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Waterhemp has become a serious management challenge for field crop growers in New York. Two putative glyphosate-resistant (GR) waterhemp populations (NY1 and NY2) were collected in 2023 from two soybean fields in Seneca County, NY. The objectives of this research were to 1) confirm and characterize the level of glyphosate resistance in waterhemp populations from New York relative to a known glyphosate-susceptible population from Nebraska (NE_SUS), and 2) evaluate the efficacy of various postemergence herbicides for GR waterhemp control. Based on the shoot dry weight reductions (GR50 values) in a dose-response study, the NY1 and NY2 populations exhibited 5.6- to 8.3-fold resistance to glyphosate compared with the NE_SUS population. In a separate study, postemergence herbicides such as dicamba, glufosinate, lactofen, and 2,4-D applied alone or in a mixture with glyphosate or glufosinate had provided 89% to 99% control and ≥97% shoot dry weight reduction of NY1 and NY2 populations 21 d after treatment. Greater than 98% control of the NE_SUS population was achieved with tested postemergence herbicides, except mesotrione (62% control). Furthermore, atrazine, chlorimuron + thifensulfuron, and mesotrione were the least effective in controlling NY1 and NY2 populations (42% to 59% control and 50% to 67% shoot dry weight reductions, respectively). These results confirm the first report of GR waterhemp in New York. Growers should adopt effective alternative postemergence herbicides tested in this study to manage GR waterhemp.
The diets of children in the UK are suboptimal(1), which may influence their immediate and future health and well-being(2). Schools offer convenient and prolonged access to children from diverse backgrounds, thus interventions within this setting have been suggested as a means to promote diet and health outcomes among this population(3). This study explored the effects of Project Daire(4), a school-based food intervention, on children’s diet diversity and diet quality as well as their attitudes towards health behaviours.
A factorial design cluster randomized controlled trial was conducted. Fifteen primary schools in Northern Ireland were randomized into one of four 6-month intervention arms: Nourish, Engage, Nourish and Engage or Control (Delayed). The Nourish intervention modified the school food environment, provided food-related experiences and increased access to local foods. The Engage intervention included educational activities on nutrition, food and agriculture. Data on food consumption at home, school and/or in total over a 24-hour period were collected using ageappropriate food frequency questionnaires at baseline, with follow-up at 6-months. Diet diversity score (DDS) and diet quality score (DQS) were developed based on adherence to the Eatwell Guide. Additionally, a Health Attitudes and Behaviour measure assessed 10-11 year old children’s attitudes towards importance of various health behaviours at both time points. Linear and logistic regression models were used to examine intervention effects and to account for school clustering.
A total of 445 children aged 6-7 and 458 aged 10-11 years old completed the trial. Results indicated that children aged 10-11 year old who received the Nourish intervention demonstrated higher school DDS (adjusted mean difference=2.79, 95% CI 1.40 – 4.19; p = 0.001) and total DDS (adjusted mean difference=1.55, 95% CI 0.66 – 2.43, p = 0.002) compared to their counterparts who did not. Subgroup analyses revealed that the increases in school DDS among 10-11 year old children in the Nourish group were apparent in both boys and girls (Boys: adjusted mean difference=2.4 95% CI 0.1 – 4.7, p = 0.04; Girls: adjusted mean difference=3.1 95% CI 1.6 – 4.6, p = 0.001). However, the increase in total DDS remained statistically significant only among girls, with an adjusted mean difference of 1.9 (95% CI 1.1-2.7, p<0.001). No statistically significant changes in DQS were detected in either age group. High levels of positive attitudes towards health behaviours were observed at baseline, with no clinically significant effects of either the Nourish or Engage interventions detected during the follow-up period.
The multi-component approach of the Nourish intervention, addressing both food provision and environment, showed promise in promoting diet diversity. Further research is warranted to develop sustainable implementation strategies for Daire, to explore additional intervention components to impact other outcomes, including diet quality, and to evaluate long-term effectiveness.
The microelectrophoretic and adsorption behaviour of lithium vermiculite has been studied as a function of lithium chloride concentration. This was done in an attempt to establish the applicability of such systems to the testing of theories of interaction of flat plates, and in so doing to throw further light on swelling measurements performed on such materials. The studied behaviour, while highly unusual, gave quite good agreement between adsorption and microelectrophoretic parameters and agreed, qualitatively, with some earlier measurements on similar materials.
The observed properties appear to be due to some rather specific structuring effects, either of the oxide surface or of the electrolyte ions. If this is so, these systems are far from ideal models for the testing of the theory of interaction of two uniform flat plates.
Pediatric medical devices lag behind adult devices due to economic barriers, smaller patient populations, changing anatomy and physiology of patients, regulatory hurdles, and especially difficulties in executing clinical trials. We investigated the requirements, challenges, associated timeline, and costs of conducting a multi-site pivotal clinical trial for a Class II pediatric physiologic monitoring device.
Methods:
This case study focused on the negotiation of clinical trial agreements (CTAs), budgets, and Institutional Review Board (IRB) processing times for a pediatric device trial. We identified key factors contributing to delays in clinical trial execution and potential best practices to expedite the process while maintaining safety, ethics, and efficacy.
Results:
The total time from site contact to first patient enrollment averaged 14 months. CTA and budget negotiations were the most time-consuming processes, averaging nearly 10 and 9 months, respectively. Reliance and local IRB processing also contributed significantly to the timeline, overall adding an average of 6.5 months across institutions. Nearly half of all costs were devoted to regulatory oversight. The COVID-19 pandemic caused significant slowdowns and delays at multiple institutions during study enrollment. Despite these pandemic-induced delays, it is important to note that the issues and themes highlighted remain relevant and have post-pandemic applicability.
Conclusions:
Our case study results underscore the importance of establishing efficient and standardized processing of CTAs, budget negotiations, and use of reliance IRBs to expedite clinical trial execution for pediatric devices. The findings also highlight the need for a national clinical trials network to streamline the clinical trial process.
Providing access to food in schools can serve as a platform for food system transformation, while simultaneously improving educational outcomes and livelihoods. Locally grown and procured food is a nutritious, healthy, and efficient way to provide schoolchildren with a daily meal while, at the same time, improving opportunities for smallholder farmers(1). While there is significant potential for school food provision activities to support healthy dietary behaviours in the Pacific Islands region, there is limited evidence of these types of activities(2), including scope and links to local food production in the region. Therefore, the aim of this scoping study was to understand the current state of school food activities (school feeding, gardening and other food provision activities) and any current, and potential links to local agriculture in the Pacific Islands. A regional mapping activity was undertaken, initially covering 22 Pacific Island countries. The mapping included two steps: 1) a desk based scoping review including peer-reviewed and grey literature (2007-2022) and 2) One-hour semi-structured online Zoom interviews with key country stakeholders. Twelve sources were identified, predominately grey literature (n = 9). Thirty interviews were completed with at least 1 key stakeholder from 15 countries. A variety of school food provision activities were identified, including school feeding programs (n = 16, of varying scale), programs covering both school feeding and school gardens (n = 2), school garden programs (n = 12), and other school food provision activities (n = 4, including taste/sensory education, food waste reduction, increasing canteen capacity for local foods, supply chain distribution between local agriculture and schools). Existing links to local agriculture varied for the different programs. Of the 16 school feeding programs, 8 had a requirement for the use of local produce (policy requirement n = 6, traditional requirement from leaders n = 2). Of the 12 school garden programs, 6 used local or traditional produce in the garden and 5 involved local farmers in varying capacities. Challenges to linking local agriculture into school food provision programs were reported for 17 activities and were context dependent. Common challenges included limited funding, inflation, Covid-19, inadequate produce supply for the scale of program, limited farmer capacity, limited institutional support for local produce, low produce storage life, climatic conditions and disasters, water security, delayed procurement process, and limited professional development and upskilling opportunities. Modernisation and colonisation of food systems resulting in a preference for hyperpalatable foods and challenges in incorporating local produce in a way that is accepted by students was also identified as a challenge. This evidence can be used to develop a pathway to piloting and implementing models of school food provision programs and promoting opportunities for shared learning and collaboration with key stakeholders across the Pacific Islands region.
To explore the differences in social norms around parents’ food provision in different provision contexts and by demographics.
Design:
Qualitative study using story completion methodology via an online survey in September 2021. Adults 18+ with or without children were randomised to one of three story stems focusing on food provision in different contexts; food provision at home (non-visitor), with visitors present and with the involvement of sport. Stories were coded and themed using thematic analysis. A content analysis was performed to determine count and frequency of codes in stories by participant demographics and story assumptions.
Setting:
Australia.
Participants:
Adults (n 196).
Results:
Nine themes were identified from the data resulting in four social norms around providing healthy foods and justifying non-adherence to healthy eating guidelines, evolution of family life and mealtime values, the presence of others influencing how we engage with food provision and unhealthy foods used as incentives/rewards in sport. Following content analysis, no differences of themes or norms by participant demographics or story assumptions were found.
Conclusions:
We identified pervasive social norms around family food provision and further identified how contextual factors resulted in variations or distinct norms. This highlights the impact context may have on the social norms parents face when providing food to their children and the opportunities and risks of leveraging these social norms to influence food choice in these contexts. Public health interventions and practitioners should understand the influence of context and social environments when promoting behaviour change and providing individualised advice. Future research could explore parents’ experiences of these norms and to what extent they impact food choice.
OBJECTIVES/GOALS: Impaired vascular function, a subclinical marker of cardiovascular disease, has been identified in prediabetes. Dietary nitrate supplementation has been shown to improve vascular function. However, this has not been studied in prediabetes. The purpose was to determine the effects of dietary nitrate on vascular function in prediabetes. METHODS/STUDY POPULATION: Five individuals with prediabetes (4 men, 1 woman; 55 ± 17 yr; HbA1c = 5.8 ± 0.2) participated in a double-blind, placebo-controlled, repeated measures study. Participants were randomly assigned to a 3-day nitrate supplementation (nitrate-rich beetroot juice, 12.9 mmol, 140 mL), or a placebo supplementation (nitrate-depleted beetroot juice, 0.05 mmol, 140 mL). Following supplementation, participants reported to the lab for measures of vascular function in the lower limb. Doppler ultrasonography was used to measure flow-mediated dilation (FMD) and post-occlusive reactive hyperemia (RH) of the superficial femoral artery in response to a 5-min bout of leg ischemia. RESULTS/ANTICIPATED RESULTS: FMD did not differ between the nitrate-rich (2.87 ± 2.01%) and placebo (2.24 ± 1.69%) conditions (p = 0.48; d = 0.35). Furthermore, peak RH did not differ between the nitrate-rich (1503 ± 443 ml/min) and placebo (1762 ± 414 ml/min) conditions (p = 0.36; d = 0.46). DISCUSSION/SIGNIFICANCE: These preliminary results suggest that dietary nitrate supplementation in the form of beetroot juice does not improve vascular function in individuals with prediabetes.
With a public health crisis gripping the UK, this book examines the organisational and political barriers to an effective public health system and determines that a new social contract is needed, in which health policy is truly public.
There is limited data on the organisation of paediatric echocardiography laboratories in Europe.
Methods:
A structured and approved questionnaire was circulated across all 95 Association for European Paediatric and Congenital Cardiology affiliated centres. The aims were to evaluate: (1) facilities in paediatric echocardiography laboratories across Europe, (2) accredited laboratories, (3) medical/paramedical staff employed, (4) time for echocardiographic studies and reporting, and (5) training, teaching, quality improvement, and research programs.
Results:
Respondents from forty-three centres (45%) in 22 countries completed the survey. Thirty-six centres (84%) have a dedicated paediatric echocardiography laboratory, only five (12%) of which reported they were European Association of Cardiovascular Imaging accredited. The median number of echocardiography rooms was three (range 1–12), and echocardiography machines was four (range 1–12). Only half of all the centres have dedicated imaging physiologists and/or nursing staff, while the majority (79%) have specialist imaging cardiologist(s). The median (range) duration of time for a new examination was 45 (20–60) minutes, and for repeat examination was 20 (5–30) minutes. More than half of respondents (58%) have dedicated time for reporting. An organised training program was present in most centres (78%), 44% undertake quality assurance, and 79% perform research. Guidelines for performing echocardiography were available in 32 centres (74%).
Conclusion:
Facilities, staffing levels, study times, standards in teaching/training, and quality assurance vary widely across paediatric echocardiography laboratories in Europe. Greater support and investment to facilitate improvements in staffing levels, equipment, and governance would potentially improve European paediatric echocardiography laboratories.
Electroacoustic measurements at 1 MHz, using the Electro-Sonic Amplitude (ESA), on a kaolinite suspension provide a ready method for following the adsorption of hydrolyzable metal ions onto the clay surface. Co2+, Cd2+ and Cu2+ ions show similar behavior: The initially negative surface becomes less negative, approaches zero, and may become positive at pH values around neutral, depending on the initial metal concentration. At higher pH, electrokinetic potential goes through a maximum. If the surface has become positive, it becomes less so; and at still higher pH values it may become negative again, depending on the metal ion concentration. The behavior can be interpreted using the model proposed by James and Healy.
Unmodified and surfactant-modified clinoptilolite-rich tuff (referred to here as “clinoptilolite”) and muscovite mica were examined with tapping-mode atomic force microscopy (TMAFM) and high-resolution thermogravimetric analysis (HR-TGA) in order to elucidate patterns of hexadecyltrimethylammonium bromide (HDTMA) sorption on the treated surface and to understand the mechanisms of this sorption. TMAFM images were obtained to a scale of 50 nm by 50 nm. The images of unmodified clinoptilolite showed a framework pattern on the ac plane, comparable to previously reported images. Images of modified clinoptilolite at 12.5% and 25% of external cation exchange capacity (ECEC) coverage by HDTMA showed evidence of the HDTMA molecules arranged as elongated, topographically raised features on the ac plane. At 50% HDTMA coverage, the images contained what appeared to be agglomerations of surfactant tail groups. The z-directionthickness of the raised features on the 12.5% coverage sample corresponded to the thickness of the carbon chain of the surfactant tail-group (0.4 nm), whereas the z-thicknesson the 25% coverage sample was between 0.4 and 0.8 nm, indicating crossing or doubling of tail groups. Repulsive forces between the modified clinoptilolite and the silicon TMAFM probe increased with increasing HDTMA coverage. HR-TGA showed a 100 °C increase in HDTMA pyrolysis temperatures at coverages of less than 50%, probably due to an increased stabilization of the HDTMA due to direct tail interactions with the clinoptilolite surface at lower coverages versus smaller stabilization due to surfactant tail-tail interactions at higher coverages. Our results indicate that buildup of HDTMA admicelles or some form of a bilayer begins before full monolayer coverage is complete.
Adsorption of cetylpyridinium chloride (CPC) onto kaolinite can be followed using the electroacoustic effect. The dynamic mobility, measured at a frequency of 1 MHz, varies from about −2 to +1 × 10−8 m2 V−1 s−1 in a number of steps, reflecting the adsorption of two separate layers, with the bilayer being more obvious, especially at pH 5–8. The behaviour at different pHs reflects the different charge characteristics of the basal cleavage planes and the crystal edges. When the amount of added CPC is equal to the cation exchange capacity of the clay, the kinetic charge changes from negative to positive and there is a pronounced break in the conductivity curve. It is also possible to estimate the edge to face area from such measurements and so obtain a measure of the aspect ratio of the clay crystallites. The (minimum) value for this clay is about 5:1.
The ASACUSA (atomic spectroscopy and collisions using slow antiprotons) Cusp experiment requires the production of dense positron plasmas with a high repetition rate to produce a beam of antihydrogen. In this work, details of the positron production apparatus used for the first observation of the antihydrogen beam, and subsequent measurements, are described in detail. This apparatus replaced the previous compact trap design resulting in an improvement in the positron accumulation rate by a factor of $52\pm 3$.
The UK faces a health crisis. In 2018–20 growth in life expectancy stalled for women and declined for men, taking men back to the level in 2012–14 (ONS, 2021). Although the immediate cause was the outbreak of COVID-19 in 2020, a slowing-down in improvements in life expectancy had been happening for a decade, particularly affecting the most deprived 10 per cent of the population, and falling or stagnating for some groups (Marmot, 2022). In other comparable economies, life expectancy has increased at a faster rate (OECD, 2023), so the latest figures are the culmination of a longer term trend. But COVID-19 also led to a surge in the number of those of the working-age population being unfit for work through extended sickness. Before 2020, less than 5 per cent of the relevant population were unfit for work in this way; by 2022, it was more than 6 per cent (Neville and Borrett, 2023). COVID-19 hit the UK population hard because there had been a failure of public health planning over many years. The result was the growth in a number of health risks that bring illness in their wake and impose severe strains on the National Health Service (NHS). The omens in respect of these health risks look poor.
Consider obesity. As Figure 1.1 shows, obesity rates are high in the UK when set against comparable western European countries. While obesity has increased in all the high-income countries, rates in the UK more than tripled between 1975 and 2016, whereas France and Germany showed much lower rates of growth, as did other European countries like Italy. To be sure, the UK does not equal the US or Australia in its obesity, but it is closer to them than to its European neighbours. Obesity is an important public health measure because being obese leads to a predictor of poor health, causing strain on the skeleton and increasing the risk of fatal heart attacks or stroke. It also leads to an increased risk of type 2 diabetes, a disease that is responsible for some 10 per cent of NHS expenditure.