Worldwide, some 240 million people have chronic hepatitis B virus (HBV), with the highest rates of infection in Africa and Asia. Our understanding of the natural history of HBV infection and the ...potential for therapy of the resultant disease is continuously improving. New data have become available since the previous APASL guidelines for management of HBV infection were published in 2012. The objective of this manuscript is to update the recommendations for the optimal management of chronic HBV infection. The 2015 guidelines were developed by a panel of Asian experts chosen by the APASL. The clinical practice guidelines are based on evidence from existing publications or, if evidence was unavailable, on the experts’ personal experience and opinion after deliberations. Manuscripts and abstracts of important meetings published through January 2015 have been evaluated. This guideline covers the full spectrum of care of patients infected with hepatitis B, including new terminology, natural history, screening, vaccination, counseling, diagnosis, assessment of the stage of liver disease, the indications, timing, choice and duration of single or combination of antiviral drugs, screening for HCC, management in special situations like childhood, pregnancy, coinfections, renal impairment and pre- and post-liver transplant, and policy guidelines. However, areas of uncertainty still exist, and clinicians, patients, and public health authorities must therefore continue to make choices on the basis of the evolving evidence. The final clinical practice guidelines and recommendations are presented here, along with the relevant background information.
This paper presents Magnetospheric Multiscale mission (MMS) observations of the exhaust region in the vicinity of the central reconnection site in Earth's magnetopause current sheet. ...High-time-resolution measurements of field and particle distributions enable us to explore the fine structure of the diffusion region near the X line. Ions are decoupled from the magnetic field throughout the entire current sheet crossing. Electron jets flow downstream from the X line at speeds greater than the E by B drift velocity. At or around the magnetospheric separatrix, large-amplitude electric fields containing field-aligned components accelerate electrons along the magnetic field toward the X line. Near the neutral sheet, crescent-shaped electron distributions appear coincident with (1) an out-of-plane electric field whose polarity is opposite to that of the reconnection electric field and (2) the energy transfer from bulk kinetic to field energy. The observations indicate that MMS passed through the edge of an elongated electron diffusion region (EDR) or the outer EDR in the exhaust region.
Magnetic reconnection is a fundamental physical process in plasmas whereby stored magnetic energy is converted into heat and kinetic energy of charged particles. Reconnection occurs in many ...astrophysical plasma environments and in laboratory plasmas. Using measurements with very high time resolution, NASA's Magnetospheric Multiscale (MMS) mission has found direct evidence for electron demagnetization and acceleration at sites along the sunward boundary of Earth's magnetosphere where the interplanetary magnetic field reconnects with the terrestrial magnetic field. We have (i) observed the conversion of magnetic energy to particle energy; (ii) measured the electric field and current, which together cause the dissipation of magnetic energy; and (iii) identified the electron population that carries the current as a result of demagnetization and acceleration within the reconnection diffusion/dissipation region.
We report the first genome-wide association study in 1000 bipolar I patients and 1000 controls, with a replication of the top hits in another 409 cases and 1000 controls in the Han Chinese ...population. Four regions with most strongly associated single-nucleotide polymorphisms (SNPs) were detected, of which three were not found in previous GWA studies in the Caucasian populations. Among them, SNPs close to specificity protein 8 (SP8) and ST8 α-N-acetyl- neuraminide α-2,8-sialyltransferase (ST8SIA2) are associated with Bipolar I, with P-values of 4.87 × 10(-7) (rs2709736) and 6.05 × 10(-6) (rs8040009), respectively. We have also identified SNPs in potassium channel tetramerization domain containing 12 gene (KCTD12) (rs2073831, P=9.74 × 10(-6)) and in CACNB2 (Calcium channel, voltage-dependent, β-2 subunit) gene (rs11013860, P=5.15 × 10(-5)), One SNP nearby the rs1938526 SNP of ANK3 gene and another SNP nearby the SNP rs11720452 in chromosome 3 reported in previous GWA studies also showed suggestive association in this study (P=6.55 × 10(-5) and P=1.48 × 10(-5), respectively). This may suggest that there are common and population-specific susceptibility genes for bipolar I disorder.
We use high‐resolution data from dayside passes of the Magnetospheric Multiscale (MMS) mission to create for the first time a comprehensive listing of encounters with the electron diffusion region ...(EDR), as evidenced by electron agyrotropy, ion jet reversals, and j • E′ > 0. We present an overview of these 32 EDR or near‐EDR events, which demonstrate a wide variety of observed plasma behavior inside and surrounding the reconnection site. We analyze in detail three of the 21 new EDR encounters, which occurred within a 1‐min‐long interval on 23 November 2016. The three events, which resulted from a relatively low and oscillating magnetopause velocity, exhibited large electric fields (up to ~100 mV/m), crescent‐shaped electron velocity phase space densities, large currents (≥2 μA/m2), and Ohmic heating of the plasma (~10 nW/m3). We include an Ohm's law analysis, in which we show that the divergence of the electron pressure term usually dominates the nonideal terms and is much more turbulent on the magnetosphere versus the magnetosheath side of the EDR.
Plain Language Summary
NASA's Magnetospheric Multiscale (MMS) mission was designed to study magnetic reconnection, a process in which oppositely directed magnetic fields embedded within two neighboring plasma populations annihilate, dumping magnetic energy into the plasmas. Previous missions studying reconnection in space were not fully equipped to analyze how the electrons in the plasma behave near the core of a reconnection site. This study provides MMS researchers with many new reconnection events to dissect, and calls special attention to three events that occurred back to back. Each event included is very unique and helps to fill in another piece of the reconnection puzzle. Perhaps the ultimate goal of these studies is to provide insight into methods of shutting down the reconnection process, which is known to impede attempts toward a stable nuclear fusion engine. A blueprint for stable nuclear fusion could solve mankind's energy needs forever.
Key Points
MMS mapped the EDR and near‐EDR several times during a sequence of new dayside encounters
Turbulence in Ohm's law terms is greatest on the magnetospheric‐side EDR, near the plane containing the X line and boundary normal vector
Thirty‐two EDR or near‐EDR encounters show crescent‐like enhancements in electron velocity space perpendicular to the local magnetic field
Data from the NASA Magnetospheric Multiscale mission are used to investigate asymmetric magnetic reconnection at the dayside boundary between the Earth's magnetosphere and the solar wind. ...High‐resolution measurements of plasmas and fields are used to identify highly localized (~15 electron Debye lengths) standing wave structures with large electric field amplitudes (up to 100 mV/m). These wave structures are associated with spatially oscillatory energy conversion, which appears as alternatingly positive and negative values of J · E. For small guide magnetic fields the wave structures occur in the electron stagnation region at the magnetosphere edge of the electron diffusion region. For larger guide fields the structures also occur near the reconnection X‐line. This difference is explained in terms of channels for the out‐of‐plane current (agyrotropic electrons at the stagnation point and guide field‐aligned electrons at the X‐line).
Key Points
Energy conversion is highly localized within asymmetric reconnection electron diffusion regions
Oscillatory reconnection electric fields show characteristics of both spatial structures and propagating waves that are consistent with standing oblique quasi‐electrostatic whistlers
Both positive and negative values of J · E result from uniform current and oscillating electric fields
We report Magnetospheric Multiscale observations of reconnection in a thin current sheet at the interface of interlinked flux tubes carried by converging reconnection jets at Earth's magnetopause. ...The ion skin depth‐scale width of the interface current sheet and the non‐frozen‐in ions indicate that Magnetospheric Multiscale crossed the reconnection layer near the X‐line, through the ion diffusion region. Significant pileup of the reconnecting component of the magnetic field in this and three other events on approach to the interface current sheet was accompanied by an increase in magnetic shear and decrease in Δβ, leading to conditions favorable for reconnection at the interface current sheet. The pileup also led to enhanced available magnetic energy per particle and strong electron heating. The observations shed light on the evolution and energy release in 3‐D systems with multiple reconnection sites.
Plain Language Summary
The Earth and the solar wind magnetic fields interconnect through a process called magnetic reconnection. The newly reconnected magnetic field lines are strongly bent and accelerate particles, similar to a rubber band in a slingshot. In this paper we have used observations from NASA's Magnetospheric MultiScale spacecraft to investigate what happens when two of these slingshot‐like magnetic field lines move toward each other and get tangled up. We found that the two bent magnetic field lines tend to orient themselves perpendicular to each other as they become interlinked and stretched, similar to what rubber bands would do. This reorientation allows the interlinked magnetic fields to reconnect again, releasing part of the built‐up magnetic energy as strong electron heating. The results are important because they show how interlinked magnetic fields, which occur in many solar and astrophysics contexts, reconnect and produce enhanced electron heating, something that was not understood before.
Key Points
Magnetic flux pileup observed upstream of reconnecting current sheet at the interface of converging reconnection jets
Magnetic flux pileup was accompanied by increase in magnetic shear and decrease in Δβ, leading to conditions favorable for reconnection
Magnetic flux pileup leads to enhanced available magnetic energy per particle and strong electron heating
Visualizing individual molecules with chemical recognition is a longstanding target in catalysis, molecular nanotechnology and biotechnology. Molecular vibrations provide a valuable 'fingerprint' for ...such identification. Vibrational spectroscopy based on tip-enhanced Raman scattering allows us to access the spectral signals of molecular species very efficiently via the strong localized plasmonic fields produced at the tip apex. However, the best spatial resolution of the tip-enhanced Raman scattering imaging is still limited to 3-15 nanometres, which is not adequate for resolving a single molecule chemically. Here we demonstrate Raman spectral imaging with spatial resolution below one nanometre, resolving the inner structure and surface configuration of a single molecule. This is achieved by spectrally matching the resonance of the nanocavity plasmon to the molecular vibronic transitions, particularly the downward transition responsible for the emission of Raman photons. This matching is made possible by the extremely precise tuning capability provided by scanning tunnelling microscopy. Experimental evidence suggests that the highly confined and broadband nature of the nanocavity plasmon field in the tunnelling gap is essential for ultrahigh-resolution imaging through the generation of an efficient double-resonance enhancement for both Raman excitation and Raman emission. Our technique not only allows for chemical imaging at the single-molecule level, but also offers a new way to study the optical processes and photochemistry of a single molecule.
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