We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Empirical Bayes methods are shown to provide a practical alternative to standard least squares methods in fitting high dimensional models to sparse data. An example concerning prediction bias in educational testing is presented as an illustration.
We present the Okinawa Institute of Science and Technology – Taylor–Couette set-up (OIST-TC), a new experimental set-up for investigating turbulent Taylor–Couette (TC) flow. The set-up has independently rotating inner and outer cylinders, and can achieve Reynolds numbers up to $10^6$. Noteworthy aspects of its design include innovative strategies for temperature control and vibration isolation. As part of its flow-measurement instrumentation, we have implemented the first ‘flying hot-wire’ configuration to measure the flow velocity whilst either or both cylinders are rotating. A significant challenge for obtaining reliable measurements from sensors within the inner cylinder is the data distortion resulting from electrical and electromagnetic interference along the signal pathway. Our solution involves internal digitization of sensor data, which provides notable robustness against noise sources. Additionally, we discuss our strategies for efficient operation, outlining custom automation tools that streamline both data processing and operational control. We hope this documentation of the salient features of OIST-TC is useful to researchers engaged in similar experimental studies that delve into the enchanting world of turbulent TC flow.
To measure SARS-CoV-2 anti-nucleocapsid (anti-N) antibody seropositivity among healthcare personnel (HCP) without a history of COVID-19 and to identify HCP characteristics associated with seropositivity.
Design:
Prospective cohort study from September 22, 2020, to March 3, 2022.
Setting:
A tertiary care academic medical center.
Participants:
727 HCP without prior positive SARS-CoV-2 PCR testing were enrolled; 559 HCP successfully completed follow-up.
Methods:
At enrollment and follow-up 1–6 months later, HCP underwent SARS-CoV-2 anti-N testing and were surveyed on demographics, employment information, vaccination status, and COVID-19 symptoms and exposures.
Results:
Of 727 HCP enrolled, 27 (3.7%) had a positive SARS-CoV-2 anti-N test at enrollment. Seropositive HCPs were more likely to have a household exposure to COVID-19 in the past 30 days (OR 7.92, 95% CI 2.44–25.73), to have had an illness thought to be COVID-19 (4.31, 1.94–9.57), or to work with COVID-19 patients more than half the time (2.09, 0.94–4.77). Among 559 HCP who followed-up, 52 (9.3%) had a positive SARS-CoV-2 anti-N antibody test result. Seropositivity at follow-up was associated with community/household exposures to COVID-19 within the past 30 days (9.50, 5.02–17.96; 2.90, 1.31–6.44), having an illness thought to be COVID-19 (8.24, 4.44–15.29), and working with COVID-19 patients more than half the time (1.50, 0.80–2.78).
Conclusions:
Among HCP without prior positive SARS-CoV-2 testing, SARS-CoV-2 anti-N seropositivity was comparable to that of the general population and was associated with COVID-19 symptomatology and both occupational and non-occupational exposures to COVID-19.
Over an 18- month period, our research group developed and implemented a creative, pragmatic, and collaborative data analysis and interpretation framework to illuminate initial sexual health research findings. The basis of our methodology was the use of patient and public involvement and engagement (PPIE) and co-production to analyse, interpret, and contextualise research findings, and to facilitate knowledge translation. Using this approach allowed stakeholders to share ideas, unconstrained by conventional academic approaches (eg papers and statistical outputs). Further, this approach helped us develop a more comprehensive and richer understanding of the research findings, which fed into informing and co-producing novel research outputs. Creative data analysis interlinked with idea generation to help inform a dissemination strategy that prompted ownership among stakeholders. As a result, stakeholders championed dissemination and adoption of the recommendations, accelerating the process of translating research evidence into national guidance and practice.
This chapter includes six sections describing our creative approach from a methodological and narrative perspective, including supporting quotes and reflections from co- producers/ co- authors. Firstly, we present the national guidance context followed by the sexual health context in the UK and the need for research to inform policy and practice in this area. Then, we describe how PPIE and co- production underpinned our knowledge translation framework, and explain how these frameworks informed our analytic process. Finally, we reflect on the strengths and limitations of our analytic approach, and share recommendations to help researchers explore, adapt, and ultimately improve ways of implementing this novel approach.
Context
Globally, governments are under increasing pressure to develop, implement, and evaluate evidence- based health- care policies and interventions that are tailored to the needs of research beneficiaries (WHO, 2021; Francoise et al, 2022). Using evidence- based policy approaches gives policy makers and providers a systematic framework to identify specific policy elements that are most likely to be effective for improving people's health and well- being outcomes and reducing inequalities (Cairney and Oliver, 2017). Evidence- based policy requires policy makers and providers to be agile in responding to rapidly emerging scientific research, and to the needs and priorities of those with lived experience (Oliver et al, 2014).
Contemporary understanding of the mechanisms of disease increasingly points to examples of “genetic diseases” with an infectious component and of “infectious diseases” with a genetic component. Such blurred boundaries generate ethical, legal, and social issues and highlight historical contexts that must be examined when incorporating host genomic information into the prevention, outbreak control, and treatment of infectious diseases.
Elucidation of the interaction of biological and psychosocial/environmental factors on opioid dependence (OD) risk can inform our understanding of the etiology of OD. We examined the role of psychosocial/environmental factors in moderating polygenic risk for opioid use disorder (OUD).
Methods
Data from 1958 European ancestry adults who participated in the Yale-Penn 3 study were analyzed. Polygenic risk scores (PRS) were based on a large-scale multi-trait analysis of genome-wide association studies (MTAG) of OUD.
Results
A total of 420 (21.1%) individuals had a lifetime diagnosis of OD. OUD PRS were positively associated with OD (odds ratio [OR] 1.42, 95% confidence interval [CI] 1.21–1.66). Household income and education were the strongest correlates of OD. Among individuals with higher OUD PRS, those with higher education level had lower odds of OD (OR 0.92, 95% CI 0.85–0.98); and those with posttraumatic stress disorder (PTSD) were more likely to have OD relative to those without PTSD (OR 1.56, 95% CI 1.04–2.35).
Conclusions
Results suggest an interplay between genetics and psychosocial environment in contributing to OD risk. While PRS alone do not yet have useful clinical predictive utility, psychosocial factors may help enhance prediction. These findings could inform more targeted clinical and policy interventions to help address this public health crisis.
Good social connections are proposed to positively influence the course of cognitive decline by stimulating cognitive reserve and buffering harmful stress-related health effects. Prior meta-analytic research has uncovered links between social connections and the risk of poor health outcomes such as mild cognitive impairment, dementia, and mortality. These studies have primarily used aggregate data from North America and Europe with limited markers of social connections. Further research is required to explore these associations longitudinally across a wider range of social connection markers in a global setting.
Research Objective:
We examined the associations between social connection structure, function, and quality and the risk of our primary outcomes (mild cognitive impairment, dementia, and mortality).
Method:
Individual participant-level data were obtained from 13 longitudinal studies of ageing from across the globe. We conducted survival analysis using Cox regression models and combined estimates from each study using two-stage meta-analysis. We examined three social constructs: connection structure (living situation, relationship status, interactions with friends/family, community group engagement), function (social support, having a confidante) and quality (relationship satisfaction, loneliness) in relation to the risks of three primary outcomes (mild cognitive impairment, dementia, and mortality). In our partially adjusted models, we included age, sex, and education and in fully adjusted models used these variables as well as diabetes, hypertension, smoking, cardiovascular risk, and depression.
Preliminary results of the ongoing study:
In our fully adjusted models we observed: a lower risk of mild cognitive impairment was associated with being married/in a relationship (vs. being single), weekly community group engagement (vs. no engagement), weekly family/friend interactions (vs. not interacting), and never feeling lonely (vs. often feeling lonely); a lower risk of dementia was associated with monthly/weekly family/friend interactions and having a confidante (vs. no confidante); a lower risk of mortality was associated with living with others (vs. living alone), yearly/monthly/weekly community group engagement, and having a confidante.
Conclusion:
Good social connection structure, function, and quality are associated with reduced risk of incident MCI, dementia, and mortality. Our results provide actionable evidence that social connections are required for healthy ageing.
Russian thistle is one of the most important broadleaf weeds in the semiarid U.S. Pacific Northwest. It consumes soil water after wheat harvest, compromising the yield of the following crop. The objectives of this work were to determine the impact of post–wheat harvest herbicide application timing on Russian thistle control and of stubble height on Russian thistle postharvest control and plant dispersal. For the first objective, experiments were conducted at the Columbia Basin Agricultural Research Center, Adams, OR (CBARC), and the Lind Dryland Research Station, Lind, WA (LDRS), in 2020 and 2021. Herbicides evaluated included paraquat, glyphosate, and either bromoxynil + pyrasulfotole (CBARC) or bromoxynil + metribuzin (LDRS). The different post–wheat harvest application timings were 24 h and 1, 2, and 3 wk after harvest. For the second objective, two stubble heights (short and tall) were compared for their impact on control at CBARC and in a production field near Ione, OR. Paraquat provided the greatest control in all scenarios, with no differences in application timings or stubble height. Impacts of application timings were not clear for glyphosate or bromoxynil mixtures. For glyphosate treatments, control in short stubble was 11% greater than in tall stubble in both years. Control was also greater in short stubble for the bromoxynil + pyrasulfotole application in 2020. However, Russian thistle plant dispersal was greater in short stubble at both locations. At CBARC, plant dispersal in short stubble was 58%, compared to 18% in tall stubble. Near Ione, plant dispersal in flattened stubble was 88%, compared to 43% in nonflattened short stubble. Leaving tall stubble at harvest should be considered to reduce Russian thistle plant dispersal if the infestation is going to be left untreated after harvest; otherwise, short stubble might result in better Russian thistle control when using systemic herbicides, such as glyphosate.
To determine the prevalence of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) IgG nucleocapsid (N) antibodies among healthcare personnel (HCP) with no prior history of COVID-19 and to identify factors associated with seropositivity.
Design:
Prospective cohort study.
Setting:
An academic, tertiary-care hospital in St. Louis, Missouri.
Participants:
The study included 400 HCP aged ≥18 years who potentially worked with coronavirus disease 2019 (COVID-19) patients and had no known history of COVID-19; 309 of these HCP also completed a follow-up visit 70–160 days after enrollment. Enrollment visits took place between September and December 2020. Follow-up visits took place between December 2020 and April 2021.
Methods:
At each study visit, participants underwent SARS-CoV-2 IgG N-antibody testing using the Abbott SARS-CoV-2 IgG assay and completed a survey providing information about demographics, job characteristics, comorbidities, symptoms, and potential SARS-CoV-2 exposures.
Results:
Participants were predominately women (64%) and white (79%), with median age of 34.5 years (interquartile range [IQR], 30–45). Among the 400 HCP, 18 (4.5%) were seropositive for IgG N-antibodies at enrollment. Also, 34 (11.0%) of 309 were seropositive at follow-up. HCP who reported having a household contact with COVID-19 had greater likelihood of seropositivity at both enrollment and at follow-up.
Conclusions:
In this cohort of HCP during the first wave of the COVID-19 pandemic, ∼1 in 20 had serological evidence of prior, undocumented SARS-CoV-2 infection at enrollment. Having a household contact with COVID-19 was associated with seropositivity.
To increase inclusivity, diversity, equity and accessibility in Antarctic science, we must build more positive and inclusive Antarctic field work environments. The International Thwaites Glacier Collaboration (ITGC) has engaged in efforts to contribute to that goal through a variety of activities since 2018, including creating an open-access ‘Field and Ship Best Practices’ guide, engaging in pre-field season team dynamics meetings, and surveying post-field season reflections and experiences. We report specific actions taken by ITGC and their outcomes. We found that strong and supported early career researchers brought new and important perspectives regarding strategies for transforming culture. We discovered that engaged and involved senior leadership was also critical for expanding participation and securing funding to support efforts. Pre-field discussions involving all field team members were particularly helpful for setting expectations, improving sense of belonging, describing field work best practices, and co-creating a positive work culture.
Understanding the distribution and extent of suitable habitats is critical for the conservation of endangered and endemic taxa. Such knowledge is limited for many Central African species, including the rare and globally threatened Grey-necked Picathartes Picathartes oreas, one of only two species in the family Picathartidae endemic to the forests of Central Africa. Despite growing concerns about land-use change resulting in fragmentation and loss of forest cover in the region, neither the extent of suitable habitat nor the potential species’ distribution is well known. We combine 339 (new and historical) occurrence records of Grey-necked Picathartes with environmental variables to model the potential global distribution. We used a Maximum Entropy modelling approach that accounted for sampling bias. Our model suggests that Grey-necked Picathartes distribution is strongly associated with steeper slopes and high levels of forest cover, while bioclimatic, vegetation health, and habitat condition variables were all excluded from the final model. We predicted 17,327 km2 of suitable habitat for the species, of which only 2,490 km2 (14.4%) are within protected areas where conservation designations are strictly enforced. These findings show a smaller global distribution of predicted suitable habitat forthe Grey-necked Picathartes than previously thought. This work provides evidence to inform a revision of the International Union for Conservation of Nature (IUCN) Red List status, and may warrant upgrading the status of the species from “Near Threatened” to “Vulnerable”.
Physicians with postgraduate training in caring for older adults–geriatricians, geriatric psychiatrists, and Care of the Elderly family physicians (FM-COE)–have expertise in managing complex care needs. Deficits in the geriatric-focused physician workforce coupled with the aging demographic necessitate an increase in training and clinical positions. Descriptive analyses of data from established matching systems have not occurred to understand the preferences and outcomes of applicants to geriatric-focused postgraduate training. This study describes applicant and match trends for geriatric-focused postgraduate training in Canada. In this retrospective cohort study, data from the Canadian Resident Matching Service and FM-COE program directors were analysed to examine program quotas, applicants’ preferences, and match outcomes by medical school and over time. Based on their first-choice specialty ranking, applicants to geriatric medicine and FM-COE signalled a preference to pursue these programs and tended to match successfully. The proportion of unfilled training positions has increased in recent years, and the number of applicants has not increased consistently over time. There is a disparity between applicants to geriatric-focused training and the health human resources to meet population-level needs. Garnering interest among medical trainees is essential to address access and equity gaps.
Dental healthcare personnel (DHCP) are at high risk of exposure to coronavirus disease 2019 (COVID-19). We sought to identify how DHCP changed their use of personal protective equipment (PPE) as a result of the COVID-19 pandemic, and to pilot an educational video designed to improve knowledge of proper PPE use.
Design:
The study comprised 2 sets of semistructured qualitative interviews.
Setting:
The study was conducted in 8 dental clinics in a Midwestern metropolitan area.
Participants:
In total, 70 DHCP participated in the first set of interviews; 63 DHCP participated in the second set of interviews.
Methods:
In September–November 2020 and March–October 2021, we conducted 2 sets of semistructured interviews: (1) PPE use in the dental community during COVID-19, and (2) feedback on the utility of an educational donning and doffing video.
Results:
Overall, 86% of DHCP reported having prior training. DHCP increased the use of PPE during COVID-19, specifically N95 respirators and face shields. DHCP reported real-world challenges to applying infection control methods, often resulting in PPE modification and reuse. DHCP reported double masking and sterilization methods to extend N95 respirator use. Additional challenges to PPE included shortages, comfort or discomfort, and compatibility with specialty dental equipment. DHCP found the educational video helpful and relevant to clinical practice. Fewer than half of DHCP reported exposure to a similar video.
Conclusions:
DHCP experienced significant challenges related to PPE access and routine use in dental clinics during the COVID-19 pandemic. An educational video improved awareness and uptake of appropriate PPE use among DHCP.
Apathy is a common symptom in mild cognitive impairment (MCI) and may predict progression to dementia. Little research, however, has investigated the longitudinal trajectory of apathy in patients with MCI or controlled for depression, which can mimic apathy, when examining its clinical correlates. The current study sought to address these issues.
Design:
A prospective longitudinal study was conducted over 3 years.
Setting:
Nine memory clinics around Australia
Participants:
One hundred and eighty-five patients with MCI at baseline.
Measurements:
Measures of cognition, function, neuropsychiatric symptoms, caregiver burden, and medication use were completed annually with additional assessments at 3 and 6 months. Patients were also assessed for dementia by expert clinicians at these time points.
Results:
Of 164 patients who completed measures of neuropsychiatric symptoms, 59 (36.0%) had apathy and 61 (37.2%) had depression. The proportion affected by apathy and overall apathy scores increased over time, in contrast to measures of depression, which remained relatively stable. Apathy was associated with incident dementia and worse cognition, function, neuropsychiatric symptoms, and caregiver burden independent of both depression and incident dementia. Depression was associated with worse function, albeit to lesser degree than apathy, and neuropsychiatric symptoms.
Conclusions:
Apathy increases in MCI and is associated with worse clinical outcomes. These findings provide further evidence for apathy as a marker of clinical decline in older people and poorer outcomes across neurocognitive disorders.
This paper presents a detailed analysis of the flows induced in a long two-dimensional cavity heated from below in the presence of streaming due to ultrasound acoustic waves emitted by a source. The problem is tackled by using performing spectral element codes, allowing continuation of steady solutions, bifurcation points and periodic cycles. For a given dimensionless source size, the governing parameters are the acoustic streaming parameter $A$ which modulates the acoustic force generating the Eckart streaming and the Rayleigh number ${\textit {Ra}}$ which quantifies the buoyant force responsible for the convection. The streaming flow, which goes to the right along the horizontal axis and returns along the lower and upper boundaries, influences the instability thresholds, which are first strongly stabilized above the pure Rayleigh–Bénard threshold ${\textit {Ra}}_0$ when $A$ is increased, before a destabilization to reach the pure streaming threshold $A_c$ at ${\textit {Ra}}=0$. The steady multi-roll convective flow generated without streaming is replaced by periodic waves when $A$ is increased, forward waves for moderate $A$ and backward waves for large $A$. The transition between these waves induces a specific dynamics involving steady flows, which has been elucidated. The waves also eventually disappear for a sufficient increase of the Rayleigh number, replaced by steady multi-roll flows hardly influenced by the streaming flow. A very rich dynamics is thus observed with the competition between the waves and the steady flows.
Rivers are crucial to the water cycle, linking the landscape to the sea. Human activities, including effluent discharge, water use and fisheries, have transformed the resilience of many rivers around the globe. Sustainable development goal (SDG) 14 prioritizes addressing many of the same issues in marine ecosystems. This review illustrates how rivers contribute directly and indirectly to SDG 14 outcomes, and also provides ways to potentially address them through a river to sea view on policy, management and research.
Technical summary
The United Nations initiated the SDGs to produce ‘a shared blueprint for peace and prosperity for people and the planet, now and into the future’. Established in 2015, progress of SDGs directed at the aquatic environment is slow despite an encroaching 2030 deadline. The modification of flow regimes combined with other anthropogenic pressures underpin ecological impacts across aquatic ecosystems. Current SDG 14 targets (life below water) do not incorporate the interrelationships of rivers and marine systems systematically, nor do they provide recommendations on how to improve existing management and policy in a comprehensive manner. Therefore, this review aims to illustrate the linkages between rivers and marine ecosystems concerning the SDG 14 targets and to illustrate land to sea-based strategies to reach sustainability goals. We provide an applied case study to show how opportunities can be explored. We review three major areas where mutual opportunities are present: (1) rivers contribute to marine and estuary ecosystem resilience (targets 14.1, 14.2, 14.3, 14.5); (2) resilient rivers are part of the global fisheries sustainability concerns (targets 14.4, 14.6, 14.7, 14.B) and (3) enhancing marine policy and research from a river and environmental flows perspective (targets 14.A, 14.C).
Social media summary
Restoring resilience to rivers and their environmental flows helps fulfil SDG 14.
To reappraise pre-exposure prophylaxis (PrEP) eligibility criteria towards the men who have sex with men (MSM) with highest HIV-risk, we assessed PrEP need (i.e. HIV-risk) using Amsterdam Cohort Studies data from 2011–2017 for all non-PrEP using MSM. Outcomes were incident HIV-infection and newly-diagnosed anal STI. Determinants were current PrEP eligibility criteria (anal STI and condomless sex (CAS)) and additional determinants (age, education, group sex, alcohol use during sex and chemsex). We used targeted maximum likelihood estimation (TMLE) to estimate the relative risk (RR) and 95% confidence intervals (CI) of determinants on outcomes, and calculated population attributable fractions (PAFs) with 95% CI using RRs from TMLE. Among 810 included MSM, 22 HIV-infections and 436 anal STIs (n = 229) were diagnosed during follow-up. Chemsex (RR = 5.8 (95% CI 2.0–17.0); PAF = 55.3% (95% CI 43.3–83.4)), CAS with a casual partner (RR = 3.3 (95% CI 1.3–8.7); PAF = 38.0% (95% CI 18.3–93.6)) and anal STI (RR = 5.3 (95% CI 1.7–16.7); PAF = 22.0 (95% CI −16.8 to 100.0)) were significantly (P < 0.05) associated with and had highest attributable risk fractions for HIV. Chemsex (RR = 2.0 (95% CI 1.6–2.4); PAF = 19.5 (95% CI 10.6–30.6)) and CAS with a casual partner (RR = 2.5 (95% CI 2.0–3.0); PAF = 28.0 (95% CI 21.0–36.4)) were also significantly associated with anal STI, as was younger age (16–34/≥35; RR = 1.7 (95% CI 1.4–2.1); PAF = 15.5 (95% CI 6.4–27.6)) and group sex (RR = 1.3 (95% CI 1.1–1.6); PAF = 9.0 (95% CI −2.3 to 23.7)). Chemsex should be an additional PrEP eligibility criterion.
The Niagara Escarpment is a fractured Palaeozoic sedimentary cuesta, subject to year-round weathering in a temperate climate. We examined the temperature of the rock surface and fractures at three in situ sites with varying aspect and lithology, as well as the surface and interior of three control blocks maintained in outdoor conditions between December 2020 and March 2021. The objectives were to examine the interplay between freeze–thaw and thermal weathering in the winter months and to identify potential factors influencing these processes. Both diurnal-scale and prolonged freeze–thaw cycles differing in spatial and temporal extent were identified, coincident with periods of high moisture. We frequently observed rapid temperature changes (>1 °C min−1) at sites with strong insolation, which implies that the temperature regime is suitable for thermal shock and fatigue to occur. Site-specific factors, such as the aspect of the escarpment face and lithology, impact the mechanism and extent of weathering. Southeast-facing sites with high insolation are dominated by diurnal-scale freeze–thaw; west- and east-facing sites with lower insolation experience a more prominent prolonged freeze–thaw cycle. Across all sites there is a gradient between surface and fracture temperature that follows diurnal trends in air temperature and insolation. Variability in the surface-fracture gradient may enhance weathering processes by shifting the orientation and magnitude of stress, and by changing the spatial distribution of freezing and thawing. Our research indicates that site-specific factors and pre-existing fractures moderate the influence of air temperature and insolation on thermal gradients, and ultimately the weathering regime.
In this prospective, longitudinal study, we examined the risk factors for severe acute respiratory coronavirus virus 2 (SARS-CoV-2) infection among a cohort of chronic hemodialysis (HD) patients and healthcare personnel (HCPs) over a 6-month period. The risk of SARS-CoV-2 infection among HD patients and HCPs was consistently associated with a household member having SARS-CoV-2 infection.
In a prospective cohort of healthcare personnel (HCP), we measured severe acute respiratory syndrome coronavirus virus 2 (SARS-CoV-2) nucleocapsid IgG antibodies after SARS-CoV-2 infection. Among 79 HCP, 68 (86%) were seropositive 14–28 days after their positive PCR test, and 54 (77%) of 70 were seropositive at the 70–180-day follow-up. Many seropositive HCP (95%) experienced an antibody decline by the second visit.