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.
The influence of geomorphological site characteristics on soil clay mineral stability of montmorillonite-containing horizons of a southern Wisconsin soil catena was interpreted in terms of the solute activity function values of pSi(OH)4, pH-1/2pMg2+ and pH-1/3pAl3+ in suspensions of the separated clay fractions. Montmorillonite stability and/or formation vs that of kaolinite for the soil clays was evaluated by a plot of the solute activity functions on a three dimensional diagram derived for montmorillonite, kaolinite, and gibbsite at constant temperature (25°C) and constant pressure (one atm.). Although all the soil clays contained both montmorillonite and kaolinite, the position of the soil clay solute activity functions in the stability diagram clearly reflected the influence of the geomorphological—geochemical site conditions in which each soil horizon was developed, with corresponding differences in the SiO2/Al2O3 molar ratio of the reactive fraction. Montmorillonite stability positions of the solute activity functions were induced by soils (clays with reactive fractions with SiO2/Al2O3 molar ratios = 3–4) from calcareous or poorly drained horizons, while kaolinite stability positions of the functions were induced by soils (clays with reactive fractions of SiO2/Al2O3 molar ratios = 2) from acid, freely drained horizons.
A steady state reaction of apparent equilibrium of K mica + Ca2+ ⇄ Ca vermiculite + K+ was indicated by prolonged dissolution extractions from Blount soil clay (from northern Indiana) abundant in dioctahedral mica and vermiculite, with log Keq = 2.92 for the reaction when extrapolated to infinite time. From this and published free energies of formation of mica and kaolinite, a mineral phase stability diagram depicting the phase joins of Ca vermiculite, muscovite, and kaolinite was constructed with the solute activity functions pH-pK+, 2pH-pCa2+, and pSi(OH)4. These solute functions for 14-day reactions of calcareous (and dolomitic), poorly drained Harps soil (from central Iowa) fell near the calcite-dolomite-CO2-H2O phase join, suggesting equilibrium. These functions for Harps soil and the control minerals muscovite, biotite, and (or) vermiculite plus calcite were plotted on the mica-vermiculite stability diagram for various CO2 partial pressures. The points fell on the vermiculite-stable side of the mica-vermiculite plane at CO2 partial pressures of 0.15 and 0.20 atm (similar to soil air that would exist under frozen soil during winter and early spring; 2pH-pCa2+ ≃ 10.3). They fell on the muscovite-stable side of the muscovite-vermiculite plane at CO2 partial pressures of 0.0001 and 0.001 atm (similar to soil air under natural summer conditions; 2pH-pCa2+, 13.6 and 12.6, respectively) and therefore K+ (and 137Cs+ in rainfall) would be expected to be fixed.
The 2pH-pMg2+ values determined for Harps soil at the various CO2 partial pressures plotted either in the Mg montmorillonite stability field or on the Mg-montmorillonite-kaolinite phase join, in concordance with the abundance of montmorillonite and some kaolinite in the medium and fine clay fractions. The solute values for the nearby Clarion soil (upland, noncalcareous) plotted on the montmorillonite-kaolinite join, or with higher CO2 partial pressure, in the kaolinite stability area. The Gibbs free energy of formation (△Gf0) for a dioctahedral Ca vermiculite of −1303.7 kcal per 010 was determined from the Keq. The solute functions for the Blount soil showed kaolinite to be the thermodynamically stable phase with respect to dioctahedral mica and (or) vermiculite. The 14-day solute values for the Harps and upland Clarion soils were also on the kaolinite stability side of the kaolinite-vermiculite join. The kinetics of kaolinite formation in the upper midwestern U.S.A. are apparently slow on a scale of ~ 104 years.
Most students in MD-PhD programs take a leave of absence from medical school to complete PhD training, which promotes a natural loss of clinical skills and knowledge and could negatively impact a student’s long-term clinical knowledge. To address this concern, clinical refresher courses in the final year of PhD training have traditionally been used; however, effectiveness of such courses versus a longitudinal clinical course spanning all PhD training years is unclear.
Methods:
The University of Alabama at Birmingham MD-PhD Program implemented a comprehensive continuing clinical education (CCE) course spanning PhD training years that features three course components: (1) clinical skills; (2) clinical knowledge; and (3) specialty exposure activities. To evaluate course effectiveness, data from an anonymous student survey completed at the end of each semester were analyzed.
Results:
Five hundred and ninety-seven surveys were completed by MD-PhD students from fall 2014 to 2022. Survey responses indicated that the majority of students found the course helpful to: maintain clinical skills and knowledge (544/597, 91% and 559/597, 94%; respectively), gain exposure to clinical specialties (568/597, 95%), and prepare them for responsibilities during clinical clerkships. During semesters following lockdowns from the COVID-19 pandemic, there were significant drops in students’ perceived preparedness.
Conclusions:
Positive student survey feedback and improved preparedness to return to clinic after development of the course suggests the CCE course is a useful approach to maintain clinical knowledge during research training.
Crops emit a variety of volatile organic compounds (VOCs) that serve as attractants or repellents for pests and their natural enemies. Crop rotations, off-farm chemical inputs, and mechanical and cultural tactics – collectively called cropping systems – alter soil nutrients, moisture content, and microbial communities, all of which have the potential to alter crop VOC emissions. Soil legacy effects of diversified cropping systems have been shown to enhance crop VOC emissions in greenhouse studies, but how they influence emissions under field conditions remains virtually unknown. To determine the effect of cropping systems on plant VOC emissions in the field, air samples were collected from the headspace of wheat (Triticum aestivum L. Judee) grown in simplified wheat-fallow rotations or diversified wheat-cover crop rotations where cover crops were terminated by grazing cattle. Across two growing seasons, wheat grown in rotation with fallow emitted greater amounts of Z-3-hexenyl acetate and β-ocimene, key attractants for wheat stem sawfly (Cephus cinctus Norton), a major pest of wheat. While overall VOC blends were relatively similar among cropping system during the first growing season, emissions varied substantially in the second year of this study where wheat grown in rotation with cover crops emitted substantially greater quantities of volatile compounds characteristic of abiotic stress. Below-average precipitation in the second growing season, in addition to reduced soil water content in cover crop rotations, suggests that cropping system effects on wheat VOCs may have been driven primarily by water availability, a major factor limiting crop growth in dryland agriculture. While the specific mechanisms driving changes in VOC emissions were not explicitly tested, this work shows that agricultural practices applied in one growing season can differentially influence crop VOC emissions in the next through soil legacy effects, illustrating additional avenues through which cropping systems may be leveraged to enhance pest management.
Traumatic brain injuries (TBI) may lead to persistent depression symptoms. We conducted several pilot studies to examine the efficacy of mindfulness-based interventions to deal with this issue; all showed strong effect sizes. The logical next step was to conduct a randomized controlled trial (RCT).
Objective
We sought to determine the efficacy of mindfulness-based cognitive therapy for people with depression symptoms post-TBI (MBCT-TBI).
Methods
Using a multi-site RCT design, participants (mean age = 47) were randomized to intervention or control arms. Treatment participants received a group-based, 10-week intervention; control participants waited. Outcome measures, administered pre- and post-intervention, and after three months, included: Beck Depression Inventory-II (BDI-II), Patient Health Questionnaire-9 (PHQ-9), and Symptom Checklist-90-Revised (SCL-90-R). The Philadelphia Mindfulness Scale (PHLMS) captured present moment awareness and acceptance.
Results
BDI-II scores decreased from 25.47 to 18.84 in treatment groups while they stayed relatively stable in control groups (respectively 27.13 to 25.00; p = .029). We did not find statistically significant differences on the PHQ-9 and SCL-90R post- treatment. However, after three months, all scores were statistically significantly lower than at baseline (ps < .01). Increases in mindfulness were associated with decreases in BDI-II scores (r[29] = -.401, p = .025).
Conclusions
MBCT-TBI may alleviate depression symptoms up to three months post-intervention. Greater mindfulness may have contributed to the reduction in depression symptoms although the association does not confirm causality. More work is required to replicate these findings, identify subgroups that may better respond to the intervention, and refine the intervention to maximize its effectiveness.
Animal disease outbreaks can cause disruptions in domestic and international markets. Business continuity aims to provide a proactive approach to alleviate some of these negative effects on consumers, producers, and agribusinesses. Using a partial equilibrium model of the U.S. egg industry, the economic impacts of business continuity during an epidemiological simulated disease event are modeled. Results show total welfare losses can be reduced by allowing permitted movement during an outbreak given a specified level of biosecurity. Understanding the potential market responses business continuity can have on the market may lead to reductions in the negative implications of a disease event.
This study examined the effectiveness of a formal postdoctoral education program designed to teach skills in clinical and translational science, using scholar publication rates as a measure of research productivity.
Method
Participants included 70 clinical fellows who were admitted to a master’s or certificate training program in clinical and translational science from 1999 to 2015 and 70 matched control peers. The primary outcomes were the number of publications 5 years post-fellowship matriculation and time to publishing 15 peer-reviewed manuscripts post-matriculation.
Results
Clinical and translational science program graduates published significantly more peer-reviewed manuscripts at 5 years post-matriculation (median 8 vs 5, p=0.041) and had a faster time to publication of 15 peer-reviewed manuscripts (matched hazard ratio = 2.91, p=0.002). Additionally, program graduates’ publications yielded a significantly higher average H-index (11 vs. 7, p=0.013).
Conclusion
These findings support the effectiveness of formal training programs in clinical and translational science by increasing academic productivity.
The detection of small changes in concentration or thickness in the Arctic or Antarctic ice cover is an important topic in the current global-climate-change debate. Change detection using satellite data alone requires rigorous error analysis for their derived ice products, including inter-satellite validation for long time series. All models of physical processes are only approximations, and the best models of complicated physical processes have errors and uncertainties. A promising approach is data assimilation, combining model, in situ data and satellite remote-sensing data. Sea-ice monitoring from satellite, ice-model estimates, and the potential benefit of combining the two are discussed in some detail. In a case-study we demonstrate how the sea-ice backscatter for the Beaufort Sea region was derived using a backscattering model in combination with an ice model. We conclude that, for data assimilation, the first steps include the use of simple models, moving, with success at this level, to progressively more complex models. We also recommend reconfiguring the current remote-sensing data to include precise time tags with each pixel. For example, the current Special Sensor Microwave Imager data might be reissued in a time-tagged orbital (or gridded) format as opposed to the currently available daily averaged gridded data. Finally, error statistics and quality-control information also need to be readily available in a form useful for assimilation. The effectiveness of data-assimilation techniques is directly linked to the availability of data error statistics.
Field experiments were conducted at two locations in 1989 and 1990 to investigate possible interactions between POST applications of primisulfuron and selected soil-applied carbamate and organophosphate corn insecticides. Insecticides were applied in-furrow at planting, at recommended use rates. Primisulfuron was applied POST to corn in the three- or five-leaf stage at 0, 20, 40, or 80 g ai ha-1. Combinations of primisulfuron with disulfoton, fonofos, isozophos, or terbufos resulted in foliar and root injury, plant height reductions, and yield losses. No foliar or root injury, plant height reductions, or yield losses were observed from combinations of primisulfuron and carbaryl, carbofuran, chlorpyrifos, or diazinon. Differences among and within the experiments are attributed to edaphic and environmental conditions at the time of primisulfuron application.
Various types of sea-ice and snow-cover data are required for operational purposes in real time, for engineering assessments of associated hazards and for regional to global-scale modeling of the climate system. Data on the primary characteristics of ice and snow (extent, depth or thickness, and ice concentration) are becoming available to meet many present types of modeling requirement but secondary properties such as snow-water content, ridging intensity, open-water fraction and ice drift are less readily available.
Data for these major variables of snow and ice cover are considered with respect to problems encountered in obtaining and using digital information necessary for modern computer analyses. Such problems include the limitations of the basic observations (observational or sensor accuracy), the spatial and temporal resolution of different data sets, varying national practices of observing and reporting, and the problems of meshing data collected by different means and having spatial differences and temporal changes of observation time, site location, sensor system and resolution, etc. The relative reliability and climatic “information content” of some historical data sets are briefly examined and available digital data sets on modern global ice- and snow-cover conditions are described.
This paper examines the design of a composite helicopter rotor blade to meet given cross-sectional properties. As with many real-world problems, the choice of objective and design variables can lead to a problem with a non-linear and/or non-convex objective function, which would require the use of stochastic optimisation methods to find an optimum. Since the objective function is evaluated from the results of a finite element analysis of the cross section, the computational expense of using stochastic methods would be prohibitive. It is shown that by choosing appropriate simplified design variables, the problem becomes convex with respect to those design variables. This allows deterministic optimisation methods to be used, which is considerably more computationally efficient than stochastic methods. It is also shown that the design variables can be chosen such that the response of each individual cross-sectional property can be closely modelled by a linear approximation, even though the response of a single objective function to many design parameters is non-linear. The design problem may therefore be reformulated into a number of simultaneous linear equations that are easily solved by matrix methods, thus allowing an optimum to be located with the minimum number of computationally expensive finite element analyses.
Background: There are no disease modifying agents for the treatment of Alzheimer’s disease (AD). Pathologically, AD is associated with the misfolding of two peptides: beta-amyloid (plaques) and tau (tangles). Methods: Using large-scale computer simulations, we modelled the misfolding of both beta-amyloid and tau, identifying a common conformational motif (CCM; i.e. an abnormal peptide shape), present in both beta-amyloid and tau, that promotes their misfolding. We screened a library of 11.8 million compounds against this in silico model of protein misfolding, identifying three novel molecular classes of putative therapeutics as anti-protein misfolding agents. We synthesized approximately 400 new chemical entity drug-like molecules in each of these three classes (i.e. 1200 potential drug candidates). These were comprehensively screened in a battery of five in vitro protein oligomerization assays. Selected compounds were next evaluated in the APP/PS1 doubly transgenic mouse model of AD. Results: Two new classes of molecules were identified with the ability to block the oligomerization of both beta-amyloid and tau. These compounds are drug-like with good pharmacokinetic properties and are brain-penetrant. They exhibit excellent efficacy in transgenic mouse models. Conclusion: Computer aided drug design has enabled the discovery of novel drug-like molecules able to inhibit both tau and beta-amyloid misfolding.
Since the publication of “A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals” in 2008, prevention of healthcare-associated infections (HAIs) has become a national priority. Despite improvements, preventable HAIs continue to occur. The 2014 updates to the Compendium were created to provide acute care hospitals with up-to-date, practical, expert guidance to assist in prioritizing and implementing their HAI prevention efforts. It is the product of a highly collaborative effort led by the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA), the American Hospital Association (AHA), the Association for Professionals in Infection Control and Epidemiology (APIC), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise, including the Centers for Disease Control and Prevention (CDC), the Institute for Healthcare Improvement (IHI), the Pediatric Infectious Diseases Society (PIDS), the Society for Critical Care Medicine (SCCM), the Society for Hospital Medicine (SHM), and the Surgical Infection Society (SIS).
Since the publication of “A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals” in 2008, prevention of healthcare-associated infections (HAIs) has become a national priority. Despite improvements, preventable HAIs continue to occur. The 2014 updates to the Compendium were created to provide acute care hospitals with up-to-date, practical, expert guidance to assist in prioritizing and implementing their HAI prevention efforts. They are the product of a highly collaborative effort led by the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA), the American Hospital Association (AHA), the Association for Professionals in Infection Control and Epidemiology (APIC), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise, including the Centers for Disease Control and Prevention(CDC), the Institute for Healthcare Improvement (IHI), the Pediatric Infectious Diseases Society (PIDS), the Society for Critical Care Medicine (SCCM), the Society for Hospital Medicine (SHM), and the Surgical Infection Society (SIS).
Since the publication of “A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals” in 2008, prevention of healthcare-associated infections (HAIs) has become a national priority. Despite improvements, preventable HAIs continue to occur. The 2014 updates to the Compendium were created to provide acute care hospitals with up-to-date, practical, expert guidance to assist in prioritizing and implementing their HAI prevention efforts. They are the product of a highly collaborative effort led by the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA), the American Hospital Association (AHA), the Association for Professionals in Infection Control and Epidemiology (APIC), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise, including the Centers for Disease Control and Prevention (CDC), the Institute for Healthcare Improvement (IHI), the Pediatric Infectious Diseases Society (PIDS), the Society for Critical Care Medicine (SCCM), the Society for Hospital Medicine (SHM), and the Surgical Infection Society (SIS).
Since the publication of “A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals” in 2008, prevention of healthcare-associated infections (HAIs) has become a national priority. Despite improvements, preventable HAIs continue to occur. The 2014 updates to the Compendium were created to provide acute care hospitals with up-to-date, practical, expert guidance to assist in prioritizing and implementing their HAI prevention efforts. It is the product of a highly collaborative effort led by the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA), the American Hospital Association (AHA), the Association for Professionals in Infection Control and Epidemiology (APIC), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise, including the Centers for Disease Control and Prevention (CDC), the Institute for Healthcare Improvement (IHI), the Pediatric Infectious Diseases Society (PIDS), the Society for Critical Care Medicine (SCCM), the Society for Hospital Medicine (SHM), and the Surgical Infection Society (SIS).
To describe the epidemiology of hospital-acquired infections (HAIs) in veterans with spinal cord injury and disorder (SCI&D).
Design.
Retrospective medical record review.
Setting.
Midwestern Department of Veterans Affairs spinal cord injury center.
Participants.
A total of 226 patients with SCI&D hospitalized at least once during a 2-year period (October 1, 2001, through September 30, 2003).
Results.
A total of 549 hospitalizations were included in the analysis (mean duration of hospitalization, 33.7 days); an HAI occurred during 182 (33.2%) of these hospitalizations. A total of 657 HAIs occurred during 18,517 patient-days in the hospital (incidence rate, 35.5 HAIs per 1,000 patient-days). Almost half of the 226 patients had at least 1 HAI; the mean number of HAIs among these patients was 6.0 HAIs per patient. The most common HAIs were urinary tract infection (164 [25.0%] of the 657 HAIs; incidence rate, 8.9 cases per 1,000 patient-days), bloodstream infection (111 [16.9%]; incidence rate, 6.0 cases per 1,000 patient-days), and bone and joint infection (103 [15.7%]; incidence rate, 5.6 cases per 1,000 patient-days). The most common culture isolates were gram-positive bacteria (1,082 [45.6%] of 2,307 isolates), including Staphylococcus aureus, and gram-negative bacteria (1,033 [43.6%] of isolates), including Pseudomonas aeruginosa. Multivariate regression demonstrated that predictors of HAI were longer length of hospital stay (P = .002), community-acquired infection (P = .007), and use of a urinary invasive device (P = .01) or respiratory invasive device (P = .04).
Conclusions.
The overall incidence of HAIs in persons with SCI&D was higher than that reported for other populations, confirming the increased risk of HAI in persons with spinal cord injury. The increased risk associated with longer length of stay and with community-acquired infection suggests that strategies are needed to reduce the duration of hospitalization and to effectively treat community-acquired infection, to decrease infection rates. There is significant room for improvement in reducing the incidence of HAIs in this population.