The Association Between the Long-Term Change in Directly Measured Cardiorespiratory Fitness and Mortality Risk

Introduction: There is a strong inverse association between cardiorespiratory fitness (CRF) and mortality outcomes. This relationship has predominantly been assessed cross-sectionally, however low CRF is a modifiable risk factor, thus assessing this association using a single baseline measure may be sub-optimal. Purpose: To examine the association of the long-term change in CRF, measured using cardiopulmonary exercise testing (CPX) with all-cause and disease-specific mortality. Methods: Participants included 833 apparently healthy men and women (42.9±10.8 years) who underwent two maximal CPXs, the second CPX being ≥ 1 year following the baseline assessment. Participants were followed for 17.7 ± 11.8 years for allcause, cardiovascular disease (CVD), and cancer mortality. Cox-proportional hazard models were performed to determine the association between the change in CRF, computed as visit 1 (V1) peak oxygen consumption (VO2peak (ml·kg-1·min-1)) – visit 2 (V2) VO2peak, and mortality outcomes. Results: During follow-up, 172 participants died. Overall, the change in CPX-derived CRF was inversely related to all-cause, CVD, and cancer mortality (p\u3c0.05). Each 1 ml·kg-1·min-1 increase was associated with a 10.8, 14.7, and 15.9% reductions in allcause, CVD, and cancer mortality, respectively. The inverse relationship between CRF and all-cause mortality remained significant (p\u3c0.05) when men and women were examined independently, after adjusting for years since first CPX, baseline VO2peak, and age. Conclusion: Long-term changes in CRF were inversely related to mortality outcomes, and mortality was better predicted by CRF measured at subsequent examination than baseline CRF. These findings support the recent American Heart Association scientific statement advocating CRF as a clinical vital sign that should be assessed routinely in clinical practice, as well as support regular participation in physical activity to maintain adequate CRF levels across the lifespan

A Bayesian Framework for Reliability Analysis of Spacecraft Deployments

Deployable subsystems are essential to mission success of most spacecraft. These subsystems enable critical functions including power, communications and thermal control. The loss of any of these functions will generally result in loss of the mission. These subsystems and their components often consist of unique designs and applications for which various standardized data sources are not applicable for estimating reliability and for assessing risks. In this study, a two stage sequential Bayesian framework for reliability estimation of spacecraft deployment was developed for this purpose. This process was then applied to the James Webb Space Telescope (JWST) Sunshield subsystem, a unique design intended for thermal control of the Optical Telescope Element. Initially, detailed studies of NASA deployment history, "heritage information", were conducted, extending over 45 years of spacecraft launches. This information was then coupled to a non-informative prior and a binomial likelihood function to create a posterior distribution for deployments of various subsystems uSing Monte Carlo Markov Chain sampling. Select distributions were then coupled to a subsequent analysis, using test data and anomaly occurrences on successive ground test deployments of scale model test articles of JWST hardware, to update the NASA heritage data. This allowed for a realistic prediction for the reliability of the complex Sunshield deployment, with credibility limits, within this two stage Bayesian framework

General error estimate for adiabatic quantum computing

Most investigations devoted to the conditions for adiabatic quantum computing are based on the first-order correction ${\bra{\Psi_{\rm ground}(t)}\dot H(t)\ket{\Psi_{\rm excited}(t)} /\Delta E^2(t)\ll1}$. However, it is demonstrated that this first-order correction does not yield a good estimate for the computational error. Therefore, a more general criterion is proposed, which includes higher-order corrections as well and shows that the computational error can be made exponentially small -- which facilitates significantly shorter evolution times than the above first-order estimate in certain situations. Based on this criterion and rather general arguments and assumptions, it can be demonstrated that a run-time $T$ of order of the inverse minimum energy gap $\Delta E_{\rm min}$ is sufficient and necessary, i.e., T=\ord(\Delta E_{\rm min}^{-1}). For some examples, these analytical investigations are confirmed by numerical simulations. PACS: 03.67.Lx, 03.67.-a.Comment: 8 pages, 6 figures, several modification

A scalable readout system for a superconducting adiabatic quantum optimization system

We have designed, fabricated and tested an XY-addressable readout system that is specifically tailored for the reading of superconducting flux qubits in an integrated circuit that could enable adiabatic quantum optimization. In such a system, the flux qubits only need to be read at the end of an adiabatic evolution when quantum mechanical tunneling has been suppressed, thus simplifying many aspects of the readout process. The readout architecture for an $N$-qubit adiabatic quantum optimization system comprises $N$ hysteretic dc SQUIDs and $N$ rf SQUID latches controlled by $2\sqrt{N} + 2$ bias lines. The latching elements are coupled to the qubits and the dc SQUIDs are then coupled to the latching elements. This readout scheme provides two key advantages: First, the latching elements provide exceptional flux sensitivity that significantly exceeds what may be achieved by directly coupling the flux qubits to the dc SQUIDs using a practical mutual inductance. Second, the states of the latching elements are robust against the influence of ac currents generated by the switching of the hysteretic dc SQUIDs, thus allowing one to interrogate the latching elements repeatedly so as to mitigate the effects of stochastic switching of the dc SQUIDs. We demonstrate that it is possible to achieve single qubit read error rates of $<10^{-6}$ with this readout scheme. We have characterized the system-level performance of a 128-qubit readout system and have measured a readout error probability of $8\times10^{-5}$ in the presence of optimal latching element bias conditions.Comment: Updated for clarity, final versio

Reference Standards for Body Fat Measure Using GE Dual Energy X-Ray Absorptiometry in Caucasian Adults

Background Dual energy x-ray absorptiometry (DXA) is an established technique for the measurement of body composition. Reference values for these variables, particularly those related to fat mass, are necessary for interpretation and accurate classification of those at risk for obesityrelated health complications and in need of lifestyle modifications (diet, physical activity, etc.). Currently, there are no reference values available for GE-Healthcare DXA systems and it is known that whole-body and regional fat mass measures differ by DXA manufacturer. Objective To develop reference values by age and sex for DXA-derived fat mass measurements with GE-Healthcare systems. Methods A de-identified sample of 3,327 participants (2,076 women, 1,251 men) was obtained from Ball State University\u27s Clinical Exercise Physiology Laboratory and University of Wisconsin- Milwaukee\u27s Physical Activity & Health Research Laboratory. All scans were completed using a GE Lunar Prodigy or iDXA and data reported included percent body fat (%BF), fat mass index (FMI), and ratios of android-to-gynoid (A/G), trunk/limb, and trunk/leg fat measurements. Percentiles were calculated and a factorial ANOVA was used to determine differences in the mean values for each variable between age and sex. Results Normative reference values for fat mass variables from DXA measurements obtained from GE-Healthcare DXA systems are presented as percentiles for both women and men in 10- year age groups. Women had higher (p\u3c0.01) mean %BF and FMI than men, whereas men had higher (p\u3c0.01) mean ratios of A/G, trunk/limb, and trunk/leg fat measurements than women

DNA methylation age is accelerated in alcohol dependence.

Alcohol dependence (ALC) is a chronic, relapsing disorder that increases the burden of chronic disease and significantly contributes to numerous premature deaths each year. Previous research suggests that chronic, heavy alcohol consumption is associated with differential DNA methylation patterns. In addition, DNA methylation levels at certain CpG sites have been correlated with age. We used an epigenetic clock to investigate the potential role of excessive alcohol consumption in epigenetic aging. We explored this question in five independent cohorts, including DNA methylation data derived from datasets from blood (n = 129, n = 329), liver (n = 92, n = 49), and postmortem prefrontal cortex (n = 46). One blood dataset and one liver tissue dataset of individuals with ALC exhibited positive age acceleration (p &lt; 0.0001 and p = 0.0069, respectively), whereas the other blood and liver tissue datasets both exhibited trends of positive age acceleration that were not significant (p = 0.83 and p = 0.57, respectively). Prefrontal cortex tissue exhibited a trend of negative age acceleration (p = 0.19). These results suggest that excessive alcohol consumption may be associated with epigenetic aging in a tissue-specific manner and warrants further investigation using multiple tissue samples from the same individuals

Abelian and non-Abelian geometric phases in adiabatic open quantum systems

We introduce a self-consistent framework for the analysis of both Abelian and non-Abelian geometric phases associated with open quantum systems, undergoing cyclic adiabatic evolution. We derive a general expression for geometric phases, based on an adiabatic approximation developed within an inherently open-systems approach. This expression provides a natural generalization of the analogous one for closed quantum systems, and we prove that it satisfies all the properties one might expect of a good definition of a geometric phase, including gauge invariance. A striking consequence is the emergence of a finite time interval for the observation of geometric phases. The formalism is illustrated via the canonical example of a spin-1/2 particle in a time-dependent magnetic field. Remarkably, the geometric phase in this case is immune to dephasing and spontaneous emission in the renormalized Hamiltonian eigenstate basis. This result positively impacts holonomic quantum computing.Comment: v3: 10 pages, 2 figures. Substantially expanded version. Includes a proof of gauge invariance of the non-Abelian geometric phase, and an appendix on the left and right eigenvectors of the superoperator in the Jordan for