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The current environmental, climate and health challenges require critical transitions to diets and food production systems that are more sustainable, in turn providing diets that are adequate nutrition, affordable and environmentally friendly. Recent studies have identified cultural acceptability as an important dimension in sustainable diets(1). Mathematical optimization models have been developed to deal with the complexities of all the dimensions, yet diet acceptability has had limited successful integration into these models(2). This systematic review explored two research questions in the context of dietary optimisation studies; how is acceptability defined and operationalised?; how does including acceptability impact dietary optimisation solutions?
A hybrid search strategy was implemented. The first used the PRISMA guidelines to conduct a systematic search on two electronic databases (PubMed, Embase) for articles published between January 2013 and April 2024. Search terms were developed through preliminary readings and included: diet OR diets OR dietary AND modelling OR modeling OR optimisation OR optimization OR optimize OR optimize OR linear programming AND acceptabl*. Articles in English optimising acceptable diets for adults (18+) were included. The second used the snowball method for identifying relevant articles from previous searches(3). Backward snowballing was conducted by identifying references from the initial set and forward snowballing was conducted through Web of Science in June 2023.
Fifty-one studies fulfilled the inclusion criteria. European countries had the largest representation (n=41; 20 from France, 7 from The Netherlands); 43 studies took a population-based modelling approach, 7 on individual-based modelling and 1 study used both approaches. The review identified 12 modelling approaches, where linear programming was most frequently used (n=26), followed by non-linear programming (n=7) and quadratic (n=6). The majority of studies that optimised for acceptability used the minimal deviation from observed diet as the objective function (n=32). Baseline dietary data for observed diets were primarily from National surveys (n=36), followed by local surveys (n=5), however, 25 studies used data that was 8 – 16 years older than the publication date. Majority of studies included at least one acceptability constraint (n=45), ranging from setting boundaries on certain foods (n=34), removal of certain foods/food groups (n=12), limiting deviation (n=15).
The full analysis of the studies is ongoing; however the current results highlight the varying methods used to operationalising ‘acceptable’ diets in diet optimisation literature. A conceptual framework for integrating acceptability into diet optimisation studies is currently under development, aiming to highlight the various ways in which ‘acceptability’ is operationalised through the modelling process from data inputs, models chosen to validation of the solutions. It is anticipated that this work will highlight new opportunities for further modelling for acceptable diets.
Academic health sciences libraries (“libraries”) offer services that span the entire research lifecycle, positioning them as natural partners in advancing clinical and translational science. Many libraries enjoy active and productive collaborations with Clinical and Translational Science Award (CTSA) Program hubs and other translational initiatives like the IDeA Clinical & Translational Research Network. This article explores areas of potential partnership between libraries and Translational Science Hubs (TSH), highlighting areas where libraries can support the CTSA Program’s five functional areas outlined in the Notice of Funding Opportunity. It serves as a primer for TSH and libraries to explore potential collaborations, demonstrating how libraries can connect researchers to services and resources that support the information needs of TSH.
Despite becoming increasingly represented in academic departments, women scholars face a critical lack of support as they navigate demands pertaining to pregnancy, motherhood, and child caregiving. In addition, cultural norms surrounding how faculty and academic leaders discuss and talk about tenure, promotion, and career success have created pressure for women who wish to grow their family and care for their children, leading to questions about whether it is possible for these women to have a family and an academic career. This paper is a call to action for academia to build structures that support professors who are women as they navigate the complexities of pregnancy, the postpartum period, and the caregiving demands of their children. We specifically call on those of us in I-O psychology, management, and related departments to lead the way. In making this call, we first present the realistic, moral, and financial cases for why this issue needs to be at the forefront of discussions surrounding success in the academy. We then discuss how, in the U.S. and elsewhere, an absence of policies supporting women places two groups of academics—department heads (as the leaders of departments who have discretion outside of formal policies to make work better for women) and other faculty members (as potential allies both in the department and within our professional organizations)—in a critical position to enact support and change. We conclude with our boldest call—to make a cultural shift that shatters the assumption that having a family is not compatible with academic success. Combined, we seek to launch a discussion that leads directly to necessary and overdue changes in how women scholars are supported in academia.
Introduction: Affecting roughly 1 in 5 pregnancies, early pregnancy loss is a common experience for reproductive-aged women. In Canada, most women do not establish care with an obstetrical provider until the second trimester of pregnancy. Consequently, pregnant patients experiencing symptoms of early pregnancy loss frequently access care in the emergency department (ED). The objective of this study was to describe the resource utilization and outcomes of women presenting to two Ontario EDs for early pregnancy loss or threatened early pregnancy loss. Methods: This was a retrospective cohort study of pregnant (≤20 weeks), adult (≥18 years) women in two EDs (one community hospital with 110,000 annual ED visits; one academic hospital with 65,000 annual ED visits) between January 2010 and December 2017. Patients were identified by diagnostic codes indicating early pregnancy loss or threatened early pregnancy loss. Results: A total of 16,091 patients were included, with a mean (SD) age of 32.8 (5.6) years. Patients had a total of 22,410 ED visits for early pregnancy complications, accounting for 1.6% of the EDs’ combined visits during the study period. Threatened abortion (n = 11,265, 50.3%) was the most common ED diagnosis, followed by spontaneous abortion (n = 5,652, 25.2%), ectopic pregnancy (n = 3,242, 14.5%), missed abortion (n = 1,541, 6.9%), and other diagnoses (n = 710, 3.2%). 8,000 (44.8%) patients had a radiologist-interpreted ultrasound performed during the initial ED visit. Median (IQR) ED length of stay was 3.4 (2.3 to 5.1) hours. There were 4,561 (25.6%) return ED visits within 30 days, of which 2,317 (50.8%) occurred less than 24 hours of index visit, and 481 (10.6%) were for scheduled, next day ultrasound. The total number of hospital admissions was 1,793 (8.0%), and the majority were for ectopic pregnancy (n = 1,052, 58.7%). Of admitted patients, 1,320 (73.6%) underwent surgical interventions related to early pregnancy. There were 474 (10.4%) patients admitted to hospital during return ED visits. Conclusion: Pregnant patients experiencing symptoms of early pregnancy loss in the ED frequently had radiologist-interpreted US and low rates of hospital admission, yet had high rates of return ED visits. This study highlights the heavy reliance on Ontario EDs to care for patients experiencing complications of early pregnancy.
Introduction: Emergency Department (ED) utilization during pregnancy may be common, but data specific to universal healthcare systems like Canada are lacking, where pregnancy care is supposed to be standardized. The objective of this study was to quantify and characterize ED utilization among all Ontarian women who had a recognized pregnancy, including by trimester and within 42 days after pregnancy, and further stratified by pregnancy outcome. Methods: Utilizing provincial administrative health databases, this retrospective population-based cohort study included all recognized pregnancies in Ontario conceived between April 1, 2002 and March 31, 2017. Peri-pregnancy ED utilization was defined as any ED visit from 0-42 weeks’ gestation, or within 42 days after the end of pregnancy. Modified Poisson regression was used to generate relative risks (RR) and 95% confidence intervals (CI) for the outcome of any peri-pregnancy ED utilization in association with maternal characteristics. Results: Peri-pregnancy ED utilization occurred among 1,075,991 of 2,728,236 recognized pregnancies (39.4%), including among 35.8% of livebirths, 47.3% of stillbirths, 73.7% of miscarriages, and 84.8% of threatened abortions. There were 22,802 (0.84%) ectopic pregnancies among all pregnancies in the cohort. ED utilization peaked in the first trimester and in the first week postpartum. A dose-response effect was seen in the number of peri-pregnancy ED visits in relation to certain maternal characteristics. Women residing in rural areas had an odds ratio (OR) of 3.44 (95% CI 3.39 to 3.49) for ≥ 3 ED visits, compared to those in urban areas. Women with 3-5 (OR 1.99 95% CI 1.97-2.01), 5-6 (OR 3.55, 95% CI 3.49 to 3.61), or ≥ 7 (OR 7.59, 95% CI 7.39 to 7.78) pre-pregnancy comorbidities were more likely to have ≥ 3 peri-pregnancy ED visits than those with 0-2 comorbidities. Of all recognized pregnancies in the cohort, only 106,989 (3.9%) had an injury-related ED visit. Conclusion: Peri-pregnancy ED utilization occurs in nearly 40% of pregnancies, notably in the first trimester and immediately postpartum. Efforts are needed to streamline rapid access to ambulatory obstetrical care during these peak periods, when women are vulnerable to either a miscarriage, or a complication after a livebirth.
Social contact is one of the most effective strategies for improving inter-group relations and is supported by decades of positive evidence. Several studies specifically support social contact interventions as a way of reducing stigma against people with mental health problems. Despite the effectiveness of this approach, some social groups have few opportunities for social contact in the real world.
Objectives
Using the England Time to Change anti-stigma campaign as an example, we investigate the feasibility and effectiveness of delivering social contact interventions at the mass population level to reduce stigma and discrimination against people with mental health problems.
Aims
To investigate: (i) the feasibility of scaling up social contact interventions to reduce stigma and discrimination against people with mental health problems and (ii) the effectiveness of mass population social contact interventions to: improve intended stigmatising behaviour, increase willingness to disclose mental health problems and to promote engagement in antistigma activities.
Methods
Two types of mass participation social contact programmes within England's Time to Change campaign were evaluated via self-report questionnaire. Participants at social contact events were asked about the occurrence and quality of contact, attitudes, readiness to discuss mental health, and intended behaviour towards people with mental health problems.
Results
Findings on feasibility and effectiveness of social contact programmes will be presented.
Conclusion
This study suggests that social contact interventions can be used by anti-stigma campaigns to reduce stigma and discrimination against people with mental health problems. Further investigation is needed regarding the maintenance of these changes
An inviscid flow model is presented to gain a basic understanding of the reflection of a swept oblique shock from a planar wall. The analytical model is constructed to describe the fundamental influence of sweep on this shock configuration, which has been commonly studied as an unswept non-dimensional shock boundary layer interaction (SBLI). Transformation of model parameters into a plane perpendicular to the sweep angle reduces the resultant flow to a two-parameter system. An equivalency between this configuration and others commonly assessed is presented with advisory notes on the definition of effective coordinate systems. Inviscid shock detachment has been associated with the onset of quasi-conical SBLI spanwise development; see (Settles & Teng, AIAA J., vol. 22 (2), 1984, pp. 194–200). Its occurrence for this SBLI configuration is determined for a range of conditions and compared to experimental observations of swept SBLIs claiming cylindrical/conical similarity scalings. Finally, influence of a zero-mass flux plane associated with typical experimental and numerical analyses is presented with an accompanying model for the shock structure. While this paper serves as a useful resource when designing swept impinging oblique SBLI studies, it also provides a vital benchmark for this complex configuration and helps to unify various SBLI configurations that are often analysed in isolation.
Aquaculture is one of the fastest-growing food production sectors in many low-income and food-deficit countries with aquatic ecozones. Yet its specific impact on nutrition and livelihood in local communities, where commercial and/or export-orientated aquaculture activities are developed, is largely unknown.
Design:
The present narrative and argumentative review aims to provide an overview of our current understanding of the connections between aquaculture agroecosystems, local and national fish production, fish consumption patterns and nutrition and health outcomes.
Results:
The agroecological dynamic in a coastal-estuarine zone, where the aquatic environment ranges from fully saline to freshwater, is complex, with seasonal and annual fluctuations in freshwater supply creating a variable salinity gradient which impacts on aquatic food production and on food production more generally. The local communities living in these dynamic aquatic ecozones are vulnerable to poverty, poor diet and health, while these ecosystems produce highly valuable and nutritious aquatic foods. Policies addressing the specific challenges of risk management of these communities are limited by the sectoral separation of aquatic food production – the fisheries and aquaculture sector, the broader food sector – and public health institutions.
Conclusions:
Here we provide an argument for the integration of these factors to improve aquaculture value chains to better address the nutritional challenges in Bangladesh.
An improved understanding of diagnostic and treatment practices for patients with rare primary mitochondrial disorders can support benchmarking against guidelines and establish priorities for evaluative research. We aimed to describe physician care for patients with mitochondrial diseases in Canada, including variation in care.
Methods:
We conducted a cross-sectional survey of Canadian physicians involved in the diagnosis and/or ongoing care of patients with mitochondrial diseases. We used snowball sampling to identify potentially eligible participants, who were contacted by mail up to five times and invited to complete a questionnaire by mail or internet. The questionnaire addressed: personal experience in providing care for mitochondrial disorders; diagnostic and treatment practices; challenges in accessing tests or treatments; and views regarding research priorities.
Results:
We received 58 survey responses (52% response rate). Most respondents (83%) reported spending 20% or less of their clinical practice time caring for patients with mitochondrial disorders. We identified important variation in diagnostic care, although assessments frequently reported as diagnostically helpful (e.g., brain magnetic resonance imaging, MRI/MR spectroscopy) were also recommended in published guidelines. Approximately half (49%) of participants would recommend “mitochondrial cocktails” for all or most patients, but we identified variation in responses regarding specific vitamins and cofactors. A majority of physicians recommended studies on the development of effective therapies as the top research priority.
Conclusions:
While Canadian physicians’ views about diagnostic care and disease management are aligned with published recommendations, important variations in care reflect persistent areas of uncertainty and a need for empirical evidence to support and update standard protocols.
Nasal disease imposes a significant disease burden upon the individual in the general population, but is relatively under studied in athletes. This study sought to define the frequency of nasal symptoms in the active population, and to quantify the impact of these symptoms on quality of life and on the frequency of upper respiratory tract infections.
Results
A total of 296 participants completed the study (246 athletes and 50 sedentary controls). Nasal symptoms were significantly more frequent in the active group than in the sedentary controls (70 per cent vs 52 per cent). Upper respiratory tract infections were significantly more common in athletes with regular nasal symptoms than in athletes without nasal symptoms. Quality-of-life scores, as measured by the 22-item Sino-Nasal Outcome Test, were significantly worse in athletes with regular nasal symptoms.
Conclusion
This study suggests that regular exercise is associated with a significant increase in the prevalence of troubling nasal symptoms, and nasal symptoms in athletes are associated with increased susceptibility to upper respiratory tract infections. Quality of life was negatively affected, confirming the importance of nasal health to athlete welfare.
Concentrate inclusion levels in dairy cow diets are often adjusted so that the milk yield responses remain economic. While changes in concentrate level on performance is well known, their impact on other biological parameters, including immune function, is less well understood. The objective of this study was to evaluate the effect of concentrate inclusion level in a grass silage-based mixed ration on immune function. Following calving 63 (45 multiparous and 18 primiparous) Holstein Friesian dairy cows were allocated to one of three isonitrogenous diets for the first 70 days of lactation. Diets comprised of a mixture of concentrates and grass silage, with concentrates comprising either a low (30%, LC), medium (50%, MC) or high (70%, HC) proportion of the diet on a dry matter (DM) basis. Daily DM intakes, milk yields and BW were recorded, along with weekly body condition score, milk composition and vaginal mucus scores. Blood biochemistry was measured using a chemistry analyzer, neutrophil phagocytic and oxidative burst assessed using commercial kits and flow cytometry, and interferon-γ production evaluated by ELISA after whole blood stimulation. Over the study period cows on HC had a higher total DM intake, milk yield, fat yield, protein yield, fat+protein yield, protein content, mean BW and mean daily energy balance, and a lower BW loss than cows on MC, whose respective values were higher than cows on LC. Cows on HC and MC had a lower serum non-esterified fatty acid concentration than cows on LC (0.37, 0.37 and 0.50 mmol/l, respectively, P=0.005, SED=0.032), while cows on HC had a lower serum β-hydroxybutyrate concentration than cows on MC and LC (0.42, 0.55 and 0.55 mmol/l, respectively, P=0.002, SED=0.03). Concentrate inclusion level had no effect on vaginal mucus scores. At week 3 postpartum, cows on HC tended to have a higher percentage of oxidative burst positive neutrophils than cows on LC (43.2% and 35.3%, respectively, P=0.078, SED=3.11), although at all other times concentrate inclusion level in the total mixed ration had no effect on neutrophil phagocytic or oxidative burst characteristics, or on interferon-γ production by pokeweed mitogen stimulated whole blood culture. This study demonstrates that for high yielding Holstein Friesian cows managed on a grass silage-based diet, concentrate inclusion levels in early lactation affects performance but has no effect on neutrophil or lymphocyte immune parameters.
The Protectorate is arguably the Cinderella of Interregnum studies: it lacks the immediate drama of the Regicide, the Republic or the Restoration, and is often dismissed as a 'retreat from revolution', a short period of conservative rule before the inevitable return of the Stuarts. The essays in this volume present new research that challenges this view. They argue instead that the Protectorate was dynamic and progressive, even if the policies put forward were not always successful, and often created further tensions within the government and between Whitehall and the localities. Particular topics include studies of Oliver Cromwell and his relationship with Parliament, and the awkward position inherited by his son, Richard; the role of art and architecture in creating a splendid protectoral court; and the important part played by the council, as a law-making body, as a political cockpit, and as part of a hierarchy of government covering not just England but also Ireland and Scotland. There are also investigations of the reactions to Cromwellian rule in Wales, in the towns and cities of the Severn/Avon basin, and in the local communities of England faced with a far-reaching programme of religious reform. PATRICK LITTLE is Senior Research Fellow at the History of Parliament Trust. Contributors: BARRY COWARD, DAVID L. SMITH, JASON PEACEY, PAUL HUNNEYBALL, BLAIR WORDEN, PETER GAUNT, LLOYD BOWEN, STEPHEN K. ROBERTS, CHRISTOPHER DURSTON.
The present study evaluated the behaviour of the AusBeef model for beef production as part of a 2 × 2 study simulating performance on forage-based and concentrate-based diets from Oceania and North America for four methane (CH4)-relevant outputs of interest. Three sensitivity analysis methods, one local and two global, were conducted. Different patterns of sensitivity were observed between forage-based and concentrate-based diets, but patterns were consistent within diet types. For the local analysis, 36, 196, 47 and 8 out of 305 model parameters had normalized sensitivities of 0, >0, >0·01 and >0·1 across all diets and outputs, respectively. No parameters had a normalized local sensitivity >1 across all diets and outputs. However, daily CH4 production had the greatest number of parameters with normalized local sensitivities >1 for each individual diet. Parameters that were highly sensitive for global and local analyses across the range of diets and outputs examined included terms involved in microbial growth, volatile fatty acid (VFA) yields, maximum absorption rates and their inhibition due to pH effects and particle exit rates. Global sensitivity analysis I showed the high sensitivity of forage-based diets to lipid entering the rumen, which may be a result of the use of a feedlot-optimized model to represent high-forage diets and warrants further investigation. Global sensitivity analysis II showed that when all parameter values were simultaneously varied within ±10% of initial value, >96% of output values were within ±20% of the baseline, which decreased to >50% when parameter value boundaries were expanded to ±25% of their original values, giving a range for robustness of model outputs with regards to potential different ‘true’ parameter values. There were output-specific differences in sensitivity, where outputs that had greater maximum local sensitivities displayed greater degrees of non-linear interaction in global sensitivity analysis I and less variance in output values for global sensitivity analysis II. For outputs with less interaction, such as the acetate : propionate ratio and microbial protein production, the single most sensitive term in global sensitivity analysis I contributed more to the overall total-order sensitivity than for outputs with more interaction, with an average of 49, 33, 15 and 14% of total-order sensitivity for microbial protein production, acetate : propionate ratio, CH4 production and energy from absorbed VFAs, respectively. Future studies should include data collection for highly sensitive parameters reported in the present study to improve overall model accuracy.
As demand for animal products, such as meat and milk, increases, and concern over environmental impact grows, mechanistic models can be useful tools to better represent and understand ruminant systems and evaluate mitigation options to reduce greenhouse gas emissions without compromising productivity. The objectives of the present study were to describe the representation of processes for growth and enteric methane (CH4) production in AusBeef, a whole-animal, dynamic, mechanistic model for beef production; evaluate AusBeef for its ability to predict daily methane production (DMP, g/day), gross energy intake (GEI, MJ/day) and methane yield (MJ CH4/MJ GEI) using an independent data set; and to compare AusBeef estimates to those from the empirical equations featured in the current National Academies of Sciences, Engineering and Medicine (NASEM, 2016) beef cattle requirements for growth and the Ruminant Nutrition System (RNS), a dynamic, mechanistic model of Tedeschi & Fox, 2016. AusBeef incorporates a unique fermentation stoichiometry that represents four microbial groups: protozoa, amylolytic bacteria, cellulolytic bacteria and lactate-utilizing bacteria. AusBeef also accounts for the effects of ruminal pH on microbial degradation of feed particles. Methane emissions are calculated from net ruminal hydrogen balance, which is defined as the difference between inputs from fermentation and outputs due to microbial use and biohydrogenation. AusBeef performed similarly to the NASEM empirical model in terms of prediction accuracy and error decomposition, and with less root mean square predicted error (RMSPE) than the RNS mechanistic model when expressed as a percentage of the observed mean (RMSPE, %), and the majority of error was non-systematic. For DMP, RMSPE for AusBeef, NASEM and RNS were 24·0, 19·8 and 50·0 g/day for the full data set (n = 35); 25·6, 18·2 and 56·2 g/day for forage diets (n = 19); and 21·8, 21·5 and 41·5 g/day for mixed diets (n = 16), respectively. Concordance correlation coefficients (CCC) were highest for GEI, with all models having CCC > 0·66, and higher CCC for forage diets than mixed, while CCC were lowest for MY, particularly forage diets. Systematic error increased for all models on forage diets, largely due to an increase in error due to mean bias, and while all models performed well for mixed diets, further refinements are required to improve the prediction of CH4 on forage diets.
An evolutionary approach highlights that accuracy should be expected over error because selection pressures will have shaped social perception to be functional. Behaviour is extremely complex and so it is unlikely that observers will be perfectly accurate, but an evolutionary view strongly predicts that people will behave as rational observers and in many cases social perception should favour adaptive responses.
Mating motivation likely plays a role in bias to attractive individuals, but there are other complementary theories drawn from the evolutionary literature related to competition, friendship, and leadership selection that also make relevant predictions concerning biases towards attractive individuals. The relative balance of these factors will be context dependent and so help explain why the pattern of bias is sometimes variable.
Loess-paleosol sequences of the last interglacial-glacial cycle are correlated from European Russia to central Siberia and the Chinese Loess Plateau. During cold periods represented by marine oxygen isotope stages (OIS) 2 and 4, loess deposition dominated in the Russian Plain and the Loess Plateau. In central Siberia, loess deposition took place also, but five to seven thin, weakly developed paleosols are identified in both stages. OIS 3, in the Chinese Loess Plateau near Yangchang, consists of a loess bed that is flanked by two weakly developed paleosols. At Kurtak, Siberia, OIS 3 is represented by two distinct, stacked paleosols with no loess bed separating the paleosols. In the Russian Plain, OIS 3 consists of a single, possibly welded paleosol, representing upper and lower stage-3 climates. Brunisols and Chernozems dominate the profiles in China and Siberia, whereas Regosols, Luvisols, and Chernozems are evident in the northern and southern Russian Plain, respectively. OIS 5 is represented in China and the Russian Plain by pedo complexes in a series of welded soils, whereas in contrast, the Kurtak site consists of six paleosols with interbedded loess. The paleosols consist largely of Brunisols and Chernozems. Although the three areas examined have different climates, geographical settings, and loess source areas, they all had similar climate changes during the last interglacial-glacial cycle.