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The Trial Innovation Network (TIN) is a collaborative initiative within the National Center for Advancing Translational Science (NCATS) Clinical and Translational Science Awards (CTSA) Program. To improve and innovate the conduct of clinical trials, it is exploring the uses of gamification to better engage the trial workforce and improve the efficiencies of trial activities. The gamification structures described in this article are part of a TIN website gamification toolkit, available online to the clinical trial scientific community.
Methods:
The game designers used existing electronic trial platforms to gamify the tasks required to meet trial start-up timelines to create friendly competitions. Key indicators and familiar metrics were mapped to scoreboards. Webinars were organized to share and applaud trial and game performance.
Results:
Game scores were significantly associated with an increase in achieving start-up milestones in activation, institutional review board (IRB) submission, and IRB approval times, indicating the probability of completing site activation faster by using games. Overall game enjoyment and feelings that the game did not apply too much pressure appeared to be an important moderator of performance in one trial but had little effect on performance in a second.
Conclusion:
This retrospective examination of available data from gaming experiences may be a first-of-kind use in clinical trials. There are signals that gaming may accelerate performance and increase enjoyment during the start-up phase of a trial. Isolating the effect of gamification on trial outcomes will depend on a larger sampling from future trials, using well-defined, hypothesis-driven statistical analysis plans.
As rates of obesity, diabetes, and related comorbidities have increased, the consumption of artificial sweeteners (ASs) as sugar substitutes has also risen in popularity as they are perceived as a healthier alternative to sugar sweetened products. However, there is conflicting evidence regarding the impact of AS intake on metabolic and reproductive health. Glucose intolerance during pregnancy due to intake of sugar sweetened foods can result in an increased risk for the development of type 2 diabetes post-pregnancy. However, limited information exists on the impact of AS intake during pregnancy and lactation on the mother’s health in later life. We hypothesised both AS and fructose would impair metabolic health post-partum (PP) following maternal consumption during pregnancy and lactation. Female C57Bl/6 mice received a standard control diet ad libitum with either water (CD), fructose (Fr; 34.7 mm intake), or AS (AS;12.5 mm Acesulfame-K) throughout pregnancy and lactation. Post-weaning, AS and Fr dams were fed the CD diet for the remainder of the experiment. Oral glucose tolerance tests were undertaken 8 weeks PP and dams were humanely killed at 9 weeks PP, with adipose tissue and ovaries collected for analysis. Experimental diets did not influence maternal bodyweight. At 8 weeks PP, increased glucose intolerance was evident in both AS and Fr dams. Adipocyte size was significantly increased in both the AS and Fr groups PP. Further, in the ovary, AS increased expression of genes associated with follicular development and ovulation. Therefore, ASs may not represent beneficial substitutes to fructose during pregnancy, with the potential to increase the risk of T2DM in later life in mothers.
Mars exploration motivates the search for extraterrestrial life, the development of space technologies, and the design of human missions and habitations. Here, we seek new insights and pose unresolved questions relating to the natural history of Mars, habitability, robotic and human exploration, planetary protection, and the impacts on human society. Key observations and findings include:
– high escape rates of early Mars' atmosphere, including loss of water, impact present-day habitability;
– putative fossils on Mars will likely be ambiguous biomarkers for life;
– microbial contamination resulting from human habitation is unavoidable; and
– based on Mars' current planetary protection category, robotic payload(s) should characterize the local martian environment for any life-forms prior to human habitation.
Some of the outstanding questions are:
– which interpretation of the hemispheric dichotomy of the planet is correct;
– to what degree did deep-penetrating faults transport subsurface liquids to Mars' surface;
– in what abundance are carbonates formed by atmospheric processes;
– what properties of martian meteorites could be used to constrain their source locations;
– the origin(s) of organic macromolecules;
– was/is Mars inhabited;
– how can missions designed to uncover microbial activity in the subsurface eliminate potential false positives caused by microbial contaminants from Earth;
– how can we ensure that humans and microbes form a stable and benign biosphere; and
– should humans relate to putative extraterrestrial life from a biocentric viewpoint (preservation of all biology), or anthropocentric viewpoint of expanding habitation of space?
Studies of Mars' evolution can shed light on the habitability of extrasolar planets. In addition, Mars exploration can drive future policy developments and confirm (or put into question) the feasibility and/or extent of human habitability of space.
Massive to lobate volcanic flows and brecciated hyaloclastite units in the Abitibi greenstone belt allow investigation of Late Archæan seafloor alteration and associated incorporation into these rocks of nitrogen (N) biogeochemical signatures. In this suite (the Blake River Group), hyaloclastite units containing putative microbial ichnofossils are particularly enriched in large-ion lithophile elements (K, Rb, Ba, Cs), B, and Li, consistent with their having experienced the greatest fluid–rock interaction during subseafloor hydrothermal alteration. Similarly, silicate-δ18O and δ15N values for samples from the hyaloclastites show the greatest shifts from plausible magmatic values. The chemical and isotopic patterns in these tholeiitic igneous rocks greatly resemble those in modern altered seafloor basalts, consistent with the preservation of an Archæan seafloor alteration signature. The N enrichments and shifts in δ15N appear to reflect stabilization of illite and interaction with fluids carrying sedimentary/organic signatures. Enrichments of N (and the δ15N of this N) in altered glass volcanic rocks on Earth's modern and ancient seafloor point to the potential utility of N for tracing past and present biogeochemical processes in similar rocks at/near the Mars surface.
The Virtual Environment for Radiotherapy Training (VERT) is a high-fidelity simulation hardware and software resource that replicates the expensive and high-pressure clinical environment of a radiotherapy treatment machine. The simulation allows students to gain confidence with clinical techniques in a safe and unpressured academic environment before clinical placement. The aim of this study was to establish the current and future role of VERT and explore the potential for collaborative resource development and research.
Methods
An anonymous online survey was made available to all users of the software internationally (n=52). A mixture of fixed and open response questions gathered usage data and user feedback.
Results
The study had a 90% response rate (n=47). Most participants (78·5%) used the resource 1 day/week or less; around 8,000 hours worldwide. It was clear that most participants used the simulation resource to help student to either gain understanding of concepts and techniques or to gain practice with techniques and practical skills. There was good support for collaborative resource development, deployment and evaluation to help VERT users to fully exploit its range of pedagogical uses.
Conclusions
This audit demonstrated high levels of engagement and enthusiasm for collaborative resource development and ongoing research among the radiotherapy simulation community. Adoption of an international Academic Community of Practice for collaborative simulation resource deployment and support may be of significant value and is worthy of further discussion and consideration.
Field experiments were conducted to evaluate placement techniques for preemergence applications of pendimethalin [N-(1-ethylpropyl)-3,4-dimethyl-2,6-dinitrobenzenamine] in grain sorghum [Sorghum bicolor (L.) Moench.]. The first technique consisted of row shields mounted behind the planter units. Shields maintained an untreated strip over the crop drill and allowed successful crop establishment with pendimethalin at 1.1 kg ai/ha, despite a simulated, intense rainfall of 3.8 cm within 24 h after planting. A second technique, which consisted of a special nozzle arrangement, was evaluated in no-till grain sorghum. The nozzle arrangement allowed a broadcast herbicide application but maintained an untreated strip over the crop drill. No stand reductions occurred using this technique at pendimethalin rates of 1.1 and 2.2 kg/ha. In a growth chamber experiment, preemergence applications of pendimethalin severely injured grain sorghum when the soil was wet at the time of emergence, but injury was reduced under hot, dry conditions.
Fluometuron adsorption and dissipation under field and laboratory conditions, and distribution within the soil profile was determined in 3 soils from Tennessee, Mississippi, and Georgia that are representative of the cotton-growing regions of the southeastern United States. Fluometuron adsorption was correlated with organic matter, but not with clay content or soil pH. First-order kinetics explained fluometuron dissipation under field and controlled conditions (r2 ≥ 0.82). Field dissipation of fluometuron was slower under dry conditions. Fluometuron was not detected below 15 cm in the soil profile in any soil, and concentrations in the 8- to 15-cm soil zone were < 15 ppbw 112 d after treatment. Fluometuron dissipation was more rapid in soil from the 0- to 8-cm depth in Tennessee soil than in Mississippi soil under controlled conditions. Dissipation was more rapid under field conditions than under laboratory conditions at 2 of 3 locations. Fluometuron half-lives in soils from the 0- to 8-cm depth ranged from 9 to 28 d under field conditions and from 11 to 43 d in the laboratory. Fluometuron dissipation in soils from 30- to 45- and 60- to 90-cm depths was not different among soils, with half-lives ranging from 58 to 99 d under laboratory conditions. Fluometuron half-life was positively correlated with soil depth and inversely correlated with organic matter. These data indicate that organic matter, soil depth, and environmental conditions affect fluometuron dissipation.
Norflurazon adsorption and dissipation under field and laboratory conditions, and distribution within the soil profile were determined in three soils representative of cotton-growing regions of the southeastern U.S. Norflurazon adsorption was greater in soil from 0 to 8 cm in a Lexington silt loam (Tennessee) and a Beulah silt loam (Mississippi) than in a Dothan loamy sand (Georgia). Adsorption was directly related to organic matter. Norflurazon degradation under controlled conditions in soil from 0 to 8 cm from each state was not different among locations, with half-lives ranging from 63 to 167 d. Degradation at 30 C in soil from the 30- to 45- and 60- to 90-cm depths was not different among locations, and was slower at the 60- to 90-cm depth than in surface soil. Norflurazon dissipation was more rapid under field conditions than under laboratory conditions, with half-lives ranging from 7 to 79 d in the 0- to 8-cm soil horizon. Dry field conditions slowed norflurazon dissipation. Norflurazon was not detected below 15 cm in the profile in any soil, and concentrations in the 8- to 15-cm soil zone were < 36 ppbw 112 d after treatment.
The ability of the pesticide root zone model (PRZM) and the groundwater-loading effects of agricultural management systems (GLEAMS) model to predict movement of two herbicides in soil was evaluated using site-specific environmental data from sites in three states. Predictions of herbicide movement with site-specific data were compared to predictions using more generalized database soil and pesticide data within each model. Field experiments examined fluometuron and norflurazon movement in three soils representative of the cotton-growing regions of the southeastern United States. In comparing the use of site-specific vs. database values, the small increase in accuracy using site-specific inputs would not justify the large cost to obtain the data. The databases for each model gave predictions similar to those using the site-specific numbers. Both the PRZM and the GLEAMS model had similar accuracy levels in predicting the presence of fluometuron or norflurazon present in three surface soils, although each model tended to overpredict movement and total herbicide concentration, especially at lower herbicide concentrations. At higher herbicide concentrations, prediction accuracy was less than that probably needed to predict agronomically relevant herbicide concentrations in surface soils.
There is a limited understanding about the ecological mechanisms that enable certain plant species to become successful invaders of natural areas. This study was conducted to determine the soil and landscape characteristics that correlate with invasion of Chinese privet (CHP), and to develop a model to predict the probability of CHP invasion in Piedmont forests. A landscape ecosystem classification (LEC) system—based on the percentage of clay in the B horizon, depth to maximum clay (cm), exposure, terrain shape, and aspect (degrees)—was used to determine the soil moisture characteristics of invaded and uninvaded plots. Additional measurements included the cover classes of CHP and other species, litter depth (cm), slope (degrees), overstory basal area (m2 ha−1), and soil chemical properties. CHP invasion was negatively correlated with overstory basal area and slope and positively with litter depth and pH. A stepwise logistic regression model containing these four variables was highly sensitive, with an overall accuracy of 78%. Given the accuracy of this model, we propose that it can be used to calculate the probability of invasion in a given area, provided that some basic, readily obtainable site characteristics are known.
The interaction between an 8:1 aspect ratio rectangular jet and a flat plate, placed parallel to the jet, is addressed in this study. At high subsonic conditions and for certain relative locations of the plate, a resonance takes place with accompanying audible tones. Even when the tone is not audible the sound pressure level spectra are often marked by conspicuous peaks. The frequencies of these peaks, as functions of the plate’s length, its location relative to the jet as well as jet Mach number, are studied in an effort to understand the flow mechanism. It is demonstrated that the tones are not due to a simple feedback between the nozzle exit and the plate’s trailing edge; the leading edge also comes into play in determining the frequency. With parametric variation, it is found that there is an order in the most energetic spectral peaks; their frequencies cluster in distinct bands. The lowest frequency band is explained by an acoustic feedback involving diffraction at the plate’s leading edge. Under the resonant condition, a periodic flapping motion of the jet column is seen when viewed in a direction parallel to the plate. Phase-averaged Mach number data on a cross-stream plane near the plate’s trailing edge illustrate that the jet cross-section goes through large contortions within the period of the tone. Farther downstream a clear ‘axis switching’ takes place for the time-averaged cross-section of the jet that does not occur otherwise for a non-resonant condition.
Within China's Poyang Lake region, close interactions between wild migratory birds and domestic poultry are common and provide an opportunity for the transmission and subsequent outbreaks of highly pathogenic avian influenza (HPAI) virus. We overlaid a series of ecological factors associated with HPAI to map the risk of HPAI in relation to natural and anthropogenic variables, and we identified two hotspots for potential HPAI outbreaks in the Poyang Lake region as well as three corridors connecting the two hotspot areas. In hotspot I, there is potential for migratory birds to bring new avian influenza (AI) strains that can reassort with existing strains to form new AI viruses. Hotspot II features high-density poultry production where outbreaks of endemic AI viruses are likely. The three communication corridors that link the two hotspots further promote HPAI H5N1 transmission and outbreaks and lead to the persistence of AI viruses in the Poyang Lake region. We speculate that the region's unevenly distributed poultry supply-and-demand system might be a key factor inducing HPAI H5N1 transmission and outbreaks in the Poyang Lake region.
Titanium (IV) oxide, TiO2, has been the object of intense scrutiny for energy applications. TiO2 is inexpensive, non-toxic, and has excellent corrosion resistance when exposed to electrolytes. A major drawback preventing the widespread use TiO2 for photolysis is its relatively large band gap of ∼3eV. Only light with wavelengths shorter than 400 nm, which is in the ultraviolet portion of the spectrum, has sufficient energy to be absorbed. Less than 14 percent of the solar irradiation reaching the earth’s surface has energy exceeding this band gap. Adding dopants such as transition metals has long been used to reduce the gap and increase photocatalytic activity by accessing the visible part of the solar spectrum. The degree to which the band gap is reduced using transition metals depends in part on the overlap of the d-orbitals of the transition metals with the oxygen p-orbitals. Therefore, doping with anions such as nitrogen to modify the cation-anion orbital overlap is another approach to reduce the gap. Recent studies suggest that using a combination of transition metals and nitrogen as dopants is more effective at introducing intermediate states within the band gap, effectively narrowing it. Here we report the synthesis of mesoporous TiO2 spheres, co-doped with transition metals and nitrogen that exhibit a nearly flat absorbance response across the visible spectrum extending into the near infrared.