Multicenter clinical trials are essential for evaluating interventions but often face significant challenges in study design, site coordination, participant recruitment, and regulatory compliance. To address these issues, the National Institutes of Health’s National Center for Advancing Translational Sciences established the Trial Innovation Network (TIN). The TIN offers a scientific consultation process, providing access to clinical trial and disease experts who provide input and recommendations throughout the trial’s duration, at no cost to investigators. This approach aims to improve trial design, accelerate implementation, foster interdisciplinary teamwork, and spur innovations that enhance multicenter trial quality and efficiency. The TIN leverages resources of the Clinical and Translational Science Awards (CTSA) program, complementing local capabilities at the investigator’s institution. The Initial Consultation process focuses on the study’s scientific premise, design, site development, recruitment and retention strategies, funding feasibility, and other support areas. As of 6/1/2024, the TIN has provided 431 Initial Consultations to increase efficiency and accelerate trial implementation by delivering customized support and tailored recommendations. Across a range of clinical trials, the TIN has developed standardized, streamlined, and adaptable processes. We describe these processes, provide operational metrics, and include a set of lessons learned for consideration by other trial support and innovation networks.

The attitudes toward genomics and precision medicine (AGPM) measure examines attitudes toward activities such as genetic testing, gene editing, and biobanking. This is a useful tool for research on the ethical, legal, and social implications of genomics, a major program within the National Institutes of Health. We updated the AGPM to explore controversies over mRNA vaccines. This brief report examines the factor structure of the updated AGPM using a sample of 4939 adults in the USA. The updated AGPM’s seven factors include health benefits, knowledge benefits, and concerns about the sacredness of life, privacy, gene editing, mRNA vaccines, and social justice.

Endogenous biological rhythms synchronise human physiology with daily cycles of light-dark, wake-sleep and feeding-fasting. Proper circadian alignment is crucial for physiological function, reflected in the rhythmic expression of molecular clock genes in various tissues, especially in skeletal muscle. Circadian disruption, such as misaligned feeding, dysregulates metabolism and increases the risk of metabolic disorders like type 2 diabetes. Such disturbances are common in critically ill patients, especially those who rely on enteral nutrition. Whilst continuous provision of enteral nutrition is currently the most common practice in critical care, this is largely dictated by convenience rather than evidence. Conversely, some findings indicate that intermittent provision of enteral nutrition aligned with daylight may better support physiological functions and improve clinical/metabolic outcomes. However, there is a critical need for studies of skeletal muscle responses to acutely divergent feeding patterns, in addition to complementary translational research to map tissue-level physiology to whole-body and clinical outcomes.

Bio-Futures for Transplanetary Habitats (BFfTH) is a Special Interest Group within the Hub for Biotechnology in the Built Environment that aims to explore and enable interdisciplinary research on transplanetary habitats and habitats within extreme environments through an emphasis on the biosocial and biotechnological relations. BFfTH organized the online and onsite networking symposium BFfTH to examine how emerging biotechnologies, living materials, and more-than-human life can be implemented in habitat design and mission planning. The two-day symposium aimed to serve as a catalyst in establishing an international network and to support the development of novel methodologies to move beyond discipline-specific approaches. The symposium consisted of five sessions, including Mycelium for Mars and Novel Biotechnologies for Space Habitats. This opinion paper presents key outcomes and trends from these sessions, a moderated panel, and informal discussions. The identified research trends explored the use of biotechnology and biodesign to enhance safety, sustainability, habitability, reliability, crew efficiency, productivity, and comfort in extreme environments on Earth and off-world. Beyond design and engineering, the symposium also examined sociotechnical imaginaries, focusing on desired experiences and characteristics of life and technology in transplanetary futures. Some of the specific topics included innovative material-driven processes for transplanetary habitat design, socio-political and ethical implications, and technology transfer for sustainable living on Earth. The outcomes emphasize the necessity for advancing biosocial and biotechnological research from an interdisciplinary perspective in order to ethically and meaningfully enable transplanetary futures. Such a focus not only addresses future off-world challenges but also contributes to immediate ecological and architectural innovations, promoting a symbiotic relationship between space exploration and sustainability on Earth.

A series of chloro-alkylammonium montmorillonites was produced by cation exchange from Na+-montmorillonite. Gas chromatographic data were obtained for light hydrocarbons and certain oxides of nitrogen. Surface area and X-ray powder diffraction studies were made on each organo-clay, making possible differentiation between possible chromatographic pathways. Adsorption of the gas molecules on the silicate sheet was determined to be the dominant chromatographic pathway for all gases studied.

“All or none” approaches to the use of contact precautions for methicillin-resistant Staphylococcus aureus (MRSA) both fail to recognize that transmission risk varies. This qualitative study assessed healthcare personnel perspectives regarding the feasibility of a risk-tailored approach to use contact precautions for MRSA more strategically in the acute care setting.

Empowering the Participant Voice (EPV) is an NCATS-funded six-CTSA collaboration to develop, demonstrate, and disseminate a low-cost infrastructure for collecting timely feedback from research participants, fostering trust, and providing data for improving clinical translational research. EPV leverages the validated Research Participant Perception Survey (RPPS) and the popular REDCap electronic data-capture platform. This report describes the development of infrastructure designed to overcome identified institutional barriers to routinely collecting participant feedback using RPPS and demonstration use cases. Sites engaged local stakeholders iteratively, incorporating feedback about anticipated value and potential concerns into project design. The team defined common standards and operations, developed software, and produced a detailed planning and implementation Guide. By May 2023, 2,575 participants diverse in age, race, ethnicity, and sex had responded to approximately 13,850 survey invitations (18.6%); 29% of responses included free-text comments. EPV infrastructure enabled sites to routinely access local and multi-site research participant experience data on an interactive analytics dashboard. The EPV learning collaborative continues to test initiatives to improve survey reach and optimize infrastructure and process. Broad uptake of EPV will expand the evidence base, enable hypothesis generation, and drive research-on-research locally and nationally to enhance the clinical research enterprise.

The aim of this study was to assess whether adding Ca2+ to aggregate or native forms of β-lactoglobulin alters gut hormone secretion, gastric emptying rates and energy intake in healthy men and women. Fifteen healthy adults (mean ± sd: 9M/6F, age: 24 ± 5 years) completed four trials in a randomised, double-blind, crossover design. Participants consumed test drinks consisting of 30 g of β-lactoglobulin in a native form with (NATIVE + MINERALS) and without (NATIVE) a Ca2+-rich mineral supplement and in an aggregated form both with (AGGREG + MINERALS) and without the mineral supplement (AGGREG). Arterialised blood was sampled for 120 min postprandially to determine gut hormone concentrations. Gastric emptying was determined using 13C-acetate and 13C-octanoate, and energy intake was assessed with an ad libitum meal at 120 min. A protein × mineral interaction effect was observed for total glucagon-like peptide-1 (GLP-1TOTAL) incremental AUC (iAUC; P < 0·01), whereby MINERALS + AGGREG increased GLP-1TOTAL iAUC to a greater extent than AGGREG (1882 ± 603 v. 1550 ± 456 pmol·l−1·120 min, P < 0·01), but MINERALS + NATIVE did not meaningfully alter the GLP-1 iAUC compared with NATIVE (1669 ± 547 v. 1844 ± 550 pmol·l−1·120 min, P = 0·09). A protein × minerals interaction effect was also observed for gastric emptying half-life (P < 0·01) whereby MINERALS + NATIVE increased gastric emptying half-life compared with NATIVE (83 ± 14 v. 71 ± 8 min, P < 0·01), whereas no meaningful differences were observed between MINERALS + AGGREG v. AGGREG (P = 0·70). These did not result in any meaningful changes in energy intake (protein × minerals interaction, P = 0·06). These data suggest that the potential for Ca2+ to stimulate GLP-1 secretion at moderate protein doses may depend on protein form. This study was registered at clinicaltrials.gov (NCT04659902).

A low-charge Na-montmorillonite (SWy-2) was exchanged with hexadecyltrimethyl-ammonium (HDTMA) at levels equal to 20, 40, 60, 70, 80, 90, 100, 150 and 200% of the cation exchange capacity (819 mmol(+)/kg) to determine the nature of adsorption and the ionic composition of the clay interlayers. In contrast with earlier work with smaller aliphatic cations, which suggested random interstratification of interlayers occupied by either organic or metallic cations, there was no evidence of cation segregation into homogeneous interlayers. Instead, X-ray analysis indicated that the organic cations assumed two dominant configurations which were roughly equivalent in prevalence at ∼70% coverage of the CEC. Below 70% exchange the organocations existed predominantly in heterogeneous monolayers with Na+, attaining basal spacings of between 1.41 and 1.44 nm which were sensitive to changes in relative humidity. Relative humidity effects indicated that Na+ and HDTMA occupied functionally discrete domains within the interlayer as shown by the free interaction of water and a neutral organic solute, naphthalene, with Na+ and HDTMA, respectively. At greater levels of HDTMA exchange (up to 100% of the CEC), the organocations assumed a predominantly bilayer configuration. Transition to a fully-developed bilayer indicated by a 1.77 nm d-spacing at 100% coverage was gradual, suggesting some interstratification of the monolayers and bilayer configurations between 70 and 100% exchange. Sorption of naphthalene to the organoclays within this range of coverage was well correlated with clay organic carbon content, consistent with relatively unimpeded interlayer access of neutral organic molecules.

3D printing is a widely used technology for automating the fabrication of prototypes. The benefits are wide reaching, and include low required expertise, accurate geometric form and the processibility of many materials. However, production of certain forms – especially large forms – can be slow. From review of the sub-systems, the hotend is commonly found to be the limiting factor. To improve this, a modified nozzle design is considered that incorporates a flat copper plate within the flow stream. Analytical simulation was used to guide this design before experimental methods validated the modifications. The maximum volumetric rate for the standard hotend nozzle is 14 mm3/s. The best performing modified nozzle increased the maximum volumetric flow rate to 26 mm3/s – an 86% increase. A series of popular parts were further considered, demonstrating a maximum ∼48% fabrication time reduction, and a mean of ∼23%. This enables 3D printed prototypes to be made more efficiently – both with regards to the design cycle and energy use – and allows designers to use the technology more rapidly than previously possible. By extension, this improves the efficiency of the design process.

Pb–Zr–Ti–O (PZT) perovskites span a large solid-solution range and have found widespread use due to their piezoelectric and ferroelectric properties that also span a large range. Crystal structure analysis via Rietveld refinement facilitates materials analysis via the extraction of the structural parameters. These parameters, often obtained as a function of an additional dimension (e.g., pressure), can help to diagnose materials response within a use environment. Often referred to as “in-situ” studies, these experiments provide an abundance of data. Viewing structural changes due to applied pressure conditions can give much-needed insight into materials performance. However, challenges exist for viewing/presenting results when the details are inherently three-dimensional (3D) in nature. For PZT perovskites, the use of polyhedra (e.g., Zr/Ti–O6 octahedra) to view bonding/connectivity is beneficial; however, the visualization of the octahedra behavior with pressure dependence is less easily demonstrated due to the complexity of the added pressure dimension. We present a more intuitive visualization by projecting structural data into virtual reality (VR). We employ previously published structural data for Pb0.99(Zr0.95Ti0.05)0.98Nb0.02O3 as an exemplar for VR visualization of the PZT R3c crystal structure between ambient and 0.62 GPa pressure. This is accomplished via our in-house CAD2VR™ software platform and the new CrystalVR plugin. The use of the VR environment enables a more intuitive viewing experience, while enabling on-the-fly evaluation of crystal data, to form a detailed and comprehensive understanding of in-situ datasets. Discussion of methodology and tools for viewing are given, along with how recording results in video form can enable the viewing experience.

Vaccines serve as a major tool against the coronavirus disease 2019 (COVID-19) pandemic, but vaccine hesitancy remains a major concern in the United States. Healthcare workers (HCWs) strongly influence a patient’s decision to get vaccinated. We evaluated HCW knowledge and attitudes regarding the COVID-19 vaccine.

Quizzes are a ubiquitous part of the dementia social care landscape. This article explores why. Using an ethnographic approach which draws on close analysis of communication, we examine dementia quizzes as a ‘social practice’, and what such a lens can tell us about their popularity in social care settings. Vignettes of real interactions drawn from ten different quizzes recorded in four different group settings attended by 28 people living with dementia and 15 staff members are presented to highlight particular issues. We show that the conditions of post-diagnosis dementia social care are uniquely well suited to an activity such as quizzes which are malleable, requiring little preparation or materials, and impose a communication framework which can help to organise the interactional space. Quizzes also draw on previously forged interactional competences, such as turn-taking and question–answer sequences, a skill that has been shown to persist even as dementia progresses. Finally, we argue that the meaning of quizzes with people with dementia feeds into wider societal values and associations attached to memory, dementia and personhood. The extent to which quizzes are akin to a ‘test’ or a fun and enjoyable social activity rests in how they are enacted. We suggest that practice can be adapted, developed and made more inclusive through input from people living with dementia themselves.

Anaemia in pregnancy is a persistent health problem in Nepal and could be reduced through nutrition counselling and strengthened iron folic acid supplementation programmes. We analysed 24-hour diet recall data from 846 pregnant women in rural plains Nepal, using linear programming to identify the potential for optimised food-based strategies to increase iron adequacy. We then conducted qualitative research to analyse how anaemia was defined and recognised, how families used food-based strategies to address anaemia, and the acceptability of optimised food-based strategies. We did 16 interviews of recently pregnant mothers, three focus group discussions with fathers, three focus group discussions with mothers-in-law and four interviews with key informants. Dietary analyses showed optimised diets did not achieve 100 % of recommended iron intakes, but iron intakes could be doubled by increasing intakes of green leaves, egg and meat. Families sought to address anaemia through food-based strategies but were often unable to because of the perceived expense of providing an ‘energy-giving’ diet. Some foods were avoided because of religious or cultural taboos, or because they were low status and could evoke social consequences if eaten. There is a need for counselling to offer affordable ways for families to optimise iron adequacy. The participation of communities in tailoring advice to ensure cultural relevance and alignment with local norms is necessary to enable its effectiveness.