Summary Background Trial findings show cognitive behaviour therapy (CBT) and graded exercise therapy (GET) can be effective treatments for chronic fatigue syndrome, but patients' organisations have ...reported that these treatments can be harmful and favour pacing and specialist health care. We aimed to assess effectiveness and safety of all four treatments. Methods In our parallel-group randomised trial, patients meeting Oxford criteria for chronic fatigue syndrome were recruited from six secondary-care clinics in the UK and randomly allocated by computer-generated sequence to receive specialist medical care (SMC) alone or with adaptive pacing therapy (APT), CBT, or GET. Primary outcomes were fatigue (measured by Chalder fatigue questionnaire score) and physical function (measured by short form-36 subscale score) up to 52 weeks after randomisation, and safety was assessed primarily by recording all serious adverse events, including serious adverse reactions to trial treatments. Primary outcomes were rated by participants, who were necessarily unmasked to treatment assignment; the statistician was masked to treatment assignment for the analysis of primary outcomes. We used longitudinal regression models to compare SMC alone with other treatments, APT with CBT, and APT with GET. The final analysis included all participants for whom we had data for primary outcomes. This trial is registered at http://isrctn.org , number ISRCTN54285094. Findings We recruited 641 eligible patients, of whom 160 were assigned to the APT group, 161 to the CBT group, 160 to the GET group, and 160 to the SMC-alone group. Compared with SMC alone, mean fatigue scores at 52 weeks were 3·4 (95% CI 1·8 to 5·0) points lower for CBT (p=0·0001) and 3·2 (1·7 to 4·8) points lower for GET (p=0·0003), but did not differ for APT (0·7 −0·9 to 2·3 points lower; p=0·38). Compared with SMC alone, mean physical function scores were 7·1 (2·0 to 12·1) points higher for CBT (p=0·0068) and 9·4 (4·4 to 14·4) points higher for GET (p=0·0005), but did not differ for APT (3·4 −1·6 to 8·4 points lower; p=0·18). Compared with APT, CBT and GET were associated with less fatigue (CBT p=0·0027; GET p=0·0059) and better physical function (CBT p=0·0002; GET p<0·0001). Subgroup analysis of 427 participants meeting international criteria for chronic fatigue syndrome and 329 participants meeting London criteria for myalgic encephalomyelitis yielded equivalent results. Serious adverse reactions were recorded in two (1%) of 159 participants in the APT group, three (2%) of 161 in the CBT group, two (1%) of 160 in the GET group, and two (1%) of 160 in the SMC-alone group. Interpretation CBT and GET can safely be added to SMC to moderately improve outcomes for chronic fatigue syndrome, but APT is not an effective addition. Funding UK Medical Research Council, Department of Health for England, Scottish Chief Scientist Office, Department for Work and Pensions.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UL, UM, UPCLJ, UPUK
GW170817 was the first gravitational-wave detection of a binary neutron-star merger. It was accompanied by radiation across the electromagnetic spectrum and localized to the galaxy NGC 4993 at a ...distance of 40 megaparsecs. It has been proposed that the observed γ-ray, X-ray and radio emission is due to an ultra-relativistic jet being launched during the merger (and successfully breaking out of the surrounding material), directed away from our line of sight (off-axis). The presence of such a jet is predicted from models that posit neutron-star mergers as the drivers of short hard-γ-ray bursts. Here we report that the radio light curve of GW170817 has no direct signature of the afterglow of an off-axis jet. Although we cannot completely rule out the existence of a jet directed away from the line of sight, the observed γ-ray emission could not have originated from such a jet. Instead, the radio data require the existence of a mildly relativistic wide-angle outflow moving towards us. This outflow could be the high-velocity tail of the neutron-rich material that was ejected dynamically during the merger, or a cocoon of material that breaks out when a jet launched during the merger transfers its energy to the dynamical ejecta. Because the cocoon model explains the radio light curve of GW170817, as well as the γ-ray and X-ray emission (and possibly also the ultraviolet and optical emission), it is the model that is most consistent with the observational data. Cocoons may be a ubiquitous phenomenon produced in neutron-star mergers, giving rise to a hitherto unidentified population of radio, ultraviolet, X-ray and γ-ray transients in the local Universe.
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KISLJ, NUK, SBMB, UL, UM, UPUK
Gravitational waves have been detected from a binary neutron star merger event, GW170817. The detection of electromagnetic radiation from the same source has shown that the merger occurred in the ...outskirts of the galaxy NGC 4993, at a distance of 40 megaparsecs from Earth. We report the detection of a counterpart radio source that appears 16 days after the event, allowing us to diagnose the energetics and environment of the merger. The observed radio emission can be explained by either a collimated ultrarelativistic jet, viewed off-axis, or a cocoon of mildly relativistic ejecta. Within 100 days of the merger, the radio light curves will enable observers to distinguish between these models, and the angular velocity and geometry of the debris will be directly measurable by very long baseline interferometry.
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BFBNIB, NMLJ, NUK, ODKLJ, PNG, SAZU, UL, UM, UPUK
While many laboratory studies have focused on the short term effects of biochar addition to soil), there have been comparatively few tracing its longer term effects in the field. This study ...investigated the multiyear impact of biochar on crop performance and soil quality with specific emphasis on carbon (C) and nitrogen (N) cycling over a 3 y period. Biochar was added to an agricultural field at 0, 25 and 50tha−1 and planted with maize (year 1) and grass (years 2 and 3). Biochar addition affected plant performance in the grass crop with significant increases in foliar N (year 2) and above-ground biomass (year 3). Below-ground, biochar increased soil respiration, fungal and bacterial growth rate and turnover in year 2. This change coincided with a shift toward a bacterial dominated decomposer community, suggesting a decrease in the potential for microbially mediated C sequestration. Biochar did not affect dissolved organic C (DOC) and N (DON), NO3− or NH4+ pool sizes. Similarly, biochar addition had limited effects on the turnover of 14C-labelled SOC (plant litter), DOC (sugars and organic acids) and DON (amino acids) and no long term effect on N mineralization, NH3 volatilization, denitrification and NH4+ sorption. After 3 years in the field, the alkalinity associated with the biochar had been fully neutralized and biochar lost most of its cations (K, Na, Ca) but had built up an associated microbial community. We conclude that biochar addition to soil causes small and potentially transient changes in a temperate agroecosystem functioning. Importantly, many of the short-term effects of biochar on plant growth and soil behavior reported from laboratory studies were not observed in the field emphasizing the need for long term field trials to help inform agronomic management decisions involving biochar.
► Biochar induced temporary shifts in soil respiration and microbial community structure. ► Biochar induced only small changes in soil carbon and nitrogen cycling. ► Biochar had no observed negative effects on soil quality or crop production. ► Short term effects of biochar observed in the laboratory were not apparent in the field.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UL, UM, UPCLJ, UPUK, ZRSKP
Background and Aims Biochar has been shown to aid soil fertility and crop production in some circumstances. We investigated effects of the addition of Jarrah (Eucalyptus marginata) biochar to a ...coarse textured soil on soil carbon and nitrogen dynamics. Methods Wheat was grown for 10 weeks, in soil treated with biochar (0, 5, or 25 t ha−1) in full factorial combination with nitrogen (N) treatments (organic N, inorganic N, or control). Samples were analysed for plant biomass, soil microbial biomass carbon (MBC) and nitrogen (MBN), N mineralisation, CO2 evolution, community level physiological profiles (CLPP) and ammonia oxidising bacterial community structure. Results MBC significantly decreased with biochar addition while MBN was unaltered. Net N mineralisation was highest in control soil and significantly decreased with increasing addition of biochar. These findings could not be attributed to sorption of inorganic N to biochar. CO2 evolution decreased with 5 t ha−1 biochar but not 25 t ha−1. Biochar addition at 25 t ha−1 changed the CLPP, while the ammonia oxidising bacterial community structure changed only when biochar was added with a N source. Conclusion We conclude that the activity of the microbial community decreased in the presence of biochar, through decreased soil organic matter decomposition and N mineralisation which may have been caused by the decreased MBC.
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BFBNIB, DOBA, EMUNI, FIS, FZAB, GEOZS, GIS, IJS, IMTLJ, IZUM, KILJ, KISLJ, MFDPS, NLZOH, NMLJ, NUK, OILJ, PILJ, PNG, SAZU, SBCE, SBJE, SBMB, SBNM, UILJ, UKNU, UL, UM, UPUK, VKSCE, ZAGLJ
Biochar application to soil has been proposed as a mechanism for improving soil quality and the long term sequestration of carbon. The implications of biochar on pesticide behavior, particularly in ...the longer term, however, remains poorly understood. Here we evaluated the influence of biochar type, time after incorporation into soil, dose rate and particle size on the sorption, biodegradation and leaching of the herbicide simazine. We show that typical agronomic application rates of biochar (10–100 t ha
−1) led to alterations in soil water herbicide concentrations, availability, transport and spatial heterogeneity. Overall, biochar suppressed simazine biodegradation and reduced simazine leaching. These responses were induced by a rapid and strong sorption of simazine to the biochar which limits its availability to microbial communities. Spatial imaging of
14C-labeled simazine revealed concentrated hotpsots of herbicide co-localized with biochar in the soil profile. The rate of simazine mineralization, amount of sorption and leaching was inversely correlated with biochar particle size. Biochar aged in the field for 2 years had the same effect as fresh biochar on the sorption and mineralization of simazine, suggesting that the effects of biochar on herbicide behavior may be long lasting. We conclude that biochar application to soil will reduce the dissipation of foliar applied pesticides decreasing the risk of environmental contamination and human exposure via transfer in the food chain, but may affect the efficacy of soil-applied herbicides.
► Biochar sequesters carbon in soil and significantly affects pesticide behavior. ► Biochar prevents pesticide leaching but enhances pesticide persistence in soil. ► Pesticides preferentially associate with biochar causing concentrated hotspots in soil. ► The effect of biochar on pesticide behavior lasts for long periods in soil (>2 years). ► Biochar may potentially suppress the effectiveness of pre-emergent herbicides in soil.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UL, UM, UPCLJ, UPUK, ZRSKP
We present new 0.6-10 GHz observations of the binary neutron star merger GW170817 covering the period up to 300 days post-merger, taken with the upgraded Karl G. Jansky Very Large Array, the ...Australia Telescope Compact Array, the Giant Metrewave Radio Telescope and the MeerKAT telescope. We use these data to precisely characterize the decay phase of the late-time radio light curve. We find that the temporal decay is consistent with a power-law slope of t−2.2, and that the transition between the power-law rise and decay is relatively sharp. Such a slope cannot be produced by a quasi-isotropic (cocoon-dominated) outflow, but is instead the classic signature of a relativistic jet. This provides strong observational evidence that GW170817 produced a successful jet, and directly demonstrates the link between binary neutron star mergers and short-hard gamma-ray bursts. Using simple analytical arguments, we derive constraints on the geometry and the jet opening angle of GW170817. These results are consistent with those from our companion very long baseline interferometry paper, reporting superluminal motion in GW170817.
We present Chandra X-ray imaging of a flux-limited sample of flat spectrum radio-emitting quasars with jet-like structure. X-rays are detected from 59% of 56 jets. No counter-jets were detected. The ...core spectra are fitted by power-law spectra with a photon index Γx, whose distribution is consistent with a normal distribution, with a mean of 1.61+0.04−0.05 and dispersion of 0.15+0.04−0.03. We show that the distribution of rx, the spectral index between the X-ray and radio band jet fluxes, fits a Gaussian with a mean of 0.974 0.012 and dispersion of 0.077 0.008. We test the model in which kiloparsec-scale X-rays result from inverse Compton scattering of cosmic microwave background photons off the jet's relativistic electrons (the IC-CMB model). In the IC-CMB model, a quantity Q computed from observed fluxes and the apparent size of the emission region depends on redshift as (1 + z)3+ . We fit Q ∝ (1 + z)a, finding a = 0.88 0.90, and reject at 99.5% confidence the hypothesis that the average rx depends on redshift in the manner expected in the IC-CMB model. This conclusion is mitigated by a lack of detailed knowledge of the emission region geometry, which requires deeper or higher resolution X-ray observations. Furthermore, if the IC-CMB model is valid for X-ray emission from kiloparsec-scale jets, then the jets must decelerate on average: bulk Lorentz factors should drop from about 15 to 2-3 between parsec and kiloparsec scales. Our results compound the problems that the IC-CMB model has in explaining the X-ray emission of kiloparsec-scale jets.
We present a survey for transient and variable sources, on time-scales from 28 s to ∼1 yr, using the Murchison Widefield Array (MWA) at 182 MHz. Down to a detection threshold of 0.285 Jy, no ...transient candidates were identified, making this the most constraining low-frequency survey to date and placing a limit on the surface density of transients of <4.1 × 10−7 deg−2 for the shortest time-scale considered. At these frequencies, emission from Fast Radio Bursts (FRBs) is expected to be detectable in the shortest time-scale images without any corrections for interstellar or intergalactic dispersion. At an FRB limiting flux density of 7980 Jy, we find a rate of <82 FRBs per sky per day for dispersion measures <700 pc cm−3. Assuming a cosmological population of standard candles, our rate limits are consistent with the FRB rates obtained by Thornton et al. if they have a flat spectral slope. Finally, we conduct an initial variability survey of sources in the field with flux densities ≳0.5 Jy and identify no sources with significant variability in their light curves. However, we note that substantial further work is required to fully characterize both the short-term and low-level variability within this field.
A functional serotonin transporter promoter polymorphism, HTTLPR, alters the risk of disease as well as brain morphometry and function. Here, we show that HTTLPR is functionally triallelic. The LG ...allele, which is the L allele with a common G substitution, creates a functional AP2 transcription-factor binding site. Expression assays in 62 lymphoblastoid cell lines representing the six genotypes and in transfected raphe-derived cells showed codominant allele action and low, nearly equivalent expression for the S and LG alleles, accounting for more variation in HTT expression than previously recognized. The gain-of-function LALA genotype was approximately twice as common in 169 whites with obsessive-compulsive disorder (OCD) than in 253 ethnically matched controls. We performed a replication study in 175 trios consisting of probands with OCD and their parents. The LA allele was twofold overtransmitted to the patients with OCD. The HTTLPR LALA genotype exerts a moderate (1.8-fold) effect on risk of OCD, which crystallizes the evidence that the HTT gene has a role in OCD.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
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