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This study explored whether lifestyle therapy that promoted adherence to a Mediterranean-style diet as a treatment for depression led to environmental co-benefits. Participants (n 75 complete case) were Australian adults in the Curbing Anxiety and Depression using Lifestyle Medicine non-inferiority, randomised controlled trial, which showed that lifestyle therapy was non-inferior to psychotherapy in reducing depressive symptoms, when delivered in group format via video conferencing over an 8-week treatment period. In this secondary analysis, we hypothesised that the lifestyle arm would be superior to the psychotherapy arm in reducing the environmental impact of self-reported diet over time. Dietary intake derived from FFQ at baseline and 8 weeks was transformed into environmental impact scores by calculating global warming potential (GWP)*. GWP* was calculated for total dietary intake and distinct food groups (Australian Dietary Guidelines and NOVA classifications). Within-arm changes in GWP* over time were calculated using the median difference. Neither arm showed significant changes. Between-arm differences in percentage change in GWP* scores over time were analysed using generalised estimating equations models. No between-arm difference for total GWP* score was found (β = 11·06 (–7·04, 29·15)). When examining distinct food groups, results were mixed. These novel findings contribute to the sparse evidence base that has measured the environmental impact of diets in a clinical trial context. Whilst lifestyle therapy that reduced depressive symptoms did not have clear environmental benefits relative to psychotherapy, nutritional counselling that focuses on the environmental impact of food choices may drive more pronounced planetary co-benefits.
Nancyrossite, ideally FeGeO6H5, is a new hydroxyperovskite from Tsumeb. It probably formed by the oxidation and partial dehydrogenation of stottite, FeGe(OH)6, with which it is associated intimately. The structure of nancyrossite has been determined in tetragonal space group P42/n: a = 7.37382(12) Å, c = 7.29704(19) Å, V = 396.764(16) Å3, Z = 4, R1(all) = 0.034, wR2(all) = 0.051 and GoF = 1.057. Empirical formulae of two crystals have almost end-member compositions, Fe3+1.01Zn0.03Ge0.98O6H5 and Fe3+1.01Zn0.04Ge0.98O6H5. Structure determination indicates that 88% of the Fe is ferric. The chemical formula proposed here for nancyrossite recognises that although H atoms form OH groups, writing the formula as FeGeO(OH)5 implies that one of the six oxygen atoms is very underbonded, with a bond-valence sum of only ∼1.2 valence units. As such, H in nancyrossite may have novel crystal chemistry. For example, the five H atoms may be distributed dynamically over the six O atoms, a phenomenon that would be averaged by X-ray diffraction, and so go undetected. Nancyrossite is the Ge-analogue of jeanbandyite. By analogy with nancyrossite, we propose revision of the ideal formula of jeanbandyite from FeSnO(OH)5 (Welch and Kampf, 2017) to FeSnO6H5.
Greenhouse studies were conducted from 2020 to 2021 to evaluate the effect of simulated drift rates of 2,4-D and dicamba on strawberry growth, fruit development, and fruit quality in Raleigh, NC. Treatments included 2,4-D choline and dicamba DGA plus Vapor Grip at 1/2×, 1/20×, and 1/200× of the 1× field rate of 1.09 and 0.8 kg ae ha–1, respectively. Treatments were applied to strawberry at three reproductive stages, including bud, flower, and fruit. Averaged across both herbicides, strawberry canopy size was reduced by the 1/2× rate 18, 25, 30, and 36% at 3, 6, 9, and 11 wk after treatment (WAT). The 1/2× rate of both herbicides caused greater injury to strawberry than the 1/20× or 1/200×, with maximum stunting from 2,4-D and dicamba of 54% and 36%, respectively. Fruit pH and total soluble solid content (SSC) increased due to the 1/2× rate of dicamba compared to the 1/20× and 1/200× rates and the nontreated. Treated fruit (across all herbicides) were larger than fruit developing following herbicide application to flowers or buds but were similar to nontreated fruit.
Helium or neopentane can be used as surrogate gas fill for deuterium (D2) or deuterium-tritium (DT) in laser-plasma interaction studies. Surrogates are convenient to avoid flammability hazards or the integration of cryogenics in an experiment. To test the degree of equivalency between deuterium and helium, experiments were conducted in the Pecos target chamber at Sandia National Laboratories. Observables such as laser propagation and signatures of laser-plasma instabilities (LPI) were recorded for multiple laser and target configurations. It was found that some observables can differ significantly despite the apparent similarity of the gases with respect to molecular charge and weight. While a qualitative behaviour of the interaction may very well be studied by finding a suitable compromise of laser absorption, electron density, and LPI cross sections, a quantitative investigation of expected values for deuterium fills at high laser intensities is not likely to succeed with surrogate gases.
Increasing interest in real-world evidence has fueled the development of study designs incorporating real-world data (RWD). Using the Causal Roadmap, we specify three designs to evaluate the difference in risk of major adverse cardiovascular events (MACE) with oral semaglutide versus standard-of-care: (1) the actual sequence of non-inferiority and superiority randomized controlled trials (RCTs), (2) a single RCT, and (3) a hybrid randomized-external data study.
Methods:
The hybrid design considers integration of the PIONEER 6 RCT with RWD controls using the experiment-selector cross-validated targeted maximum likelihood estimator. We evaluate 95% confidence interval coverage, power, and average patient time during which participants would be precluded from receiving a glucagon-like peptide-1 receptor agonist (GLP1-RA) for each design using simulations. Finally, we estimate the effect of oral semaglutide on MACE for the hybrid PIONEER 6-RWD analysis.
Results:
In simulations, Designs 1 and 2 performed similarly. The tradeoff between decreased coverage and patient time without the possibility of a GLP1-RA for Designs 1 and 3 depended on the simulated bias. In real data analysis using Design 3, external controls were integrated in 84% of cross-validation folds, resulting in an estimated risk difference of –1.53%-points (95% CI –2.75%-points to –0.30%-points).
Conclusions:
The Causal Roadmap helps investigators to minimize potential bias in studies using RWD and to quantify tradeoffs between study designs. The simulation results help to interpret the level of evidence provided by the real data analysis in support of the superiority of oral semaglutide versus standard-of-care for cardiovascular risk reduction.
Field studies were conducted in commercial muscadine vineyards in western North Carolina in 2018 and eastern North Carolina in 2019, 2020, and 2021 to determine tolerance of younger (< 9 yr) and older (≥ 9 yr) bearing muscadine grapevines to 2,4-D directed beneath the crop postemergence (POST). Treatments included 2,4-D choline at 0, 0.53, 1.06, 1.60, and 2.13 kg ae ha−1 applied as a single treatment in May or June (spring) at immediate pre-bloom, and sequential treatments at 0.53 followed by (fb) 0.53, 1.06 fb 1.06, 1.6 fb 1.6, or 2.13 fb 2.13 kg ha−1. The first sequential treatment was applied in spring fb another application of the same amount in July (summer) at pre-veraison. No differences in injury on muscadine grapevines were observed from 2,4-D treatments. Differences among treatments were not observed for yield of younger vines. However, for older vines, a difference due to 2,4-D rate was observed in 2018, when yield was higher when 2,4-D was applied at 1.6 kg ha−1 compared with nontreated grapevines, and when 2,4-D was applied at 0.53 and 2.13 kg ha−1. A rate-by-timing interaction was observed in 2019 when yield was lower from 0.53 kg ha−1 2,4-D summer application compared with all other summer treatments but similar to the nontreated. However, no biological pattern was observed from either of these differences. No differences among treatments were observed for fruit pH, titratable acidity, or soluble solid content of either younger or older vines.
This article is a clinical guide which discusses the “state-of-the-art” usage of the classic monoamine oxidase inhibitor (MAOI) antidepressants (phenelzine, tranylcypromine, and isocarboxazid) in modern psychiatric practice. The guide is for all clinicians, including those who may not be experienced MAOI prescribers. It discusses indications, drug-drug interactions, side-effect management, and the safety of various augmentation strategies. There is a clear and broad consensus (more than 70 international expert endorsers), based on 6 decades of experience, for the recommendations herein exposited. They are based on empirical evidence and expert opinion—this guide is presented as a new specialist-consensus standard. The guide provides practical clinical advice, and is the basis for the rational use of these drugs, particularly because it improves and updates knowledge, and corrects the various misconceptions that have hitherto been prominent in the literature, partly due to insufficient knowledge of pharmacology. The guide suggests that MAOIs should always be considered in cases of treatment-resistant depression (including those melancholic in nature), and prior to electroconvulsive therapy—while taking into account of patient preference. In selected cases, they may be considered earlier in the treatment algorithm than has previously been customary, and should not be regarded as drugs of last resort; they may prove decisively effective when many other treatments have failed. The guide clarifies key points on the concomitant use of incorrectly proscribed drugs such as methylphenidate and some tricyclic antidepressants. It also illustrates the straightforward “bridging” methods that may be used to transition simply and safely from other antidepressants to MAOIs.
Field studies were conducted on southern highbush blueberry in Elizabethtown and Rocky Point, NC, in 2019, 2020, and 2021 to determine tolerance to 2,4-D choline as a postemergence-directed application. In separate trials for younger and older bearing blueberry bushes, both 2,4-D choline rates and application timing were evaluated. Treatments included 2,4-D choline at 0, 0.53, 1.06, 1.60, and 2.13 kg ae ha–1 applied alone in winter during dormancy, and sequential treatments at 0.53 kg ae ha–1 followed by (fb) 0.53, 1.06 fb 1.06, 1.6 fb 1.6, or 2.13 fb 2.13 kg ae ha–1. The first application of the sequential treatments was applied in winter followed by another application in spring during early green fruit. Injury to blueberry from 2,4-D choline treatments was not observed for either maturity stage, and fruit yield was not affected by any of the treatments. Differences among treatments were not observed for fruit soluble solid content (SSC) in older bushes, or for fruit pH, SSC, and titratable acidity (TA) in younger bushes. In older bushes, fruit pH and TA had rate-by-timing interactions, and TA had a farm-year interaction with differences at Rocky Point in 2019 and Elizabethtown in 2020, but biologically no pattern was observed from the treatments.
Field studies in strawberry grown on polyethylene-mulched raised beds were conducted from 2018 to 2019 and 2019 to 2020 in Clayton, NC, to determine ‘Camarosa’ and ‘Chandler’ strawberry tolerance to 2,4-D directed to the row middle between beds. Treatments included 2,4-D at 0, 0.53, 1.06, 1.60, and 2.13 kg ae ha−1 applied alone and sequential treatments (0.53 followed by [fb] 0.53 or 1.06 fb 1.06 kg ae ha−1). Initial treatments were applied in winter (December 2018 or January 2020) during vegetative growth, and sequential applications were applied in spring (April 2019 or March 2020) during reproductive growth. No differences among treatments were observed for visual foliage injury, strawberry crop canopy, fruit yield, and fruit quality (pH, titratable acidity, and soluble solid content).
Case identification is an ongoing issue for the COVID-19 epidemic, in particular for outpatient care where physicians must decide which patients to prioritise for further testing. This paper reports tools to classify patients based on symptom profiles based on 236 severe acute respiratory syndrome coronavirus 2 positive cases and 564 controls, accounting for the time course of illness using generalised multivariate logistic regression. Significant symptoms included abdominal pain, cough, diarrhoea, fever, headache, muscle ache, runny nose, sore throat, temperature between 37.5 and 37.9 °C and temperature above 38 °C, but their importance varied by day of illness at assessment. With a high percentile threshold for specificity at 0.95, the baseline model had reasonable sensitivity at 0.67. To further evaluate accuracy of model predictions, leave-one-out cross-validation confirmed high classification accuracy with an area under the receiver operating characteristic curve of 0.92. For the baseline model, sensitivity decreased to 0.56. External validation datasets reported similar result. Our study provides a tool to discern COVID-19 patients from controls using symptoms and day from illness onset with good predictive performance. It could be considered as a framework to complement laboratory testing in order to differentiate COVID-19 from other patients presenting with acute symptoms in outpatient care.
Field trials were conducted in North Carolina in 2017 and Louisiana and Mississippi in 2018 to determine the effect of pretransplanting applications of diquat on sweetpotato crop tolerance, yield, and storage root quality. In North Carolina treatments consisted of two rates of diquat (560 or 1,120 g ai ha−1) alone or mixed with 107 g ai ha−1 flumioxazin and applied 1 d before transplanting (DBP), sequential applications of diquat (560 or 1,120 g ha−1) 1 and 17 DBP, 107 g ha−1 flumioxazin alone, and a nontreated check. In Louisiana and Mississippi treatments consisted of diquat (560 or 1,120 g ha−1) applied 1 DBP either alone or followed by (fb) rehipping rows or 107 g ha−1 flumioxazin immediately prior to transplanting. Additional treatments included 546 g ha−1 paraquat applied 1 DBP and a nontreated check. In North Carolina injury was ≤3% for all treatments through 23 d after transplanting (DAP), and no injury was observed after 23 DAP. Visual sweetpotato stunting pooled across the Mississippi and Louisiana trials ranged from 1% to 14%, 0% to 6%, and 0% to 3% at 2, 4, and 6 wk after planting (WAP), respectively, and no crop injury was observed after 6 WAP. Diquat applied 1 DBP and not fb rehipping resulted in greater crop injury (12%) than comparable treatments that were rehipped (2%). In North Carolina single and sequential diquat applications resulted in reduced No. 1 sweetpotato yield (24,230 and 24,280 kg ha−1, respectively) compared with the nontreated check, but No. 1 yield when diquat plus flumioxazin (26,330 kg ha−1) was used was similar to that of the nontreated check. No. 1 yield did not differ by treatment in Louisiana and Mississippi.
Field trials were conducted near Pontotoc, Mississippi; Chase, Louisiana; and Clinton, North Carolina, in 2017 and 2018 to determine the effect of pendimethalin rate and timing application on sweetpotato crop tolerance, yield, and storage root quality. Treatments consisted of five pendimethalin rates (266, 532, 1,065, 1,597, and 2,130 g ai ha−1) by two application timings (0 to 1 or 10 to 14 d after transplanting). Additionally, a nontreated check was included for comparison. Crop injury (stunting) was minimal (≤4%) through 6 wk after transplanting (WAP) and no injury was observed from 8 to 14 WAP, regardless of application timing or rate. The nontreated check yielded 6.6, 17.6, 5.5, and 32.1 × 103 kg ha−1 of canner, no. 1, jumbo, and total grades, respectively. Neither pendimethalin application timing nor rate influenced jumbo, no. 1, marketable, or total sweetpotato yield. Overall, these results indicate that pendimethalin will be a valuable addition to the toolkit of sweetpotato growers.
Innovation platforms are fast becoming part of the mantra of agricultural research for development projects and programmes. Their basic tenet is that stakeholders depend on one another to achieve agricultural development outcomes, and hence need a space where they can learn, negotiate and coordinate to overcome challenges and capture opportunities through a facilitated innovation process. Although much has been written on how to implement and facilitate innovation platforms efficiently, few studies support ex-ante appraisal of when and for what purpose innovation platforms provide an appropriate mechanism for achieving development outcomes, and what kinds of human and financial resource investments and enabling environments are required. Without these insights, innovation platforms run the risk of being promoted as a panacea for all problems in the agricultural sector. This study makes clear that not all constraints will require innovation platforms and, if there is a simpler and cheaper alternative, that should be considered first. Based on the review of critical design principles and plausible outcomes of innovation platforms, this study provides a decision support tool for research, development and funding agencies that can enhance more critical thinking about the purposes and conditions under which innovation platforms can contribute to achieving agricultural development outcomes.
Static (or ‘normal’) grain growth, i.e. grain boundary migration driven solely by grain boundary energy, is considered to be an important process in polar ice. Many ice-core studies report a continual increase in average grain size with depth in the upper hundreds of metres of ice sheets, while at deeper levels grain size appears to reach a steady state as a consequence of a balance between grain growth and grain-size reduction by dynamic recrystallization. The growth factor k in the normal grain growth law is important for any process where grain growth plays a role, and it is normally assumed to be a temperature-dependent material property. Here we show, using numerical simulations with the program Elle, that the factor k also incorporates the effect of the microstructure on grain growth. For example, a change in grain-size distribution from normal to log-normal in a thin section is found to correspond to an increase in k by a factor of 3.5.
Field studies were conducted in 2011 and 2012 at the Horticultural Crops Research Station near Clinton, NC, to determine ‘Covington' sweetpotato tolerance to S-metolachlor rate and application timing. Treatments were a factorial arrangement of four S-metolachlor rates (0, 1.1, 2.2, or 3.4 kg ai ha−1) and six application timings (0, 2, 5, 7, 9, or 14 d after transplanting [DAP]). Immediately following application, 1.9 cm of irrigation was applied to individual plots. Sweetpotato injury was minimal for all treatments (≤ 10%). No. 1 grade sweetpotato yield displayed a negative linear response to S-metolachlor rate, and decreased from 25,110 to 20,100 kg ha−1 as S-metolachlor rate increased from 0 to 3.4 kg ha−1. Conversely, no. 1 sweetpotato yield displayed a positive linear response to S-metolachlor application timing and increased from 19,670 to 27,090 kg ha−1 as timing progressed from 0 to 14 DAP. Total marketable sweetpotato yield displayed a quadratic response to both S-metolachlor application rate and timing. Total marketable yield decreased from 44,950 to 30,690 kg ha−1 as S-metolachlor rate increased from 0 to 3.4 kg ha−1. Total marketable yield increased from 37,800 to 45,780 kg ha−1 as application timing was delayed from 0 to 14 DAP. At 1.1 kg ha−1S-metolachlor, sweetpotato storage root length to width ratio displayed a quadratic relationship to application timing and increased from 1.87 to 2.23 for applications made 0 to 14 DAP. At 2.2 kg ha−1 of S-metolachlor, sweetpotato length to width ratio displayed a quadratic response to application timing, increased from 1.57 to 2.09 for 0 to 10 DAP, and decreased slightly from 2.09 to 2.03 for 10 to 14 DAP. Application timing did not influence length to width ratio of sweetpotato storage roots for those plots treated with S-metolachlor at either 0 or 3.4 kg ha−1.
The Z-backlighter laser facility primarily consists of two high energy, high-power laser systems. Z-Beamlet laser (ZBL) (Rambo et al., Appl. Opt. 44, 2421 (2005)) is a multi-kJ-class, nanosecond laser operating at 1054 nm which is frequency doubled to 527 nm in order to provide x-ray backlighting of high energy density events on the Z-machine. Z-Petawatt (ZPW) (Schwarz et al., J. Phys.: Conf. Ser. 112, 032020 (2008)) is a petawatt-class system operating at 1054 nm delivering up to 500 J in 500 fs for backlighting and various short-pulse laser experiments (see also Figure 10 for a facility overview). With the development of the magnetized liner inertial fusion (MagLIF) concept on the Z-machine, the primary backlighting missions of ZBL and ZPW have been adjusted accordingly. As a result, we have focused our recent efforts on increasing the output energy of ZBL from 2 to 4 kJ at 527 nm by modifying the fiber front end to now include extra bandwidth (for stimulated Brillouin scattering suppression). The MagLIF concept requires a well-defined/behaved beam for interaction with the pressurized fuel. Hence we have made great efforts to implement an adaptive optics system on ZBL and have explored the use of phase plates. We are also exploring concepts to use ZPW as a backlighter for ZBL driven MagLIF experiments. Alternatively, ZPW could be used as an additional fusion fuel pre-heater or as a temporally flexible high energy pre-pulse. All of these concepts require the ability to operate the ZPW in a nanosecond long-pulse mode, in which the beam can co-propagate with ZBL. Some of the proposed modifications are complete and most of them are well on their way.
We have developed high damage threshold filters to modify the spatial profile of a high energy laser beam. The filters are formed by laser ablation of a transmissive window. The ablation sites constitute scattering centers which can be filtered in a subsequent spatial filter. By creating the filters in dielectric materials, we see an increased laser-induced damage threshold from previous filters created using ‘metal on glass’ lithography.
Socialization theory claims that the ability of education to reduce anti-foreigner sentiment varies cross-nationally because state authorities are not equally committed to accepting ethnic minorities: higher educated persons harbor less anti-foreigner sentiment because they spend longer in educational institutions that impose official democratic values, which forbid negative reactions toward ethnic minorities. Consequently, higher educated persons ought to diverge from the lower educated as democratic institutions progress. Analyses support these claims: the impact of education on reducing anti-foreigner sentiment is strongest in the oldest democracies, moderate among the medium-aged (e.g., South European) democracies and weakest among the youngest (East European) democracies; and higher educated persons are disproportionately influenced by the maturation of democratic institutions. Analyses utilize data from the 28-country 2008 European Social Survey.