We evaluated diagnostic test and antibiotic utilization among 252 patients from 11 US hospitals who were evaluated for coronavirus disease 2019 (COVID-19) pneumonia during the severe acute respiratory coronavirus virus 2 (SARS-CoV-2) omicron variant pandemic wave. In our cohort, antibiotic use remained high (62%) among SARS-CoV-2–positive patients and even higher among those who underwent procalcitonin testing (68%).

The Carnmenellis granite and its aureole contain the only recorded thermal groundwaters (up to 52 °C) in British granites. They occur as springs in tin mines at depths between 200 and 700 m and most are saline (maximum mineralization 19 310 mg 1−1). Mining activity has disturbed the groundwater circulation pattern developed over a geological time-scale and levels of bomb-produced tritium (> 4 TU) indicate that a significant component (up to 65 %) of the most saline waters are of recent origin. All components of all the mine waters are of meteoric origin. Radiogenic 4He contents, 40Ar/36Ar ratios, and uranium series geochemistry suggest that the thermal component has a likely residence time of at least 5 × 104 years and probably of order 106 years.

The thermal waters have molar Na+/Cl− ratios considerably less than 1 but they are enriched relative to sea water in all major cations except Mg. The groundwater is also particularly enriched in Li with contents ranging up to 125 mg 1−1. The groundwater salinity, which may reach a maximum of 30 000 mg 1−1, is shown to result from weathering reactions of biotite (probably through a chloritization step) and plagioclase feldspar, to kaolinite. On volumetric considerations, fluid inclusions cannot contribute significantly to the groundwater salinity, and stable isotope ratios rule out any contribution from sea water.

Groundwater silica contents and molar Na+/K+ ratios suggest that the likely equilibration temperature is 54°C, which would imply a depth of circulation of about 1.2 km.

The Universe is permeated by hot, turbulent, magnetized plasmas. Turbulent plasma is a major constituent of active galactic nuclei, supernova remnants, the intergalactic and interstellar medium, the solar corona, the solar wind and the Earth’s magnetosphere, just to mention a few examples. Energy dissipation of turbulent fluctuations plays a key role in plasma heating and energization, yet we still do not understand the underlying physical mechanisms involved. THOR is a mission designed to answer the questions of how turbulent plasma is heated and particles accelerated, how the dissipated energy is partitioned and how dissipation operates in different regimes of turbulence. THOR is a single-spacecraft mission with an orbit tuned to maximize data return from regions in near-Earth space – magnetosheath, shock, foreshock and pristine solar wind – featuring different kinds of turbulence. Here we summarize the THOR proposal submitted on 15 January 2015 to the ‘Call for a Medium-size mission opportunity in ESAs Science Programme for a launch in 2025 (M4)’. THOR has been selected by European Space Agency (ESA) for the study phase.

During 1990 we surveyed the southern sky using a multi-beam receiver at frequencies of 4850 and 843 MHz. The half-power beamwidths were 4 and 25 arcmin respectively. The finished surveys cover the declination range between +10 and −90 degrees declination, essentially complete in right ascension, an area of 7.30 steradians. Preliminary analysis of the 4850 MHz data indicates that we will achieve a five sigma flux density limit of about 30 mJy. We estimate that we will find between 80 000 and 90 000 new sources above this limit. This is a revised version of the paper presented at the Regional Meeting by the first four authors; the surveys now have been completed.

In September 2010, an outbreak of cryptosporidiosis affected members of a swimming club. A cohort study was undertaken to identify the number affected and risk factors for infection. Of 101 respondents, 48 met the case definition for probable cryptosporidiosis. Multivariate analysis demonstrated a strong and highly significant association between illness and attendance at a training session on 13 September 2010 (adjusted odds ratio 28, P < 0·0001). No faecal incidents were reported and pool monitoring parameters were satisfactory. The competitive nature of club swimming requires frequent training and participation in galas, potentially facilitating contamination into other pools and amplification of outbreaks among wider groups of swimmers. There was a lack of awareness of the 2-week exclusion rule among swimmers and coaches, and a high level of underreporting of illness. The study demonstrates the benefits of rapid field epidemiology in identifying the true burden of illness, the source of infection and limiting spread.

Ecological regions aggregate habitats with similar biophysical characteristics within well-defined boundaries, providing spatially consistent platforms for monitoring, managing and forecasting the health of interrelated ecosystems. A major obstacle to the implementation of this approach is imprecise and inconsistent boundary placement. For globally important mountain regions such as the Eastern Arc (Tanzania and Kenya), where qualitative definitions of biophysical affinity are well established, rule-based methods for landform classification provide a straightforward solution to ambiguities in region extent. The method presented in this paper encompasses the majority of both contemporary and estimated preclearance forest cover within strict topographical limits. Many of the species here tentatively considered ‘near-endemic’ could be reclassified as strictly endemic according to the derived boundaries. LandScan and census data show population density inside the ecoregion to be higher than in rural lowlands, and lowland settlement to be most probable within 30 km. This definition should help to align landscape scale conservation strategies in the Eastern Arc and promote new research in areas of predicted, but as yet undocumented, biological importance. Similar methods could work well in other regions where mountain extent is poorly resolved. Spatial data accompany the online version of this article.

It has recently been argued in this Review that public opinion research tends to favor the expert authority of elite institutions such as the courts, over the democratic authority of the people as a source of law or constitutional interpretation. In this article we introduce an alternative survey construction that allows the public to be considered as a possible source of constitutional knowledge Using this survey, we find that most respondents can clearly articulate their position on the constitutionality of abortion, and offer and recognize reasons to ground both support and opposition to their position. We argue that these findings suggest that further work with alternative survey constructions may more firmly establish public knowledge in constitutional debates, thereby forming the basis to reclaim a democratic constitutional politics.

Methods are described for the isolation and identification of aerobic bacteria occurring naturally in the hind-gut of the cockroach Blatta orientalis captured from a number of wild sources, to establish whether or not human pathogens occurred naturally within the gut. During the investigation an organism was frequently found which could not be classified in any described species, and for which we propose the name Escherichia blattae.

Methods of maintaining and feeding and of infecting cockroaches with pathogenic organisms were investigated.

Cockroaches fed on known concentrations of Escherichia coli 0119, Esch. coli O1, Alkalescens Dispar O group 2 and Shigella dysenteriae 1 (Shiga's Bacillus) were maintained in Petri dishes. The effect of various diets on the survival of these organisms within the hind-gut and faeces was observed. With a ‘normal’ diet of gruel Esch. coli 0119 was isolated for up to 20 days, Esch. coli O1 for 17 days and ADO 2 for 15 days. Sh. dysenteriae 1 was isolated only sporadically to the third day.

1. An account is given of the occurrence of copper deficiency in crops grown on the Fenland peats and glacial sands of East Anglia. Copper deficiency in the crops appears to be due to actual deficiency of available copper in the peat and sandy soils. The level of copper extracted from soils by an acid solution (pH 4.0) of the ammonium salt of E.D.T.A. provides a useful indication of soils deficient in copper, though the occurrence of the deficiency and its severity in crops is influenced by other soil factors, level of water-table in peats, species of crop and weather during the growing season.

2. Of the crops grown on the peat and sandy soils of East Anglia the most susceptible to copper deficiency are cereals. Visual symptoms of deficiency are described as these provide an important aid in diagnosis.

Peat soils change gradually as a result of drainage and cultivation, losing depth through shrinkage, oxidation and blowing, changing in character through increases in mineral matter and ‘drumminess’, and changing in productivity and manurial requirements. The sequence of changes has been studied in the field and a number of stages distinguished which may be recognized quite simply from the texture of the ploughed layer. Texture is a field assessment of the type and condition of the peat and the proportion and nature of the mineral matter associated with it. The Fenland soils have been classified as follows: (1) peat soils, (2) peaty mineral soils, (3) organic mineral soils and (4) mineral soils. Further subdivision into textural classes depends on recognizing the mineral combinations or fractions as in texturing mineral soils

Analysis of samples of the ploughed layer in the laboratory has shown that organic matter or loss on ignition figures, expressed as a percentage of the oven-dried soil, can be used for recognizing the kind of soil; use is made of this in considering those earlier experiments for which organic matter figures could be calculated.