Objectives
This study is designed to determine if hearing loss is associated with increased risk of frailty in later life.
Design
A prospective cohort study.
Setting and Participants
We retrieved ...data of a community sample of men aged 70 years and above living in the metropolitan region of Perth, Western Australia. 3,285 participants who were free of frailty at the beginning of the study were followed for up to 17 years. Data were retrieved from the Health in Men Study (HIMS) and the Western Australian Data Linkage System (WADLS).
Measurements
Hearing loss was defined by self-report or by diagnosis recorded in the WADLS. Incident frailty was assessed using the Hospital Frailty Risk Score (HFRS).
Results
A total of 2,348 (71.5%) men developed frailty during follow up. The adjusted hazard ratio was 1.03 (95% CI: 0.95–1.12). The majority of the participants became frail by age 90 regardless of hearing condition. The time point where half of the group become frail was delayed by 14.4 months for men without hearing loss compared with hearing impaired men.
Conclusions
Hearing loss is not associated with incident frailty in men aged 70 years or older when frailty was measured by HFRS. However, this statistically non-significant result could be due to the low sensitivity of study measures. Also, we found a trend that men with hearing loss were more likely to develop frailty compared with their normal-hearing peers, suggesting a potential association between hearing loss and frailty.
Abstract In this work, the Coherence Imaging Spectroscopy technique is exploited for active charge exchange radiation measurements to infer high spatial resolution 2D ion temperature ( T i ) maps in ...the core region of Wendelstein 7-X plasmas. A synthetic model of the diagnostic is developed and used for the optimization of the hardware components for the expected ion temperatures ( T i ∼ 2 keV) prioritizing T i measurements while also considering the ion velocity flow resolution. The experimental set-up is shown and the diagnostic calibration procedure for T i measurements is introduced. A combination of both simulations and experimental calibrations enable high fidelity system group delay ( ∂ ϕ ∂ λ ) characterization in the whole visible spectral range. Finally, the signal processing techniques applied to the diagnostic signal are introduced and first measurements of 2D T i maps are presented and validated against standard Charge eXchange Recombination Spectroscopy T i profiles, finding excellent agreement.
High total plasma homocysteine (tHcy) has been associated with cognitive impairment in later life, but it is unclear if this association is causal or is due to confounding. The C677T polymorphism of ...the 5,10 methylenetetrahydrofolate reductase gene (MTHFR) increases basal tHcy, but its contribution to cognitive impairment has not been established. We designed this study to determine if tHcy is causally related to cognitive impairment in later life by investigating its association with high tHcy and the MTHFR-C677T polymorphism. We recruited 1778 older men from the Health in Men Study cohort and established caseness on the basis of the participants' scores on a Telephone Interview for Cognitive Status score 27 in 2008. Exposure to tHcy, gene status and other variables of interest were obtained from assessments 4-7 years earlier. Multivariate logistic regression showed that the odds of cognitive impairment increased with a doubling of tHcy (adjusted odds ratio, OR 1.36; 95% confidence interval, 95% CI 1.02-1.82). Compared with the wild CC genotype, participants with the MTHFR-TT genotype had 46% greater odds of cognitive impairment (OR 1.46, 95% CI 1.01-2.11, P=0.043). The results of this study are consistent with, but do not prove the hypothesis that high tHcy causes cognitive impairment in later life.
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DOBA, EMUNI, FIS, FZAB, GEOZS, GIS, IJS, IMTLJ, IZUM, KILJ, KISLJ, MFDPS, NLZOH, NUK, OILJ, PILJ, PNG, SAZU, SBCE, SBJE, SBMB, SBNM, UILJ, UKNU, UL, UM, UPUK, VKSCE, ZAGLJ
Measurement of ion dynamics is of great importance to the study of plasma exhaust and impurity particle flows in the scrape-off-layer (SOL) and divertor in magnetic confinement experiments. Doppler ...coherence imaging spectroscopy (CIS) is a passive optical diagnostic that produces 2D images of line-integrated ion flow velocity. Doppler CIS flow measurements of neutral deuterium and impurities were conducted for the first time in the divertor of the medium-sized tokamak experiment ASDEX Upgrade. A detailed sightline, emission and magnetic field analysis was undertaken to identify location and direction of flows. Under the assumption of toroidal axisymmetry, they revealed mainly parallel impurity flows in the proximity of the X-point and target plates on the order of 20 km s−1. Two Doppler CIS systems are currently set up for the optimized stellarator Wendelstein 7-X (W7-X). The main task of this diagnostic will be the measurement of impurity ion flows in one of the island divertors of W7-X. EMC3-EIRENE simulations have been carried out to estimate the flow behaviour in the W7-X SOL.
Abstract
Absolute radial impurity density profiles in the Wendelstein 7-X stellarator (W7-X) are derived from charge exchange recombination spectroscopy using modelling of the neutral beam. The ...approach is validated via cross comparisons of the neutral beam attenuation, the radial localization of ion temperature measurements, as well as a comparison of the effective plasma charge determined by other diagnostics. The latter implies the validity of the obtained absolute density levels. The simulation based approach novel to W7-X allows to assess the neutral beam halo population, introducing corrections to the shape and amplitude of determined impurity density profiles. To illustrate the capabilities of the derived impurity density profiles, the particle transport properties in a W7-X discharge heated by electron cyclotron resonance heating were assessed. Density profiles for various impurities are found to be flat, consistent with dominant anomalous diffusion in the range 0.1–5.0 m
2
s
−1
. This range of the anomalous transport in such plasmas is in line with other impurity diagnostics at W7-X.
Petroleum and dairy operations are prominent sources of gas-phase organic compounds in California's San Joaquin Valley. It is essential to understand the emissions and air quality impacts of these ...relatively understudied sources, especially for oil/gas operations in light of increasing US production. Ground site measurements in Bakersfield and regional aircraft measurements of reactive gas-phase organic compounds and methane were part of the CalNex (California Research at the Nexus of Air Quality and Climate Change) project to determine the sources contributing to regional gas-phase organic carbon emissions. Using a combination of near-source and downwind data, we assess the composition and magnitude of emissions, and provide average source profiles. To examine the spatial distribution of emissions in the San Joaquin Valley, we developed a statistical modeling method using ground-based data and the FLEXPART-WRF transport and meteorological model. We present evidence for large sources of paraffinic hydrocarbons from petroleum operations and oxygenated compounds from dairy (and other cattle) operations. In addition to the small straight-chain alkanes typically associated with petroleum operations, we observed a wide range of branched and cyclic alkanes, most of which have limited previous in situ measurements or characterization in petroleum operation emissions. Observed dairy emissions were dominated by ethanol, methanol, acetic acid, and methane. Dairy operations were responsible for the vast majority of methane emissions in the San Joaquin Valley; observations of methane were well correlated with non-vehicular ethanol, and multiple assessments of the spatial distribution of emissions in the San Joaquin Valley highlight the dominance of dairy operations for methane emissions. The petroleum operations source profile was developed using the composition of non-methane hydrocarbons in unrefined natural gas associated with crude oil. The observed source profile is consistent with fugitive emissions of condensate during storage or processing of associated gas following extraction and methane separation. Aircraft observations of concentration hotspots near oil wells and dairies are consistent with the statistical source footprint determined via our FLEXPART-WRF-based modeling method and ground-based data. We quantitatively compared our observations at Bakersfield to the California Air Resources Board emission inventory and find consistency for relative emission rates of reactive organic gases between the aforementioned sources and motor vehicles in the region. We estimate that petroleum and dairy operations each comprised 22% of anthropogenic non-methane organic carbon at Bakersfield and were each responsible for 8-13% of potential precursors to ozone. Yet, their direct impacts as potential secondary organic aerosol (SOA) precursors were estimated to be minor for the source profiles observed in the San Joaquin Valley.
We assess the magnetic field configuration in modern fusion devices by comparing experiments with the same heating power, between a stellarator and a heliotron. The key role of turbulence is evident ...in the optimized stellarator, while neoclassical processes largely determine the transport in the heliotron device. Gyrokinetic simulations elucidate the underlying mechanisms promoting stronger ion scale turbulence in the stellarator. Similar plasma performances in these experiments suggests that neoclassical and turbulent transport should both be optimized in next step reactor designs.
Full text
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CMK, CTK, FMFMET, IJS, NUK, PNG, UL, UM
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