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Background
Biomarker-based analyses are commonly reported in observational epidemiological studies; however currently there are no specific study quality assessment tools to assist evaluation of conducted research. Accounting for study design and biomarker measurement would be important for deriving valid conclusions when conducting systematic data evaluation.
Methods
We developed a study quality assessment tool designed specifically to assess biomarker-based cross-sectional studies (BIOCROSS) and evaluated its inter-rater reliability. The tool includes 10-items covering 5 domains: ‘Study rational’, ‘Design/Methods’, ‘Data analysis’, ‘Data interpretation’ and ‘Biomarker measurement’, aiming to assess different quality features of biomarker cross-sectional studies. To evaluate the inter-rater reliability, 30 studies were distributed among 5 raters and intraclass correlation coefficients (ICC-s) were derived from respective ratings.
Results
The estimated overall ICC between the 5 raters was 0.57 (95% Confidence Interval (CI): 0.38–0.74) indicating a good inter-rater reliability. The ICC-s ranged from 0.11 (95% CI: 0.01–0.27) for the domain ‘Study rational’ to 0.56 (95% CI: 0.40–0.72) for the domain ‘Data interpretation’.
Conclusion
BIOCROSS is a new study quality assessment tool suitable for evaluation of reporting quality from cross-sectional epidemiological studies employing biomarker data. The tool proved to be reliable for use by biomedical scientists with diverse backgrounds and could facilitate comprehensive review of biomarker studies in human research.
While of higher plant origin, a specific source assignment of sedimentary leaf wax n-alkanes remains difficult. In addition, it is unknown how fast a changing catchment vegetation would be reflected in sedimentary leaf wax archives. In particular, for a quantitative interpretation of n-alkane C and H isotope ratios in terms of paleohydrological and paleoecological changes, a better understanding of transfer times and dominant sedimentary sources of leaf wax n-alkanes is required. In this study we tested to what extent compositional changes in leaf wax n-alkanes can be linked to known vegetation changes by comparison with high-resolution palynological data from the same archive. We analyzed leaf wax n-alkane concentrations and distributions in decadal resolution from a sedimentary record from Trzechowskie paleolake (TRZ, northern Poland), covering the Late Glacial to early Holocene (13 360-9940 yr BP). As an additional source indicator of targeted n-alkanes, compound-specific carbon isotopic data have been generated in lower time resolution. The results indicated rapid responses of n-alkane distribution patterns coinciding with major climatic and paleoecological transitions. We found a shift towards higher average chain length (ACL) values at the Allerod-Younger Dryas (YD) transition between 12 680 and 12 600 yr BP, co-evaled with a decreasing contribution of arboreal pollen (mainly Pinus and Betula) and a subsequently higher abundance of pollen derived from herbaceous plants (Poaceae, Cyperaceae, Artemisia), shrubs, and dwarf shrubs (Juniperus and Salix). The termination of the YD was characterized by a successive increase in n-alkane concentrations coinciding with a sharp decrease in ACL values between 11 580 and 11 490 yr BP, reflecting the expansion of woodland vegetation at the YD-Holocene transition. A gradual reversal to longer chain lengths after 11 200 yr BP, together with decreasing n-alkane concentrations, most likely reflects the early Holocene vegetation succession with a decline of Betula. These results show that n-alkane distributions reflect vegetation changes and that a fast (i.e., subdecadal) signal transfer occurred. However, our data also indicate that a standard interpretation of directional changes in biomarker ratios remains difficult. Instead, responses such as changes in ACL need to be discussed in the context of other proxy data. In addition, we find that organic geochemical data integrate different ecological information compared to pollen, since some gymnosperm genera, such as Pinus, produce only a very low amount of n-alkanes and for this reason their contribution may be largely absent from biomarker records. Our results demonstrate that a combination of palynological and n-alkane data can be used to infer the major sedimentary leaf wax sources and constrain leaf wax transport times from the plant source to the sedimentary sink and thus pave the way towards quantitative interpretation of compound-specific hydrogen isotope ratios for paleohydrological reconstructions.
It is of major interest to estimate the feedback of arctic ecosystems to the global warming we expect in upcoming decades. The speed of this response is driven by the potential of species to migrate, tracking their climate optimum. For this, sessile plants have to produce and disperse seeds to newly available habitats, and pollination of ovules is needed for the seeds to be viable. These two processes are also the vectors that pass genetic information through a population. A restricted exchange among subpopulations might lead to a maladapted population due to diversity losses. Hence, a realistic implementation of these dispersal processes into a simulation model would allow an assessment of the importance of diversity for the migration of plant species in various environments worldwide. To date, dynamic global vegetation models have been optimized for a global application and overestimate the migration of biome shifts in currently warming temperatures. We hypothesize that this is caused by neglecting important fine-scale processes, which are necessary to estimate realistic vegetation trajectories. Recently, we built and parameterized a simulation model LAVESI for larches that dominate the latitudinal treelines in the northernmost areas of Siberia. In this study, we updated the vegetation model by including seed and pollen dispersal driven by wind speed and direction. The seed dispersal is modelled as a ballistic flight, and for the pollination of ovules of seeds produced, we implemented a wind-determined and distance-dependent probability distribution function using a von Mises distribution to select the pollen donor. A local sensitivity analysis of both processes supported the robustness of the model's results to the parameterization, although it highlighted the importance of recruitment and seed dispersal traits for migration rates. This individual-based and spatially explicit implementation of both dispersal processes makes it easily feasible to inherit plant traits and genetic information to assess the impact of migration processes on the genetics. Finally, we suggest how the final model can be applied to substantially help in unveiling the important drivers of migration dynamics and, with this, guide the improvement of recent global vegetation models.
„Heimat“-Objekte
(2018)
Bei ihrer zumeist erzwungenen Emigration aus der deutschsprachigen Heimat nach Lateinamerika konnten bei weitem nicht alle ihren gesamten Hausstand mit in das neue Heimatland nehmen. Vielmehr war es der Mehrzahl der Emigranten nicht möglich, mehr als ein paar Kofffer aus ihrem alten Leben in das neue zu retten. Verkauft oder beschlagnahmt, vieles musste zurückbleiben, was über Jahre die Wohnungen und Häuser der deutschen Juden gefüllt hatte. Das Wenige, was doch mitgenommen werden konnte, hatte somit umso mehr persönlichen Wert für den Besitzer. Was also hatten die deutsch-jüdischen Emigranten und Exilanten in ihren Kofffern und weshalb waren gerade diese Objekte für sie bedeutend genug, um sie auf den beschwerlichen Weg über den Atlantik und auf einen neuen Kontinent in eine unbekannte Zukunft mitzunehmen?Eine Antwort auf diese Frage können die Objekte selbst geben, welche bis heute in den Familien der einstigen Emigranten aufbewahrt und benutzt werden. Sie repräsentieren die verlorene Heimat, ein Stück Geschichte des Ursprungslandes und der eigenen Familie. Diese Gegenstände sind mehr als nur Gebrauchsobjekte, welche ihren monetären Wert hatten und daher nicht zurückgelassen werden sollten. Es sind vielmehr Träger von gegebenen und zugeschriebenen Bedeutungen und Erinnerungen an Heimat, die ihnen anhaften und über Generationen hinweg weitergegeben und in ihrem Sym-bolgehalt ergänzt und erweitert werden.
Wird Schon Stimmen!
(2018)
The article puts forward a novel analysis of the German modal particle schon as a modal degree operator over propositional content. The proposed analysis offers a uniform perspective on the semantics of modal schon and its aspectual counterpart meaning ‘already’: Both particles are analyzed as denoting a degree operator, expressing a scale-based comparison over relevant alternatives. The alternatives are determined by focus in the case of aspectual schon (Krifka 2000), but are restricted to the polar alternatives p and ¬p in the case of modal schon. Semantically, modal schon introduces a presupposition to the effect that the circumstantial conversational background contains more factual evidence in favor of p than in favor of ¬p, thereby making modal schon the not at-issue counterpart of the overt comparative form eher ‘rather’ (Herburger & Rubinstein 2014). The analysis incorporates basic insights from earlier analyses of modal schon in a novel way, and it also offers new insights as to the underlying workings of modality in natural language as involving propositions rather than possible worlds (Kratzer 1977, 2012).
The equatorial electrojet occasionally reverses during morning and afternoon hours, leading to periods of westward current in the ionospheric E region that are known as counter electrojet (CEJ) events. We present the first analysis of CEJ climatology and CEJ dependence on solar flux and lunar phase for the Brazilian sector, based on an extensive ground-based data set for the years 2008 to 2017 from the geomagnetic observatory Tatuoca (1.2 degrees S, 48.5 degrees W), and we compare it to the results found for Huancayo (12.0 degrees S, 75.3 degrees W) observatory in the Peruvian sector. We found a predominance of morning CEJ events for both sectors. The afternoon CEJ occurrence rate in the Brazilian sector is twice as high as in the Peruvian sector. The afternoon CEJ occurrence rate strongly depends on season, with maximum rates occurring during the northern-hemisphere summer for the Brazilian sector and during the northern-hemisphere winter for the Peruvian sector. Significant discrepancies between the two sectors are also found for morning CEJ rates during the northern-hemisphere summer. These longitudinal differences are in agreement with a CEJ climatology derived from contemporary Swarm satellite data and can be attributed in part to the well-known longitudinal wave-4 structure in the background equatorial electrojet strength that results from nonmigrating solar tides and stationary planetary waves. Simulations with the Thermosphere-Ionosphere-Electrodynamics General Circulation Model show that the remaining longitudinal variability in CEJ during northern summer can be explained by the effect of migrating tides in the presence of the varying geomagnetic field in the South Atlantic Anomaly.
One of the crucial components in seismic hazard analysis is the estimation of the maximum earthquake magnitude and associated uncertainty. In the present study, the uncertainty related to the maximum expected magnitude mu is determined in terms of confidence intervals for an imposed level of confidence. Previous work by Salamat et al. (Pure Appl Geophys 174:763-777, 2017) shows the divergence of the confidence interval of the maximum possible magnitude m(max) for high levels of confidence in six seismotectonic zones of Iran. In this work, the maximum expected earthquake magnitude mu is calculated in a predefined finite time interval and imposed level of confidence. For this, we use a conceptual model based on a doubly truncated Gutenberg-Richter law for magnitudes with constant b-value and calculate the posterior distribution of mu for the time interval T-f in future. We assume a stationary Poisson process in time and a Gutenberg-Richter relation for magnitudes. The upper bound of the magnitude confidence interval is calculated for different time intervals of 30, 50, and 100 years and imposed levels of confidence alpha = 0.5, 0.1, 0.05, and 0.01. The posterior distribution of waiting times T-f to the next earthquake with a given magnitude equal to 6.5, 7.0, and7.5 are calculated in each zone. In order to find the influence of declustering, we use the original and declustered version of the catalog. The earthquake catalog of the territory of Iran and surroundings are subdivided into six seismotectonic zones Alborz, Azerbaijan, Central Iran, Zagros, Kopet Dagh, and Makran. We assume the maximum possible magnitude m(max) = 8.5 and calculate the upper bound of the confidence interval of mu in each zone. The results indicate that for short time intervals equal to 30 and 50 years and imposed levels of confidence 1 - alpha = 0.95 and 0.90, the probability distribution of mu is around mu = 7.16-8.23 in all seismic zones.
TDS-1 GNSS Reflectometry
(2018)
This study presents the development and a systematic evaluation study of GNSS reflectometry wind speeds. After establishing a wind speed retrieval algorithm, UK TechDemoSat-1 (TDS-1) derived winds, from May 2015 to July 2017, are compared to the Advanced Scatterometer (ASCAT). ERA-Interim wind fields of the European Centre for Medium-range Weather Forecasts (ECMWF) and in situ observation from Tropical Atmosphere Ocean buoy array in the Pacific are taken as reference. One-year averaged TDS-1 global winds demonstrate small differences with ECMWF in a majority of areas as well as discuss under- and overestimations. The pioneering TDS-1 winds demonstrate a root-mean-squared error (RMSE) and bias of 2.77 and -0.33 m/s, which are comparable to the RMSE and bias derived by ASCAT winds, as large as 2.31 and 0.25 m/s, respectively. Using buoys measurements as reference, RMSE and bias of 2.23 and -0.03 m/s for TDS-1 as well as 1.40 and -0.68 m/s for ASCAT are obtained. Utilizing rain microwave-infrared estimates of the Tropical Rainfall Measuring Mission, rain-affected observation of both ASCAT and TDS-1 are collected and evaluated. Although ASCAT winds show a significant performance degradation resulting in an RMSE and bias of 3.16 and 1.03 m/s, respectively, during rain condition, TDS-1 shows a more reliable performance with an RMSE and bias of 2.94 and -0.21 m/s, respectively, which indicates the promising capability of GNSS forward scattering for wind retrievals during rain. A decrease in TDS-1-derived bistatic radar cross sections during rain events, at weak winds, is also demonstrated.
DNA nanostructures enable the attachment of functional molecules to nearly any unique location on their underlying structure. Due to their single-base-pair structural resolution, several ligands can be spatially arranged and closely controlled according to the geometry of their desired target, resulting in optimized binding and/or signaling interactions. Here, the efficacy of SWL, an ephrin-mimicking peptide that binds specifically to EphrinA2 (EphA2) receptors, increased by presenting up to three of these peptides on small DNA nanostructures in an oligovalent manner. Ephrin signaling pathways play crucial roles in tumor development and progression. Moreover, Eph receptors are potential targets in cancer diagnosis and treatment. Here, the quantitative impact of SWL valency on binding, phosphorylation (key player for activation) and phenotype regulation in EphA2-expressing prostate cancer cells was demonstrated. EphA2 phosphorylation was significantly increased by DNA trimers carrying three SWL peptides compared to monovalent SWL. In comparison to one of EphA2’s natural ligands ephrin-A1, which is known to bind promiscuously to multiple receptors, pinpointed targeting of EphA2 by oligovalent DNA-SWL constructs showed enhanced cell retraction. Overall, we show that DNA scaffolds can increase the potency of weak signaling peptides through oligovalent presentation and serve as potential tools for examination of complex signaling pathways.
Information on structural features of a fracture network at early stages of Enhanced Geothermal System development is mostly restricted to borehole images and, if available, outcrop data. However, using this information to image discontinuities in deep reservoirs is difficult. Wellbore failure data provides only some information on components of the in situ stress state and its heterogeneity. Our working hypothesis is that slip on natural fractures primarily controls these stress heterogeneities. Based on this, we introduce stress-based tomography in a Bayesian framework to characterize the fracture network and its heterogeneity in potential Enhanced Geothermal System reservoirs. In this procedure, first a random initial discrete fracture network (DFN) realization is generated based on prior information about the network. The observations needed to calibrate the DFN are based on local variations of the orientation and magnitude of at least one principal stress component along boreholes. A Markov Chain Monte Carlo sequence is employed to update the DFN iteratively by a fracture translation within the domain. The Markov sequence compares the simulated stress profile with the observed stress profiles in the borehole, evaluates each iteration with Metropolis-Hastings acceptance criteria, and stores acceptable DFN realizations in an ensemble. Finally, this obtained ensemble is used to visualize the potential occurrence of fractures in a probability map, indicating possible fracture locations and lengths. We test this methodology to reconstruct simple synthetic and more complex outcrop-based fracture networks and successfully image the significant fractures in the domain.
Early maternal care may counteract familial liability for psychopathology in the reward circuitry
(2018)
Reward processing is altered in various psychopathologies and has been shown to be susceptible to genetic and environmental influences. Here, we examined whether maternal care may buffer familial risk for psychiatric disorders in terms of reward processing. Functional magnetic resonance imaging during a monetary incentive delay task was acquired in participants of an epidemiological cohort study followed since birth (N = 172, 25 years). Early maternal stimulation was assessed during a standardized nursing/playing setting at the age of 3 months. Parental psychiatric disorders (familial risk) during childhood and the participants’ previous psychopathology were assessed by diagnostic interview. With high familial risk, higher maternal stimulation was related to increasing activation in the caudate head, the supplementary motor area, the cingulum and the middle frontal gyrus during reward anticipation, with the opposite pattern found in individuals with no familial risk. In contrast, higher maternal stimulation was associated with decreasing caudate head activity during reward delivery and reduced levels of attention deficit hyperactivity disorder (ADHD) in the high-risk group. Decreased caudate head activity during reward anticipation and increased activity during delivery were linked to ADHD. These findings provide evidence of a long-term association of early maternal stimulation on both adult neurobiological systems of reward underlying externalizing behavior and ADHD during development.
This article focuses on the marginal extremities – the limits – of Shari’a practices in Australia, through the example of a criminal case in which four Sydney-based Muslim men whipped a Muslim convert to punish him for his excessive consumption of drugs and alcohol. The men claimed they acted in line with the doctrines of Shari’a practice to ‘purify’ or absolve the victim of his sins. While the case was tried before a magistrate in a lower court, it is argued in this article that its social and political significance was wider, reaching into contemporary debates around multiculturalism and immigration from non-western, non-liberal and mainly Muslim nations. Mainstream media and political narratives viewed the whipping as an example of the moral dangers of accommodating Shari’a norms, eliding the differences between peaceable Shari’a and its violent extremities, while situating the case at the limits of multicultural accommodation. This article interrogates the objectionable margins of some cultural practices through this limit case. At the same time it questions the limits or limitations of a multiculturalism that homogeneously views the practices of entire ethnic or religious groups as violent and incommensurable with dominant norms, while using these understandings as a justification for marginalising these groups.
Recent studies indicate that the tropical belt has been expanding during recent decades, which can significantly influence precipitation in subtropical climates. Often the location of the tropical border is identified using the Hadley cell edge (HCE) or the subtropical jet stream (STJ), but most studies concentrated on the zonal-mean state, thereby missing regional impacts. Here we detect longitudinal-resolved trends in STJ cores and HCEs over 1979-2016 in both hemispheres at a higher spatial and temporal resolution than previous studies. Besides pronounced regional trend differences in both sign and magnitude, we show that winter HCE and STJ variability increased in the Mediterranean region and decreased over the American and Asian continents. Rainfall variability in these regions changed likewise, and most of those changes can be explained by changes in HCE/STJ variability. This highlights the importance of understanding future tropical belt changes both regionally and in terms of variability. Plain Language Summary We applied a new network-based method to detect motion of the tropical climate border with longitudinal resolution. Depending on the longitudinal position, there are differences in both direction and magnitude of the border motion. In addition, we demonstrate that the rainfall variability is increasing in the Mediterranean region and decreasing over the American and Asian continents, which can be explained by the variability of the tropical belt location.
Same but different
(2018)
The maturation of bacterial molybdoenzymes is a complex process leading to the insertion of the bulky bis-molybdopterin guanine dinucleotide (bis-MGD) cofactor into the apoenzyme. Most molybdoenzymes were shown to contain a specific chaperone for the insertion of the bis-MGD cofactor. Formate dehydrogenases (FDH) together with their molecular chaperone partner seem to display an exception to this specificity rule, since the chaperone FdhD has been proven to be involved in the maturation of all three FDH enzymes present in Escherichia colt. Multiple roles have been suggested for FdhD-like chaperones in the past, including the involvement in a sulfur transfer reaction from the L-cysteine desulfurase IscS to bis-MGD by the action of two cysteine residues present in a conserved CXXC motif of the chaperones. However, in this study we show by phylogenetic analyses that the CXXC motif is not conserved among FdhD-like chaperones. We compared in detail the FdhD-like homologues from Rhodobacter capsulatus and E. colt and show that their roles in the maturation of FDH enzymes from different subgroups can be exchanged. We reveal that bis-MGDbinding is a common characteristic of FdhD-like proteins and that the cofactor is bound with a sulfido-ligand at the molybdenum atom to the chaperone. Generally, we reveal that the cysteine residues in the motif CXXC of the chaperone are not essential for the production of active FDH enzymes.
Email tracking allows email senders to collect fine-grained behavior and location data on email recipients, who are uniquely identifiable via their email address. Such tracking invades user privacy in that email tracking techniques gather data without user consent or awareness. Striving to increase privacy in email communication, this paper develops a detection engine to be the core of a selective tracking blocking mechanism in the form of three contributions. First, a large collection of email newsletters is analyzed to show the wide usage of tracking over different countries, industries and time. Second, we propose a set of features geared towards the identification of tracking images under real-world conditions. Novel features are devised to be computationally feasible and efficient, generalizable and resilient towards changes in tracking infrastructure. Third, we test the predictive power of these features in a benchmarking experiment using a selection of state-of-the-art classifiers to clarify the effectiveness of model-based tracking identification. We evaluate the expected accuracy of the approach on out-of-sample data, over increasing periods of time, and when faced with unknown senders. (C) 2018 Elsevier B.V. All rights reserved.
We use clusters for the modeling of local ion resonances caused by low energy charge carriers in STM-induced desorption of benzene derivates from Si(111)-7 x 7. We perform Born-Oppenheimer molecular dynamics for the charged systems assuming vertical transitions to the charged states at zero temperature, to rationalize the low temperature activation energies, which are found in experiment for chlorobenzene. Our calculations suggest very similar low temperature activation energies for toluene and benzene. For the cationic resonance transitions to physisorption are found even at 0 K, while the anion remains chemisorbed during the propagations. Further, we also extend our previous static quantum chemical investigations to toluene and benzene. In addition, an in depth analysis of the ionization potentials and electron affinities, which are used to estimate resonance energies, is given.
Marine Isotope Stage 3 (MIS 3, 57-27 ka) was characterised by numerous rapid climate oscillations (i.e., Dansgaard-Oeschger (D/O-) events), which are reflected in various climate archives. So far, MIS 3 speleothem records from central Europe have mainly been restricted to caves located beneath temperate Alpine glaciers or close to the Atlantic Ocean. Thus, MIS 3 seemed to be too cold and dry to enable speleothem growth north of the Alps in central Europe. Here we present a new speleothem record from Bunker Cave, Germany, which shows two distinct growth phases from 52.0 (+0.8, -0.5) to 50.9 (+0.6, -1.3) ka and 473 (+1.0, -0.6) to 42.8 (+/- 0.9) ka, rejecting this hypothesis. These two growth phases potentially correspond to the two warmest and most humid phases in central Europe during MIS 3, which is confirmed by pollen data from the nearby Eifel. The hiatus separating the two phases is associated with Heinrich stadial 5 (HS 5), although the growth stop precedes the onset of HS 5. The first growth phase is characterised by a fast growth rate, and Mg concentrations and Sr isotope data suggest high infiltration and the presence of soil cover above the cave. The second growth phase was characterised by drier, but still favourable conditions for speleothem growth. During this phase, the delta C-13 values show a significant decrease associated with D/O-event 12. The timing of this shift is in agreement with other MIS 3 speleothem data from Europe and Greenland ice core data. (C) 2018 Elsevier Ltd. All rights reserved.
Active source near-vertical reflection (NVR) data from the interdisciplinary project TIPTEQ were used to image and identify structural and petrophysical properties within the Chilean subduction zone at 38.25 degrees S, where in 1960 the largest earthquake ever recorded (M-w 9.5) occurred. Reflection seismic images of the subduction zone were obtained using the post-stack depth migration technique to process the three components of the NVR data, allowing to present P- and S-stacked time sections and depth-migrated seismic reflection images. Next, the reflectivity method allowed to model traveltimes and amplitude ratios of pairs of reflections for two 1D profiles along the studied transect. The 1D seismic velocities that produced the synthetic seismograms with amplitudes and traveltimes that fit the observed ones were used to infer the rock composition of the different layers in each 1D profile. Finally, an image of the subduction zone is given. The Chilean subduction zone at 38.25 degrees S underlies a continental crust with highly reflective horizontal, as well as dipping events. Among them, the Lanalhue Fault Zone (LFZ), interpreted to be east-dipping, is imaged to very shallow depths for the first time. In terms of seismic velocities, the inferred composition of the continental crust is in agreement with field geology observations at the surface along the profile. Furthermore, no measurable amounts of fluids above the plate interface in the continental crust in this part of the Chilean subduction zone are necessary to explain the results. A large-scale anisotropy in the continental crust and upper mantle is qualitatively proposed. However, quantitative studies on this topic in the continental crust of the Chilean subduction zone at 38.25 degrees S do not exist to date.
Background
This cluster-randomised monocentric controlled trial focuses on improving the uptake symptoms of mental health care in adolescents with chronic medical conditions who have been identified by screening to have depression or anxiety. The study aims to determine the efficacy of motivational interviewing (MI) delivered by trained physicians to increase 12- to 20-year-old adolescents’ utilisation of psychological health care for symptoms of anxiety or depression.
Methods/design
In this single-centre approach, n = 1,000 adolescents will be screened (using PHQ-9 and GAD-7), and adolescents with results indicative of anxiety or depressive symptoms (n = 162) will be advised to seek psychological health care in clusters from treating physicians in specialised outpatient departments. Participants who screen positive will receive either two sessions of MI or treatment as usual (TAU; regarded as the typical daily clinical practice), which is focused on recommending them to seek psychological health care for further evaluation. MI efficacy will be compared to the current TAU as the control condition. The primary outcome is the utilisation rate of psychological health care after counselling by an MI-trained physician vs. an untrained physician. Additionally, reasons for not claiming psychological support and changes in disease-related parameters will be evaluated in a 6-month follow-up session.
Discussion
This trial will evaluate the feasibility of MI as a way to improve the utilisation of mental health-care services by adolescents who need further support other than that provided by standard care for chronic diseases. Physicians offering MI to adolescents may serve as a model for optimising health-care management in daily clinical practice, which may improve adolescents’ long-term well-being by improving adherence to medical treatment and preventing negative lifelong consequences into adulthood.
In ferroelectrets, the piezoelectricity stems from the charges of both polarities trapped on the inner surfaces of the cavities in the material, so that its thermal stability is defined by the stability of the respective charges. In the present work, a template-based lamination technique has been employed to fabricate tubular-channel ferroelectrets from fluoroethylenepropylene (FEP) films. It has been shown that the piezoelectricity in FEP ferroelectrets decays at relatively low temperatures due to the inherently lower thermal stability of the positive charge. In order to improve charge trapping, we have treated both FEP films and inner surfaces of the ferroelectret cavities with titanium-tetrachloride vapor, using the atomic-layer-deposition technique. Using surface-potential-decay measurements on FEP films, we have found that the charge-decay curves shift by more than 100 degrees C to the higher temperatures as a result of the surface treatment. Direct measurements of piezoelectric d(33) coefficients as a function of temperature have shown that the piezoelectric stability is likewise improved with the d(33)-decay curves shifted by 60 degrees C to the right. The improvement of electret/ferroelectret properties can be attributed to the formation of the deeper traps on the chemically modified FEP surface. SEM micrographs and EDS analysis reveal island-like structures with titanium- and oxygen-containing species that can be responsible for the deeper trapping of the electret charges. Published by AIP Publishing.