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Determining the factors that impact the risk for infection with SARS-CoV-2 is a priority as the virus continues to infect people worldwide. The objective was to determine the effectiveness of vaccines and other factors associated with infection among Canadian healthcare workers (HCWs) followed from 15 June 2020 to 1 December 2023. We also investigate the association between antibodies to SARS-CoV-2 and subsequent infections with SARS-CoV-2. Of the 2474 eligible participants, 2133 (86%) were female, 33% were nurses, the median age was 41 years, and 99.3% had received at least two doses of COVID-19 vaccine by 31 December 2021. The incidence of SARS-CoV-2 was 0.91 per 1000 person-days. Prior to the circulation of the Omicron variants, vaccine effectiveness (VE) was estimated at 85% (95% CI 1, 98) for participants who received the primary series of vaccine. During the Omicron period, relative adjusted VE was 43% (95% CI 29, 54), 56% (95% CI 42, 67), and 46% (95% CI 24, 62) for 3, 4, and ≥ 5 doses compared with those who received primary series after adjusting for previous infection and other covariates. Exposure to infected household members, coworkers, or friends in the previous 14 days were risk factor for infection, while contact with an infected patient was not statistically significant. Participants with higher levels of immunoglobulin G (IgG) anti-receptor binding domain (RBD) antibodies had lower rates of infection than those with the lowest levels. COVID-19 vaccines remained effective throughout the follow-up of this cohort of highly vaccinated HCWs. IgG anti-RBD antibody levels may be useful as correlates of protection for issues such as vaccine development and testing. There remains a need to increase the awareness among HCWs about the risk of contracting SARS-CoV-2 from contacts at a variety of venues.
Severe fatigue following COVID-19 is a debilitating symptom in adolescents for which no treatment exists currently.
Aims:
The aim of this study was to determine the effectiveness and feasibility of cognitive behavioural therapy (CBT) for severe fatigue following COVID-19 in adolescents.
Method:
A serial single-case observational design was used. Eligible patients were ≥12 and <18 years old, severely fatigued and ≥6 months post-COVID-19. Five patients, consecutively referred by a paediatrician, were included. The primary outcome was a change in fatigue severity, assessed with the fatigue severity subscale of the Checklist Individual Strength, 12 weeks after the start of CBT, tested with a permutation distancing two-phase A-B test. Secondary outcomes were the presence of severe fatigue, difficulty concentrating and impaired physical functioning directly post-CBT as determined with questionnaires using validated cut-off scores. Also, the frequency of post-exertional malaise (PEM) and absence from school directly post-CBT determined with self-report items were evaluated.
Results:
All five included patients completed CBT. Twelve weeks after starting CBT for severe post-COVID-19 fatigue, three out of five patients showed a significant reduction in fatigue severity. After CBT, all five patients were no longer severely fatigued. Also, four out of five patients were no longer physically impaired and improved regarding PEM following CBT. All five patients reported no school absence post-CBT and no difficulties concentrating.
Conclusion:
This study provides a first indication for the effectiveness and feasibility of CBT among adolescents with post-COVID-19 fatigue.
This work presents visual morphological and dynamical classifications for 637 spatially resolved galaxies, most of which are at intermediate redshift ($z\sim0.3$), in the Middle-Ages Galaxy Properties with Integral field spectroscopy (MAGPI) Survey. For each galaxy, we obtain a minimum of 11 independent visual classifications by knowledgeable classifiers. We use an extension of the standard Dawid-Skene bayesian model introducing classifier-specific confidence parameters and galaxy-specific difficulty parameters to quantify classifier confidence and infer reliable statistical confidence estimates. Selecting sub-samples of 86 bright ($r\lt20$ mag) high-confidence ($\gt0.98$) morphological classifications at redshifts ($0.2 \le z \le0.4$), we confirm the full range of morphological types is represented in MAGPI as intended in the survey design. Similarly, with a sub-sample of 82 bright high-confidence stellar kinematic classifications, we find that the rotating and non-rotating galaxies seen at low redshift are already in place at intermediate redshifts. We do not find evidence that the kinematic morphology–density relation seen at $z\sim0$ is established at $z\sim0.3$. We suggest that galaxies without obvious stellar rotation are dynamically pre-processed sometime before $z\sim0.3$ within lower mass groups before joining denser environments.
Aplectana membranosa is a cosmocercid nematode that shows affinity with various amphibian and reptile hosts, being considered a generalist species. To date, no studies have investigated the influence of host and locality in the morphological variation of this species. Thus, we analysed morphological and morphometric characters of 260 specimens of A. membranosa collected from 9 host species and 7 different localities. To complement the metric studies, we conducted phylogenetic analyses using the ribosomal genes 28S and internal transcript spacer 1 (ITS1) to determine the phylogenetic position of the species and its divergence. In the present study, it was possible to observe the cloacal papillae pattern of the species through scanning electron microscopy, and we found no morphological variation in the specimens of A. membranosa from various hosts in different localities in Brazil. The study showed low variation in all data. However, despite the low variation, we found that external environmental conditions, such as climate and latitude, influence its variation. Molecular analyses highlighted that the separation of Cosmocercidae members may be related to geographic distribution and population genetic divergence. Thus, the results illustrated in this study reiterate the importance of using integrative data to better elucidate the family’s taxonomic and evolutionary history.
Here, we report the first discovery of Antarctic fossil resin (commonly referred to as amber) within a ~5 cm-thick lignite layer, which constitutes the top part of a ~3 m-long palynomorph-rich and root-bearing carbonaceous mudstone of mid-Cretaceous age (Klages et al.2020). The sedimentary sequence (Fig. 1) was recovered by the MARUM-MeBo70 seafloor drill rig at Site PS104_20 (73.57° S, 107.09° W; 946 m water depth) from the mid-shelf section of Pine Island trough in the Amundsen Sea Embayment, West Antarctica, during RV Polarstern Expedition PS104 in early 2017 (Gohl 2017; Fig. 1a). So far, amber deposits have been described from every continent except Antarctica (Langenheim 2003, Quinney et al. 2015; Fig. 1a).
Diagnostic criteria for major depressive disorder allow for heterogeneous symptom profiles but genetic analysis of major depressive symptoms has the potential to identify clinical and etiological subtypes. There are several challenges to integrating symptom data from genetically informative cohorts, such as sample size differences between clinical and community cohorts and various patterns of missing data.
Methods
We conducted genome-wide association studies of major depressive symptoms in three cohorts that were enriched for participants with a diagnosis of depression (Psychiatric Genomics Consortium, Australian Genetics of Depression Study, Generation Scotland) and three community cohorts who were not recruited on the basis of diagnosis (Avon Longitudinal Study of Parents and Children, Estonian Biobank, and UK Biobank). We fit a series of confirmatory factor models with factors that accounted for how symptom data was sampled and then compared alternative models with different symptom factors.
Results
The best fitting model had a distinct factor for Appetite/Weight symptoms and an additional measurement factor that accounted for the skip-structure in community cohorts (use of Depression and Anhedonia as gating symptoms).
Conclusion
The results show the importance of assessing the directionality of symptoms (such as hypersomnia versus insomnia) and of accounting for study and measurement design when meta-analyzing genetic association data.
End members and species defined with permissible ranges of composition are presented for the true micas, the brittle micas and the interlayer-cation-deficient micas. The determination of the crystallochemical formula for different available chemical data is outlined, and a system of modifiers and suffixes is given to allow the expression of unusual chemical substitutions or polytypic stacking arrangements. Tables of mica synonyms, varieties, ill-defined materials and a list of names formerly or erroneously used for micas are presented. The Mica Subcommittee was appointed by the Commission on New Minerals and Mineral Names (“Commission”) of the International Mineralogical Association (IMA). The definitions and recommendations presented were approved by the Commission.
The Fe3+ substituted for Al3+ at the 2 octahedral positions is one of the most common impurities in the kaolinite structure detected by electron paramagnetic resonance (EPR). Evidence has been provided for a relationship between the shape of EPR spectra for structural Fe and the structural disorder in kaolinite. It is proposed that the structural Fe be used as a sensitive probe for the degree of disorder of natural kaolinites. With this aim in view, an EPR disorder index (E) is defined from the width of selected EPR lines. Using reference kaolinites, it is shown that this index can account as well for long-range disorder detected by means of X-ray diffraction (XRD) as for local perturbations such as radiation-induced defects (RID). It is shown that the disorder observed through EPR has some points in common with the XRD-measured one. The influence on E of the presence of RID is shown by the study of artificially and naturally irradiated kaolinites.
The Classic Maya polities of Baking Pot and Lower Dover developed along two dramatically different trajectories. At Baking Pot, the capital and associated apical elite regime grew concomitantly with surrounding populations over a thousand-year period. The smaller polity of Lower Dover, in contrast, formed when a Late Classic political center was established by an emergent apical elite regime amidst several long-established intermediate elite-headed districts. The different trajectories through which these polities formed should have clear implications for residential size variability. We employ the Gini coefficient to measure variability in household volume to compare patterns of residential size differentiation between the two polities. The Gini coefficients, while similar, suggest greater differentiation in residential size at Baking Pot than at Lower Dover, likely related to the centralized control of labor by the ruling elite at Baking Pot. While the Gini coefficient is synonymous with measuring wealth inequalities, we suggest that in the Classic period Belize River Valley, residential size was more reflective of labor control.
Being a form of labor investment, house size is frequently analyzed as an index of socioeconomic inequality. However, datasets that lack wide-ranging residential stratigraphic information are not reliable sources of labor investment estimates. This is the case for Late Classic domestic architecture data from three polities in the Rosario Valley (modern-day Chiapas) on the southwest Maya frontier: Rosario, Ojo de Agua, and Los Encuentros. Although the sample's house size inequality generally cannot index period-specific labor investment, it may signify prestige differentiation. For each polity we generated Lorenz curves and calculated Gini coefficients for five variables representing house size (area and volume). Results resemble inequality data from lowland Classic Maya centers. We also demonstrate that the smallest, shortest-lived polity had more equal house size values, likely due to the modesty of its apical elite architecture. In contrast, the two larger, older polities were more unequal because they had substantial palaces.
Debate is ongoing on the efficacy of cognitive behavior therapy (CBT) for myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS). With an individual patient data (IPD) meta-analysis we investigated whether the effect of CBT varied by patient characteristics. These included post-exertional malaise (PEM), a central feature of ME/CFS according to many. We searched for randomized controlled trials similar with respect to comparison condition, outcomes and treatment-protocol. Moderation on fatigue severity (Checklist Individual Strength, subscale fatigue severity), functional impairment (Sickness Impact Profile-8) and physical functioning (Short Form-36, subscale physical functioning) was investigated using linear mixed model analyses and interaction tests. PROSPERO (CRD42022358245). Data from eight trials (n = 1298 patients) were pooled. CBT showed beneficial effects on fatigue severity (β = −11.46, 95% CI −15.13 to −7.79); p < 0.001, functional impairment (β = −448.40, 95% CI −625.58 to −271.23); p < 0.001; and physical functioning (β = 9.64, 95% CI 3.30 to 15.98); p < 0.001. The effect of CBT on fatigue severity varied by age (pinteraction = 0.003), functional impairment (pinteraction = 0.045) and physical activity pattern (pinteraction = 0.027). Patients who were younger, reported less functional impairments and had a fluctuating activity pattern benefitted more. The effect on physical functioning varied by self-efficacy (pinteraction = 0.025), with patients with higher self-efficacy benefitting most. No other moderators were found. It can be concluded from this study that CBT for ME/CFS can lead to significant reductions of fatigue, functional impairment, and physical limitations. There is no indication patients meeting different case definitions or reporting additional symptoms benefit less from CBT. Our findings do not support recent guidelines in which evidence from studies not mandating PEM was downgraded.
Knowledge graphs have become a common approach for knowledge representation. Yet, the application of graph methodology is elusive due to the sheer number and complexity of knowledge sources. In addition, semantic incompatibilities hinder efforts to harmonize and integrate across these diverse sources. As part of The Biomedical Translator Consortium, we have developed a knowledge graph–based question-answering system designed to augment human reasoning and accelerate translational scientific discovery: the Translator system. We have applied the Translator system to answer biomedical questions in the context of a broad array of diseases and syndromes, including Fanconi anemia, primary ciliary dyskinesia, multiple sclerosis, and others. A variety of collaborative approaches have been used to research and develop the Translator system. One recent approach involved the establishment of a monthly “Question-of-the-Month (QotM) Challenge” series. Herein, we describe the structure of the QotM Challenge; the six challenges that have been conducted to date on drug-induced liver injury, cannabidiol toxicity, coronavirus infection, diabetes, psoriatic arthritis, and ATP1A3-related phenotypes; the scientific insights that have been gleaned during the challenges; and the technical issues that were identified over the course of the challenges and that can now be addressed to foster further development of the prototype Translator system. We close with a discussion on Large Language Models such as ChatGPT and highlight differences between those models and the Translator system.
Recent excavations at the ancient Maya minor center of Tutu Uitz Na in the Belize River Valley revealed an especially large—about 20 million shells—Middle Preclassic (900–300 BC) shell deposit underlying the plaza. Although marine shell species make up a small percentage of the assemblage, most shells are Pachychilus spp., a common freshwater snail known in the southern Maya Lowlands as jute. This report describes the architectural context and assemblage of the deposit and compares it to similar examples in the region. We propose that the Tutu Uitz Na deposit provides one of the earliest examples of depictions of the Maya primordial sea in an architectural context.
We present kinematic, radiometric, geochemical and PT data, which help to constrain the tectonometamorphic evolution of the Tripolitza Unit (TPU). The age of both the metamorphic peak (P = 0.4 ±0.2 GPa, T = ca. 310 °C) and top-to-the WNW mylonitic thrusting, attributed to the emplacement of the hanging Pindos nappe, has been constrained at 19 ±2.5 Ma using Rb-Sr on synkinematic white mica of a basal mylonite of NW Crete. This early tectonic event is also documented by the oldest generation of veins, which cut through less metamorphic (T = 240 ±15 °C) late Bartonian/Priabonian Nummulite limestone exposed as olistolith in TPU flysch of central Crete. Calcite of these veins yielded a similar U-Pb age at 20 ±6 Ma. U-Pb dating of matrix calcite, on the other hand, reflect the time of sedimentation (38.4 ±5.7 Ma and 37.6 ±1.2 Ma), which is in line with the faunal content of the black limestone. Geochemical data and U-Pb calcite ages of fibres of the Nummulite test (32.3 ±3.1 Ma and 34.6 ±0.9 Ma) suggest unexpected pseudomorphic fibre replacement during late Priabonian/early Rupelian diagenesis. Additional calcite veins, which developed at ca. 10–11 and 7 – 9 Ma (U-Pb on calcite), are attributed to top-to-the S thrusting and subsequent extension, respectively. The resulting anticlockwise rotation of the shortening direction within the TPU from WNW-ESE at ca. 20 Ma to N-S at ca. 10 Ma has significant implications for the geodynamic evolution of the External Hellenides.
Loose limestone blocks of a newly recognized hydrocarbon-seep deposit from the lower Oligocene Jansen Creek Member of the Makah Formation were collected on a beach terrace close to the mouth of Bullman Creek in Washington State, USA. The limestone consists largely of authigenic carbonate phases, including 13C-depleted fibrous cement forming banded and botryoidal crystal aggregates with δ13C values as low as –23.5 ‰. Lipids extracted from the limestone yielded molecular fossils of anaerobic methanotrophic archaea (ANME), dominated by compounds of an ANME-2/DSS consortium with δ13C values as low as −106 ‰, indicating formation at an ancient methane seep. The fossil inventory of the seep deposit is remarkable, consisting almost solely of echinoid remains, whereas typical seep biota are absent. Varying preservation of the echinoid fossils indicates parautochthonous deposition, corroborated by evidence for high fluid flow at the ancient seep, possibly responsible for displacement of echinoids after death. Although a full taxonomic description of the echinoids cannot be given, almost all fossils were assigned to one taxon of irregular spatangoids, except for a single regular echinoid. Abundance and lifestyle of the irregular spatangoids in the Bullman Creek echinoid seep deposit resemble those of the fossil Tithonia oxfordiana from an upper Jurassic seep deposit in France and extant Sarsiaster griegii from modern seeps in the Gulf of Mexico. The Bullman Creek echinoid deposit probably represents a fossil analogue of the Gulf of Mexico Sarsiaster mass occurrence, indicating that the adaptation of spatangoid echinoids to chemosynthesis-based ecosystems ranges back at least to the earliest Oligocene.
Cancer patients often present with psychological symptoms that affect their quality of life, physical health outcomes and survival. Two of the most frequent psychiatric comorbidities are anxiety and depression. However, the prevalence of these disorders among cancer patients remains unclear, as studies frequently report varying rates. In the present study, we aimed to provide robust point estimates for the prevalence of anxiety and depression for both a mixed cancer sample and for 13 cancer types separately, considering confounding variables.
Methods
In a sample of 7509 cancer outpatients (51.4% female), we used the Hospital Anxiety and Depression Scale to assess rates of anxiety and depression. Applying ordinal logistic regression models, we compared the prevalence of anxiety and depression between different cancer types, controlling for age and gender.
Results
About one third of our sample showed symptoms of anxiety (35.2%) or depression (27.9%), and every sixth patient had a very likely psychiatric condition, with women being more frequently affected. Elderly patients more often showed signs of depression. The prevalence of anxiety and depression was significantly higher in lung and brain cancer patients, than in other cancer patients. Lowest depression rates were found in breast cancer patients.
Conclusions
The prevalence of anxiety and depression is high in cancer patients. Type of cancer is an important predictor for anxiety and depressive symptoms, with lung and brain cancer patients being highly burdened. Considering a personalised medicine approach, physicians should take into account the high prevalence of psychiatric comorbidities and include psychiatric consultations in the treatment plan.
Recently, the existence of so-called granular bubbles and droplets has been demonstrated experimentally. Granular bubbles and droplets are clusters of particles that respectively rise and sink if submerged in an aerated and vibrated bed of another granular material of different size and/or density. However, currently, there is no model that explains the coherent motion of these clusters and predicts the transition between a rising and sinking motion. Here, we propose an analytical model predicting accurately the neutral buoyancy limit of a granular bubble/droplet. This model allows the compilation of a regime map identifying five distinct regimes of granular bubble/droplet motion.
In this paper, a proposal for a new method to design load-adaptive microlattice structures for PBF-LB/M manufacturing is presented. For this purpose, a method was developed to stiffen microlattice structures in particular by using self-similar sub-cells to ensure their manufacturability. The quality of the stiffness increase was investigated and verified by finite element simulations. Subsequently, the simulation results were critically discussed with respect to their potential for future design processes for architected materials.