’s own. In combining insights from mainly psychology, phenomenology, and cognitive science, the dynamic approach aims to explain the emergence of aesthetic experience in terms of the reciprocal interaction between viewer and artwork. I argue that aesthetic experience emerges by participatory sense-making and revolves around movement as a means for creating meaning. While entrainment merely plays a preparatory part in this, aesthetic engagement constitutes the phenomenological side of coupling to an artwork and provides the context for exploration, and eventually for moving, seeing, and feeling with art. I submit that aesthetic experience emerges from bodily and emotional engagement with works of art via the complementary processes of the perception–action and motion–emotion loops. The former involves the embodied visual exploration of an artwork in physical space, and progressively structures and organizes visual experience by way of perceptual feedback from body movements made in response to the artwork. The latter concerns the movement qualities and shapes of implicit and explicit bodily responses to an artwork that cue emotion and thereby modulate over-all affect and attitude. The two processes cause the viewer to bodily and emotionally move with and be moved by individual works of art, and consequently to recognize another psychological orientation than her own, which explains how art can cause feelings of insight or awe and disclose aspects of life that are unfamiliar or novel to the viewer