Vulvar Vestibulitis—A Complex Clinical Entity

Objective: This study aims to determine the pathophysiology of vulvar vestibulitis and to evaluate currently used treatment options

The NBC Study and Television Violence

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73284/1/j.1460-2466.1984.tb02996.x.pd

Phase-Field Model of Mode III Dynamic Fracture

We introduce a phenomenological continuum model for mode III dynamic fracture that is based on the phase-field methodology used extensively to model interfacial pattern formation. We couple a scalar field, which distinguishes between ``broken'' and ``unbroken'' states of the system, to the displacement field in a way that consistently includes both macroscopic elasticity and a simple rotationally invariant short scale description of breaking. We report two-dimensional simulations that yield steady-state crack motion in a strip geometry above the Griffith threshold.Comment: submitted to PR

ENSO-driven interhemispheric Pacific mass transports

Previous studies have shown that ENSO's anomalous equatorial winds, including the observed southward shift of zonal winds that occurs around the event peak, can be reconstructed with the first two Empirical Orthogonal Functions (EOFs) of equatorial region wind stresses. Using a high-resolution ocean general circulation model, we investigate the effect of these two EOFs on changes in warm water volume (WWV), interhemispheric mass transports, and Indonesian Throughflow (ITF). Wind stress anomalies associated with the first EOF produce changes in WWV that are dynamically consistent with the conceptual recharge oscillator paradigm. The ITF is found to heavily damp these WWV changes, reducing their variance by half. Wind stress anomalies associated with the second EOF, which depicts the southward wind shift, are responsible for WWV changes that are of comparable magnitude to those driven by the first mode. The southward wind shift is also responsible for the majority of the observed interhemispheric upper ocean mass exchanges. These winds transfer mass between the Northern and the Southern Hemisphere during El Niño events. Whilst water is transferred in the opposite direction during La Niña events, the magnitude of this exchange is roughly half of that seen during El Niño events. Thus, the discharging of WWV during El Niño events is meridionally asymmetric, while the WWV recharging during a La Niña event is largely symmetric. The inclusion of the southward wind shift is also shown to allow ENSO to exchange mass with much higher latitudes than that allowed by the first EOF alone

Developing and internally validating a prognostic model (P Risk) to improve the prediction of psychosis in a primary care population using electronic health records:the MAPPED study

BACKGROUND: An accurate risk prediction algorithm could improve psychosis outcomes by reducing duration of untreated psychosis. OBJECTIVE: To develop and validate a risk prediction model for psychosis, for use by family doctors, using linked electronic health records. METHODS: A prospective prediction study. Records from family practices were used between 1/1/2010 to 31/12/2017 of 300,000 patients who had consulted their family doctor for any nonpsychotic mental health problem. Records were selected from Clinical Practice Research Datalink Gold, a routine database of UK family doctor records linked to Hospital Episode Statistics, a routine database of UK secondary care records. Each patient had 5-8 years of follow up data. Study predictors were consultations, diagnoses and/or prescribed medications, during the study period or historically, for 13 nonpsychotic mental health problems and behaviours, age, gender, number of mental health consultations, social deprivation, geographical location, and ethnicity. The outcome was time to an ICD10 psychosis diagnosis. FINDINGS: 830 diagnoses of psychosis were made. Patients were from 216 family practices; mean age was 45.3 years and 43.5 % were male. Median follow-up was 6.5 years (IQR 5.6, 7.8). Overall 8-year psychosis incidence was 45.8 (95 % CI 42.8, 49.0)/100,000 person years at risk. A risk prediction model including age, sex, ethnicity, social deprivation, consultations for suicidal behaviour, depression/anxiety, substance abuse, history of consultations for suicidal behaviour, smoking history and prescribed medications for depression/anxiety/PTSD/OCD and total number of consultations had good discrimination (Harrell's C = 0.774). Identifying patients aged 17-100 years with predicted risk exceeding 1.0 % over 6 years had sensitivity of 71 % and specificity of 84 %

Seasonal evolution of Aleutian low pressure systems: Implications for the North Pacific subpolar circulation

The seasonal change in the development of Aleutian low pressure systems from early fall to early winter is analyzed using a combination of meteorological reanalysis fields, satellite sea surface temperature (SST) data, and satellite wind data. The time period of the study is September–December 2002, although results are shown to be representative of the long-term climatology. Characteristics of the storms were documented as they progressed across the North Pacific, including their path, central pressure, deepening rate, and speed of translation. Clear patterns emerged. Storms tended to deepen in two distinct geographical locations—the Gulf of Alaska in early fall and the western North Pacific in late fall. In the Gulf of Alaska, a quasi-permanent “notch” in the SST distribution is argued to be of significance. The signature of the notch is imprinted in the atmosphere, resulting in a region of enhanced cyclonic potential vorticity in the lower troposphere that is conducive for storm development. Later in the season, as winter approaches and the Sea of Okhotsk becomes partially ice covered and cold, the air emanating from the Asian continent leads to enhanced baroclinicity in the region south of Kamchatka. This corresponds to enhanced storm cyclogenesis in that region. Consequently, there is a seasonal westward migration of the dominant lobe of the Aleutian low. The impact of the wind stress curl pattern resulting from these two regions of storm development on the oceanic circulation is investigated using historical hydrography. It is argued that the seasonal bimodal input of cyclonic vorticity from the wind may be partly responsible for the two distinct North Pacific subarctic gyres