Manifestations of Overarousal Account For the Association Between Cognitive Anxiety Sensitivity and Suicidal Ideation

Background: Recent evidence suggests an association between cognitive anxiety sensitivity and suicidal ideation. Cognitive anxiety sensitivity has also been implicated as a precursor to various forms of overarousal. These manifestations of overarousal (i.e., agitation, insomnia, nightmares, and anger) may account for the association between cognitive anxiety sensitivity and suicidal ideation. Methods: In Study 1, undergraduate students selectively sampled for recent suicidal ideation completed all measures online. In Study 2, clinical outpatients completed all measures prior to their initial intake appointments at a psychology clinic. Results: Study 1 demonstrated that agitation and insomnia individually and jointly accounted for the association between cognitive anxiety sensitivity and suicidal ideation, controlling for general anxiety and demographic variables. Study 2 replicated and extended these findings, such that, controlling for demographics, general anxiety, and physical and social anxiety sensitivity, agitation and anger each independently and together accounted for the association between cognitive anxiety sensitivity and suicidal ideation, whereas insomnia and nightmares did not. Limitations: This study utilized a cross-sectional design and self-report measures in both samples as well as a sample of undergraduate students in Study 1. Conclusions: Together, these findings suggest that agitation and anger may explain the previously established relationship between cognitive anxiety sensitivity and suicidal ideation. Targeting cognitive anxiety sensitivity in treatment may in turn reduce these forms of overarousal and thereby suicide risk

Atypical and Severe Nonsuicidal Self-Injury as an Indicator of Severe Psychopathology: Findings From a Sample of High-Risk Community Mental Health Clients

This study examined whether atypical/severe nonsuicidal self-injury (NSSI; e.g., foreign body ingestion, cutting necessitating sutures) serves as a marker of severe psychopathology among 467 adult community mental health clients (n = 33 with an atypical/severe NSSI history). Information regarding psychiatric risk indicators was extracted from participants’ psychiatric records. Generalized linear models with negative binomial distribution and log link function, as well as chi-square tests, were used to address study aims. Clients with a lifetime atypical/severe NSSI history met criteria for a significantly greater number of psychiatric risk indicators than clients with a lifetime history of common NSSI only; however, these clients were not significantly more likely to report recent suicidal actions. Individuals with an atypical/severe NSSI history may demonstrate more severe psychopathology than those with a history of common NSSI only. Thus, it may be clinically useful to consider individuals with an atypical/severe NSSI history as a high-risk subgroup

Non-detection of Helium in the Upper Atmospheres of Three Sub-Neptune Exoplanets

We present a search for helium in the upper atmospheres of three sub-Neptune size planets to investigate the origins of these ubiquitous objects. The detection of helium for a low density planet would be strong evidence for the presence of a primary atmosphere accreted from the protoplanetary nebula because large amounts of helium are not expected in the secondary atmospheres of rocky planets. We used Keck+NIRSPEC to obtain high-resolution transit spectroscopy of the planets GJ1214b, GJ9827d, and HD97658b around the 10,833 Ang He triplet feature. We did not detect helium absorption for any of the planets despite achieving a high level of sensitivity. We used the non-detections to set limits on the planets' thermosphere temperatures and atmospheric loss rates by comparing grids of 1D models to the data. We also performed coupled interior structure and atmospheric loss calculations, which suggest that the bulk atmospheres (winds) of the planets would be at most modestly enhanced (depleted) in helium relative to their primordial composition. Our lack of detections of the helium triplet for GJ1214b and GJ9827d are highly inconsistent with the predictions of models for the present day mass loss on these planets. Higher signal-to-noise data would be needed to detect the helium feature predicted for HD97658b. We identify uncertainties in the EUV fluxes of the host stars and the lack of detailed mass loss models specifically for cool and metal-enhanced atmospheres as the main limitations to the interpretation of our results. Ultimately, our results suggest that the upper atmospheres of sub-Neptune planets are fundamentally different than those of gas giant planets.Comment: AJ in pres

Adult Non-Cystic Fibrosis Bronchiectasis Is Characterised by Airway Luminal Th17 Pathway Activation

Copyright © 2015 Chen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.BACKGROUND: Non-cystic fibrosis (CF) bronchiectasis is characterised by chronic airway infection and neutrophilic inflammation, which we hypothesised would be associated with Th17 pathway activation. METHODS: Th17 pathway cytokines were quantified in bronchoalveolar lavage fluid (BALF), and gene expression of IL-17A, IL-1β, IL-8 and IL-23 determined from endobronchial biopsies (EBx) in 41 stable bronchiectasis subjects and 20 healthy controls. Relationships between IL-17A levels and infection status, important clinical measures and subsequent Pseudomonas aeruginosa infection were determined. RESULTS: BALF levels of all Th17 cytokines (median (IQR) pg/mL) were significantly higher in bronchiectasis than control subjects, including IL-17A (1.73 (1.19, 3.23) vs. 0.27 (0.24, 0.35), 95% CI 1.05 to 2.21, p<0.0001) and IL-23 (9.48 (4.79, 15.75) vs. 0.70 (0.43, 1.79), 95% CI 4.68 to 11.21, p<0.0001). However, BALF IL-17A levels were not associated with clinical measures or airway microbiology, nor predictive of subsequent P. aeruginosa infection. Furthermore, gene expression of IL-17A in bronchiectasis EBx did not differ from control. In contrast, gene expression (relative to medians of controls) in bronchiectasis EBx was significantly higher than control for IL1β (4.12 (1.24, 8.05) vs 1 (0.13, 2.95), 95% CI 0.05 to 4.07, p = 0.04) and IL-8 (3.75 (1.64, 11.27) vs 1 (0.54, 3.89), 95% CI 0.32 to 4.87, p = 0.02) and BALF IL-8 and IL-1α levels showed significant relationships with clinical measures and airway microbiology. P. aeruginosa infection was associated with increased levels of IL-8 while Haemophilus influenzae was associated with increased IL-1α. CONCLUSIONS AND CLINICAL RELEVANCE: Established adult non-CF bronchiectasis is characterised by luminal Th17 pathway activation, however this pathway may be relatively less important than activation of non-antigen-specific innate neutrophilic immunity

An Overview of Operational Characteristics of Selected Irrigation Districts in the Texas Lower Rio Grande Valley: Delta Lake Irrigation District

Population expansion and water shortfalls have placed the Texas Lower Rio Grande Valley (Valley) center stage in water publicity. The unique characteristics and lack of public knowledge on how irrigation districts divert and convey water from the Rio Grande to municipal, industrial, and agriculture consumers have precipitated questions regarding the operations and makeup of these districts. Differences between and similarities across irrigation districts can be partially attributed to the topography, water-delivery infrastructure system, past financial decisions, and population demographics and clientele base of each irrigation district. Delta Lake Irrigation District (DLID) is one of the 29 irrigation districts in the Valley. This study presents an overview of DLID that includes a brief historical background, a description of the District, and discussion of the District’s current operations. Specific information in the report details how the District diverts and delivers its allocated water from the Rio Grande, how it is used (i.e., municipal, industry, and agriculture), and mechanisms for allocation within and outside the District. The uniqueness of the Lower Rio Grande Valley irrigation districts requires an understanding of their origins and operating mannerisms to explain their overall institutional effects. Through unlocking some of the conundrum associated with these individual irrigation districts, policymakers and other interested stakeholders will have a better perception of the culture and evolution that surround these unique districts, thereby facilitating improved policy-making decisions affecting the region’s water supply and usage

An Overview of Operational Characteristics of Selected Irrigation Districts in the Texas Lower Rio Grande Valley: Harlingen Irrigation District Cameron County No. 1

Population expansion and water shortfalls have placed the Texas Lower Rio Grande Valley (Valley) center stage in water publicity. The unique characteristics and lack of public knowledge on how irrigation districts divert and convey water from the Rio Grande to municipal, industrial, and agricultural consumers have precipitated questions regarding the operations and makeup of these districts. Differences between and similarities across irrigation districts can be partially attributed to the topography, water-delivery infrastructure system, past financial decisions, and population demographics and clientele base of each irrigation district. Harlingen Irrigation District Cameron County No. 1 (HIDCC1) is one of the 29 irrigation districts in the Valley. This study presents an overview of HIDCC1 that includes a brief historical background, a description of the District, and discussion of the District’s current operations. Specific information in the report details how the District diverts and delivers its allocated water from the Rio Grande, how it is used (i.e., municipal, industry, and agriculture), and mechanisms for allocation within and outside the District. The uniqueness of the Lower Rio Grande Valley irrigation districts requires an understanding of their origins and operating mannerisms to explain their overall institutional effects. Through unlocking some of the conundrum associated with these individual irrigation districts, policymakers and other interested stakeholders will have a better perception of the culture and evolution that surround these unique districts,thereby facilitating improved policy-making decisions affecting the region’s water supply and usage

Substantial impact of altered pharmacokinetics in critically Ill patients on the antibacterial effects of meropenem evaluated via the dynamic hollow-fiber infection model

Critically ill patients frequently have substantially altered pharmacokinetics compared to non-critically ill patients. We investigated the impact of pharma-cokinetic alterations on bacterial killing and resistance for commonly used meropenem dosing regimens. A Pseudomonas aeruginosa isolate (MICmeropenem 0.25 mg/liter) was studied in the hollow-fiber infection model (inoculum similar to 10(7.5) CFU/ml; 10 days). Pharmacokinetic profiles representing critically ill patients with augmented renal clearance (ARC), normal, or impaired renal function (creatinine clearances of 285, 120, or similar to 10 ml/min, respectively) were generated for three meropenem regimens (2, 1, and 0.5 g administered as 8-hourly 30-min infusions), plus 1 g given 12 hourly with impaired renal function. The time course of total and less-susceptible populations and MICs were determined. Mechanism-based modeling (MBM) was performed using S-ADAPT. All dosing regimens across all renal functions produced similar initial bacterial killing (5 x MIC) = 56 and 69%, fC(min)/MIC = 32-fold increases in MIC) accompanied all regrowth. Bacterial counts remained suppressed across 10 days with normal (2-g 8-hourly regimen) and impaired (all regimens) renal function (fT >5 x MIC >= 82%, fC(min)/MIC >= 2). The MBM successfully described bacterial killing and regrowth for all renal functions and regimens simultaneously. Optimized dosing regimens, including extended infusions and/or combinations, supported by MBM and Monte Carlo simulations, should be evaluated in the context of ARC to maximize bacterial killing and suppress resistance emergence

Genome sequences of four cluster P mycobacteriophages

Four bacteriophages infecting Mycobacterium smegmatis mc2155 (three belonging to subcluster P1 and one belonging to subcluster P2) were isolated from soil and sequenced. All four phages are similar in the left arm of their genomes, but the P2 phage differs in the right arm. All four genomes contain features of temperate phages