We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Microwaves (MWs) have emerged as a promising sensing technology to complement optical methods for monitoring floating plastic litter. This study uses machine learning (ML) to identify optimal MW frequencies for detecting floating macroplastics (>5 cm) across S, C, and X-bands. Data were obtained from dedicated wideband backscattering radio measurements conducted in a controlled indoor scenario that mimics deep-sea conditions. The paper presents new strategies to directly analyze the frequency domain signals using ML algorithms, instead of generating an image from those signals and analyzing the image. We propose two ML workflows, one unsupervised, to characterize the difference in feature importance across the measured MW spectrum, and the other supervised, based on multilayer perceptron, to study the detection accuracy in unseen data. For the tested conditions, the backscatter response of the plastic litter is optimal at X-band frequencies, achieving accuracies up to 90% and 80% for lower and higher water wave heights, respectively. Multiclass classification is also investigated to distinguish between different types of plastic targets. ML results are interpreted in terms of the physical phenomena obtained through numerical analysis, and quantified through an energy-based metric.
Understanding the interplay between adiposity and histopathological features of colorectal tumours is crucial for advancing strategies in disease management. We conducted a retrospective cohort study over an 8-year period (2007–2015), including patients who underwent surgical resection for colorectal cancer (CRC). Body composition was assessed via computed tomography (CT) at the level of the third lumbar vertebra, with visceral adipose tissue (VATd) and subcutaneous adipose tissue (SATd) radiodensities stratified into tertiles. Systemic inflammatory status was evaluated using the neutrophil-to-lymphocyte ratio (NLR). Logistic regression was employed to analyse the relationship between variables, using OR with 95 % CI. The Cox proportional hazards model assessed hazard ratios (HR) with 95 % CI. A total of 231 patients were included (48·9 % men, 51·1 % women), with 93·6 % in CRC stages II and III. Multivariate analyses demonstrated that CRC stages II and III (OR = 5·15, 95 % CI: 1·60, 16·62; OR = 5·16, 95 % CI: 1·59, 16·77) and low VATd (1st and 2nd tertiles; OR = 2·43, 95 % CI: 1·30, 4·53) were associated with the presence of desmoplasia. In the multivariate Cox analyses, only stage III disease (HR = 4·77, 95 % CI: 1·09, 20·89) and moderate to accentuated fibrous stroma (HR = 1·90, 95 % CI: 1·03, 3·46) were identified as predictors of reduced overall survival. These findings suggest that increased visceral adiposity may contribute to the development of a desmoplastic tumour microenvironment. Moreover, the presence of moderate to accentuated fibrous stroma is significantly associated with poorer long-term survival in patients with CRC.
To understand mental suffering from the point of view of the people affected.
Method:
A qualitative study was carried out with 22 users of Primary Health Care units in Ribeirão Preto, São Paulo, Brazil. The data were collected through individual interviews using the Oral Life History technique and analysed using Thematic Analysis.
Results:
Two categories emerged: ‘Vulnerabilities in the life history of people with mental suffering’ and ‘Perceiving and living with suffering and/or mental disorder’. The experience was permeated by situations of violence, poverty and abandonment, from childhood to adulthood. The recognition of mental suffering and its consequences was based on behavioural changes and work difficulties, which did not lead them to seek immediate treatment. The difficulty of living with suffering and/or mental disorder is directly related to adherence to treatment.
Final Considerations:
Subjective aspects present in human life are still disregarded and the late search for professional help seems to result in the stigma and self-stigma of people with mental suffering and/or disorders.
During pregnancy, colonization by genital mycoplasmas may be associated with adverse outcomes. This study was conducted to investigate the prevalence of four species of Mollicutes (Mycoplasma hominis, Mycoplasma genitalium, Ureaplasma parvum, and Ureaplasma urealyticum) in pregnant women receiving high-risk prenatal care and to evaluate possible associated factors. Data collection included the application of a questionnaire and the collection of cervical swabs from pregnant women. Species identification was performed by real-time PCR. The overall prevalence of Mollicutes was 60.97%. 55.9% of pregnant women were colonized by Ureaplasma spp., and 19.51% by Mycoplasma spp. The prevalence rates by species were 48.78% for U. parvum, 11.59% for U. urealyticum, 18.9% for M. hominis, and 1.22% for M. genitalium. Age, 12 years of schooling or more, age at first sexual intercourse up to 14 years, third trimester of pregnancy, having undergone infertility treatment, presence of STI, and groin lymph nodes were associated with a higher prevalence of microorganisms. The results presented are of utmost importance for understanding the prevalence of these microorganisms, the characteristics of colonized pregnant women, and planning screening strategies and interventions that minimize the negative impacts of these infections.
Aims: Long-term administration of psychotropic medications can be associated with significant side effects and physical health problems. There is evidence that people with intellectual disability have overall poorer health than their non-disabled peers. Psychotropic medication prescribed must be reviewed regularly to avoid routine continuation. NICE Challenging behaviour and learning disabilities [NG11] recommends medication should be initiated by a specialist and they should record:
The rationale for medication and the likely length of treatment.
A written strategy for reviewing and stopping the medication that must be shared with non-specialist colleagues.
The Learning disability teams within Tees, Esk and Wear Valleys NHS Trust already have a STOMP pathway and Primary care liaison nurses. The audit aims to identify a good practice with promoting STOMP in psychiatric discharge letters to primary care.
Methods: The audit looked at psychiatric discharges from 4 adult learning disability teams between October 2022 to October 2023 using a standard audit tool informing above standards by NICE (NG11). The data was collected by 2 authors using an Excel sheet and analysed by the lead author.
Results: A total of 110 of the 153 patients were prescribed psychotropics and hence included in this audit. We found 81 patients were prescribed medication for other mental health diagnoses highlighting good practice with reduced use in challenging behaviour. 102 patients (92.7%) had a documented rationale for prescribing which identifies good practice. However, only 44 (40%) and 32 (29%) patients had a strategy for review of medication and timescale for stopping medication documented. This area of concern highlighted the importance to develop recommendations to change practice.
Conclusion: Overall, the audit revealed poorer score in relation to documenting a strategy to review and stop psychotropic medication. The recommendations identified include increasing awareness of STOMP, promoting involvement of STOMP team in review of medications, and amending our standard psychiatric discharge templates to include prompts for timescale to stop or review medication. We also plan to review the STOMP pathway to incorporate guidance for general practitioners for when to seek specialist advice.
We hope our recommendations will improve standards regarding STOMP and patient care. We will re-audit in 6 months’ time to record the progress with above recommendations.
Identifying interactions between species is essential for understanding ecosystem dynamics. With their central position in trophic networks, anurans underscore the importance of studying their interactions with other organisms. Traditionally, collecting and describing anuran helminth parasites rely on lethal methods, posing challenges for studying threatened species. In this study, we tested the effectiveness of non-invasive fecal metabarcoding and compared its accuracy to traditional invasive methods for identifying parasites and dietary components. We collected anurans from 6 families in the Brazilian Atlantic Rainforest and analysed their feces using the 18S marker while performing necropsies for traditional identification. Traditional methods identified 12 parasite taxa and 3 dietary items at lower taxonomic resolution. Fecal metabarcoding, on the other hand, revealed greater diversity and fine taxonomic resolution for dietary items, although with lower accuracy for parasites due to database limitations. The metabarcoding approach demonstrated a high potential for non-lethal biodiversity assessments, offering a more comprehensive view of dietary diversity and a viable alternative for studying parasites in vulnerable populations. However, its effectiveness depends on improving reference databases, especially for parasite taxa. The advancement of non-invasive approaches that integrate parasitological data holds great potential to improve conservation strategies and enhance the ecological understanding of amphibian-parasite interactions.
In many areas experiencing severe impacts from climate change, it is not the state, but rather rebel groups who wield authority over populations. Rebels are often engaged in responding and adapting to the risks and impacts of climate change as part of their local governance efforts; however, a systematic consideration of the activities and implications has been lacking. This Element looks at a set of behaviors we call “rebel environmental governance” (REG+). This refers to rebel actions aimed at protecting or managing the natural environment to affect civilian welfare amidst increasing pressures of climate change. A framework is advanced for understanding why rebels engage in environmental governance and the implications for security and climate governance. The Element brings rebel organizations into the conversation on climate change, highlighting their role in areas where state power is contested, weak, or absent. This title is also available as Open Access on Cambridge Core.
Rules are ubiquitous. They figure prominently in all kinds of practical reasoning. Rules are especially important in jurisprudence, occupying a central role in answers to the question of “what is law?” In this chapter, we start by reviewing the evidence showing that both textual and extratextual elements exert influence over rule violation judgments (Section II). Most studies about rules contrast text with an extratextual element identified as the “purpose” or “spirit” of the rule. But what counts as the purpose or the spirit of a rule? Is it the goal intended by the rule maker? Or is purpose necessarily moral? Section III reviews the results of experiments designed to answer these questions. These studies show that the extratextual element that’s relevant for the folk concept of rule is moral in nature. Section IV turns to the different explanations that have been entertained in the literature for the pattern of results described in Sections II and III. Finally, in Section V we discuss some other extratextual elements that have been investigated in the literature. We conclude with a brief discussion of future directions.
Objectives/Goals: By synergizing our efforts, we believe this to be a fruitful collaboration for UCLA Clinical and Translational Science Institute (CTSI) and California Institute for Regenerative Medicine (CIRM). With multiple levels to stem cell training, focusing on specific educational goals is integral to our pilot event. This was held on July 26th and offered an exciting and valuable day for trainees. Methods/Study Population: Leadership was comprised of leaders at the UCLA Health Alpha Clinic, Broad Stem Cell Research Center (BSCRC), Human Gene and Cell Therapy Facility (HGCTF), UCLA Campus, Clinical and Translational Research Center (CTRC), and the Santa Barbara COMPASS program. Trainees from UCLA, CSUN, and UCSB were represented. The agenda included a didactic overview of the entire translational and clinical research process from discovery in the laboratory to bedside nursing in the patient care areas. Onsite tours were conducted at the HGCTF and the CTRC with a meet and greet with the nurses. The curriculum covered the clinical research process, regulatory requirements, ethics, current clinical trials, manufacturing, quality control, and compliance. A career opportunities discussion and network sessions closed out the day. Results/Anticipated Results: Of the 13 trainees who attended the session, 10 replied to the evaluation survey. All the responding students (100%) rated the event as “excellent” and found it to be “highly valuable” to their current training program. The trainees indicated that they were “very likely” (100%) to recommend a friend to attend this type of event. When asked what they liked most about the event, they indicated that the programming was “insightful, and “inspiring” for seeing beyond their current trainee responsibilities. They valued the responsiveness to questions, sharing experiences, and mentoring for career advancement. They especially liked the tours at the HGCTF and the session with the front-line nurses. Changes for the future will include timing and length, information on graduate programs and more student interactions. Discussion/Significance of Impact: Overall, our first educational session was very well-received by both trainees and staff involved as stakeholders. Due to the success of this inaugural event, we intend to continue to draw on the expertise of this collaboration and use a similar blueprint for future events and scientific sessions.
Geriatric (old age) psychiatry faces growing challenges amid Europe’s ageing population. This editorial emphasises the need for specialised training, mentorship and subspecialty recognition to attract young psychiatrists. By addressing structural gaps and fostering innovation, the field offers a rewarding career in enhancing older adults’ mental healthcare and quality of life.
Previous studies have shown the importance of self-perceptions of aging in predicting psychological distress throughout the life cycle. However, little is known about the processes through which self-perceptions of aging influence distress. The aim of the present study is to analyze the potential indirect effects of perceived control and pleasant activities in the association between self-perceptions of aging and depression and anxiety symptoms in middle-aged and older adults. A total of 315 people over 40 years of age (Mage = 58.8; SD = 10.8; 67.9% women) participated. Two indirect effects analysis models were conducted in serial with the aim of analyzing the role of perceived control and pleasant activities in the relationship between the self-perceptions of aging and depressive (model 1) and anxiety (model 2) symptomatology. A direct effect was observed between self-perceptions of aging and depressive, and anxious symptomatology. In addition, indirect associations through the variables perceived control and pleasant activities were significant. The tested models explained 46.1% of the variance in depressive symptomatology and 34.8% of the variance in anxiety. The results of this study confirm the association between self-perceptions of aging and psychological distress. This association is exerted through lower perception of control and fewer pleasant activities. Interventions aimed at promoting effective coping strategies that favor perceived control, activity and emotional well-being should include a module on identifying and modifying of negative self-perceptions of aging in middle-aged and older adults.
Since the 1980s, research has linked environmental factors to adult-onset diseases. The DOHaD theory suggests that exposures during development can permanently affect organ function, predisposing individuals to adult diseases. Studies indicate that protein restriction or a high-fat diet (HFD) during this phase impacts adult metabolism since programmed dysfunctions may depend on changes established during puberty, such as the reproductive system. However, there are no studies on the impact of low-protein (LP) or HFD on male testicles during this phase. For this, Male Wistar rats were categorized into three dietary groups: LP (isocaloric low-protein pelletized); HFD; and Control (balanced commercial) until PND 60. This study was approved by the CEUA-UEM. On postnatal day 61, the animals were euthanized for histopathological, sperm count, and oxidative stress assessments in the testis and epididymis. Statistical analyses were conducted following established ethical principles in animal research. The research revealed significant alterations in daily sperm production and transit through the epididymis. Sperm morphology was affected in the experimental groups. Mitochondrial activity increased in the HFD group. Testicular and epididymal histopathology, seminiferous tubule diameter, and germinal epithelium height, as well as the number of Sertoli and Leydig cells, remained unchanged. Stereological analysis revealed tissue remodeling in the epididymis, particularly in the LP group. LP group showed an increase in lipid peroxidation in the oxidative damage test. In conclusion, low-protein and HFD during peripubertal age did not affect postnatal testicular development in rats. However, they impacted sperm quality, potentially affecting fertility and male reproductive system development.
Maternal health and nutrition in early pregnancy play a vital role in the growth and development of the foetus. During this time, macro and micronutrients contribute to nutritional programming, which helps form the foundations of the foetus’s life course health outcomes. This study aimed to investigate dietary habits, macro and micronutrient intake, micronutrient status, and folic acid supplement adherence among Emirati pregnant women in their first trimester. Data were collected according to the UAE-BCS study protocol, which was set up to investigate maternal nutrition, health, child growth, and developmental outcomes within the first 1000 days. Pregnant Emirati women with singleton pregnancies within their first trimester of pregnancy (between 8 and 12 weeks of gestation) were enrolled. The 24-hour food recall method was administered to collect dietary intake. The maternal mean average age was 29 years. Participants had high adherence to supplementation during pregnancy compared to preconception. The mean energy intake was 1345kcal, and 56% of participants consumed saturated fats above the acceptable macronutrient distribution ranges (AMDR), while 94% consumed below AMDR for total fibre. The consumption of micronutrients was below the recommended dietary allowance (RDA). Biochemical results show a high prevalence of low haemoglobin (74%) and deficiencies in vitamin D (39%) and vitamin E (96%). There is a need for research into dietary patterns and influences in pregnant women in the UAE. Furthermore, investigations of knowledge practices and attitudes towards supplementation and the factors contributing to folic acid supplement use are needed to inform government strategies and interventions.
The number of published systematic reviews has increased over the last years, with a non-negligible proportion displaying methodological concerns. We aimed to develop and evaluate a tool to assess the reported methodological quality of medical systematic reviews. The developed tool (ReMarQ) consists of 26 dichotomous items. We applied an item response theory model to assess the difficulty and discrimination of the items and decision tree models to identify those items more capable of identifying systematic reviews with higher reported methodological quality. ReMarQ was applied to a representative sample of medical systematic reviews (excluding those published in the Cochrane Database of Systematic Reviews) to describe their methodological quality and identify associated factors. We assessed 400 systematic reviews published between 2010 and 2020, of which 196 (49.0%) included meta-analysis. The most discriminative items were (i) conducting a risk of bias assessment, (ii) having a published protocol and (iii) reporting methods for solving disagreements. More recent systematic reviews (adjusted yearly RR=1.03; 95%CI=1.02 −1.04, p<0.001) and those with meta-analysis (adjusted RR=1.34; 95%CI=1.25 −1.43, p<0.001) were associated with higher reported methodological quality. Such an association was not observed with the journal impact factor. The items most frequently fulfilled were (i) reporting search dates, (ii) reporting bibliographic sources and (iii) searching multiple electronic bibliographic databases. ReMarQ, consisting of dichotomous items and whose application does not require subject content expertise, may be important (i) in supporting an efficient quality assessment of systematic reviews and (ii) as the basis of automated processes to support that assessment.
This paper reports the methods and preliminary findings of Germina, an ongoing cohort study to identify biomarkers and trajectories of executive functions and language development in the first 3 years of life. 557 mother-infant dyads (mean age of mothers 33.7 years, 65.2% white, 48.7% male infants) have undergone baseline and are currently collecting data for other timepoints. A linear regression was used to predict baseline Bayley-III using scores derived from data-driven sparse partial least squares utilizing a multiple holdout framework of 15 domains. Significant associations were found between socioeconomic/demographic characteristics (B = 0.29), epigenetics (B = 0.11), EEG theta (B = 0.14) and beta activity (B = 0.11), and microbiome functional pathways (B = 0.08) domains, and infant development measured by the Bayley-III at T1, suggesting potential interventions to prevent impairments.
Fluridone was registered for use in rice production in 2023, offering a new herbicide site of action for growers. However, little information is available on the degree of rice tolerance to this herbicide. Field experiments conducted in 2022 and replicated in 2023 near Colt, AR, evaluated the tolerance of 12 rice cultivars to fluridone, applied preemergence or at the 3-leaf growth stage, in separate experiments. Each experiment consisted of one cultivar. Fluridone rates included 0, 168 (1 × label rate), and 336 (2 × label rate) g ai ha−1 in all experiments. Visible injury varied between years in all experiments, likely due to different environmental conditions. In 2022, injury following preemergence applications of fluridone was below 25% across cultivars. In contrast, in 2023, injury ≥30% occurred to five cultivars, with a maximum of 58% observed for the cultivar ‘DG263L’. In both years, only three cultivars exhibited injury ≥20% following fluridone applications at the 3-leaf stage. Fluridone negatively affected shoot density, groundcover, chlorophyll content, and days to 50% heading in most cultivars when applied preemergence. When fluridone was applied to 3-leaf rice, at least one of the variables evaluated was negatively affected in two and nine cultivars in 2022 and 2023, respectively. Grain yield reductions of at least 18% were observed from eight cultivars in 2022, and a grain yield decrease from 9% to 49% from eight cultivars occurred in 2023 in the preemergence experiments. Fluridone applied to rice at the 3-leaf stage did not cause a yield penalty to any cultivar in 2022, whereas in 2023, a yield loss occurred from eight cultivars. Yield loss from the DG263L cultivar occurred at the 1 × rate in both experiments, indicating that this cultivar appears to be sensitive to fluridone, regardless of the application timing. Based on these findings, fluridone tolerance is cultivar-dependent. Furthermore, preemergence applications of fluridone to rice should be avoided.
Research on second language (L2) speech learning suggests that incidental perception training can lead to the establishment of non-native phonological categories. The present study contributes to this line of enquiry by investigating how this training is mediated by individual differences in working memory capacity and domain-general auditory processing abilities. In our study, 130 native British English speakers without prior knowledge of Portuguese were randomly assigned to trained or untrained conditions. All participants completed a visual digit span task and an auditory processing test battery. We observed improvements from pretest to post-test in production only, but since both groups improved, these gains cannot be attributed to the incidental perception training. The analysis of the ID measures further confirms the important role played by auditory processing abilities in L2 speech learning. However, more research is needed to better understand the role of incidental perception training and the mediating role of cognitive aptitudes.
Avian Plasmodium parasites can be pathogenic to their vertebrate hosts. Although cases of anaemia are frequently reported in parasitized birds, the potential damage caused by the parasite during the exoerythrocytic reproduction phase remains poorly investigated. Here, we report 2 individuals of red-legged seriemas (Cariama cristata) infected with 2 different lineages of Plasmodium huffi, one of them exhibiting potential malarial-compatible tissue lesions in the spleen, liver, brain and lungs, alongside molecular confirmation of parasite presence in the spleen. Previously classified as specific to birds from the order Piciformes, this parasite has shown different associated lineages amplified across diverse host orders in South America (Anseriformes, Charadriiformes, Columbiformes, Galliformes, Pelecaniformes and Passeriformes). Those infections, however, were defined as abortive due to the absence of gametocytes visualized in blood smear slides. Herein, we confirm P. huffi as a generalist parasite based on the first morphological characterization in the peripheral blood of a bird outside the Piciformes order. This is also the first morphological and molecular description of a Plasmodium species in Cariamiformes. In addition to the morphological analyses, we have also proposed a novel phylogenetic hypothesis based on the partial cytb gene and the near-complete mitochondrial genome of this parasite. Our findings support that the division of the genus Plasmodium into subgenera is not monophyletic, as P. (Huffia) huffi and its associated lineages cluster more closely with Plasmodium (Haemamoeba) gallinaceum than with Plasmodium (Huffia) elongatum.
As mid-southern U.S. rice producers continue to adopt furrow-irrigated rice production practices, supplementary management efforts will be vital in combating Palmer amaranth due to the extended germination period provided by the lack of a continual flood. Previous research has revealed the ability of cover crops to suppress Palmer amaranth emergence in corn, cotton, and soybean production systems; however, research on cover crop weed control efficacy in rice production is scarce. Therefore, trials were initiated in Arkansas in 2022 and 2023 to evaluate the effect of cover crops across five site-years on rice emergence, groundcover, grain yield, and total Palmer amaranth emergence. The cover crops evaluated were cereal rye, winter wheat, Austrian winterpea, and hairy vetch. Cover crop biomass accumulation varied by site-year, ranging from 430 to 3,440 kg ha−1, with cereal rye generally being the most consistent producer of high-quantity biomass across site-years. Rice growth and development were generally unaffected by cover crop establishment; however, all cover crops reduced rice emergence by up to 30% in one site-year. Rice groundcover was reduced by 13% from cereal rye in one site-year 2 wk before heading but cover crops did not affect rough rice grain yield in any of the site-years. Palmer amaranth emergence was reduced by 19% and 35% with cereal rye relative to the absence of a cover crop when rice was planted in April in Marianna, and May in Fayetteville, respectively. In most trials, Palmer amaranth emergence was not reduced by a cereal cover crop. In most instances, legume cover crops resulted in less Palmer amaranth emergence than without a cover crop. Based on these results, legume cover crops appear to provide some suppression of Palmer amaranth emergence in furrow-irrigated rice while having a minimal effect on rice establishment and yield.