Healthcare workers (HCWs) were at increased risk for mental health problems during the COVID-19 pandemic, with prior data suggesting women may be particularly vulnerable. Our global mental health study aimed to examine factors associated with gender differences in psychological distress and depressive symptoms among HCWs during COVID-19. Across 22 countries in South America, Europe, Asia and Africa, 32,410 HCWs participated in the COVID-19 HEalth caRe wOrkErS (HEROES) study between March 2020 and February 2021. They completed the General Health Questionnaire-12, the Patient Health Questionnaire-9 and questions about pandemic-relevant exposures. Consistently across countries, women reported elevated mental health problems compared to men. Women also reported increased COVID-19-relevant stressors, including insufficient personal protective equipment and less support from colleagues, while men reported increased contact with COVID-19 patients. At the country level, HCWs in countries with higher gender inequality reported less mental health problems. Higher COVID-19 mortality rates were associated with increased psychological distress merely among women. Our findings suggest that among HCWs, women may have been disproportionately exposed to COVID-19-relevant stressors at the individual and country level. This highlights the importance of considering gender in emergency response efforts to safeguard women’s well-being and ensure healthcare system preparedness during future public health crises.

Spontaneous avalanche to plasma begins in the core of an ellipsoidal Rydberg gas of nitric oxide. Ambipolar expansion of NO$^+$ draws energy from avalanche-heated electrons. Then, cycles of long-range resonant electron transfer from Rydberg molecules to ions equalize their relative velocities. This sequence of steps gives rise to a remarkable mechanics of self-assembly, in which the kinetic energy of initially formed hot electrons and ions drives an observed separation of plasma volumes. These dynamics adiabatically sequester energy in a reservoir of mass transport, starting a process that anneals separating volumes to form an apparent glass of strongly coupled ions and electrons. Short-time electron spectroscopy provides experimental evidence for complete ionization. The long lifetime of this system, particularly its stability with respect to recombination and neutral dissociation, suggests that this transformation affords a robust state of arrested relaxation, far from thermal equilibrium. We see this most directly in the excitation spectrum of transitions to states in the initially selected Rydberg series, detected as the long-lived signal that survives a flight time of $500\ \mathrm {\mu }$s to reach an imaging detector. The initial density of electrons produced by prompt Penning ionization, which varies with the selected initial principal quantum number and density of the Rydberg gas, determines a balance between the rising density of ions and the falling density of Rydberg molecules. This Penning-regulated ion-Rydberg molecule balance appears necessary as a critical factor in achieving the long ultracold plasma lifetime to produce spectral features detected after very long delays.

Manen et al. provide here a reply to the critical comment published by A. J. Ammerman regarding their article “The Neolithic Transition in the Western Mediterranean: a complex and non-linear diffusion process—the radiocarbon record revisited,” published in 2019 in Radiocarbon. They also use this occasion to reaffirm the need to elaborate novel interpretive frameworks that combine both geo-chronological and cultural data.

We examined the quality of care provided to older persons with frailty in five Canadian provinces, using administrative health data. In each province, we identified two cohorts of older persons with frailty: decedents and living persons. Using decision rules, we considered individuals to be frail if they were long-term care residents, terminally ill, or met at least two of seven domains, which were based on frailty scales, geriatrician discussions, and health service utilization indicators. We assessed quality of care using selected quality indicators: decrease in length of hospital stay, decrease in the number of in-patient readmissions, decrease in the number of emergency department visits, increase in the level of family physician continuity of care, decrease in the use of mechanical ventilation, and decrease in the number of admissions to intensive care. Using regression analyses, we also found male sex and older age were associated with poorer quality of care in both cohorts. This study provides baseline data for evaluating future efforts to improve the quality of care provided to older persons with frailty.

Distributed models and a good knowledge of the catchment studied are required to assess mitigation measures for nitrogen (N) pollution. A set of alternative scenarios (change of crop management practices and different strategies of landscape management, especially different sizes and distribution of set-aside areas) were simulated with a fully distributed model in a small agricultural catchment. The results show that current practices are close to complying with current regulations, which results in a limited effect of the implementation of best crop management practices. The location of set-aside zones is more important than their size in decreasing nitrate fluxes in stream water. The most efficient location is the lower parts of hillslopes, combining the dilution effect due to the decrease of N input per unit of land and the interception of nitrate transferred by sub-surface flows. The main process responsible for the interception effect is probably uptake by grassland and retention in soils since the denitrification load tends to decrease proportionally to N input and, for the scenarios considered, is lower in the interception scenarios than in the corresponding dilution zones.

The Neolithic transition is a particularly favorable field of research for the study of the emergence and evolution of cultures and cultural phenomena. In this framework, high-precision chronologies are essential for decrypting the rhythms of emergence of new techno-economic traits. As part of a project exploring the conditions underlying the emergence and dynamics of the development of the first agro-pastoral societies in the Western Mediterranean, this paper proposes a new chronological modeling. Based on 45 new radiocarbon (14C) dates and on a Bayesian statistical framework, this work examines the rhythms and dispersal paths of the Neolithic economy both on coastal and continental areas. These new data highlight a complex and far less unidirectional dissemination process than that envisaged so far.

Silicification and illitization due to diagenesis result in the modification of porosity and permeability in many North Sea reservoirs, including Greater Alwyn. A good estimation of the mineral composition is required as input/output data for geochemical modelling modes intended to reproduce these effects. Using sedimentological studies to determine laterally equivalent facies, three facies were chosen. ‘Initial states’ for modelling were thus defined as the present-day composition of less-evolved laterally-equivalent facies, ‘final states’ as the present-day composition in the most evolved part of the basin. Precise actual mineral compositions were calculated using a reconciliation program, DATREC. Average compositions calculated for each facies in each field provided data useful in constraining input/output values used in modelling, and gave insights into depositional variation. Arithmetic tests assuming isochemical transformations, constraining the chemical compositions of ‘initial states’ to fit actual mineralogical compositions of ‘final states’, were run using this software. They show that, from an arithmetical point of view, if the assumption of equivalent facies holds, isochemical reactions can occur in some, but not in all facies, thereby demonstrating the importance of checking equivalence of facies and diagenesis hypotheses by quantitative calculations.

Ten years ago the aeroplane was a curiosity—a means wherewith, by a tour de force, a man might lift himself from the ground and make a hazardous flight through quiet air—a means to attract curious crowds to fenced-in county fair grounds to witness the marvel of a body heavier than air actually rising from the ground and moving under some measure of control through the air, and returning safely to its starting point.

What the aeroplane has become in this short but poignant decade of the world's history, and what it stands for to-day, this audience knows too well to need specification in detail.

It is perhaps well within the limits of conservatism to say that no achievement of man's inventive and constructive genius has undergone more intensive, more rapid, or more potentially significant development than has that of flying with an apparatus heavier than the air in which it moves.

Quantitative assessment of mitigation measures for nitrogen (N) pollution requires adequate models, good knowledge of catchment functioning and a thorough understanding of agricultural systems and stakeholder constraints. The current paper analyses a set of results from simulations, with two models, of agricultural changes in two catchments in different contexts with different constraints. The results show that reducing N inputs and increasing grassland areas are the most efficient measures, not only because they reduce N fluxes in streams but also because they enhance N use by agriculture and the whole catchment system. Introducing catch crops, hedgerows and riparian buffers are interesting complementary measures but of limited impact when implemented alone. These results are sensitive to the way mitigation measures are translated into model inputs, and their operational implications are discussed.

The nitrogen efficiency is the ratio between the output of nitrogen in the animal products and the input required for the livestock production. This ratio is a driver of the economic profitability and can be calculated at various levels of the production system: animal, field or farm. Calculated at the scale of the animal, it is generally low with less than half-ingested nitrogen remaining in the milk, the eggs or the meat in the form of proteins; the major part of the nitrogen being rejected in the environment. Significant gains were achieved in the past via the genetic improvement and the adjustment of feed supply. At the farm level, the efficiency increases to 45% to 50%, thanks to the recycling of animal excreta as fertilisers. From excretion to land application of manure, the losses of nitrogen are very variable depending on the animal species and the manure management system. Considering the risks of pollution swapping, all management and handling steps need to be considered. Collective initiatives or local rules on agricultural practices allow new opportunities to restore nitrogen balances on local territory.

This study aimed to investigate the impact of repeated acidosis challenges (ACs) and the effect of live yeast supplementation (Saccharomyces cerevisiae I-1077, SC) on rumen fermentation, microbial ecosystem and inflammatory response. The experimental design involved two groups (SC, n=6; Control, n=6) of rumen fistulated wethers that were successively exposed to three ACs of 5 days each, preceded and followed by resting periods (RPs) of 23 days. AC diets consisted of 60% wheat-based concentrate and 40% hay, whereas RPs diets consisted of 20% concentrate and 80% hay. ACs induced changes in rumen fermentative parameters (pH, lactate and volatile fatty-acid concentrations and proportions) as well as in microbiota composition and diversity. The first challenge drove the fermentation pattern towards propionate. During successive challenges, rumen pH measures worsened in the control group and the fermentation profile was characterised by a higher butyrate proportion and changes in the microbiota. The first AC induced a strong release of rumen histamine and lipopolysaccharide that triggered the increase of acute-phase proteins in the plasma. This inflammatory status was maintained during all AC repetitions. Our study suggests that the response of sheep to an acidosis diet is greatly influenced by the feeding history of individuals. In live yeast-supplemented animals, the first AC was as drastic as in control sheep. However, during subsequent challenges, yeast supplementation contributed to stabilise fermentative parameters, promoted protozoal numbers and decreased lactate producing bacteria. At the systemic level, yeast helped normalising the inflammatory status of the animals.

The role of Campylobacter jejuni as the triggering agent of Guillain–Barré syndrome (GBS) has not been reassessed since the end of the 1990s in France. We report that the number of C. jejuni-related GBS cases increased continuously between 1996 and 2007 in the Paris region (mean annual increment: 7%, P = 0·007).