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Background: In a variety of animal species, hyperthermia in pregnancy has been recognized as teratogenic. Hyperthermia interferes with protein synthesis via heat-shock proteins, which can entail membrane disruption, cell death, vascular disruption, and placental infarction. This can induce severe fetal malformations or death. Fever during pregnancy, especially during embryogenesis, has also been associated with congenital malformations in human offspring. The purpose of this large cohort study of clinically recognized pregnancies was to investigate whether fever during first trimester was associated with an increased risk of congenital malformations in the offspring.Methods: The Danish National Birth Cohort is a population-based cohort of 100,418 pregnant women and their offspring recruited in 1996 to 2002. Information on fever during pregnancy was collected prospectively by means of two telephone interviews. The study population comprised the 77,344 pregnancies enrolled in the Danish National Birth Cohort where self-reported information on fever during first trimester of pregnancy was available. Pregnancy outcomes were identified through linkage with the National Patient Registry. Congenital malformations within the first three and a half years of life were categorized according to EUROCAT's classification criteria. Logistic regression models were used to estimate the associations between fever in first trimester and overall congenital malformations and congenital malformations by subgroups.Results: Eight thousand three hundred twenty-one women reported fever during first trimester (10.8%) and 2876 infants were diagnosed with a congenital malformation (3.7%). Fever during first trimester did not affect the risk of overall fetal congenital malformation (OR 0.99, 95% CI 0.88-1.12). The subgroup analyses indicated slightly higher risk of congenital anomalies in the eye, ear, face and neck (OR 1.29, 95% CI 0.78-2.12) and in the genitals (OR 1.17, 95% CI 0.79-1.12), whereas lower risk of malformations in the nervous system (OR 0.47, 95% CI 0.21-1.08), the respiratory system (OR 0.56, 95% CI 0.23-1.29) and in the urinary subgroup (OR 0.58, 95% CI 0.35-0.99) was suggested, the latter constituting the only statistically significant finding.Conclusions: Overall, this study did not show any association between maternal fever in pregnancy and risk of congenital anomalies. [ABSTRACT FROM AUTHOR]

Glacier hypsometry provides a first-order approach for assessing a glacier's response to climate forcings. We couple the Randolph Glacier Inventory to a suite of in situ observations and climate model output to examine potential change for the ∼27,000 glaciers in Alaska and northwest Canada through the end of the 21st century. By 2100, based on Representative Concentration Pathways ( RCPs) 4.5-8.5 forcings, summer temperatures are predicted to increase between +2.1 and +4.6°C, while solid precipitation (snow) is predicted to decrease by −6 to −11%, despite a +9 to +21% increase in total precipitation. Snow is predicted to undergo a pronounced decrease in the fall, shifting the start of the accumulation season back by ∼1 month. In response to these forcings, the regional equilibrium line altitude ( ELA) may increase by +105 to +225 m by 2100. The mass balance sensitivity to this increase is highly variable, with the most substantive impact for glaciers with either limited elevation ranges (often small (<1 km2) glaciers, which account for 80% of glaciers in the region) or those with top-heavy geometries, like icefields. For more than 20% of glaciers, future ELAs, given RCP 6.0 forcings, will exceed the maximum elevation of the glacier, resulting in their eventual demise, while for others, accumulation area ratios will decrease by >60%. Our results highlight the first-order control of hypsometry on individual glacier response to climate change, and the variability that hypsometry introduces to a regional response to a coherent climate perturbation. [ABSTRACT FROM AUTHOR]

Diagnostic and Statistical Manual of Mental Disorder, Fourth Edition (DSM-IV) treats the presence of bizarre delusions (BD) as the heaviest-weighted clinical criterion of schizophrenia. Although BD play a major role in contemporary diagnostic systems, only a few empirical studies explore this issue. These studies provide highly heterogenous results because they are based on different experimental paradigms, in terms of definition, clinical sample, and number of raters. Here, we first discuss the psychopathological sources of the concept of BD, which were initially described as either nonsensical or incomprehensible. Then, we provide a critical review of contemporary studies on the reliability of BD and their methodological and conceptual limitations. Current approaches have focused intensely on BD's reliability and have defined BD strictly in terms of delusional content—mainly in terms of the physical impossibility or the cultural or historical incomprehensibility of the delusional claims. These approaches have neglected formal features of experience that underlie BD and the crucial issue of the nature and validity of BD. In the discussion, we argue that clinical diagnosis of BD cannot be limited to delusional contents alone and requires taking into account the subjective side of BD (how altered experience manifests itself) as well as the conditions of intersubjective encounter (how BD are expressed to and experienced by the clinician). The notion of “bizarreness” in schizophrenia is not purely theoretical; it has practical relevance for the therapeutic encounter and implications on further empirical research and on diagnostic approaches. [ABSTRACT FROM PUBLISHER]

Discusses fully symbolic generation of complex multibody models. Drawbacks of 'by hand generation'; Main motivation behind the development of symbolic multibody programs.

The needs for analyzing vehicle dynamics rely on advanced modelling techniques, efficient program implementation and high-level computer environment. To match these requirements, two important assets should characterize modern modelling tools: computer efficiency (indispensable, for instance, for real time control or system optimization) and portability (indeed, multi-domain modelling is more and more required). In the frame of vehicle dynamics, a symbolic multibody approach is proposed in this paper. Vehicle model efficiency, which will be quantified through examples, results from a fully symbolic generation of the dynamical model in recursive form, and the resort to parallel computation techniques. Portability towards other computer environment is also ensured by the symbolic approach, the latter being able to export equations in a very versatile way. [ABSTRACT FROM AUTHOR]

Presents a reply to the review essay by Robert J. Barrett on the book "Madness and Modernism" in a December 1998 issue of the journal "Culture, Medicine and Psychiatry." Errors in Barrett's initial summary of the book; Objections to Barrett's views about the social construction of schizophrenia as a liminal category; Arguments for the comparison of modernism with schizophrenia.