Chewing gum modifies state-anxiety and alertness under conditions of social stress

Objectives: The finding that chewing gum can moderate state-anxiety under conditions of acute stress¹ has proved difficult to replicate.2,4 The present study examines the extent to which chewing gum can moderate state-anxiety under conditions of acute social stress. Method: In a between-participants design, 36 participants completed a task comprising a mock job interview (a variation on the Trier Social Stress Task3, which included a mental arithmetic component) whilst either chewing gum or without gum. Self-rated measures of mood and anxiety were taken at baseline, after a 10-minute presentation preparation stage, after the 10-minute presentation, and following a 5-minute recovery stage. Results: Post-presentation measures reflected increased state-anxiety and decrease self-rated calmness and contentedness. Chewing gum attenuated the rise in state-anxiety whilst increasing self-rated alertness. Chewing gum did not affect contentedness or calmness. Conclusions: The findings indicate that chewing gum can act to reduce anxiety under conditions of acute social stress: a finding consistent with Scholey et al.1 Furthermore, the data add to the growing body of literature demonstrating that chewing gum can increase alertness.1,2,4,

Alpha-fetoprotein detection of hepatocellular carcinoma leads to a standardized analysis of dynamic AFP to improve screening based detection

Detection of hepatocellular carcinoma (HCC) through screening can improve outcomes. However, HCC surveillance remains costly, cumbersome and suboptimal. We tested whether and how serum Alpha-Fetoprotein (AFP) should be used in HCC surveillance. Record linkage, dedicated pathways for management and AFP data-storage identified i) consecutive highly characterised cases of HCC diagnosed in 2009–14 and ii) a cohort of ongoing HCC-free patients undergoing regular HCC surveillance from 2009. These two well-defined Scottish patient cohorts enabled us to test the utility of AFP surveillance. Of 304 cases of HCC diagnosed over 6 years, 42% (129) were identified by a dedicated HCC surveillance programme. Of these 129, 47% (61) had a detectable lesion first identified by screening ultrasound (US) but 38% (49) were prompted by elevated AFP. Despite pre-HCC diagnosis AFP >20kU/L being associated with poor outcome, ‘AFP-detected’ tumours were offered potentially curative management as frequently as ‘US-detected’ HCCs; and had comparable survival. Linearity of serial log10-transformed AFPs in HCC cases and in the screening ‘HCC-free’ cohort (n = 1509) provided indicators of high-risk AFP behaviour in HCC cases. An algorithm was devised in static mode, then tested dynamically. A case/control series in hepatitis C related disease demonstrated highly significant detection (p<1.72*10−5) of patients at high risk of developing HCC. These data support the use of AFP in HCC surveillance. We show proof-of-principle that an automated and further refine-able algorithmic interpretation of AFP can identify patients at higher risk of HCC. This approach could provide a cost-effective, user-friendly and much needed addition to US surveillance

Formalizing Mathematical Knowledge as a Biform Theory Graph: A Case Study

A biform theory is a combination of an axiomatic theory and an algorithmic theory that supports the integration of reasoning and computation. These are ideal for formalizing algorithms that manipulate mathematical expressions. A theory graph is a network of theories connected by meaning-preserving theory morphisms that map the formulas of one theory to the formulas of another theory. Theory graphs are in turn well suited for formalizing mathematical knowledge at the most convenient level of abstraction using the most convenient vocabulary. We are interested in the problem of whether a body of mathematical knowledge can be effectively formalized as a theory graph of biform theories. As a test case, we look at the graph of theories encoding natural number arithmetic. We used two different formalisms to do this, which we describe and compare. The first is realized in ${\rm CTT}_{\rm uqe}$, a version of Church's type theory with quotation and evaluation, and the second is realized in Agda, a dependently typed programming language.Comment: 43 pages; published without appendices in: H. Geuvers et al., eds, Intelligent Computer Mathematics (CICM 2017), Lecture Notes in Computer Science, Vol. 10383, pp. 9-24, Springer, 201

Misdiagnosis, Mistreatment, and Harm - When Medical Care Ignores Social Forces.

The Case Studies in Social Medicine demonstrate that when physicians use only biologic or individual behavioral interventions to treat diseases that stem from or are exacerbated by social factors, we risk harming the patients we seek to serve

Reactivity and structure of CF3I on Ru(001)

A variety of surface-sensitive techniques are used to elucidate the reaction pathways, as well as adsorbate structures, associated with thermal activation of CF3J following adsorption on Ru(001) at 100 K. XPS shows that the C-I bond of CF3I dissociates below 200 K to form CF3(ad) and I(ad); the subsequent reactions of CF2 are best viewed as being regulated by the availability of surface sites. CF3(ad) dissociates to CF2(ad) below 200 K. Further CF3 dissociation, some of which is activated by H(ad), occurs between 200 and 400 K until all available sites are filled. Desorption of the remaining CF3, peaking at 705 K, once again opens surface sites for decomposition. This is followed by recombination of the products to form CF3(g). No evidence for CF(ad) is ever observed. Hydrogen coadsorption studies explain interesting features associated with fluorine evolution. HREELS and ESDIAD results indicate that CF3 adopts a tilted configuration on Ru(001)

The ecodesign and planning of sustainable neighbourhoods : the Vallbona case study (Barcelona)

Global sustainability is increasingly an issue of urban sustainability, being essential to encourage more benign trajectories of urbanisation. For this, there is need for a framework that could aid in the process of designing and redesigning (retrofitting) cities. The aim of this paper is to present and describe the methodology of urban ecodesign, which is characterized by a systematic incorporation of environmental life cycle considerations into the design of urban systems. The paper presents a case study of neighbourhood ecodesign from the city of Barcelona (Vallbona neighbourhood). This practical experience shows that the inclusion of sustainability criteria at an early stage of the design and planning of urban systems is the best strategy for environmental protection.In addition; a methodological framework is described in order to provide planners with a structured way of designing urban settlements so as to move towards sustainable urban environments.La sostenibilidad global es cada vez más un tema de sostenibilidad urbana. Por este motivo, es necesario un marco de trabajo que pueda ayudar en el proceso de diseño y rediseño (rehabilitación) de nuestras ciudades. El objetivo de este trabajo es presentar y describir la metodología de ecodiseño adaptada a los entornos urbanos, la cual se caracteriza por la incorporación sistemática de las consideraciones ambientales a lo largo de su ciclo de vida. El documento presenta un caso de estudio de ecodiseño del barrio de Vallbona (Barcelona). Esta experiencia demuestra que la inclusión de criterios de sostenibilidad en las etapas iniciales de diseño y planificación de los sistemas urbanos es la mejor estrategia para la prevención ambiental. Además, se presenta un marco metodológico con el fin de proporcionar a los planificadores una forma estructurada de diseño de los asentamientos urbanos que les permita avanzar hacia entornos urbanos más sostenibles

A maximum density rule for surfaces of quasicrystals

A rule due to Bravais of wide validity for crystals is that their surfaces correspond to the densest planes of atoms in the bulk of the material. Comparing a theoretical model of i-AlPdMn with experimental results, we find that this correspondence breaks down and that surfaces parallel to the densest planes in the bulk are not the most stable, i.e. they are not so-called bulk terminations. The correspondence can be restored by recognizing that there is a contribution to the surface not just from one geometrical plane but from a layer of stacked atoms, possibly containing more than one plane. We find that not only does the stability of high-symmetry surfaces match the density of the corresponding layer-like bulk terminations but the exact spacings between surface terraces and their degree of pittedness may be determined by a simple analysis of the density of layers predicted by the bulk geometric model.Comment: 8 pages of ps-file, 3 Figs (jpg

Cardiovascular disease biomarkers are associated with declining renal function in type 2 diabetes

Aims/hypothesis: We investigated whether biochemical cardiovascular risk factors and/or markers of subclinical cardiovascular disease were associated with the development of reduced renal function in people with type 2 diabetes. Methods: A cohort of 1066 Scottish men and women aged 60–74 years with type 2 diabetes from the Edinburgh Type 2 Diabetes Study were followed up for a median of 6.7 years. New-onset reduced renal function was defined as two eGFRs <60 ml−1 min−1 (1.73 m)−2 at least 3 months apart with a > 25% decline from baseline eGFR. Ankle brachial pressure index (ABI), N-terminal pro-B-type natriuretic peptide (NT-proBNP) and high-sensitivity troponin T (hsTnT) were measured at baseline. Pulse wave velocity (PWV) and carotid intima media thickness were measured 1 year into follow-up. Data were analysed using Cox proportional hazards models. Results: A total of 119 participants developed reduced renal function during follow-up. ABI, PWV, NT-proBNP and hsTnT were all associated with onset of decline in renal function following adjustment for age and sex. These associations were attenuated after adjustment for additional diabetes renal disease risk factors (systolic BP, baseline eGFR, albumin:creatinine ratio and smoking pack-years), with the exception of hsTnT which remained independently associated (HR 1.51 [95% CI 1.22, 1.87]). Inclusion of hsTnT in a predictive model improved the continuous net reclassification index by 0.165 (0.008, 0.286). Conclusions/interpretation: Our findings demonstrate an association between hsTnT, a marker of subclinical cardiac ischaemia, and subsequent renal function decline. Further research is required to establish the predictive value of hsTnT and response to intervention

Media justice: Madeleine McCann, intermediatization and "trial by media" in the British press

Three-year-old Madeleine McCann disappeared on 3 May 2007 from a holiday apartment in Portugal. Over five years and multiple investigations that failed to solve this abducted child case, Madeleine and her parents were subject to a process of relentless ‘intermediatization’. Across 24–7 news coverage, websites, documentaries, films, YouTube videos, books, magazines, music and artworks, Madeleine was a mediagenic image of innocence and a lucrative story. In contrast to Madeleine’s media sacralization, the representation of her parents, Kate and Gerry McCann, fluctuated between periods of vociferous support and prolonged and libellous ‘trial by media’. This article analyses how the global intermediatization of the ‘Maddie Mystery’ fed into and fuelled the ‘trial by media’ of Kate and Gerry McCann in the UK press. Our theorization of ‘trial by media’ is developed and refined through considering its legal limitations in an era of ‘attack journalism’ and unprecedented official UK inquiries into press misconduct and criminality