We present a flare catalog of the Kepler mission using the long-cadence data of Data Release 25. This catalog comprises 3420 flare stars and 162,262 flare events. A comparison shows that the flare ...catalogs of previous studies are seriously polluted by various false-positive signals and artifacts. The incidence of flare stars rises with decreasing temperature, which accords with the theoretical analysis. The flare frequency distributions (FFDs) from F-type stars to M-type stars obey a power-law relation with ∼ 2, indicating that they have the same mechanism on generating flares. The remarkable incidence and the deviation of FFDs on A-type flare stars imply that they generate flares in a different way. The activity-rotation relation is consistent with previous studies at low temperature bands, whereas it becomes dispersive with increasing temperature. Combined with the Gyrochronology, we find that the mixing of stars of two different dynamos gives rise to the dispersion. We thereby propose a scenario on understanding the activity-rotation relation across the Hertzsprung-Russell diagram. Based on the scenario and the correspondence of dynamo with regard to activity and rotation, we suggest a new expression on the activity-rotation relation, in which the segmentation is on the basis of the dynamo rather than the rotation period. The rotation distribution of flare stars shows that about 70% of flare stars rotate faster than 10 days and the rate approaches 95% at 30 days. Based on the incidence and the rotation distribution of flare stars, we estimate that a superflare with energy ∼1034 erg occurs on the Sun at least once in 5500 yr.
Flare events are mainly due to magnetic reconnection and thus are indicative of stellar activity. The Kepler Space Observatory records numerous stellar activities with unprecedented high photometric ...precision in flux measurements. It is perfectly suitable for carrying out a statistical study of flares. Here we present 540 M dwarfs with flare events discovered using Kepler long-cadence data. The normalized flare energy, as defined by the ratio to bolometric stellar luminosity, L flare L bol , is used to indicate the flare activity. We find that, similar to the X-ray luminosity relation, the L flare L bol versus P rot relation can also be described with three phases, supersaturation, saturation, and exponential decay, corresponding to an ultra-short period, a short period, and a long period. The flare activity and the number fraction of flaring stars in M dwarfs rise steeply near M4, which is consistent with the prediction of a turbulent dynamo. The size of starspots are positively correlated with flare activity. The L flare L bol ratio has a power-law dependence on L H L bol , a parameter indicative of stellar chromosphere activity. According to this relation, a small enhancement in chromosphere activity may cause a huge rise in flare energy, which suggests that superflares or hyperflares may not need an extra excitation mechanism. Through a comparison study, we suggest that flare activity is a more suitable indicator for stellar activity, especially in the boundary region. However, contrary to what is expected, some M dwarfs with strong flares do not show any light variation caused by starspots. Follow-up observations are needed to investigate this problem.
It is uncertain which simple measures of childhood obesity are best for predicting future obesity-related health problems and the persistence of obesity into adolescence and adulthood.
To investigate ...the ability of simple measures, such as body mass index (BMI), to predict the persistence of obesity from childhood into adulthood and to predict obesity-related adult morbidities. To investigate how accurately simple measures diagnose obesity in children, and how acceptable these measures are to children, carers and health professionals.
Multiple sources including MEDLINE, EMBASE and The Cochrane Library were searched from 2008 to 2013.
Systematic reviews and a meta-analysis were carried out of large cohort studies on the association between childhood obesity and adult obesity; the association between childhood obesity and obesity-related morbidities in adulthood; and the diagnostic accuracy of simple childhood obesity measures. Study quality was assessed using Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) and a modified version of the Quality in Prognosis Studies (QUIPS) tool. A systematic review and an elicitation exercise were conducted on the acceptability of the simple measures.
Thirty-seven studies (22 cohorts) were included in the review of prediction of adult morbidities. Twenty-three studies (16 cohorts) were included in the tracking review. All studies included BMI. There were very few studies of other measures. There was a strong positive association between high childhood BMI and adult obesity odds ratio 5.21, 95% confidence interval (CI) 4.50 to 6.02. A positive association was found between high childhood BMI and adult coronary heart disease, diabetes and a range of cancers, but not stroke or breast cancer. The predictive accuracy of childhood BMI to predict any adult morbidity was very low, with most morbidities occurring in adults who were of healthy weight in childhood. Predictive accuracy of childhood obesity was moderate for predicting adult obesity, with a sensitivity of 30% and a specificity of 98%. Persistence of obesity from adolescence to adulthood was high. Thirty-four studies were included in the diagnostic accuracy review. Most of the studies used the least reliable reference standard (dual-energy X-ray absorptiometry); only 24% of studies were of high quality. The sensitivity of BMI for diagnosing obesity and overweight varied considerably; specificity was less variable. Pooled sensitivity of BMI was 74% (95% CI 64.2% to 81.8%) and pooled specificity was 95% (95% CI 92.2% to 96.4%). The acceptability to children and their carers of BMI or other common simple measures was generally good.
Little evidence was available regarding childhood measures other than BMI. No individual-level analysis could be performed.
Childhood BMI is not a good predictor of adult obesity or adult disease; the majority of obese adults were not obese as children and most obesity-related adult morbidity occurs in adults who had a healthy childhood weight. However, obesity (as measured using BMI) was found to persist from childhood to adulthood, with most obese adolescents also being obese in adulthood. BMI was found to be reasonably good for diagnosing obesity during childhood. There is no convincing evidence suggesting that any simple measure is better than BMI for diagnosing obesity in childhood or predicting adult obesity and morbidity. Further research on obesity measures other than BMI is needed to determine which is the best tool for diagnosing childhood obesity, and new cohort studies are needed to investigate the impact of contemporary childhood obesity on adult obesity and obesity-related morbidities.
This study is registered as PROSPERO CRD42013005711.
The National Institute for Health Research Health Technology Assessment programme.
Abstract M-type stars are crucial for stellar activity studies because they cover two types of magnetic dynamos and are particularly intriguing for habitability studies due to their abundance and ...long lifespans during the main-sequence stage. In this paper, we used the LAMOST DR9 catalog and the GALEX UV archive data to investigate the chromospheric and UV activities of M-type stars. All the chromospheric and UV activity indices clearly show that the saturated and unsaturated regimes, and the well-known activity–rotation relation, are consistent with previous studies. Both the FUV and NUV activity indices exhibit a single-peaked distribution, while the H α and Ca ii H&K indices show a distinct double-peaked distribution. The gap between these peaks suggests a rapid transition from a saturated population to an unsaturated one. The smoothly varying distributions of different subtypes suggest a rotation-dependent dynamo for both early-type (partly convective) to late-type (fully convective) M stars. We identified a group of stars with high UV activity above the saturation regime (log R NUV ′ > − 2.5 ) but low chromospheric activity, and the underlying reason is unknown. By calculating the continuously habitable zone and the UV habitable zone for each star, we found that about 70% stars in the total sample and 40% stars within 100 pc are located in the overlapping region of these two habitable zones, indicating that a number of M stars are potentially habitable. Finally, we examined the possibility of UV activity studies of M stars using the China Space Station Telescope.
Diagnosis of lung cancer frequently occurs in its later stages. Low-dose computed tomography (LDCT) could detect lung cancer early.
To estimate the clinical effectiveness and cost-effectiveness of ...LDCT lung cancer screening in high-risk populations.
Bibliographic sources included MEDLINE, EMBASE, Web of Science and The Cochrane Library.
Clinical effectiveness - a systematic review of randomised controlled trials (RCTs) comparing LDCT screening programmes with usual care (no screening) or other imaging screening programmes such as chest X-ray (CXR) was conducted. Bibliographic sources included MEDLINE, EMBASE, Web of Science and The Cochrane Library. Meta-analyses, including network meta-analyses, were performed. Cost-effectiveness - an independent economic model employing discrete event simulation and using a natural history model calibrated to results from a large RCT was developed. There were 12 different population eligibility criteria and four intervention frequencies (1) single screen, (2) triple screen, (3) annual screening and (4) biennial screening and a no-screening control arm.
Clinical effectiveness - 12 RCTs were included, four of which currently contribute evidence on mortality. Meta-analysis of these demonstrated that LDCT, with ≤ 9.80 years of follow-up, was associated with a non-statistically significant decrease in lung cancer mortality (pooled relative risk 0.94, 95% confidence interval 0.74 to 1.19). The findings also showed that LDCT screening demonstrated a non-statistically significant increase in all-cause mortality. Given the considerable heterogeneity detected between studies for both outcomes, the results should be treated with caution. Network meta-analysis, including six RCTs, was performed to assess the relative clinical effectiveness of LDCT, CXR and usual care. The results showed that LDCT was ranked as the best screening strategy in terms of lung cancer mortality reduction. CXR had a 99.7% probability of being the worst intervention and usual care was ranked second. Cost-effectiveness - screening programmes are predicted to be more effective than no screening, reduce lung cancer mortality and result in more lung cancer diagnoses. Screening programmes also increase costs. Screening for lung cancer is unlikely to be cost-effective at a threshold of £20,000/quality-adjusted life-year (QALY), but may be cost-effective at a threshold of £30,000/QALY. The incremental cost-effectiveness ratio for a single screen in smokers aged 60-75 years with at least a 3% risk of lung cancer is £28,169 per QALY. Sensitivity and scenario analyses were conducted. Screening was only cost-effective at a threshold of £20,000/QALY in only a minority of analyses.
Clinical effectiveness - the largest of the included RCTs compared LDCT with CXR screening rather than no screening. Cost-effectiveness - a representative cost to the NHS of lung cancer has not been recently estimated according to key variables such as stage at diagnosis. Certain costs associated with running a screening programme have not been included.
LDCT screening may be clinically effective in reducing lung cancer mortality, but there is considerable uncertainty. There is evidence that a single round of screening could be considered cost-effective at conventional thresholds, but there is significant uncertainty about the effect on costs and the magnitude of benefits.
Clinical effectiveness and cost-effectiveness estimates should be updated with the anticipated results from several ongoing RCTs particularly the NEderlands Leuvens Longkanker Screenings ONderzoek (NELSON) screening trial.
This study is registered as PROSPERO CRD42016048530.
The National Institute for Health Research Health Technology Assessment programme.
Abstract
By using the LAMOST time-domain survey data, we study stellar activities based on the H
α
lines for about 2000 stars in four K2 plates. Two indices,
R
H
α
′
and
R
H
α
+
, are computed from ...LAMOST spectra, the former of which is derived by excluding the photospheric contributions to the H
α
lines, while the latter is derived by further subtracting the non-dynamo-driven chromospheric emission. Meanwhile, the periodicity and variation amplitudes are computed from K2 light curves. Both the
R
H
α
′
–Ro relation and
R
H
α
+
–Ro relation show complicated profiles in the nonsaturated decay region. Hot stars show flatter slopes and a higher activity level than cool stars, and the behavior is more notable in the
R
H
α
+
–
R
o
relation. This is consistent with recent studies using other activity proxies, including
L
x
/
L
bol
,
R
HK
′
, and amplitudes of optical light curves. This may suggest different kinds of stars follow different power laws in the decay region. Most of our targets have multiple observations, and some of them exhibit significant variability of H
α
emissions, which may cause the large scatters shown in the decay region. We find three targets exhibiting positive correlation in a rotational phase, possibly indicating that their optical light curves are dominated by hot faculae rather than cool starspots.
Bamboo occupies an important phylogenetic node in the grass family with remarkable sizes, woodiness and a striking life history. However, limited genetic research has focused on bamboo partially ...because of the lack of genomic resources. The advent of high-throughput sequencing technologies enables generation of genomic resources in a short time and at a minimal cost, and therefore provides a turning point for bamboo research. In the present study, we performed de novo transcriptome sequencing for the first time to produce a comprehensive dataset for the Ma bamboo (Dendrocalamus latiflorus Munro).
The Ma bamboo transcriptome was sequenced using the Illumina paired-end sequencing technology. We produced 15,138,726 reads and assembled them into 103,354 scaffolds. A total of 68,229 unigenes were identified, among which 46,087 were annotated in the NCBI non-redundant protein database and 28,165 were annotated in the Swiss-Prot database. Of these annotated unigenes, 11,921 and 10,147 unigenes were assigned to gene ontology categories and clusters of orthologous groups, respectively. We could map 45,649 unigenes onto 292 pathways using the Kyoto Encyclopedia of Genes and Genomes Pathway database. The annotated unigenes were compared against Moso bamboo, rice and millet. Unigenes that did not match any of those three sequence datasets are considered to be Ma bamboo unique. We predicted 105 unigenes encoding eight key enzymes involved in lignin biosynthesis. In addition, 621 simple sequence repeats (SSRs) were detected.
Our data provide the most comprehensive transcriptomic resource currently available for D. latiflorus Munro. Candidate genes potentially involved in growth and development were identified, and those predicted to be unique to Ma bamboo are expected to give a better insight on Ma bamboo gene diversity. Numerous SSRs characterized contributed to marker development. These data constitute a new valuable resource for genomic studies on D. latiflorus Munro and, more generally, bamboo.
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Dengue is an important public health problem, which caused by the dengue virus (DENV), a single-stranded RNA virus consisted of four serotypes. Central nervus system (CNS) impairment in dengue ...usually results from DENV-2 or DENV-3 infection, which lead to life-threatening outcomes. Furthermore, neurological complications due to DENV-1 was rare especially in adult patients.
A 44-year-old man without comorbidities had lethargy after hyperpyrexia and a positive DENV NS1 antigen was detected for confirming the diagnosis of dengue on day 8 of onset. Then logagnosia, decreased muscle strength, delirium and irritability were occurred even radiographic examination were normal. He was treated with low-dose hormone, sedatives and gamma goblin with a short duration of 6 days. The cerebrospinal fluid (CSF) tests were persistent normal. However, presence of DENV-1 RNA was confirmed both in CSF and serum. Furthermore, the complete sequence of the DENV isolated from the patient's serum was performed (GenBank No.: MW261838). The cytokines as IL-6, IL-10 and sVCAM-1 were increased in critical phase of disease. Finally, the patient was discharged on day 24 of onset without any neurological sequelae.
Encephalopathy caused by a direct CNS invasion due to DENV-1 during viremia was described in an adult patient. Treatment with low-dose hormone and gamma goblin was helpful for admission.
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DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
High-throughput non-invasive prenatal testing (NIPT) for fetal Rhesus D (RhD) status could avoid unnecessary treatment with anti-D immunoglobulin for RhD-negative women found to be carrying an ...RhD-negative fetus. We aimed to assess the diagnostic accuracy of high-throughput NIPT for fetal RhD status in RhD-negative women not known to be sensitized to the RhD antigen, by performing a systematic review and meta-analysis.
Prospective cohort studies of high-throughput NIPT used to determine fetal RhD status were included. The eligible population were pregnant women who were RhD negative and not known to be sensitized to RhD antigen. The index test was high-throughput, NIPT cell-free fetal DNA tests of maternal plasma used to determine fetal RhD status. The reference standard considered was serologic cord blood testing at birth. Databases including MEDLINE, EMBASE, and Science Citation Index were searched up to February 2016. Two reviewers independently screened titles and abstracts and assessed full texts identified as potentially relevant. Risk of bias was assessed using QUADAS-2. The bivariate and hierarchical summary receiver-operating characteristic (HSROC) models were fitted to calculate summary estimates of sensitivity, specificity, false positive and false negative rates, and the associated 95% confidence intervals (CIs).
A total of 3921 references records were identified through electronic searches. Eight studies were included in the systematic review. Six studies were judged to be at low risk of bias. The HSROC models demonstrated high diagnostic performance of high-throughput NIPT testing for women tested at or after 11 weeks gestation. In the primary analysis for diagnostic accuracy, women with an inconclusive test result were treated as having tested positive. The false negative rate (incorrectly classed as RhD negative) was 0.34% (95% CI 0.15 to 0.76) and the false positive rate (incorrectly classed as RhD positive) was 3.86% (95% CI 2.54 to 5.82). There was limited evidence for non-white women and multiple pregnancies.
High-throughput NIPT is sufficiently accurate to detect fetal RhD status in RhD-negative women and would considerably reduce unnecessary treatment with routine anti-D immunoglobulin. The applicability of these findings to non-white women and women with multiple pregnancies is uncertain.
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DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Abstract
Potato is the third most important staple food crop. To address challenges associated with global food security, a hybrid potato breeding system, aimed at converting potato from a ...tuber-propagated tetraploid crop into a seed-propagated diploid crop through crossing inbred lines, is under development. However, given that most diploid potatoes are self-incompatible, this represents a major obstacle which needs to be addressed in order to develop inbred lines. Here, we report on a self-compatible diploid potato, RH89-039-16 (RH), which can efficiently induce a mating transition from self-incompatibility to self-compatibility, when crossed to self-incompatible lines. We identify the
S
-
l
ocus
i
nhibitor
(
Sli
) gene in RH, capable of interacting with multiple allelic variants of the pistil-specific S-ribonucleases (S-RNases). Further,
Sli
gene functions like a general S-RNase inhibitor, to impart SC to RH and other self-incompatible potatoes. Discovery of
Sli
now offers a path forward for the diploid hybrid breeding program.