This article addresses a critical gap in international research concerning digital literacies and empowerment among adults who are English as an additional language (EAL) learners. In the Australian context, where digital communication and services are embedded in all aspects of life and work, proficiency in digital literacies, including advanced technologies like generative artificial intelligence (AI), is vital for working and living in Australia. Despite the increasing prevalence and significance of generative AI platforms such as ChatGPT, there is a notable absence of dedicated programs to assist EAL learners in understanding and utilising generative AI, potentially impacting their employability and everyday life. This article presents findings from a larger study conducted within training providers, spanning adult educational institutions nationwide. Through analysis of data gathered from surveys and focus groups, the article investigates the knowledge and attitudes of students, educators, and leaders regarding integrating generative AI into the learning program for adult EAL learners. The results reveal a hesitance among educators, particularly concerning beginning language learners, in incorporating generative AI into educational programs. Conversely, many adult learners demonstrate enthusiasm for learning about its potential benefits despite having limited understanding. These disparities underscore the pressing need for comprehensive professional development for educators and program leaders. The findings also highlight the need to develop the AI literacy of learners to foster their understanding and digital empowerment. The article concludes by advocating for a systemic approach to include generative AI as an important part of learning programs with students often from adult migrant and refugee backgrounds.

Background: Neuromodulation unit placement can provide efficacious control of many neurological conditions. They are high risk for infection with a historic infection rate as high as 10%. Treatment of infection requires surgical removal and a long course of systemic antibiotics. <font size=”1”> </font>At our center, one surgeon uses antibacterial envelopes with all implanted neuromodulation devices. Methods: We conducted a retrospective cohort study of consecutive implantable pulse generator (IPG) and intrathecal pump unit implantation with an antibacterial envelope at our center. This cohort was then compared to a historical cohort of consecutive patients undergoing IPG or pump placement or revision prior to the use of the envelopes. Results: IPG: There were 18 (11.9%) class I infections in the pre-envelope cohort compared with 5 (2.1%) in the post-envelope cohort. The absolute risk reduction (ARR) with the use of antibacterial envelopes was 9.85% (95% confidence interval (CI) 4.3-15.4%, p<0.01).

Pump: There were 6 (14.6%) class I infections in the pre-envelope cohort compared with 1 (1.7%) in the post-envelope cohort. The ARR with the use of antibacterial envelopes was 12.9% (95% confidence interval 1.6-24.3, p<0.05). Conclusions: Based on our results, we recommend usage of antibacterial envelopes to reduce infection rates in neuromodulation surgery. Further study is needed.

Survival and mortality of extensive hill ewes are important commercial factors and valuable indicators of welfare, but difficult to study. Body condition scoring is a tried-and-tested management and monitoring tool which has been defined as a good predictor of fitness in ewes and is easily measured under hill farm conditions. This paper presents the results of a study on ewe survival rates in hill conditions in Scotland. Ewe performance and survival rates were measured in two contrasting hill flocks over a five-year period. Statistical analysis showed that mid-pregnancy body condition score was the most reliable indicator of subsequent ewe survival, followed closely by age of the ewe and environmental and management conditions. This study confirms that there are considerable welfare issues related to hill flocks and that improved winter nutritional management is a key component to good welfare and productivity. It also reinforces the view that body condition score is a good quantitative predictor of animal welfare and that poor mid-winter score indicates high risk of mortality, both at the flock and individual ewe level.

Extensive sheep farming systems make an important contribution to socio-economic well-being and the ‘ecosystem services’ that flow from large areas of the UK and elsewhere. They are therefore subject to much policy intervention. However, the animal welfare implications of such interventions and their economic drivers are rarely considered. Under Defra project AW1024 (a further study to assess the interaction between economics, husbandry and animal welfare in large, extensively managed sheep flocks) we therefore assessed the interaction between profit and animal welfare on extensive sheep farms. A detailed inventory of resources, resource deployment and technical performance was constructed for 20 commercial extensive sheep farms in Great Britain (equal numbers from the Scottish Highlands, Cumbria, Peak District and mid-Wales). Farms were drawn from focus groups in these regions where participative research with farmers added further information. These data were summarised and presented to a panel of 12 experts for welfare assessment. We used two welfare assessment methods one drawn from animal welfare science (‘needs’ based) the other from management science (Service Quality Modelling). The methods gave complementary results. The inventory data were also used to build a linear programme (LP) model of sheep, labour and feed-resource management month-by-month on each farm throughout the farming year. By setting the LP to adjust farm management to maximise gross margin under each farm's circumstances we had an objective way to explore resource allocations, their constraints and welfare implications under alternative policy response scenarios. Regression of indicators of extensification (labour per ewe, in-bye land per ewe, hill area per ewe and lambs weaned per ewe) on overall welfare score explained 0.66 of variation with labour and lambs weaned per ewe both positive coefficients. Neither gross margin nor flock size were correlated with welfare score. Gross margin was also uncorrelated with these indicators of extensification with the exception of labour/ewe, which was negatively correlated with flock size and hence with gross margin. These results suggest animal welfare is best served by reduced extensification while greater profits are found in flock expansion with reduced labour input per ewe and no increase in other inputs or in productivity. Such potential conflicts should be considered as policy adjusts to meet the requirements for sustainable land use in the hills and uplands.

Observational studies suggest that 25-hydroxy vitamin D (25(OH)D) concentration is inversely associated with pain. However, findings from intervention trials are inconsistent. We assessed the effect of vitamin D supplementation on pain using data from a large, double-blind, population-based, placebo-controlled trial (the D-Health Trial). 21 315 participants (aged 60–84 years) were randomly assigned to a monthly dose of 60 000 IU vitamin D3 or matching placebo. Pain was measured using the six-item Pain Impact Questionnaire (PIQ-6), administered 1, 2 and 5 years after enrolment. We used regression models (linear for continuous PIQ-6 score and log-binomial for binary categorisations of the score, namely ‘some or more pain impact’ and ‘presence of any bodily pain’) to estimate the effect of vitamin D on pain. We included 20 423 participants who completed ≥1 PIQ-6. In blood samples collected from 3943 randomly selected participants (∼800 per year), the mean (sd) 25(OH)D concentrations were 77 (sd 25) and 115 (sd 30) nmol/l in the placebo and vitamin D groups, respectively. Most (76 %) participants were predicted to have 25(OH)D concentration >50 nmol/l at baseline. The mean PIQ-6 was similar in all surveys (∼50·4). The adjusted mean difference in PIQ-6 score (vitamin D cf placebo) was 0·02 (95 % CI (−0·20, 0·25)). The proportion of participants with some or more pain impact and with the presence of bodily pain was also similar between groups (both prevalence ratios 1·01, 95 % CI (0·99, 1·03)). In conclusion, supplementation with 60 000 IU of vitamin D3/month had negligible effect on bodily pain.

This article examines sculptor James Turrell's late 1960s Art & Technology residency at Garrett Corporation, an aerospace and defense subcontractor based in Los Angeles. It considers Turrell's early life, his participation in the residency through the Los Angeles County Museum of Art, and his and collaborators’ subsequent production, to show that artists could interact with the Cold War military–industrial complex in ways that surpassed mere protest or complicity. Despite his political beliefs, Turrell's participation in the project embedded his sculptural practice in the Cold War political economy of the American state in ways that should expand scholarly definition and study of what constitutes foreign-policy practice and doctrine.

Background: Neuromodulation unit placement carries a historic infection rate as high as 12%. TYRX antibacterial envelopes (Medtronic Inc., Minneapolis, MN), which are absorbable mesh envelopes that elute minocycline and rifampin, have been used in implantable cardiac devices with substantial risk reduction for infection. Methods: We conducted a retrospective cohort study of consecutive implantable pulse generator (IPG) and intrathecal pump unit implantation with a TYRX antibacterial envelope©. This cohort was then compared to a historical cohort of consecutive patients undergoing IPG or pump placement or revision prior to the use of the envelopes. Results: In the pre-envelope cohort of 151 IPGs in 116 patients, the infection rate was 18/151 (11.9%). In the antibacterial envelope cohort of 233 IPGs in 185 patients, the infection rate was (2.1%). The absolute risk reduction was 4.6% (95% CI, 0.045-0.048), The pre-envelope cohort of 41 pumps in 39 patients, the infection rate was 6/41 (14.6%). In the antibacterial envelope cohort of 59 pumps in 54 patients, the infection rate was (1.7%). The absolute risk reduction was 12.9% (95% CI 1.6-24.3). Conclusions: Usage of an antibacterial envelope for neuromodulation has resulted in a lower infection rate at our center. Based on these results, we recommend the use of antimicrobial envelopes.

Escherichia coli concentration levels in recreational water are used by beach managers to evaluate the risk of gastrointestinal illness among beachgoers. We examined the relationship between specific environmental factors and E. coli concentration in recreational beaches in the Niagara Region. We analysed E. coli geometric means collected from eight beaches from two of the Great Lakes in the Niagara Region in Ontario, between 2011 and 2019. We applied path analysis to evaluate the relationship between the environmental factors and E. coli concentrations, including whether effects were direct or indirect via a mediator. Turbidity was found to be an important mediator for the indirect effect of environmental variables overall and in beach-specific models. Rainfall and streamflow had a positive indirect effect on E. coli via turbidity and a direct effect in five out of seven beach models. Streamflow was also a mediator for the indirect effect of previous day air temperature in five out of seven models. In three subset models, outfall E. coli concentration was a mediator for the effect of the environmental factors. Using a novel methodological approach, this study identifies important relationships and pathways that predict beach E. coli concentration in freshwater beaches located on two of the Great Lakes.

Vitamin D deficiency is associated with an increased risk of falls and fractures. Assuming this association is causal, we aimed to identify the number and proportion of hospitalisations for falls and hip fractures attributable to vitamin D deficiency (25 hydroxy D (25(OH)D) <50 nmol/l) in Australians aged ≥65 years. We used 25(OH)D data from the 2011/12 Australian Health Survey and relative risks from published meta-analyses to calculate population-attributable fractions for falls and hip fracture. We applied these to data published by the Australian Institute of Health and Welfare to calculate the number of events each year attributable to vitamin D deficiency. In men and women combined, 8·3 % of hospitalisations for falls (7991 events) and almost 8 % of hospitalisations for hip fractures (1315 events) were attributable to vitamin D deficiency. These findings suggest that, even in a sunny country such as Australia, vitamin D deficiency contributes to a considerable number of hospitalisations as a consequence of falls and for treatment of hip fracture in older Australians; in countries where the prevalence of vitamin D deficiency is higher, the impact will be even greater. It is important to mitigate vitamin D deficiency, but whether this should occur through supplementation or increased sun exposure needs consideration of the benefits, harms, practicalities and costs of both approaches.

Background: There are few studies exploring rates of drug resistant epilepsy in populations with new-onset epilepsy (NOE). This prospective cohort study characterizes the development of drug-resistant epilepsy (DRE) and risk factors in an adult cohort with NOE or newly-diagnosed epilepsy (NDE). Methods: Patients are from the Single Seizure Clinic (SSC) in Saskatoon, SK between 2011 and 2018. The SSC sees patients who experience their first seizure; approximately 30% are diagnosed with epilepsy. Patients were followed prospectively. We identified the following variables in the cohort: epilepsy type, seizure onset, etiology, syndromes, and rates of DRE. Inclusion criteria included patients with NO and NDE, at least 18 years at diagnosis, and a minimum 1 year of follow-up. Results: Ninety-five patients were included, 46 females and 49 males. Median age of onset was 33 years. Of those, 28.4% developed DRE. Average time between onset and DRE diagnosis was 1.44 years. Bivariate analysis identified age, gender, and cranial trauma as significant risk factors for DRE. The multivariate model was not significant. Conclusions: Our study shows that patients with new-onset epilepsy have are less likely to develop DRE compared with patients from epilepsy clinics. This study contributes valuable information about NO epilepsy in adults and the development of DRE.