We assessed factors associated with increased risk to loss of follow-up with infectious diseases staff in OPAT patients. Discharge to subacute healthcare facilities is strongly associated with loss to follow-up. We did not identify sociodemographic disparities. Poor communication between OPAT providers and subacute healthcare facilities remains a serious issue.

The aim of this study was to assess the extent to which three non-invasive measures of welfare in laying hens (egg-shell quality, corticosteroid levels as measured from the birds' faeces, and behavioural preferences) were correlated over a period of five days in two groups of birds. One group had access to an enriched test area (bark chips on the floor and a tray of sprouted wheat); the other group had access to a comparably sized barren area (bare wire mesh floor). The measure of preference used was the amount of time hens spent in the test area as measured each day. It was predicted that birds with access to the less preferred environment would show higher levels of faecal corticosteroids and egg-shell anomalies. However, although the birds showed a preference for the enriched environment from Day 1, the other two measures did not follow the same pattern. Faecal corticosteroid metabolites showed an initial increase in both groups, which declined significantly by Day 4, with the ‘enriched’ birds in fact showing a trend for higher levels than the ‘barren’ birds. Shell thickness also showed a change over the five days, but with a different time course: declining to a minimal level on Day 3 and then rising again by Day 5. No measure of shell quality was significantly different between the two environments, but there was a trend for changes in shell thickness to be more pronounced in eggs from enriched birds. The results indicate the caution that needs to be exercised in using shell quality or corticosteroid measurements in isolation from assessments of what the animals themselves prefer.

Capacity development is critical to long-term conservation success, yet we lack a robust and rigorous understanding of how well its effects are being evaluated. A comprehensive summary of who is monitoring and evaluating capacity development interventions, what is being evaluated and how, would help in the development of evidence-based guidance to inform design and implementation decisions for future capacity development interventions and evaluations of their effectiveness. We built an evidence map by reviewing peer-reviewed and grey literature published since 2000, to identify case studies evaluating capacity development interventions in biodiversity conservation and natural resource management. We used inductive and deductive approaches to develop a coding strategy for studies that met our criteria, extracting data on the type of capacity development intervention, evaluation methods, data and analysis types, categories of outputs and outcomes assessed, and whether the study had a clear causal model and/or used a systems approach. We found that almost all studies assessed multiple outcome types: most frequent was change in knowledge, followed by behaviour, then attitude. Few studies evaluated conservation outcomes. Less than half included an explicit causal model linking interventions to expected outcomes. Half of the studies considered external factors that could influence the efficacy of the capacity development intervention, and few used an explicit systems approach. We used framework synthesis to situate our evidence map within the broader literature on capacity development evaluation. Our evidence map (including a visual heat map) highlights areas of low and high representation in investment in research on the evaluation of capacity development.

Number and procedures of involuntary hospital admissions vary in Europe according to the different socio-cultural contexts. The European Commission has funded the EUNOMIA study in 12 European countries in order to develop European recommendations for good clinical practice in involuntary hospital admissions. The recommendations have been developed with the direct and active involvement of national leaders and key professionals, who worked out national recommendations, subsequently summarized into a European document, through the use of specific categories. The need for standardizing the involuntary hospital admission has been highlighted by all centers. In the final recommendations, it has been stressed the need to: providing information to patients about the reasons for hospitalization and its presumable duration; protecting patients’ rights during hospitalization; encouraging the involvement of family members; improving the communication between community and hospital teams; organizing meetings, seminars and focus-groups with users; developing training courses for involved professionals on the management of aggressive behaviors, clinical aspects of major mental disorders, the legal and administrative aspects of involuntary hospital admissions, on communication skills. The results showed the huge variation of involuntary hospital admissions in Europe and the importance of developing guidelines on this procedure.

To tackle the problem of soil erosion and moisture stress, the government of Ethiopia introduced a yearly mass campaign where communities get together and implement various soil and water conservation (SWC) and water harvesting (WH) practices. Although the interventions are believed to have reduced soil erosion/sediment yield and enhanced surface and ground water, quantitative information on the impacts of various options at different scales is scarce. The objective of this study was to assess the impacts different land uses, SWC and WH interventions on water and suspended sediment yield (SSY) at plot and watershed scales in the central highlands of Ethiopia. Standard erosion plot experiments and hydrological stations were used to monitor the daily water and SSY during 2014 to 2017. The results show differences between treatments both at plot and watershed scales. Runoff and soil loss were reduced by an average 27 and 37%, respectively due to SWC practices at the plot level. Overall, SWC practices implemented at the watershed level reduced sediment yield by about 74% (in the year 2014), although the magnitude of sediment reduction due to the SWC interventions reduced over time. At both scales it was observed that as the number of years since SWC measures have been in place increased, their effectiveness declined due to the lack of maintenance. This study also revealed that extrapolating of plot data to watershed scale causes over or under estimation of net erosion.

Background: Hereditary transthyretin-mediated (hATTR) amyloidosis a hereditary, multi-systemic and life-threatening disease resulting in neuropathy and cardiomyopathy. In the APOLLO study, patisiran, an investigational RNAi therapeutic targeting hepatic TTR production resulted in significant improvement in neuropathy and QoL compared to placebo and was generally well tolerated. Methods: APOLLO, a Phase 3 study of patisiran vs. placebo (NCT01960348) prespecified a cardiac subpopulation (n=126 of 225 total) that included patients with baseline left ventricular (LV) wall thickness ≥ 13mm and no medical history of aortic valve disease or hypertension. Cardiac measures included structure and function by electrocardiography, changes in NT-proBNP and 10-MWT gait speed. Results: At 18 months, patisiran treatment resulted in a mean reduction in LV wall thickness of 1 mm (p=0.017) compared to baseline, which was associated with significant improvements relative to placebo in LV end diastolic volume (+8.31 mL, p=0.036), global longitudinal strain (-1.37%, p=0.015) and NT-proBNP (55% reduction, p=7.7 x 10-8) (Figure 1). Gait speed was also improved relative to placebo (+0.35 m/sec, p=7.4 x 10-9). Rate of death or hospitalization was lower with patisiran. mNIS+7 results in the cardiac subpopulation will also be presented. Conclusions: These data suggest patisiran has the potential to halt or reverse cardiac manifestations of hATTR amyloidosis.

Preserving of vision is the main goal in vision research. The presented research evaluates the preservation of visual function in Royal College of Surgeon (RCS) rats using a depth perception test. Rats were placed on a stage with one side containing an illusory steep drop (“cliff”) and another side with a minimal drop (“table”). Latency of stage dismounting and the percentage of rats that set their first foot on the “cliff” side were determined. Nondystrophic Long–Evans (LE) rats were tested as control. Electroretinogram and histology analysis were used to determine retinal function and structure. Four-week-old RCS rats presented a significantly shorter mean latency to dismount the stage compared with 6-week-old rats (mean ± standard error, 13.7 ± 1.68 vs. 20.85 ± 6.5 s, P = 0.018). Longer latencies were recorded as rats aged, reaching 45.72 s in 15-week-old rats (P < 0.00001 compared with 4-week-old rats). All rats at the age of 4 weeks placed their first foot on the table side. By contrast, at the age of 8 weeks, 28.6% rats dismounted on the cliff side and at the age of 10 and 15 weeks, rats randomly dismounted the stage to either table or cliff side. LE rats dismounted the stage faster than 4-week-old RCS rats, but the difference was not statistically significant (7 ± 1.58 s, P = 0.057) and all LE rats dismounted on the table side. The latency to dismount the stage in RCS rats correlated with maximal electroretinogram b-wave under dark and light adaptation (Spearman’s rho test = −0.603 and −0.534, respectively, all P < 0.0001), outer nuclear layer thickness (Spearman’s rho test = −0.764, P = 0.002), and number of S- and M-cones (Spearman’s rho test = −0.763 [P = 0.002], and −0.733 [P = 0.004], respectively). The cliff avoidance test is an objective, quick, and readily available method for the determination of RCS rats’ visual function.

Objectives: This study investigated the relationship between on-field, objective signs immediately following sport-related concussion and self-reported symptom endorsement within 1 day post injury. Methods: A retrospective case series of 237 concussed high school athletes was performed. On-field signs were evaluated immediately post injury. Self-reported symptoms (2 clusters) were collected within 1 day post injury. A two-step structural equation model and follow-up bivariate regression analyses of significant on-field signs and symptom clusters were performed. Results: Signs of immediate memory, β=0.20, p=.04, and postural instability, β=0.19, p < .01, significantly predicted a greater likelihood of endorsing the cognitive-migraine-fatigue symptom cluster within 1 day post injury. Regarding signs correlated with specific symptoms, immediate memory was associated with symptoms of trouble remembering, χ2=37.92, p < .001, odds ratio (OR)=3.89 (95% confidence interval (CI) [2.47, 6.13]), and concentration difficulties, χ2=10.84, p=.001, OR=2.13 (95% CI [1.37, 3.30]). Postural instability was associated with symptom endorsement of trouble remembering, χ2=12.08, p < .001, OR=1.76 (95% CI [1.29, 2.40]). Conclusions: Certain post-concussion on-field signs exhibited after injury were associated with specific symptom endorsement within 1 day post injury. Based on these associations, individualized education-based interventions and academic accommodations may help reduce unanticipated worry from parents, students, and teachers following a student-athlete’s sport-related concussion, especially in cases of delayed onset symptoms. (JINS, 2018, 24, 476–485)

Antimicrobial resistance (AMR) is a global public health threat. Emergence of AMR occurs naturally, but can also be selected for by antimicrobial exposure in clinical and veterinary medicine. Despite growing worldwide attention to AMR, there are substantial limitations in our understanding of the burden, distribution and determinants of AMR at the population level. We highlight the importance of population-based approaches to assess the association between antimicrobial use and AMR in humans and animals. Such approaches are needed to improve our understanding of the development and spread of AMR in order to inform strategies for the prevention, detection and management of AMR, and to support the sustainable use of antimicrobials in healthcare.

In this work, we propose a multi-sensor platform where sensors are stacked over one another (3D stacked) each offering a unique functionality. The technique involves the use of Polyurethane (PU) sponge and PVDF/graphene (Gr) /ZnO composites for various sensing applications. The sponge was made conductive by dipping it in different weight percentages of pencil lead dispersed in ethanol through ultrasonication. Large area Gr/PVDF films were fabricated by simple solution mixing and casting method which also served as a substrate for the 3D stacked sensor. ZnO was grown hydrothermally over Gr/PVDF film by masking a portion of Gr/PVDF film to form a p-n junction. Silver paste and copper tape were used as contact pads. All the three fabricated devices were stacked with PU sponge sandwiched between Gr/PVDF/ZnO (top) and large area Gr/PVDF (bottom) as substrate. Performance of individual sensors and 3D stacked sensor was compared and no notable change was observed. The 3D stacked sensor array platform with its multifunctionality would be a step ahead in wearable electronics which can be integrated on human and can function as an e-skin for burn and acid victims, robotics and human-machine interactions.