We are less optimistic than Madole & Harden that family-based genome-wide association studies (GWASs) will lead to significant second-generation causal knowledge. Despite bearing some similarities, family-based GWASs and randomised controlled trials (RCTs) are not identical. Most RCTs assess a relatively homogenous causal stimulus as a treatment, whereas GWASs assess highly heterogeneous causal stimuli. Thus, GWAS results will not translate so easily into second-generation causal knowledge.

Background: Prior to the pandemic, telemedicine use was limited and sparsely funded within Ontario. During the pandemic, a shift in clinical recommendations and government funding models promoted telemedicine. We aim to highlight both quantitative and qualitative aspects of the patient and provider experience over 2.5 years within a Canadian Pediatric Neurology clinic. Main objectives of the study are to assess the safety, efficiency and convenience of telemedicine. Methods: A REDCap survey was sent to all patients with a telemedicine appointment from March 2020 –September 2022 and all Pediatric Neurology providers. Survey included a 5-point Likert scale questions, open questions, and patient characteristics. Results: Responses received from 272 patients and 7 providers. 91% of patients and all providers were satisfied with telemedicine. 95% of patients and all providers felt they received or were able to provide safe/adequate care. 90% of patients and all providers reported that telemedicine was more convenient. 87% of patients and all providers were interested in future appointments via telemedicine. Conclusions: Our survey shows patients and providers had highly positive experiences with telemedicine – reporting care was adequate, safe, and more convenient. This data supports incorporating telemedicine into future care and advocates that Canadian regulations/billing codes to continue to support telemedicine.

This article examines the introduction of the medical mask in the late nineteenth century at the intersection of surgery, bacteriology and infection control. During this important episode in the longer history of the medical mask, respiratory protection became a tool of targeted germ control. In 1897, the surgeon Johannes Mikulicz at the University of Breslau (now Wroclaw, Poland), drawing on the bacteriological experiments of his colleague Carl Flügge, used a piece of gauze in front of his nose and mouth as a barrier against microorganisms moving from him to his patients. This article explores the social, cultural and medical contexts of this particular use of the mask, in connection with germ theory and surgeons’ struggle with wound infection. It explores the alignment of the new aseptic surgery with the emerging field of bacteriology in a local milieu that favoured interdisciplinary cooperation. The account also follows the uptake of the mask outside of surgery for other anti-infectious purposes and shows how the new type of anti-infectious mask spread simultaneously in operating rooms as well as in hospitals and sanatoria, and eventually in epidemic contexts.

Comparing knowledge with belief can go wrong in two dimensions: If the authors employ a wider notion of knowledge, then they do not compare like with like because they assume a narrow notion of belief. If they employ only a narrow notion of knowledge, then their claim is not supported by the evidence. Finally, we sketch a superior teleological view.

The European (Melolontha melolontha L.) and Forest (M. hippocastani F.) cockchafer are widespread pests throughout Central Europe. Both species exhibit a 3–5-year life cycle and occur in temporally shifted populations, which have been monitored and documented for more than 100 years. Visual identification of adults and larvae belonging to these morphologically similar species requires expertise and, particularly in the case of larvae, is challenging and equivocal. The goal of the study was the development of an efficient and fast molecular genetic tool for the identification and discrimination of M. melolontha and M. hippocastani. We established a collection of both species from Switzerland, Austria and Northern Italy in 2016, 2017 and 2018. An approximately 1550 bp long fragment of the cytochrome c oxidase subunit 1 (CO1) mitochondrial gene was amplified and sequenced in 13 M. melolontha and 13 M. hippocastani beetles. Alignment of the new sequences with reference sequences (NCBI GenBank and BOLDSYSTEMS databases) and subsequent phylogenetic analysis revealed consistent clustering of the two species. After the identification of M. melolontha and M. hippocastani species-specific single nucleotide polymorphisms (SNPs) in the CO1 alignment, we developed an effective SNP tool based on the ABI PRISM® SNaPshot™ Multiplex Kit for the rapid and accurate species discrimination of adults and larvae.

We examine stock index futures and Treasury futures around the release time of 30 U.S. macroeconomic announcements. Nine of the 20 announcements that move markets show evidence of substantial informed trading before the official release time. Prices begin to move in the “correct” direction approximately 30 minutes before the release time. The preannouncement price drift accounts on average for approximately 40% of the total price adjustment. This implies that some traders have private information about macroeconomic fundamentals. Preannouncement drift might originate from a combination of information leakage and superior forecasting that incorporates proprietary data.

The clay-mineralogical assemblages of Purbeckian carbonate sediments of the Swiss and French Jura Mountains are often composed of illite and interstratified illite-smectite. These illitic minerals occur mainly in thin layers of green marls which show evidence of subaerial exposure and mark the top of shallowing-upward sequences. X-ray diffraction, chemical and thermal analyses coupled with transmission electron microscopy suggest that the Purbeckian illitic minerals replaced smectite in intermediate continental-marine environments. The transition from smectite to illite and interstratified illite-smectite probably resulted from repeated cycles of wetting by marine waters and subsequent drying in hypersaline environments, under a hot Purbeckian climate.

Introduction: Each year about two thirds of U.S. smokers make a quit attempt. Yet, less than 5% remain abstinent three months post-quit date. One factor that may affect abstinence is negative feelings about the self-associated with being a smoker (disequilibrium), particularly if smoking is important to the sense of self and one is trying to quit.

Aims: We evaluated a multivariate structural equation model proposing that smoking's subjective importance to a smoker would influence carbon monoxide verified smoking abstinence at 24 weeks (post-quit date). Further, we assessed whether the relation would be moderated by the smoker's experience of disequilibrium.

Methods: Participants were 440 regular smokers taking part in a clinical trial assessing the effectiveness of different durations of nicotine replacement therapy use. Participants completed the subjective importance of smoking survey at baseline and were assessed for carbon monoxide verified seven-day point prevalence abstinence at 24 weeks

Results: Using exploratory structural equation modelling, the subjective importance of smoking was associated with point prevalence abstinence at 24 weeks, but only for smokers with high disequilibrium.

Conclusions: The results of this study suggest that experiencing negative feelings about being a smoker could motivate smokers to remain abstinent, despite the importance of smoking to the smoker's sense of self.

Several different types of laterally extensive debris bands occur along the western terminus region of the Matanuska Glacier, Alaska, U.S.A. An ice-bed process, which to our knowledge has not previously been recognized and described, forms the most common and most prominent type of debris band at Matanuska Glacier’s terminus. The debris bands are composed of one or several millimeter-thick laminations of silt-rich ice having much higher sediment content than that of the surrounding ice. Samples of these bands and their surrounding englacial ice have been analyzed for anthropogenic tritium (3H), oxygen-18 (δ18O), and deuterium (δD).We interpreted the laminated, silt-rich debris bands as basal fractures, along which silt-laden, glaciohydraulically supercooled and pressurized waters flowed, healing the fractures by ice growth. This process is analogous to the inward growth of hydrothermal quartz from the sides of an open fracture.

Two rain events at Matanuska Glacier illustrate how subglacial drainage system development and snowpack conditions affect hydrologic response at the terminus. On 21 and 22 September 1995, over 56 mm of rain fell in the basin during a period usually characterized by much drier conditions. This event caused an 8-fold increase in discharge and a 47-fold increase in suspended-sediment concentration. Peak suspended-sediment concentration exceeded 20 kg m —3, suggesting rapid evacuation of stored sediment. While water discharge returned to its pre-storm level nine days after the rain ceased, suspended- sediment concentrations took about 20 days to return to pre-storm levels. These observations suggest that the storm influx late in the melt season probably forced subglacial water into a more distributed system. In addition, subglacially transported sediments were supplemented to an unknown degree by the influx of storm-eroded sediments off hillslopes and from tributary drainage basins.

A storm on 6 and 7 June 1997, dropped 28 mm of rain on the basin demonstrating the effects of meltwater retention in the snowpack and englacial and subglacial storage early in the melt season. Streamflow before the storm event was increasing gradually owing to warming temperatures; however, discharge during the storm and the following week increased only slightly. Suspended-sediment concentrations increased only a small amount, suggesting the drainage system was not yet well developed, and much of the run off occurred across the relatively clean surface of the glacier or through englacial channels.

Many snow models have been developed for various applications such as hydrology, global atmospheric circulation models and avalanche forecasting. The degree of complexity of these models is highly variable, ranging from simple index methods to multi-layer models that simulate snow-cover stratigraphy and texture. In the framework of the Snow Model Intercomparison Project (SnowMIP), 23 models were compared using observed meteorological parameters from two mountainous alpine sites. The analysis here focuses on validation of snow energy-budget simulations. Albedo and snow surface temperature observations allow identification of the more realistic simulations and quantification of errors for two components of the energy budget: the net short- and longwave radiation. In particular, the different albedo parameterizations are evaluated for different snowpack states (in winter and spring). Analysis of results during the melting period allows an investigation of the different ways of partitioning the energy fluxes and reveals the complex feedbacks which occur when simulating the snow energy budget. Particular attention is paid to the impact of model complexity on the energy-budget components. The model complexity has a major role for the net longwave radiation calculation, whereas the albedo parameterization is the most significant factor explaining the accuracy of the net shortwave radiation simulation.