ABSTRACT
It is currently not known if repeating fast radio bursts (FRBs) are fundamentally different from those that have not been seen to repeat. One striking difference between repeaters and ...apparent non-repeaters in the Canadian Hydrogen Intensity Mapping Experiment sample is that the once-off events are typically shorter in duration than sources that have been detected two or more times. We offer a simple explanation for this discrepancy based on a selection effect due to beamed emission, in which highly beamed FRBs are less easily observed to repeat, but are abundant enough to detect often as once-off events. The explanation predicts that there is a continuous distribution of burst duration – not a static bimodal one – with a correlation between repetition rate and width. Pulse width and opening angle may be related by relativistic effects in shocks, where short-duration bursts have small solid angles due to a large common Lorentz factor. Alternatively, the relationship could be a geometric effect where narrow beams sweep past the observer more quickly, as with pulsars. Our model has implications for the FRB emission mechanism and energy scale, volumetric event rates, and the application of FRBs to cosmology.
The objective is to formulate clinical practice guidelines for the assessment, treatment, and prevention of pediatric obesity.
Abstract
Cosponsoring Associations:
The European Society of ...Endocrinology and the Pediatric Endocrine Society. This guideline was funded by the Endocrine Society.
Objective:
To formulate clinical practice guidelines for the assessment, treatment, and prevention of pediatric obesity.
Participants:
The participants include an Endocrine Society–appointed Task Force of 6 experts, a methodologist, and a medical writer.
Evidence:
This evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation approach to describe the strength of recommendations and the quality of evidence. The Task Force commissioned 2 systematic reviews and used the best available evidence from other published systematic reviews and individual studies.
Consensus Process:
One group meeting, several conference calls, and e-mail communications enabled consensus. Endocrine Society committees and members and co-sponsoring organizations reviewed and commented on preliminary drafts of this guideline.
Conclusion:
Pediatric obesity remains an ongoing serious international health concern affecting ∼17% of US children and adolescents, threatening their adult health and longevity. Pediatric obesity has its basis in genetic susceptibilities influenced by a permissive environment starting in utero and extending through childhood and adolescence. Endocrine etiologies for obesity are rare and usually are accompanied by attenuated growth patterns. Pediatric comorbidities are common and long-term health complications often result; screening for comorbidities of obesity should be applied in a hierarchal, logical manner for early identification before more serious complications result. Genetic screening for rare syndromes is indicated only in the presence of specific historical or physical features. The psychological toll of pediatric obesity on the individual and family necessitates screening for mental health issues and counseling as indicated. The prevention of pediatric obesity by promoting healthful diet, activity, and environment should be a primary goal, as achieving effective, long-lasting results with lifestyle modification once obesity occurs is difficult. Although some behavioral and pharmacotherapy studies report modest success, additional research into accessible and effective methods for preventing and treating pediatric obesity is needed. The use of weight loss medications during childhood and adolescence should be restricted to clinical trials. Increasing evidence demonstrates the effectiveness of bariatric surgery in the most seriously affected mature teenagers who have failed lifestyle modification, but the use of surgery requires experienced teams with resources for long-term follow-up. Adolescents undergoing lifestyle therapy, medication regimens, or bariatric surgery for obesity will need cohesive planning to help them effectively transition to adult care, with continued necessary monitoring, support, and intervention. Transition programs for obesity are an uncharted area requiring further research for efficacy. Despite a significant increase in research on pediatric obesity since the initial publication of these guidelines 8 years ago, further study is needed of the genetic and biological factors that increase the risk of weight gain and influence the response to therapeutic interventions. Also needed are more studies to better understand the genetic and biological factors that cause an obese individual to manifest one comorbidity vs another or to be free of comorbidities. Furthermore, continued investigation into the most effective methods of preventing and treating obesity and into methods for changing environmental and economic factors that will lead to worldwide cultural changes in diet and activity should be priorities. Particular attention to determining ways to effect systemic changes in food environments and total daily mobility, as well as methods for sustaining healthy body mass index changes, is of importance.
FRB 121102 is the only known repeating fast radio burst source. Here we analyze a wide-frequency-range (1-8 GHz) sample of high signal-to-noise, coherently dedispersed bursts detected using the ...Arecibo and Green Bank telescopes. These bursts reveal complex time-frequency structures that include subbursts with finite bandwidths. The frequency-dependent burst structure complicates the determination of a dispersion measure (DM); we argue that it is appropriate to use a DM metric that maximizes frequency-averaged pulse structure, as opposed to peak signal-to-noise, and find DM = 560.57 0.07 pc cm−3 at MJD 57,644. After correcting for dispersive delay, we find that the subbursts have characteristic frequencies that typically drift lower at later times in the total burst envelope. In the 1.1-1.7 GHz band, the ∼0.5-1 ms subbursts have typical bandwidths ranging from 100 to 400 MHz, and a characteristic drift rate of ∼200 MHz ms−1 toward lower frequencies. At higher radio frequencies, the subburst bandwidths and drift rate are larger, on average. While these features could be intrinsic to the burst emission mechanism, they could also be imparted by propagation effects in the medium local to the source. Comparison of the burst DMs with previous values in the literature suggests an increase of ΔDM ∼ 1-3 pc cm−3 in 4 yr; though, this could be a stochastic variation as opposed to a secular trend. This implies changes in the local medium or an additional source of frequency-dependent delay. Overall, the results are consistent with previously proposed scenarios in which FRB 121102 is embedded in a dense nebula.
Transverse momentum dependent (TMD) parton distributions obtained from the parton branching (PB) method are combined with next-to-leading-order (NLO) calculations of Drell-Yan (DY) production. We ...apply the MC@NLO method for the hard process calculation and matching with the PB TMDs. We compute predictions for the transverse momentum, rapidity, and ϕ* spectra of Z-bosons. We find that the theoretical uncertainties of the predictions are dominated by the renormalization and factorization scale dependence, while the impact of TMD uncertainties is moderate. The theoretical predictions agree well, within uncertainties, with measurements at the Large Hadron Collider (LHC). In particular, we study the region of lowest transverse momenta at the LHC, and comment on its sensitivity to nonperturbative TMD contributions.
Bacterial mobile genetic elements (MGEs) encode functional modules that perform both core and accessory functions for the element, the latter of which are often only transiently associated with the ...element. The presence of these accessory genes, which are often close homologs to primarily immobile genes, incur high rates of false positives and, therefore, limits the usability of these databases for MGE annotation. To overcome this limitation, we analyzed 10,776,849 protein sequences derived from eight MGE databases to compile a comprehensive set of 6,140 manually curated protein families that are linked to the “life cycle” (integration/excision, replication/recombination/repair, transfer, stability/transfer/defense, and phage-specific processes) of plasmids, phages, integrative, transposable, and conjugative elements. We overlay experimental information where available to create a tiered annotation scheme of high-quality annotations and annotations inferred exclusively through bioinformatic evidence. We additionally provide an MGE-class label for each entry (e.g., plasmid or integrative element), and assign to each entry a major and minor category. The resulting database, mobileOG-db (for mobile orthologous groups), comprises over 700,000 deduplicated sequences encompassing five major mobileOG categories and more than 50 minor categories, providing a structured language and interpretable basis for an array of MGE-centered analyses. mobileOG-db can be accessed at mobileogdb.flsi.cloud.vt.edu/, where users can select, refine, and analyze custom subsets of the dynamic mobilome. IMPORTANCE The analysis of bacterial mobile genetic elements (MGEs) in genomic data is a critical step toward profiling the root causes of antibiotic resistance, phenotypic or metabolic diversity, and the evolution of bacterial genera. Existing methods for MGE annotation pose high barriers of biological and computational expertise to properly harness. To bridge this gap, we systematically analyzed 10,776,849 proteins derived from eight databases of MGEs to identify 6,140 MGE protein families that can serve as candidate hallmarks, i.e., proteins that can be used as “signatures” of MGEs to aid annotation. The resulting resource, mobileOG-db, provides a multilevel classification scheme that encompasses plasmid, phage, integrative, and transposable element protein families categorized into five major mobileOG categories and more than 50 minor categories. mobileOG-db thus provides a rich resource for simple and intuitive element annotation that can be integrated seamlessly into existing MGE detection pipelines and colocalization analyses.
It has been observed in the literature that measurements of low-mass Drell–Yan (DY) transverse momentum spectra at low center-of-mass energies
s
are not well described by perturbative QCD ...calculations in collinear factorization in the region where transverse momenta are comparable with the DY mass. We examine this issue from the standpoint of the Parton Branching (PB) method, combining next-to-leading-order (NLO) calculations of the hard process with the evolution of transverse momentum dependent (TMD) parton distributions. We compare our predictions with experimental measurements at low DY mass, and find very good agreement. In addition we use the low mass DY measurements at low
s
to determine the width
q
s
of the intrinsic Gauss distribution of the PB-TMDs at low evolution scales. We find values close to what has earlier been used in applications of PB-TMDs to high-energy processes at the Large Hadron Collider (LHC) and HERA. We find that at low DY mass and low
s
even in the region of
p
T
/
m
DY
∼
1
the contribution of multiple soft gluon emissions (included in the PB-TMDs) is essential to describe the measurements, while at larger masses (
m
DY
∼
m
Z
) and LHC energies the contribution from soft gluons in the region of
p
T
/
m
DY
∼
1
is small.
Probiotic and prebiotic products have shown potential health benefits, including for the prevention of adverse pregnancy outcomes. The incidence of adverse effects in pregnant people and their ...infants associated with probiotic/prebiotic/synbiotic intake, however, remains unclear. The objectives of this study were to evaluate the evidence on adverse effects of maternal probiotic, prebiotic, and/or synbiotic supplementation during pregnancy and lactation and interpret the findings to help inform clinical decision-making and care of this population. A systematic review was conducted following PRISMA guidelines. Scientific databases were searched using pre-determined terms, and risk of bias assessments were conducted to determine study quality. Inclusion criteria were English language studies, human studies, access to full-text, and probiotic/prebiotic/synbiotic supplementation to the mother and not the infant. In total, 11/100 eligible studies reported adverse effects and were eligible for inclusion in quantitative analysis, and data were visualised in a GOfER diagram. Probiotic and prebiotic products are safe for use during pregnancy and lactation. One study reported increased risk of vaginal discharge and changes in stool consistency (relative risk 95% CI: 3.67 1.04, 13.0) when administering Lactobacillus rhamnosus and L. reuteri. Adverse effects associated with probiotic and prebiotic use do not pose any serious health concerns to mother or infant. Our findings and knowledge translation visualisations provide healthcare professionals and consumers with information to make evidence-informed decisions about the use of pre- and probiotics.
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A new model for the yield stress in superalloys accounting for unimodal and multimodal γ′ size distributions is presented. A critique of the classic models on γ′ shearing is presented ...and important features not previously considered are incorporated in our model. This is extended to account for multimodal particle size distribution effects by weighting the individual particle contribution to the total strength. This analysis is focused on powder metallurgy alloys. The yield stress and particle strengthening are predicted for eight superalloys containing wide variations in initial microstructure, composition and at temperatures up to 700°C. We demonstrate through a theoretical approach that the strength of alloys with multimodal γ′ is lower than those with unimodal γ′ radius in the vicinity of 10–30nm. For the first time, a parameter-free physics-based model is able to predict the yield stress in superalloys with complex microstructures, including unimodal and multimodal γ′ size. This has been possible by removing limitations inherent to the classical models. Such approach also enables critical evaluation of the relevant factors contributing to the yield strength of polycrystalline superalloys.