In September 2023, the UK Health Security Agency’s (UKHSA) South West Health Protection Team received notification of patients with Pseudomonas aeruginosa perichondritis. All five cases had attended the same cosmetic piercing studio and a multi-disciplinary outbreak control investigation was subsequently initiated. An additional five cases attending the same studio were found. Seven of the ten cases had isolates available for Variable Number Tandem Repeat (VNTR) typing at the UKHSA national reference laboratory. Clinical and environmental P. aeruginosa isolates from the patients, handwash sink, tap water and throughout the wall-mounted point-of-use water heater (including outlet water) were indistinguishable by VNTR typing (11,6,2,2,1,3,6,3,11). No additional cases were identified after control measures were implemented, which included replacing the sink and point-of-use heater.

The lack of specific recommendations to control for P. aeruginosa within Council-adopted ear-piercing byelaws or national guidance means that a cosmetic piercing artist could inadvertently overlook the risks from this bacterial pathogen despite every intention to comply with the law and follow industry best practice advice. Clinicians, Environmental Health Officers and public health professionals should remain alert for single cases of Pseudomonas perichondritis infections associated with piercings and have a low threshold for notification to local health protection teams.

High-resolution spectra emitted by laboratory plasmas provide invaluable diagnostic tools for the measurement of plasma properties. To be implemented, they require a large amount of atomic data and transition rates, which are available in several spectral codes. In this paper we present a new feature added to the CHIANTI code, which allows us to calculate the Zeeman splitting of spectral lines in the presence of a magnetic field with known intensity and orientation. When combined with the CHIANTI database and software to calculate level populations and line emissivities, this new feature returns the emissivities in all four Stokes parameters, that can be utilized for the measurement of the magnetic field inside laboratory plasma chambers, along with other plasma parameters. This new feature can be applied to the analysis of the emission of laboratory plasmas created in different devices.

Few studies have derived data-driven dietary patterns in youth in the USA. This study examined data-driven dietary patterns and their associations with BMI measures in predominantly low-income, racial/ethnic minority US youth. Data were from baseline assessments of the four Childhood Obesity Prevention and Treatment Research (COPTR) Consortium trials: NET-Works (534 2–4-year-olds), GROW (610 3–5-year-olds), GOALS (241 7–11-year-olds) and IMPACT (360 10–13-year-olds). Weight and height were measured. Children/adult proxies completed three 24-h dietary recalls. Dietary patterns were derived for each site from twenty-four food/beverage groups using k-means cluster analysis. Multivariable linear regression models examined associations of dietary patterns with BMI and percentage of the 95th BMI percentile. Healthy (produce and whole grains) and Unhealthy (fried food, savoury snacks and desserts) patterns were found in NET-Works and GROW. GROW additionally had a dairy- and sugar-sweetened beverage-based pattern. GOALS had a similar Healthy pattern and a pattern resembling a traditional Mexican diet. Associations between dietary patterns and BMI were only observed in IMPACT. In IMPACT, youth in the Sandwich (cold cuts, refined grains, cheese and miscellaneous) compared with Mixed (whole grains and desserts) cluster had significantly higher BMI (β = 0·99 (95 % CI 0·01, 1·97)) and percentage of the 95th BMI percentile (β = 4·17 (95 % CI 0·11, 8·24)). Healthy and Unhealthy patterns were the most common dietary patterns in COPTR youth, but diets may differ according to age, race/ethnicity or geographic location. Public health messages focused on healthy dietary substitutions may help youth mimic a dietary pattern associated with lower BMI.

Congenital heart defects (CHDs) occur in 8 of 1000 live-born children, making them common birth defects in the adolescent population. CHDs may have single gene, chromosomal, or multifactorial causes. Despite evidence that patients with CHD want information on heritability and genetics, no studies have investigated the interest or knowledge base in the adolescent population. This information is necessary as patients in adolescence take greater ownership of their health care and discuss reproductive risks with their physicians. The objectives of this survey-based study were to determine adolescents’ recall of their own heart condition, to assess patient and parent perception of the genetic contribution to the adolescent’s CHD, and to obtain information about the preferred method(s) for education. The results show that adolescent patients had good recall of their type of CHD. Less than half of adolescents and parents believed their CHD had a genetic basis or was heritable; however, adolescents with a positive family history of CHD were more likely to believe that their condition was genetic (p = 0.0005). The majority of patients were interested in receiving additional genetics education and preferred education in-person and in consultation with both parents and a physician. The adolescents who felt most competent to have discussions with their doctors regarding potential causes of their heart defect previously had a school science course which covered topics in genetics. These results provide insight into adolescents’ perceptions and understanding about their CHD and genetic risk and may inform the creation and provision of additional genetic education.

Machiavelli's influence on David Hume's political thought is a subject of growing scholarly attention. I analyze Hume's “Of Parties in General” to show that the introduction to this essay is a critical appropriation of Machiavelli's Discourses on Livy. I argue that Hume's appropriation of Machiavelli provides a meaningful frame to an essay in which Hume will consciously build upon one of Machiavelli's most controversial teachings, that good political founding is hampered by the effects of Christianity on political thinking. My analysis contributes to our understanding of Machiavelli's influence on Hume by showing Machiavelli's imprint much beyond where it is usually the subject of debate, in Hume's political science.

Recent work by party scholars reveals a widening gap between the normative ideals we set out for political parties and the empirical evidence that reveals their deep and perhaps insurmountable shortcomings in realizing these ideals. This disjunction invites us to consider the perspective of David Hume, who offers a theory of the value and proper function of parties that is resilient to the pessimistic findings of recent empirical scholarship. I analyze Hume's writings to show that the psychological experience of party informs the opinions by which governments can be considered legitimate. Hume thus invites us to consider the essential role parties might play in securing legitimacy as that ideal is practiced or understood by citizens, independent of the ideal understandings of legitimacy currently being articulated by theorists. My analysis contributes to both recent party scholarship and to our understanding of the role of parties in Hume's theory of allegiance.

The Coronal Solar Magnetism Observatory (CoSMO) is a proposed new facility led by the High Altitude Observatory and a consortium of partners to measure magnetic field and plasma properties in a large (one degree) field of view extending down to the inner parts of the solar corona. CoSMO is intended as a research facility that will advance the understanding and prediction of space weather. The instrumentation elements of CoSMO are: a white-light coronagraph (KCor), already operational at the Mauna Loa Solar Observatory (MLSO); the Chromosphere and Prominence Magnetometer (ChroMag), due for deployment to MLSO next year; and the CoSMO Large Coronagraph (LC) which has completed Preliminary Design Review.

Field experiments were conducted in Michigan, Minnesota, and Wisconsin in 1990 to explore interactions between nicosulfuron applied POST and terbufos insecticide at 0.06 or 0.11 g ai/m of row applied in-furrow on ‘Pioneer 3751’ field corn and ‘Jubilee’ sweet corn. Nicosulfuron at 0, 70, and 140 g ai/ha plus nonionic surfactant and 28% nitrogen fertilizer was applied to both corn types. Field corn response to nicosulfuron and terbufos was similar at all locations, whereas sweet corn injury varied with location. Nicosulfuron injured field corn more when applied at the four-leaf than the three-leaf stage. Injury to both corn types increased as nicosulfuron rate increased or when applied following terbufos. Nicosulfuron at 140 g/ha without terbufos did not reduce yield of either corn type; however, corn previously treated in-furrow with terbufos reduced yield.

Field experiments were conducted in Michigan, Minnesota, and Wisconsin to evaluate injurious interactions between nicosulfuron herbicide applied POST and nine insecticides applied at planting on ‘Pioneer 3751’ field corn in 1991. Insecticides were applied in-furrow, T-band, and surface band at planting. Corn injury from nicosulfuron and terbufos applications was more severe in Wisconsin than in Michigan. No corn injury was observed in Minnesota. Terbufos 15% ai granule (15G) or 20% ai controlled release granule (20CR) increased nicosulfuron injury to corn in Wisconsin. Nicosulfuron at 35 g ai/ha caused the greatest vigor reduction following terbufos 15G, intermediate vigor reduction following terbufos 20CR, phorate 20G, or phorate 20CR, and the least vigor reduction following fonofos, chlorpyrifos, chlorethoxyfos, tefluthrin, or carbofuran in Wisconsin.

Aggressive behaviour in school-aged children presents a significant challenge for society. If not managed, it can result in adverse academic, social, emotional, and behavioural outcomes for the child. In addition, it can create stress for families and become a significant burden for the community as these children reach adolescence and adulthood, and engage in antisocial behaviours. Using a three-step exploratory analytical strategy, this study explored parent and child reports of a diverse range of underlying developmental and clinical variables that have been identified in the literature as predictors of aggressive child behaviour, and which could be addressed within an Australian school or community context. A total of 57 children and their parents were recruited from a referral-based Western Australian child mental health service, and the wider community. A group of 31 clinically aggressive children were identified and compared to a group of 26 non-aggressive children. The aggressive group was reported as having a greater prevalence of internalising symptoms, including anxiety and depression, and their aggressive behaviour was more likely to be of the callous/unemotional type, relative to their non-aggressive counterparts. Significant predictors of belonging to the aggressive group included child social problems, thought problems, attention problems, affective problems, narcissism, symptoms of ADHD and PTS, and low maternal self-esteem. Findings are presented and discussed in the context of established theories. Recommendations for principles of treatment for aggressive children and their families are suggested.

Research has consistently shown that religiousness is associated with lower levels of alcohol and drug use, but little is known about the nature of adolescent religiousness or the mechanisms through which it influences problem behavior in this age group. This paper presents preliminary results from the Mid-Atlantic School Age Twin Study, a prospective, population-based study of 6–18-year-old twins and their mothers. Factor analysis of a scale developed to characterize adolescent religiousness, the Religious Attitudes and Practices Inventory (RAPI), revealed three factors: theism, religious/spiritual practices, and peer religiousness. Twin correlations and univariate behavior-genetic models for these factors and a measure of belief that drug use is sinful reveal in 357 twin pairs that common environmental factors significantly influence these traits, but a minor influence of genetic factors could not be discounted. Correlations between the multiple factors of adolescent religiousness and substance use, comorbid problem behavior, mood disorders, and selected risk factors for substance involvement are also presented. Structural equation modeling illustrates that specific religious beliefs about the sinfulness of drugs and level of peer religiousness mediate the relationship between theistic beliefs and religious/spiritual practices on substance use. Limitations and future analyses are discussed.