Among nursing home outbreaks of coronavirus disease 2019 (COVID-19) with ≥3 breakthrough infections when the predominant severe acute respiratory coronavirus virus 2 (SARS-CoV-2) variant circulating was the SARS-CoV-2 δ (delta) variant, fully vaccinated residents were 28% less likely to be infected than were unvaccinated residents. Once infected, they had approximately half the risk for all-cause hospitalization and all-cause death compared with unvaccinated infected residents.

Inkjet printing, of the researched techniques for printing of hydrogels, gives perhaps the best potential control over the shape and composition of the final hydrogel. It is, however, fundamentally limited by the low viscosity of the printed ink, which means that crosslinking of the hydrogel must take place after printing. This can be particularly problematic for hydrogels as the slow diffusion of the crosslinking species through the gel results in very slow vertical printing speeds, leading to dehydration of the gel and (if simultaneously deposited) cell death. Previous attempts to overcome this limitation have involved the sequential printing of alternating layers to reduce the diffusion distance of reactive species. In this work we demonstrate an alternative approach where the crosslinker and gelator are printed so that they collide with each other before impinging upon the substrate, thereby facilitating hydrogel synthesis and patterning in a single step. Using a model system based upon sodium alginate and calcium chloride a series of 3D structures are demonstrated, with vertical printing speeds significantly faster than previous work. The droplet collision is shown to increase advective mixing before impact, reducing the time taken for gelation to occur, and improving definition of printed patterns. With the facile addition of more printing inks, this approach also enables spatially varied composition of the hydrogel, and work towards this will be discussed.

Since the collapse of Central and Eastern Europe's communist regimes in the early 1990s, the ensuing environmental, social and economic changes have permitted development of new forms of multi-level governance. However, a coherent participatory approach to environmental conservation is yet to emerge. This review examines the changing approaches in environmental conservation and protected area governance in Romania during the country's pre-communist, communist, transition and current European Union eras. Three case examples are examined in depth to assess how changing environmental governance is playing out in practice in Natura 2000 sites, in a national park, and on privately owned (unprotected) forest land. Similar to other countries in Central and Eastern Europe, Romania's environmental governance practices still face substantial challenges in consolidating an inclusive and integrated approach to environmental governance and conservation. A lack of historical involvement of communities in decision making, reluctance within government to drive forward more inclusive environmental governance approaches, and a lack of non-governmental organizations focusing on environmental conservation, have resulted in slow progress towards more inclusive environmental governance. Civil society and solutions for institutionalizing participation across all levels of governance are needed to reorient environmental governance towards a more inclusive and multi-stakeholder approach that better links economic, social and environmental objectives.

There is increasing emphasis on the need for effective ways of sharing knowledge to enhance environmental management and sustainability. Knowledge exchange (KE) are processes that generate, share and/or use knowledge through various methods appropriate to the context, purpose, and participants involved. KE includes concepts such as sharing, generation, coproduction, comanagement, and brokerage of knowledge. This paper elicits the expert knowledge of academics involved in research and practice of KE from different disciplines and backgrounds to review research themes, identify gaps and questions, and develop a research agenda for furthering understanding about KE. Results include 80 research questions prefaced by a review of research themes. Key conclusions are: (1) there is a diverse range of questions relating to KE that require attention; (2) there is a particular need for research on understanding the process of KE and how KE can be evaluated; and (3) given the strong interdependency of research questions, an integrated approach to understanding KE is required. To improve understanding of KE, action research methodologies and embedding evaluation as a normal part of KE research and practice need to be encouraged. This will foster more adaptive approaches to learning about KE and enhance effectiveness of environmental management.

Serological typing was used as an epidemiological tool in the investigation of 524 outbreakes of Clostridium perfringens food poisoning in the United Kingdom and 37 outbreaks in other countries.

Five thousand five hundred and fifty-four (77%) of 7245 strains of C. perfringens association 561 outbreaks were typable with the 75 Food Hygiene Laboratory antisera; in 354 (63%) of these outbreaks were typable with the 75 Food Hygiene Laboratory antisera; in 354 (63%) of these outbreaks a specific serotype was established as being responsible for the outbreak.

An assessment is made of the ability of two additional sets of antisera, prepared against 34 American and 34 Japanese strains of C. perfringens, to increase the number of strains which can be typed. The extent of cross-reaction between the three sets of antisera was determined and the results are discussed in relation to the source and history of the type strains.

A number of outbreaks of food poisoning attributed to Bacillus cereus have been reported recently and all have been associated with cooked rice usually from Chinese restaurants and ‘take-away’ shops.

Tests were made to assess the heat resistance of B. cereus spores in aqueous suspension, the growth of the organism in boiled rice stored at temperatures in the range 4–55° C., and the effect of cooking and storage on the growth of the organism in boiled and fried rice. The spores of B. cereus survived cooking and were capable of germination and outgrowth. The optimum temperature for growth in boiled rice was between 30° and 37° C. and growth also occurred during storage at 15° and 43° C.

To prevent further outbreaks it is suggested that rice should be boiled in smaller quantities on several occasions during the day, thereby reducing the storage time before frying. After boiling the rice should either be kept hot (> 63° C.) or cooled quickly and transferred to a refrigerator within 2 hr. of cooking. Boiled or fried rice must not be stored under warm conditions especially in the range 15–50° C.

Three ELISA assays, based on hyperimmune rabbit serum raised against adult cestode somatic antigen, were applied in this study for the detection of Taenia- and Echinococcus-specific antigens in host faeces. The first assay, using an antiserum against Taenia pisiformis antigen extract, was used in a time-course of T. pisiformis experimental infection in dogs. The assay was shown to be considerably more sensitive than microscopical detection of eggs in faeces. Antigen was present in faeces before patency and antigen levels were independent of T. pisiformis egg output. The second assay, involving a test for human taeniasis based on antibodies against T. solium, was applied in two field studies carried out in China and Guatemala. The test was highly specific, no false positive reactions occurred with human faecal samples and the test was capable of diagnosing individuals who would not have been detected by coproscopy or treatment to recover the tapeworm. A third assay was designed for E. granulosus and demonstrated 87·5% sensitivity and 96·5% specificity with samples from naturally and experimentally infected dogs with Echinococcus or Taenia infections. In both the human Taenia and canine Echinococcus studies antigen could be detected in faecal samples from infected hosts stored in 5% formalin for 6 months. Further refinements to these tests for field application are discussed.

A study difficulty inventory and three sets of personality scales were administered to 145 students attending a university health centre. Motivational and psychoneurotic components of study difficulty were identified, which were differentially related in male and female students to basic personality characteristics and to psychiatric symptomatology. Syllabus-boundness emerged as more salient in the female students, and self-esteem in the males. Poor academic performance was found to be associated with distinctive personality profiles in the two sexes. Both intra-personality and social–psychological interactional factors appear to underlie the pattern of results.

Middle Archaic earthen mound complexes in the lower Mississippi valley are remote antecedents of the famous but much younger Poverty Point earthworks. Watson Brake is the largest and most complex of these early mound sites. Very extensive coring and stratigraphic studies, aided by 25 radiocarbon dates and six luminescence dates, show that minor earthworks were begun here at ca. 3500 B.C. in association with an oval arrangement of burned rock middens at the edge of a stream terrace. The full extent of the first earthworks is not yet known. Substantial moundraising began ca. 3350 B.C. and continued in stages until some time after 3000 B.C. when the site was abandoned. All 11 mounds and their connecting ridges were occupied between building bursts. Soils formed on some of these temporary surfaces, while lithics, fire-cracked rock, and fired clay/loam objects became scattered throughout the mound fills. Faunal and floral remains from a basal midden indicate all-season occupation, supported by broad-spectrum foraging centered on nuts, fish, and deer. All the overlying fills are so acidic that organics have not survived. The area enclosed by the mounds was kept clean of debris, suggesting its use as ritual space. The reasons why such elaborate activities first occurred here remain elusive. However, some building bursts covary with very well-documented increases in El Niño/Southern Oscillation events. During such rapid increases in ENSO frequencies, rainfall becomes extremely erratic and unpredictable. It may be that early moundraising was a communal response to new stresses of droughts and flooding that created a suddenly more unpredictable food base.

The question of human contacts between Africa and the Iberian Peninsula in the Middle and Upper Pleistocene is of key interest in research of human origins. Discussion continues to focus on whether the sea gap separating the landmasses proved an effective barrier to cultural interchange and population movements. At its narrowest point the Gibraltar Strait is no more than 14 km wide and at times of lower sea level in the Pleistocene the gap would have been considerably reduced by the exposure of several offshore islands. Such sea crossings were apparently well within the capabilities of early human colonizers, as shown by the 800,000-year-old occupation of islands in the Indonesian archipelago. Despite these observations, many archaeologists have pointed to the ostensible lack of evidence for human interactions between Europe and North Africa until some time in the Upper Palaeolithic. This is surprising, given the presence of populations in both areas from the Lower Palaeolithic onwards. Such an ‘isolationist’ view is emphasized by the recent work of the Gibraltar Caves Project (Barton et al. 1999; Stringer et al. 2000) which has shown that Neanderthal populations with Middle Palaeolithic technology lived there until at least 32,000 years ago uncal, at a time when anatomically modern humans were already present elsewhere in Europe and Africa. Until now, no evidence of Neanderthals has been found in North Africa but the dating and nature of the Middle to Upper Palaeolithic transition in this region remains poorly understood.

Adult mandibles of 317 modern humans and 91 great apes were selected that showed no pathology. Adult mandibles of Pan troglodytes troglodytes, Pongo pygmaeus pygmaeus and Gorilla gorilla gorilla and from 2 modern human populations (Zulu and Europeans from Spitalfields) were reliably sexed. Thirteen measurements were defined and included mandibular height, length and breadth in representative positions. Univariate statistical techniques and multivariate (principal component analysis and discriminant analysis) statistical techniques were used to investigate interspecific variability and sexual dimorphism in human and great ape mandibles, and intraspecific variability among the modern human mandibles. Analysis of interspecific differences revealed some pairs of variables with a tight linear relationship and others where Homo and the great apes pulled apart from one another due to shape differences. Homo and Pan are least sexually dimorphic in the mandible, Pan less so than Homo sapiens, but both the magnitude of sexual dimorphism and the distribution of sexually dimorphic measurements varied both among and between modern humans and great apes. Intraspecific variation among the 10 populations of modern humans was less than that generally reported in studies of crania (74.3% of mandibles were correctly classified into 1 of 10 populations using discriminant functions based on 13 variables as compared with 93% of crania from 17 populations based on 70 variables in one extensive study of crania). A subrecent European population (Poundbury) emerged as more different from a recent European population (Spitalfields) than other more diverse modern populations were from each other, suggesting considerable morphological plasticity in the mandible through time. This study forms a sound basis on which to explore mandibular variation in Neanderthals, early Homo sapiens and other more ancient fossil hominids.

Discussion about a possible African origin of modern humans is hampered by the lack of Late Pleistocene skeletal material from the Nile valley, the likely passage-way from East Africa to Asia and Europe. Here we report the discovery of a burial of an anatomically modern child from southern Egypt. Its clear relation with Middle Palaeolithic chert extraction activities and a series of OSL dates, from correlative aeolian sands, suggests an age between 49,800 and 80,400 years ago, with a mean age of 55,000.

The British Isles, at the northern fringes of human occupation in Pleistocene Europe, offer a collection of Upper Palaeolithic sites which cannot match the riches of the continental mainland. And many of its sites, studied in the 19th century, have been much quarried or even quarried out. New finds from Gough's Cave — one of the classic sites that was almost emptied in the work that made it classic-show, nevertheless, that important new discoveries are still being made from such deposits as remain.

There are several possible descriptions of the nature of the adhesion between an oxide and a metal substrate, some of which are formally equivalent. These include electrostatic interactions connected with the development of space charge regions, chemical bonding across the interface, van der Waals forces, and mechanical interactions associated with a nonplanar interface. However, the detailed mechanism must also be consistent with the growth process and the associated evolution of the interface for an oxide growing on a metal substrate. The problem is further complicated by the nature of the failure at or near the interface which leads to a phenomenological definition of adhesion which is not necessarily identical to the formal definition, and involves other parameters such as the growth stresses in the oxide, the plasticity of the oxide or the surface metal, and the effect of thermal cycling when the coefficients of thermal expansion of the two phases differ. In this paper, an attempt is made to describe these different aspects of the problem, and to refer to some of the more important ways of modifying the adhesion of an oxide, including the reactive element effect and the segregation of impurities to the interface and the modification of the morphology of the interface.

To evaluate the risk to nurses of childbearing age of acquiring cytomegalovirus (CMV) infection during the care of patients at high risk of the infection, 374 female hospital employees (288 nursing personnel) were interviewed and screened for antibody to CMV. Fifty-six percent of the population surveyed had antibody to CMV as measured by an immunofluorescent assay. Among nursing personnel, analysis of antibody prevalence by job title, work area, and duration of work showed no association between seropositivity and either current or past exposure to “high-risk” patients, such as infants and immunosuppressed individuals. Age, race (non-white), and the number of pregnancies reported by participants were significantly associated with the presence of antibody. Among 73 employees of a children's hospital, the prevalence of CMV antibody was 41%. This survey suggests that hospital nursing is not a major risk factor for acquiring CMV infection. However, this finding needs further evaluation in a prospective study of seroconversion rates among seronegative nurses.