28 research outputs found
Eli Lilly and Company Summer Internship
My summer internship was a valuable learning experience in my college career. Not only was I exposed to new tools and concepts of the Computer Science field, but I also gained experience in the corporate arena
Breathing FIRE: How Stellar Feedback Drives Radial Migration, Rapid Size Fluctuations, and Population Gradients in Low-Mass Galaxies
We examine the effects of stellar feedback and bursty star formation on
low-mass galaxies ()
using the FIRE (Feedback in Realistic Environments) simulations. While previous
studies emphasized the impact of feedback on dark matter profiles, we
investigate the impact on the stellar component: kinematics, radial migration,
size evolution, and population gradients. Feedback-driven outflows/inflows
drive significant radial stellar migration over both short and long timescales
via two processes: (1) outflowing/infalling gas can remain star-forming,
producing young stars that migrate within their first , and (2) gas outflows/inflows drive strong fluctuations in the
global potential, transferring energy to all stars. These processes produce
several dramatic effects. First, galaxies' effective radii can fluctuate by
factors of over , and these rapid size fluctuations
can account for much of the observed scatter in radius at fixed
Second, the cumulative effects of many outflow/infall episodes steadily heat
stellar orbits, causing old stars to migrate outward most strongly. This
age-dependent radial migration mixes---and even inverts---intrinsic age and
metallicity gradients. Thus, the galactic-archaeology approach of calculating
radial star-formation histories from stellar populations at can be
severely biased. These effects are strongest at , the same regime where feedback most
efficiently cores galaxies. Thus, detailed measurements of stellar kinematics
in low-mass galaxies can strongly constrain feedback models and test baryonic
solutions to small-scale problems in CDM.Comment: Accepted to ApJ (820, 131) with minor revisions from v1. Figure 4 now
includes dark matter. Main results in Figures 7 and 1
Temporal dynamics of hot desert microbial communities reveal structural and functional responses to water input
8 páginas, 4 figuras. -- The first publication is available at https://www.nature.comThe temporal dynamics of desert soil microbial communities are poorly understood. Given the
implications for ecosystem functioning under a global change scenario, a better understanding of
desert microbial community stability is crucial. Here, we sampled soils in the central Namib Desert
on sixteen different occasions over a one-year period. Using Illumina-based amplicon sequencing of
the 16S rRNA gene, we found that α-diversity (richness) was more variable at a given sampling date
(spatial variability) than over the course of one year (temporal variability). Community composition
remained essentially unchanged across the first 10 months, indicating that spatial sampling might be
more important than temporal sampling when assessing β-diversity patterns in desert soils. However,
a major shift in microbial community composition was found following a single precipitation event. This
shift in composition was associated with a rapid increase in CO2 respiration and productivity, supporting
the view that desert soil microbial communities respond rapidly to re-wetting and that this response
may be the result of both taxon-specific selection and changes in the availability or accessibility of
organic substrates. Recovery to quasi pre-disturbance community composition was achieved within one
month after rainfall.We gratefully acknowledge financial support from the National Research Foundation of South Africa (grant no.81779 and TTK2008052000003), the Research Council of Norway (grant No. 180352) and the University of the Western Cape. Partial support was also provided under the Laboratory Directed Research and Development Program at PNNL, a multiprogram national laboratory operated by Battelle for the U.S. Department of Energy under contract DE-AC05-76RL01830.Peer reviewe
Gas Kinematics in FIRE Simulated Galaxies Compared to Spatially Unresolved HI Observations
The shape of a galaxy's spatially unresolved, globally integrated 21-cm
emission line depends on its internal gas kinematics: galaxies with
rotation-supported gas disks produce double-horned profiles with steep wings,
while galaxies with dispersion-supported gas produce Gaussian-like profiles
with sloped wings. Using mock observations of simulated galaxies from the FIRE
project, we show that one can therefore constrain a galaxy's gas kinematics
from its unresolved 21-cm line profile. In particular, we find that the
kurtosis of the 21-cm line increases with decreasing , and that this
trend is robust across a wide range of masses, signal-to-noise ratios, and
inclinations. We then quantify the shapes of 21-cm line profiles from a
morphologically unbiased sample of 2000 low-redshift, HI-detected
galaxies with and compare to the simulated
galaxies. At , both the observed and
simulated galaxies produce double-horned profiles with low kurtosis and steep
wings, consistent with rotation-supported disks. Both the observed and
simulated line profiles become more Gaussian-like (higher kurtosis and
less-steep wings) at lower masses, indicating increased dispersion support.
However, the simulated galaxies transition from rotation to dispersion support
more strongly: at , most of the simulations
produce more Gaussian-like profiles than typical observed galaxies with similar
mass, indicating that gas in the low-mass simulated galaxies is, on average,
overly dispersion-supported. Most of the lower-mass simulated galaxies also
have somewhat lower gas fractions than the median of the observed population.
The simulations nevertheless reproduce the observed line-width baryonic
Tully-Fisher relation, which is insensitive to rotation vs. dispersion support.Comment: 10 pages, 5 figures, plus appendices. Accepted to MNRAS with minor
revisions since v
When the Jeans do not Fit: How Stellar Feedback Drives Stellar Kinematics and Complicates Dynamical Modeling in Low-mass Galaxies
In low-mass galaxies, stellar feedback can drive gas outflows that generate non-equilibrium fluctuations in the gravitational potential. Using cosmological zoom-in baryonic simulations from the Feedback in Realistic Environments project, we investigate how these fluctuations affect stellar kinematics and the reliability of Jeans dynamical modeling in low-mass galaxies. We find that stellar velocity dispersion and anisotropy profiles fluctuate significantly over the course of galaxies' starburst cycles. We therefore predict an observable correlation between star formation rate and stellar kinematics: dwarf galaxies with higher recent star formation rates should have systemically higher stellar velocity dispersions. This prediction provides an observational test of the role of stellar feedback in regulating both stellar and dark-matter densities in dwarf galaxies. We find that Jeans modeling, which treats galaxies as virialized systems in dynamical equilibrium, overestimates a galaxy's dynamical mass during periods of post-starburst gas outflow and underestimates it during periods of net inflow. Short-timescale potential fluctuations lead to typical errors of ~20% in dynamical mass estimates, even if full three-dimensional stellar kinematics—including the orbital anisotropy—are known exactly. When orbital anisotropy is not known a priori, typical mass errors arising from non-equilibrium fluctuations in the potential are larger than those arising from the mass-anisotropy degeneracy. However, Jeans modeling alone cannot reliably constrain the orbital anisotropy, and problematically, it often favors anisotropy models that do not reflect the true profile. If galaxies completely lose their gas and cease forming stars, fluctuations in the potential subside, and Jeans modeling becomes much more reliable
Recommendations from the 2023 international evidence-based guideline for the assessment and management of polycystic ovary syndrome
Study question
What is the recommended assessment and management of those with polycystic ovary syndrome (PCOS), based on the best available evidence, clinical expertise, and consumer preference?
Summary answer
International evidence-based guidelines address prioritized questions and outcomes and include 254 recommendations and practice points, to promote consistent, evidence-based care and improve the experience and health outcomes in PCOS.
What is known already
The 2018 International PCOS Guideline was independently evaluated as high quality and integrated multidisciplinary and consumer perspectives from 6 continents; it is now used in 196 countries and is widely cited. It was based on best available, but generally very low- to low-quality, evidence. It applied robust methodological processes and addressed shared priorities. The guideline transitioned from consensus-based to evidence-based diagnostic criteria and enhanced accuracy of diagnosis, whilst promoting consistency of care. However, diagnosis is still delayed, the needs of those with PCOS are not being adequately met, the evidence quality was low, and evidence-practice gaps persist.
Study design, size, and duration
The 2023 International Evidence-based Guideline update re-engaged the 2018 network across professional societies and consumer organizations with multidisciplinary experts and women with PCOS directly involved at all stages. Extensive evidence synthesis was completed. Appraisal of Guidelines for Research and Evaluation II (AGREEII)-compliant processes were followed. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) framework was applied across evidence quality, feasibility, acceptability, cost, implementation, and ultimately recommendation strength, and diversity and inclusion were considered throughout.
Participants/materials, setting, and methods
This summary should be read in conjunction with the full guideline for detailed participants and methods. Governance included a 6-continent international advisory and management committee, 5 guideline development groups, and paediatric, consumer, and translation committees. Extensive consumer engagement and guideline experts informed the update scope and priorities. Engaged international society-nominated panels included paediatrics, endocrinology, gynaecology, primary care, reproductive endocrinology, obstetrics, psychiatry, psychology, dietetics, exercise physiology, obesity care, public health, and other experts, alongside consumers, project management, evidence synthesis, statisticians, and translation experts. Thirty-nine professional and consumer organizations covering 71 countries engaged in the process. Twenty meetings and 5 face-to-face forums over 12 months addressed 58 prioritized clinical questions involving 52 systematic and 3 narrative reviews. Evidence-based recommendations were developed and approved via consensus across 5 guideline panels, modified based on international feedback and peer review, independently reviewed for methodological rigour, and approved by the Australian Government National Health and Medical Research Council.
Main results and the role of chance
The evidence in the assessment and management of PCOS has generally improved in the past 5 years but remains of low to moderate quality. The technical evidence report and analyses (∼6000 pages) underpin 77 evidence-based and 54 consensus recommendations, with 123 practice points. Key updates include the following: (1) further refinement of individual diagnostic criteria, a simplified diagnostic algorithm, and inclusion of anti-Müllerian hormone levels as an alternative to ultrasound in adults only; (2) strengthening recognition of broader features of PCOS including metabolic risk factors, cardiovascular disease, sleep apnoea, very high prevalence of psychological features, and high risk status for adverse outcomes during pregnancy; (3) emphasizing the poorly recognized, diverse burden of disease and the need for greater healthcare professional education, evidence-based patient information, improved models of care, and shared decision-making to improve patient experience, alongside greater research; (4) maintained emphasis on healthy lifestyle, emotional well-being, and quality of life, with awareness and consideration of weight stigma; and (5) emphasizing evidence-based medical therapy and cheaper and safer fertility management.
Limitations and reasons for caution
Overall, recommendations are strengthened and evidence is improved but remains generally low to moderate quality. Significantly greater research is now needed in this neglected, yet common condition. Regional health system variation was considered and acknowledged, with a further process for guideline and translation resource adaptation provided.
Wider implications of the findings
The 2023 International Guideline for the Assessment and Management of PCOS provides clinicians and patients with clear advice on best practice, based on the best available evidence, expert multidisciplinary input, and consumer preferences. Research recommendations have been generated, and a comprehensive multifaceted dissemination and translation programme supports the guideline with an integrated evaluation programme
Recommendations from the 2023 international evidence-based guideline for the assessment and management of polycystic ovary syndrome
STUDY QUESTION
What is the recommended assessment and management of those with polycystic ovary syndrome (PCOS), based on the best available evidence, clinical expertise, and consumer preference?
SUMMARY ANSWER
International evidence-based guidelines address prioritized questions and outcomes and include 254 recommendations and practice points, to promote consistent, evidence-based care and improve the experience and health outcomes in PCOS.
WHAT IS KNOWN ALREADY
The 2018 International PCOS Guideline was independently evaluated as high quality and integrated multidisciplinary and consumer perspectives from six continents; it is now used in 196 countries and is widely cited. It was based on best available, but generally very low to low quality, evidence. It applied robust methodological processes and addressed shared priorities. The guideline transitioned from consensus based to evidence-based diagnostic criteria and enhanced accuracy of diagnosis, whilst promoting consistency of care. However, diagnosis is still delayed, the needs of those with PCOS are not being adequately met, evidence quality was low and evidence-practice gaps persist.
STUDY DESIGN, SIZE, DURATION
The 2023 International Evidence-based Guideline update reengaged the 2018 network across professional societies and consumer organizations, with multidisciplinary experts and women with PCOS directly involved at all stages. Extensive evidence synthesis was completed. Appraisal of Guidelines for Research and Evaluation-II (AGREEII)-compliant processes were followed. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) framework was applied across evidence quality, feasibility, acceptability, cost, implementation and ultimately recommendation strength and diversity and inclusion were considered throughout.
PARTICIPANTS/MATERIALS, SETTING, METHODS
This summary should be read in conjunction with the full Guideline for detailed participants and methods. Governance included a six-continent international advisory and management committee, five guideline development groups, and paediatric, consumer, and translation committees. Extensive consumer engagement and guideline experts informed the update scope and priorities. Engaged international society-nominated panels included paediatrics, endocrinology, gynaecology, primary care, reproductive endocrinology, obstetrics, psychiatry, psychology, dietetics, exercise physiology, obesity care, public health and other experts, alongside consumers, project management, evidence synthesis, statisticians and translation experts. Thirty-nine professional and consumer organizations covering 71 countries engaged in the process. Twenty meetings and five face-to-face forums over 12 months addressed 58 prioritized clinical questions involving 52 systematic and 3 narrative reviews. Evidence-based recommendations were developed and approved via consensus across five guideline panels, modified based on international feedback and peer review, independently reviewed for methodological rigour, and approved by the Australian Government National Health and Medical Research Council (NHMRC).
MAIN RESULTS AND THE ROLE OF CHANCE
The evidence in the assessment and management of PCOS has generally improved in the past five years, but remains of low to moderate quality. The technical evidence report and analyses (∼6000 pages) underpins 77 evidence-based and 54 consensus recommendations, with 123 practice points. Key updates include: i) further refinement of individual diagnostic criteria, a simplified diagnostic algorithm and inclusion of anti-Müllerian hormone (AMH) levels as an alternative to ultrasound in adults only; ii) strengthening recognition of broader features of PCOS including metabolic risk factors, cardiovascular disease, sleep apnea, very high prevalence of psychological features, and high risk status for adverse outcomes during pregnancy; iii) emphasizing the poorly recognized, diverse burden of disease and the need for greater healthcare professional education, evidence-based patient information, improved models of care and shared decision making to improve patient experience, alongside greater research; iv) maintained emphasis on healthy lifestyle, emotional wellbeing and quality of life, with awareness and consideration of weight stigma; and v) emphasizing evidence-based medical therapy and cheaper and safer fertility management.
LIMITATIONS, REASONS FOR CAUTION
Overall, recommendations are strengthened and evidence is improved, but remains generally low to moderate quality. Significantly greater research is now needed in this neglected, yet common condition. Regional health system variation was considered and acknowledged, with a further process for guideline and translation resource adaptation provided.
WIDER IMPLICATIONS OF THE FINDINGS
The 2023 International Guideline for the Assessment and Management of PCOS provides clinicians and patients with clear advice on best practice, based on the best available evidence, expert multidisciplinary input and consumer preferences. Research recommendations have been generated and a comprehensive multifaceted dissemination and translation program supports the Guideline with an integrated evaluation program.
STUDY FUNDING/COMPETING INTEREST(S)
This effort was primarily funded by the Australian Government via the National Health Medical Research Council (NHMRC) (APP1171592), supported by a partnership with American Society for Reproductive Medicine, Endocrine Society, European Society for Human Reproduction and Embryology, and European Society for Endocrinology. The Commonwealth Government of Australia also supported Guideline translation through the Medical Research Future Fund (MRFCRI000266). HJT and AM are funded by NHMRC fellowships. JT is funded by a Royal Australasian College of Physicians (RACP) fellowship. Guideline development group members were volunteers. Travel expenses were covered by the partnering organizations. Disclosures of interest were strictly managed according to NHMRC policy and are available with the full guideline, technical evidence report, peer review and responses (www.monash.edu/medicine/mchri/pcos). Of named authors HJT, CTT, AD, LM, LR, JBoyle, AM have no conflicts of interest to declare. JL declares grant from Ferring and Merck; consulting fees from Ferring and Titus Health Care; speaker’s fees from Ferring; unpaid consultancy for Ferring, Roche Diagnostics and Ansh Labs; and sits on advisory boards for Ferring, Roche Diagnostics, Ansh Labs, and Gedeon Richter. TP declares a grant from Roche; consulting fees from Gedeon Richter and Organon; speaker’s fees from Gedeon Richter and Exeltis; travel support from Gedeon Richter and Exeltis; unpaid consultancy for Roche Diagnostics; and sits on advisory boards for Roche Diagnostics. MC declares travels support from Merck; and sits on an advisory board for Merck. JBoivin declares grants from Merck Serono Ltd.; consulting fees from Ferring B.V; speaker’s fees from Ferring Arzneimittell GmbH; travel support from Organon; and sits on an advisory board for the Office of Health Economics. RJN has received speaker’s fees from Merck and sits on an advisory board for Ferring. AJoham has received speaker’s fees from Novo Nordisk and Boehringer Ingelheim. The guideline was peer reviewed by special interest groups across our 39 partner and collaborating organizations, was independently methodologically assessed against AGREEII criteria and was approved by all members of the guideline development groups and by the NHMRC
Recommended from our members
Gas kinematics in FIRE simulated galaxies compared to spatially unresolved HI observations.
The shape of a galaxy's spatially unresolved, globally integrated 21-cm emission line depends on its internal gas kinematics: galaxies with rotationally supported gas discs produce double-horned profiles with steep wings, while galaxies with dispersion-supported gas produce Gaussian-like profiles with sloped wings. Using mock observations of simulated galaxies from the FIRE project, we show that one can therefore constrain a galaxy's gas kinematics from its unresolved 21-cm line profile. In particular, we find that the kurtosis of the 21-cm line increases with decreasing V/σ and that this trend is robust across a wide range of masses, signal-to-noise ratios, and inclinations. We then quantify the shapes of 21-cm line profiles from a morphologically unbiased sample of ~2000 low-redshift, HI-detected galaxies with M star = 107-11 M☉ and compare to the simulated galaxies. At M star ≳ 1010 M☉, both the observed and simulated galaxies produce double-horned profiles with low kurtosis and steep wings, consistent with rotationally supported discs. Both the observed and simulated line profiles become more Gaussian like (higher kurtosis and less-steep wings) at lower masses, indicating increased dispersion support. However, the simulated galaxies transition from rotational to dispersion support more strongly: at M star 108-10 M, most of the simulations produce more Gaussian-like profiles than typical observed galaxies with similar mass, indicating that gas in the low-mass simulated galaxies is, on average, overly dispersion supported. Most of the lower-mass-simulated galaxies also have somewhat lower gas fractions than the median of the observed population. The simulations nevertheless reproduce the observed line-width baryonic Tully-Fisher relation, which is insensitive to rotational versus dispersion support
Relationship between Family Racial/Ethnic Backgrounds, Parenting Practices and Styles, and Adolescent Eating Behaviors
Obesity is more prevalent among racial minority children in the United States, as compared to White children. Parenting practices can impact the development of children\u27s eating behaviors and habits. In this study, we investigated the relationships among racial/ethnic backgrounds, parenting practices and styles, and eating behaviors in adolescents. Fifty-one parent-adolescent dyads were interviewed to characterize parenting practices and styles, as well as the consumption of dairy, fruits and vegetables, and unhealthy snacks. Height and weight were measured to calculate parent BMI and adolescent BMI-for-age percentiles. Three parenting practice categories-modeling, authoritative, and authoritarian-were found to be related to race/ethnicity. A higher score in authoritarian parenting practices was related to higher BMI percentiles among African American adolescents, whereas a higher score in monitoring practices was related to lower BMI percentiles among non-Hispanic White adolescents. Modeling, reasoning, and monitoring led to higher consumption of fruits and vegetables among adolescents; however, the consumption of unhealthy snacks was higher with rule-setting and lower with reasoning and authoritative practices. Finally, an analysis of the relationships between environmental factors and snack intake showed that adolescents consumed significantly more unhealthy snacks when performing other activities while eating. In conclusion, the findings from this study suggest that families\u27 racial heritages are related to their parenting practices, BMI percentiles, and their adolescents\u27 food consumption and eating behaviors. The results of this study can be used to develop and improve adolescent nutrition education and interventions with consideration of their racial/ethnic backgrounds