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Purpose of Review A global study of multimorbidity in schizophrenia, especially of the association with physical conditions, might offer much needed etiological insights. Recent Findings Our review suggests that life-style factors and medication related to schizophrenia are only part of the explanation of the increase in risk for cardiovascular, metabolic, pulmonary disorders, and some cancers. Positive associations with autoimmune disorders (with the exception of rheumatoid arthritis) and epilepsy are promising avenues of research but to date have not been fully exploited. The same holds for the negative comorbidity seen for rheumatoid arthritis and some cancers (e.g., prostate). Summary As a whole, our review suggests that most of the explored conditions have a different prevalence in schizophrenia than in the general population. Several hypotheses emerged from this review such as the role of immune and genetic factors, of sex hormones, and of more general variability factors.

IntroductionA 10-15 years decrease in life expectancy has been observed in individuals with bipolar disorder (BD) and has been associated with premature cellular aging, but mechanisms involved remain unclear. Our team recently identified a subgroup of young individuals with prematurely shortened telomere length (TL).ObjectivesThe aims of the present study were to replicate this observation in a larger sample and to analyze the expression levels of genes associated with age or TL in a subsample of these individuals.MethodsTL was measured by qPCR using peripheral blood DNA from 542 individuals with BD. Clustering analyzes were performed with age and TL as classification variables to identify similar groups.Gene expression of 29 genes, including 20 associated with age and 9 with TL, was analyzed by RT-qPCR using peripheral blood RNA in a subgroup of 129 individuals. Gene expressions were compared between groups obtained from the previous clustering analyzes by Kruskal-Wallis and Mann-Whitney tests.ResultsClustering analyzes identified 3 subgroups and replicated the clustering previously described: a subgroup of aged individuals with a low TL (mean age : 51.73 years ; mean TL : 2), a subgroup of young individuals with a high TL (mean age : 29.02 years ; mean TL : 4.36) and a subgroup of young individuals but with a low TL (mean age : 29.64 years ; mean TL : 1.96). None of the tested clinical variables were significantly associated with this subgroup.Furthermore, gene expression level analyzes showed that only POT1 expression was different between the two subgroups of young individuals, with a downregulation of POT1 expression in the subgroup with a lower TL level. POT1 is a protein involved in the maintenance of TL. POT1 binds to another protein TPP1 allowing the recruitment of telomerase, the enzyme which extends TL. Our hypothesis is that in the subgroup presenting a lower POT1 expression, the POT1-TPP1 complex cannot form and thus prevents telomerase recruitment and TL elongation.ConclusionsThis study confirms, on a larger sample, the existence of a subgroup of young individuals with BD presenting accelerated cellular aging. The observed decrease of POT1 expression level suggests a newly described cellular mechanism in individuals with BD, that may contribute to telomere shortening.Disclosure of InterestNone Declared

Introduction Migraine and bipolar disorder (BD) are two chronic and recurrent disorders with a major impact on patient’s quality of life. It is now well known that affective disorders and migraine are often comorbid (Leo et al. Scand J Pain. 2016; 11:136-145). Starting from these observations, we can hypothesis that BD patients with comorbid migraine might have specifical clinical and biological features. Objectives The aim of this study was to estimate the prevalence of migraine in a cohort of French BD patients; determine sociodemographic, clinical, and biological features associated BD-migraine comorbidity. Methods 4348 BD patients from the FACE-BD cohort were included from 2009 to 2022. Sociodemographic and clinical characteristics, lifestyle information, and data on antipsychotic treatment and comorbidities were collected, and a blood sample was drawn. The Structured Clinical Interview for DSM-IV Axis I Disorders was used to confirm the diagnosis of BD. Migraine diagnosis was established according to a clinician-assessed questionnaire. Results 20.1% of individuals with BD had comorbid migraine. Half of these patients received treatment for migraine. Multivariate logistic regression model showed that risk of migraine in women was nearly twice that in men (OR = 1.758; 95% CI, 1.345-2.298). Anxiety disorder, sleep disturbances and childhood trauma were also associated with an increased risk of migraine comorbidity. Patients receiving antipsychotic treatment had less risk of developing migraine than those not receiving those treatment (OR 0.716, 95% CI, 0.554-0.925), independent of other potential confounders. Conclusions The prevalence of migraine in our cohort was lower than those previously reported in other studies. This result might suggest an overestimation of migraine diagnosis in BD patients population studies. However, BD-migraine comorbidity could constitute a subphenotype of bipolar disorder requiring specific treatments. Disclosure of Interest None Declared

The main subject of this study is the low‐frequency (with the periods longer than 2 hr) wave processes in the coupled regional system of the Ross Ice Shelf (RIS), the Ross Sea and the atmosphere above them. We investigate possible causal relationships between the wave activity in the three media using a unique set of geophysical instruments: a hydrophone measuring pressure variations on the seafloor, a network of seismometers measuring vertical displacements of the RIS surface, and a Dynasonde system measuring wave characteristics at the ionospheric altitudes. We present an extension of the previously introduced theoretical model of the coupled resonance vibrations of the RIS that quantifies the connection between the ocean tide and the resonance vibrations of the RIS. The ocean tide is confirmed as the most significant source of excitation of the resonances. Analysis of average power spectra in year‐long data sets reveals multiple harmonics of the tide (eight) detected by the RIS seismometers while only three are detected by the seafloor sensor. This may represent a confirmation of the effect of resonance‐related broadband amplification predicted by the model. Several peaks in the spectrum of RIS vibrations have periods different from the periods of nearby tidal constituents and may be associated with broad‐scale resonance RIS vibrations. Resonances may play a role in maintaining the coupled atmosphere‐ocean wave activity. Our results reveal a statistically significant correlation between the spectra of the vertical displacements of the RIS and the spectra of the atmospheric waves. Plain Language Summary This study explores how low‐frequency waves interact in the Ross Ice Shelf, the Ross Sea, and the atmosphere above them. By using a unique set of tools like hydrophones, seismometers, and a Dynasonde system, the researchers investigate the connection between waves in these three areas. They expand on a previous theoretical model, confirming that ocean tides are the main source of these interactions. The study finds that the ice shelf picks up more tidal harmonics than the seafloor sensor, which might support the idea of resonance‐related amplification. Additionally, some vibrations in the ice shelf have different periods than nearby tidal movements, which could be due to broad‐scale resonance vibrations. These resonances might play a role in maintaining the overall wave activity in the atmosphere and ocean. The research shows a significant correlation between the ice shelf's vertical movements and the atmospheric waves. Key Points Ocean tides represent a major source of energy for exciting resonance vibrations of the Ross Ice Shelf (RIS) There is an empirical evidence for resonance‐related amplification effect predicted by the theory of forced ice shelf vibrations Spectral correlation results confirm existence of the wave coupling above the noise level between atmosphere, ocean and the RIS

The 2011 Tohoku tsunami devastated Japan and affected coastal populations all around the Pacific Ocean. Accurate early warning of an impending tsunami requires the detection of the tsunami in the open ocean. While the lead‐time was not sufficient for use in warning coastal populations in Japan, satellite altimetry observations of the tsunami could have been used to improve predictions and warnings for other affected areas. By comparing to both model results and historical satellite altimeter data, we use near‐real‐time satellite altimeter measurements to demonstrate the potential for detecting the 2011 Tohoku tsunami within a few hours of the tsunami being generated. We show how satellite altimeter data could be used to both directly detect tsunamis in the open ocean and also improve predictions made by models. Key Points NRT satellite altimetry measurements are used to detect the Tohoku tsunami Satellite altimetry can be used as a system for the NRT detection of tsunamis Satellite altimetry could improve tsunami predictions made by models

Chronic peripheral inflammation (CPI) has been associated with cognitive impairment in schizophrenia (SZ). However, its sources remain unclear, more specifically it is not known whether tobacco smoking is a source of inflammation or not in SZ subjects. Moreover, nicotine (NIC), the major psychoactive compound of tobacco, shows strong anti-inflammatory properties in vitro, as well as inducing a severe biological dependence when administered repeatedly. The objective of the present study was to determine if CPI was associated with tobacco smoking and/or NIC dependence in schizophrenia. Three hundred and forty five stabilized community-dwelling SZ subjects aged 16 years or older (mean age = 32 years, 73% male) were consecutively included in the network of the FondaMental Expert Centers for Schizophrenia and assessed with validated scales. CPI was defined by a highly sensitive C-reactive protein (hsCRP) ≥3 mg/L. Current tobacco status was self-declared. Severe NIC dependence was defined by a Fagerstrom Test for Nicotine Dependence score ≥7. Overall, 159 (46.1%) were non-smokers, 117 (33.9%) and 69 (20%) were current tobacco smokers with, respectively, low and severe nicotine dependence. In a multivariate model, CPI remained associated with severe NIC dependence (29 vs 15%, OR = 2.8, p  = 0.003) and body mass index (OR = 1.1, p  < 0.0001), independently of socio-demographic characteristics and antidepressant intake. No association of CPI with low to moderate tobacco smoking dependence, number of daily smoked cigarettes, cannabis use, alcohol use or illness characteristics was found (all p  > 0.05). CPI was associated with severe NIC dependence but not with tobacco smoking with low to moderate NIC dependence in SZ, independently of socio-demographic variables, body mass index, alcohol consumption and antidepressant intake. This result highlights the potential CPI consequences of the high prevalence of heavy tobacco smoking in SZ, indicating the importance of new therapeutic strategies for tobacco cessation in SZ.

Children born by cesarean section (“c-birth”) are known to have different microbiota and a natural history of different disorders including allergy, asthma and overweight compared to vaginally born (“v-birth”) children. C-birth is not known to increase the risk of schizophrenia (SZ), but to be associated with an earlier age at onset. To further explore possible links between c-birth and SZ, we compared clinical and biological characteristics of c-born SZ patients compared to v-born ones. Four hundred and fifty-four stable community-dwelling SZ patients (mean age = 32.4 years, 75.8 % male gender) were systematically included in the multicentre network of FondaMental Expert Center for schizophrenia. Overall, 49 patients (10.8 %) were c-born. These subjects had a mean age at schizophrenia onset of 21.9 ± 6.7 years, a mean duration of illness of 10.5 ± 8.7 years and a mean PANSS total score of 70.9 ± 18.7. None of these variables was significantly associated with c-birth. Multivariate analysis showed that c-birth remained associated with lower CRP levels (aOR = 0.07; 95 % CI 0.009–0.555, p  = 0.012) and lower premorbid ability (aOR = 0.945; 95 % CI 0.898–0.994, p  = 0.03). No significant association between birth by C-section and, respectively, age, age at illness onset, sex, education level, psychotic and mood symptomatology, antipsychotic treatment, tobacco consumption, birth weight and mothers suffering from schizophrenia or bipolar disorder has been found. Altogether, the present results suggest that c-birth is associated with lower premorbid intellectual functioning and lower blood CRP levels in schizophrenia. Further studies should determine the mechanisms underlying this association.

This monograph is devoted to the systematic presentation of the theory of sound­ wave propagation in layered structures.These structures can be man-made, such as ultrasonic filters, lenses, surface-wave delay lines, or natural media, such as the ocean and the atmosphere, with their marked horizontal stratification.

Observations of tsunamis away from shore are critically important for improving early warning systems and understanding of tsunami generation and propagation. Tsunamis are difficult to detect and measure in the open ocean because the wave amplitude there is much smaller than it is close to shore. Currently, tsunami observations in deep water rely on measurements of variations in the sea surface height or bottom pressure. Here we demonstrate that there exists a different observable, specifically, ocean surface roughness, which can be used to reveal tsunamis away from shore. The first detailed measurements of the tsunami effect on sea surface height and radar backscattering strength in the open ocean were obtained from satellite altimeters during passage of the 2004 Sumatra-Andaman tsunami. Through statistical analyses of satellite altimeter observations, we show that the Sumatra-Andaman tsunami effected distinct, detectable changes in sea surface roughness. The magnitude and spatial structure of the observed variations in radar backscattering strength are consistent with hydrodynamic models predicting variations in the near-surface wind across the tsunami wave front. Tsunami-induced changes in sea surface roughness can be potentially used for early tsunami detection by orbiting microwave radars and radiometers, which have broad surface coverage across the satellite ground track.

Tsunamis are difficult to detect and measure in the open ocean because the wave amplitude is much smaller than it is closer to shore. An effective early warning system, however, must be able to observe an impending tsunami threat far away from the shore in order to provide the necessary lead-time for coastal inhabitants to find safety. Given the expansiveness of the ocean, sensors capable of detecting the tsunami must also have very broad areal coverage. The 2004 Sumatra-Andaman tsunami was definitively detected in the open ocean from both sea surface height and sea surface roughness measurements provided by satellite altimeters. This tsunami, however, was exceptionally strong and questions remain about the ability to use such measurements for the detection of weaker tsunamis. Here we study the 2010 Chilean tsunami and demonstrate the ability to detect the tsunami in the open ocean. Specifically, we analyze the utility of filtering in extracting the tsunami signal from sea surface height measurements, and, through the use of statistical analyses of satellite altimeter observations, we demonstrate that the 2010 Chilean tsunami induced distinct and detectable changes in sea surface roughness. While satellite altimeters do not provide the temporal and spatial coverage necessary to form the basis of an effective early warning system, tsunami-induced changes in sea surface roughness can be detected using orbiting microwave radars and radiometers, which have a broad surface coverage across the satellite ground track.