Resource profile and user guide of the Polygenic Index Repository.

Polygenic indexes (PGIs) are DNA-based predictors. Their value for research in many scientific disciplines is growing rapidly. As a resource for researchers, we used a consistent methodology to construct PGIs for 47 phenotypes in 11 datasets. To maximize the PGIs' prediction accuracies, we constructed them using genome-wide association studies-some not previously published-from multiple data sources, including 23andMe and UK Biobank. We present a theoretical framework to help interpret analyses involving PGIs. A key insight is that a PGI can be understood as an unbiased but noisy measure of a latent variable we call the 'additive SNP factor'. Regressions in which the true regressor is this factor but the PGI is used as its proxy therefore suffer from errors-in-variables bias. We derive an estimator that corrects for the bias, illustrate the correction, and make a Python tool for implementing it publicly available.

Multi-scale simulation of electron emission from a triode-type electron source with a carbon-nanotube column array cathode.

We have designed and fabricated a new type of field electron source for a novel onboard mass spectrometer. The new electron source, which is a field effect emitter in a triode configuration, consists of a CNT-column array cathode and an extraction gate with holes that are aligned concentrically with respect to the cylindrical CNT columns. In triode mode operation, cathode currents as large as ~420 µA have been emitted with an anode-to-gate current ratio of ~1.5. To account for the observed emission characteristics of the new electron source, we have carried out multi-scale simulations that combine a three-dimensional (3D) microscopic model in the vicinity of an actual emission site with a two-dimensional (2D) macroscopic model that covers the whole device structure. Because the mesh size in the microscopic 3D model is as small as 100 nm, the contributions of the extruding CNT bundle at the top edge of an electron column can be examined in detail. Unlike the macroscopic 2D simulation that shows only small field enhancement at CNT column's top edge, the multi-scale simulation successfully reproduced the local electric field strongly enough to emit the measured cathode currents and the electric field distribution which is consistent with the measured anode-to-gate current ratio.

Sexually transmitted diseases in men.

Sexually transmitted diseases are the most common infectious diseases in the United States. Physicians, nurses, and other health care providers are uncomfortable discussing sexual issues with their clients. Therefore many health care needs are not addressed, and many opportunities for education aimed at preventing STDs are missed. In the periodic health history, the health care provider must elicit information about sexual practices (vaginal,oral, or anal intercourse), sexual orientation (heterosexual, homosexual, or bisexual), sexual risk behaviors (ie, unprotected intercourse with multiple partners), contraceptive use (particularly condoms), and prior STDs. Based on this information, the health care practitioner moves to more specific questions regarding sexual health. The health care practitioner asks about sores on the penis, dripping or discharge from the penis, staining of the underwear, testicular pain, and scrotal swelling. For the client who engages in oral sex, the health care practitioner asks about sore throat. For the client who engages in anal intercourse ask about diarrhea, rectal bleeding, anal itching, and pain. Probe the desire phase, the arousal phase (erection), and the ejaculation phase. Ask about the desire for fatherhood and concerns about fatherhood. An important part of health care is prevention. Culturally specific and sensitive information should be available for patients. Patient education should not consist of simply handing a brochure to a man. Using the brochure as a guide for including all the necessary information and ascertaining the man's understanding may be a very effective method of patient education. For men who are at increased risk for STDs or who present with symptoms of STDs, offering diagnostic testing is necessary. Men who have multiple sexual partners especially need diagnostic testing and prevention counseling. The CDC recommends annual HIV and hepatitis C testing for men who have sex with men and other men who have increased risk for contracting HIV. Another important consideration at the periodic screening examination is the vaccinations that are to be recommended. Men who have sex with men should receive hepatitis A and hepatitis B vaccine. Additionally, it is recommended that all adolescents should receive hepatitis B vaccine.