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Evidence suggests that death anxiety is a transdiagnostic construct underlying numerous anxiety-related conditions. A previous phase I trial of Overcome Death Anxiety (ODA), a novel online stand-alone psychological intervention to reduce death anxiety, demonstrated preliminary evidence of efficacy and acceptability in a clinical population. However, this trial was limited by a small sample size (n=20).
Aims:
To further evaluate the efficacy of this intervention in reducing death anxiety in a clinical population, compared with a waitlist control.
Method:
This paper describes the protocol of a phase II randomized controlled, unblinded trial of ODA. A total sample of 256 adults living in Australia, diagnosed with an anxiety-related condition, will be recruited. These participants will be randomised to ODA or a waitlist control. Primary outcomes will be measured as changes in scores on death anxiety questionnaires, reflecting treatment efficacy. The secondary outcomes to be measured are depression, anxiety, stress, suicidality, insomnia, and meaning of life, as well as feedback about treatment program acceptability. This trial will assess the efficacy of ODA for reducing death anxiety in a population diagnosed with various anxiety-related conditions, as well as the overall acceptability and tolerability of the intervention.
Conclusions:
This study will provide evidence to evaluate the efficacy of ODA in people diagnosed with an anxiety-related condition.
The technique of scanning force microscopy (SFM) was used to study the nanometer-scale structure of Cu(II)-exchanged hectorite thin films. Supporting data were also obtained from Electron Spin Resonance (ESR) and X-ray diffraction (XRD) techniques. The surfaces studied included pure Cu(II)-exchanged hectorite, Cu(II)-exchanged hectorite exposed to benzene and Cu(II)-exchanged hectorite exposed to aniline. SFM images of the unexposed Cu(II)-exchanged hectorite surface revealed a smooth surface composed of interlocking platelets. The lateral dimension of these platelets ranged from a few nm to about 1 μm. After exposure to refluxing benzene, the SFM showed that the platelets underwent vertical shifts in position. This is believed to have occurred from intercalated benzene that polymerized in the interlayer region. No SFM evidence was obtained for benzene polymerization on the surface of the hectorite. Hectorite films exposed to aniline at room temperature revealed a post-polymerization structure on the hectorite surface consisting of small polymer bundles. The diameter of these bundles was measured to be 300–3000 Å, similar to the structure seen on electropolymerized polyaniline films. Aniline polymerized on the surface of hectorite films at 180 °C revealed a structure similar to undoped n-methyl-pyrrolidinone (NMP) cast polyaniline films. In this case, the polymer bundles are only 300 Å in dimension on average. XRD and ESR data also indicated interlayer aniline polymerization in Cu(II) exchanged hectorite. Mechanistic considerations affecting these polymerization reactions are presented.
Of 731 restricted antimicrobial prescriptions subject to antimicrobial stewardship program (ASP) prospective audit and feedback (PAF) over a 3-year period, 598 PAF recommendations (82%) were fully accepted. Physician auditors had an increased odds of PAF recommendation acceptance, reinforcing the complementary role of the ASP physician in the multidisciplinary ASP team.
Motivated by the industrial manufacture of organic light-emitting-diode displays, we formulate and analyse a mathematical model for the evolution of a thin droplet in a shallow axisymmetric well of rather general shape both before and after touchdown that accounts for the spatially non-uniform evaporation of the fluid, perform physical experiments using three cylindrical wells with different small aspect ratios, and validate the mathematical model by comparing the present experimental results with the corresponding theoretical predictions for a cylindrical well.
Few studies have examined burnout in psychosocial oncology clinicians. The aim of this systematic review was to summarize what is known about the prevalence and severity of burnout in psychosocial clinicians who work in oncology settings and the factors that are believed to contribute or protect against it.
Method
Articles on burnout (including compassion fatigue and secondary trauma) in psychosocial oncology clinicians were identified by searching PubMed/MEDLINE, EMBASE, PsycINFO, the Cumulative Index to Nursing and Allied Health Literature, and the Web of Science Core Collection.
Results
Thirty-eight articles were reviewed at the full-text level, and of those, nine met study inclusion criteria. All were published between 2004 and 2018 and included data from 678 psychosocial clinicians. Quality assessment revealed relatively low risk of bias and high methodological quality. Study composition and sample size varied greatly, and the majority of clinicians were aged between 40 and 59 years. Across studies, 10 different measures were used to assess burnout, secondary traumatic stress, and compassion fatigue, in addition to factors that might impact burnout, including work engagement, meaning, and moral distress. When compared with other medical professionals, psychosocial oncology clinicians endorsed lower levels of burnout.
Significance of results
This systematic review suggests that psychosocial clinicians are not at increased risk of burnout compared with other health care professionals working in oncology or in mental health. Although the data are quite limited, several factors appear to be associated with less burnout in psychosocial clinicians, including exposure to patient recovery, discussing traumas, less moral distress, and finding meaning in their work. More research using standardized measures of burnout with larger samples of clinicians is needed to examine both prevalence rates and how the experience of burnout changes over time. By virtue of their training, psychosocial clinicians are well placed to support each other and their nursing and medical colleagues.
The COVID-19 pandemic is exerting major pressures on society, health and social care services and science. Understanding the progression and current impact of the pandemic is fundamental to planning, management and mitigation of future impact on the population. Surveillance is the core function of any public health system, and a multi-component surveillance system for COVID-19 is essential to understand the burden across the different strata of any health system and the population. Many countries and public health bodies utilise ‘syndromic surveillance’ (using real-time, often non-specific symptom/preliminary diagnosis information collected during routine healthcare provision) to supplement public health surveillance programmes. The current COVID-19 pandemic has revealed a series of unprecedented challenges to syndromic surveillance including: the impact of media reporting during early stages of the pandemic; changes in healthcare-seeking behaviour resulting from government guidance on social distancing and accessing healthcare services; and changes in clinical coding and patient management systems. These have impacted on the presentation of syndromic outputs, with changes in denominators creating challenges for the interpretation of surveillance data. Monitoring changes in healthcare utilisation is key to interpreting COVID-19 surveillance data, which can then be used to better understand the impact of the pandemic on the population. Syndromic surveillance systems have had to adapt to encompass these changes, whilst also innovating by taking opportunities to work with data providers to establish new data feeds and develop new COVID-19 indicators. These developments are supporting the current public health response to COVID-19, and will also be instrumental in the continued and future fight against the disease.
To test the effect of a behavioural economics intervention in two food pantries on the nutritional quality of foods available at the pantries and the foods selected by adults visiting food pantries.
Design
An intervention (SuperShelf) was implemented in two food pantries (Sites A and B), with two other pantries (Sites C and D) serving as a control for pantry outcomes. The intervention aimed to increase the amount and variety of healthy foods (supply), as well as the appeal of healthy foods (demand) using behavioural economics strategies. Assessments included baseline and 4-month follow-up client surveys, client cart inventories, pantry inventories and environmental assessments. A fidelity score (range 0–100) was assigned to each intervention pantry to measure the degree of implementation. A Healthy Eating Index-2010 (HEI-2010) score (range 0–100) was generated for each client cart and pantry.
Setting
Four Minnesota food pantries, USA.
Participants
Clients visiting intervention pantries before (n 71) and after (n 70) the intervention.
Results
Fidelity scores differed by intervention site (Site A=82, Site B=51). At Site A, in adjusted models, client cart HEI-2010 scores increased on average by 11·8 points (P<0·0001), whereas there was no change at Site B. HEI-2010 pantry environment scores increased in intervention pantries (Site A=8 points, Site B=19 points) and decreased slightly in control pantries (Site C=−4 points, Site D=−3 points).
Conclusions
When implemented as intended, SuperShelf has the potential to improve the nutritional quality of foods available to and selected by pantry clients.
Published studies have shown that methane yield (g CH4/kg dry matter) from sheep is positively correlated with the size (volume and surface area) of the reticulo-rumen (RR) and the weight of its contents. However, the relationship between CH4 yield and RR shape has not been investigated. In this work, shape analysis has been performed on a data set of computerised tomography (CT) scans of the RR from sheep having high and low CH4 yields (n=20 and n=17, respectively). The three-dimensional geometries of the RRs were reconstructed from segmented scan data and split into three anatomical regions. An iterative fitting technique combining radial basis functions and principal component (PC) fitting was used to create a set of consistent landmarks which were then used as variables in a PC analysis to identify shape variation within the data. Significant size differences were detected for regions corresponding to the dorsal and ventral compartments between sheep with high and low CH4 yields. When the analysis was repeated after scaling the geometries to remove the effect of size, there was no significant shape variation correlating with CH4 yield. The results have demonstrated the feasibility of CT-based computational shape determination for studying the morphological characteristics of the RR and indicate that size, but not shape correlates with CH4 yield in sheep.
The purpose of this report is to describe the appropriate use of indices relating to crystallinity, such as the ‘crystallinity index’, the ‘Hinckley index’, the ‘Kü bler index’, and the ‘Árkai index’. A ‘crystalline’ solid is defined as a solid consisting of atoms, ions, or molecules packed together in a periodic arrangement. A ‘crystallinity index’ is purported to be a measure of crystallinity, although there is uncertainty about what this means (see below). This report discusses briefly the nature of order, disorder and crystallinity in phyllosilicates and discusses why the use of a ‘crystallinity index’ should be avoided. If possible, it is suggested that indices be referred to using the name of the author who originally described the parameter, as in ‘Hinckley index’ or ‘Kübler index’, or in honour of a researcher who investigated the importance of the parameter extensively, as in ‘Árkai index’.
Brindley et al. (1951) reported the earliest efforts to obtain international collaboration on nomenclature and classification of clay minerals, initiated at the International Soil Congress in Amsterdam in 1950. Since then, national clay groups were formed, and they proposed various changes in nomenclature at group meetings of the International Clay Conferences. Most of the national clay groups have representation on the Nomenclature Committee of the Association Internationale pour l'Etude des Argiles (AIPEA, International Association for the Study of Clays), which was established in 1966. The precursor committee to the AIPEA Nomenclature Committee was the Nomenclature Subcommittee of the Comité International pour l'Etude des Argiles (OPEA, International Committee for the Study of Clays).
Blackhead Quarry exploits a small Miocene (~10 Ma) basanitic volcanic centre in the Dunedin Volcanic Group, New Zealand. Vesicles near the quarry top contain Ca– and Na-rich zeolites, abundant calcite and rare pyrite resulting from localized low-T hydrothermal alteration (<100°C). Mineral assemblages were characterized by EDS and laser Raman spectroscopy with the latter the most useful in determining the identity of fibrous zeolite species. Secondary mineral assemblages crystallized during final stages of lava cooling from aqueous solutions enriched in Ca, Na, K, Ba and (CO3)2–leached from surrounding calcareous rocks and basanite. Phillipsite-K (generation I) crystallized first (in some places directly on fresh basanite) followed by the Ca-rich zeolites, chabazite-Ca, calcian phillipsite–K (generation II), gismondine and thomsonite. Later Na-rich fluids crystallized gonnardite and natrolite, and finally calcite from late Ca-rich fluids. Zeolite composition is not reflected by morphology. For example, both phacolitic and pseudocubic chabazite are chabazite-Ca, and although all phillipsite crystals have a similar habit, their composition varies widely. Various lithologies comprising the Blackhead volcanic centre have unique secondary mineral paragenetic sequences controlled largely by the rock structure and solution chemistry.
We determine the age of 7 stars in the Ursa Major moving group using a novel method that models the fundamental parameters of rapidly rotating A-stars based on interferometric observations and literature photometry and compares these parameters (namely, radius, luminosity, and rotation velocity) with evolution models that account for rotation. We find these stars to be coeval, thus providing an age estimate for the moving group and validating this technique. With this technique validated, we determine the age of the rapidly rotating, directly imaged planet host star, κ Andromedae.
We study the flow and leakage of gravity currents injected into an unsaturated (dry), vertically confined porous layer containing a localized outlet or leakage point in its lower boundary. The leakage is driven by the combination of the gravitational hydrostatic pressure head of the current above the outlet and the pressure build-up from driving fluid downstream of the leakage point. Model solutions illustrate transitions towards one of three long-term regimes of flow, depending on the value of a dimensionless parameter $D$, which, when positive, represents the ratio of the hydrostatic head above the outlet for which gravity-driven leakage balances the input flux, to the depth of the medium. If $D\leqslant 0$, the input flux is insufficient to accumulate any fluid above the outlet and fluid migrates directly through the leakage pathway. If $0<D\leqslant 1$, some fluid propagates downstream of the outlet but retains a free surface above it. The leakage rate subsequently approaches the input flux asymptotically but much more gradually than if $D\leqslant 0$. If $D>1$, the current fills the entire depth of the medium above the outlet. Confinement then fixes gravity-driven leakage at a constant rate but introduces a new force driving leakage in the form of the pressure build-up associated with mobilizing fluid downstream of the outlet. This causes the leakage rate to approach the injection rate faster than would occur in the absence of the confining boundary. This conclusion is in complete contrast to fluid-saturated media, where confinement can potentially reduce long-term leakage by orders of magnitude. Data from a new series of laboratory experiments confirm these predictions.
Edited by
James Higham, University of Otago, New Zealand,Lars Bejder, Murdoch University, Western Australia,Rob Williams, University of St Andrews, Scotland
Many studies have demonstrated short-term behavioural responses by whales and dolphins in the presence of vessels, but the population-level implications of such changes are poorly understood (Lusseau, 2003, 2004; Bejder et al., 2006a; Lusseau & Bejder, 2007). One means for developing such an understanding is to use a modelling framework such as the Population Consequences of Acoustic Disturbance (PCAD) model. PCAD identifies four levels at which data can be collected, and allows for estimates of modelling parameters at one level to be based on measured data at another level (National Research Council, 2005).
The first level contains short-term behavioural responses, such as those that have been the typical focus of studies on effects of whale-watching. Effects vary within and between species, and include changes in respiration patterns, surface active behaviours, swimming velocity, vocal behaviour, activity state, inter-individual spacing, wake riding, approach and avoidance, and displacement from habitat. Collisions may result in injury or death (Wells & Scott, 1997; Laist et al., 2001). More detailed reviews of vessel effects can be found in Lien (2001) and Ritter (2003).
The Millimetre Astronomy Legacy Team 90 GHz (MALT90) survey aims to characterise the physical and chemical evolution of high-mass star-forming clumps. Exploiting the unique broad frequency range and on-the-fly mapping capabilities of the Australia Telescope National Facility Mopra 22 m single-dish telescope1, MALT90 has obtained 3′ × 3′ maps towards ~2 000 dense molecular clumps identified in the ATLASGAL 870 μm Galactic plane survey. The clumps were selected to host the early stages of high-mass star formation and to span the complete range in their evolutionary states (from prestellar, to protostellar, and on to $\mathrm{H\,{\scriptstyle {II}}}$ regions and photodissociation regions). Because MALT90 mapped 16 lines simultaneously with excellent spatial (38 arcsec) and spectral (0.11 km s−1) resolution, the data reveal a wealth of information about the clumps’ morphologies, chemistry, and kinematics. In this paper we outline the survey strategy, observing mode, data reduction procedure, and highlight some early science results. All MALT90 raw and processed data products are available to the community. With its unprecedented large sample of clumps, MALT90 is the largest survey of its type ever conducted and an excellent resource for identifying interesting candidates for high-resolution studies with ALMA.