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Patients with posttraumatic stress disorder (PTSD) exhibit smaller regional brain volumes in commonly reported regions including the amygdala and hippocampus, regions associated with fear and memory processing. In the current study, we have conducted a voxel-based morphometry (VBM) meta-analysis using whole-brain statistical maps with neuroimaging data from the ENIGMA-PGC PTSD working group.
Methods
T1-weighted structural neuroimaging scans from 36 cohorts (PTSD n = 1309; controls n = 2198) were processed using a standardized VBM pipeline (ENIGMA-VBM tool). We meta-analyzed the resulting statistical maps for voxel-wise differences in gray matter (GM) and white matter (WM) volumes between PTSD patients and controls, performed subgroup analyses considering the trauma exposure of the controls, and examined associations between regional brain volumes and clinical variables including PTSD (CAPS-4/5, PCL-5) and depression severity (BDI-II, PHQ-9).
Results
PTSD patients exhibited smaller GM volumes across the frontal and temporal lobes, and cerebellum, with the most significant effect in the left cerebellum (Hedges’ g = 0.22, pcorrected = .001), and smaller cerebellar WM volume (peak Hedges’ g = 0.14, pcorrected = .008). We observed similar regional differences when comparing patients to trauma-exposed controls, suggesting these structural abnormalities may be specific to PTSD. Regression analyses revealed PTSD severity was negatively associated with GM volumes within the cerebellum (pcorrected = .003), while depression severity was negatively associated with GM volumes within the cerebellum and superior frontal gyrus in patients (pcorrected = .001).
Conclusions
PTSD patients exhibited widespread, regional differences in brain volumes where greater regional deficits appeared to reflect more severe symptoms. Our findings add to the growing literature implicating the cerebellum in PTSD psychopathology.
To understand the scenarios where health care worker (HCW) masking is most impactful for preventing nosocomial transmission.
Methods:
A mathematical agent-based model of nosocomial spread with masking interventions. Masking adherence, community prevalence, disease transmissibility, masking effectiveness, and proportion of breakroom (unmasked) interactions were varied. The main outcome measure is the total number of nosocomial infections in patients and HCW populations over a simulated three-month period.
Results:
HCW masking around patients and universal HCW masking reduces median patient nosocomial infections by 15% and 18%, respectively. HCW-HCW interactions are the dominant source of HCW infections and universal HCW masking reduces HCW nosocomial infections by 55%. Increasing adherence shows a roughly linear reduction in infections. Even in scenarios where a high proportion of interactions are unmasked “breakroom” interactions, masking is still an effective tool assuming adherence is high outside of these areas. The optimal scenarios where masking is most impactful are those where community prevalence is at a medium level (around 2%) and transmissibility is high.
Conclusions:
Masking by HCWs is an effective way to reduce nosocomial transmission at all levels of mask effectiveness and adherence. Increases in adherence to a masking policy can provide a small but important impact. Universal HCW masking policies are most impactful should policymakers wish to target HCW infections. The more transmissible a variant in circulation is, the more impactful HCW masking is for reducing infections. Policymakers should consider implementing masking at the point when community prevalence is optimum for maximum impact.
Female genital schistosomiasis (FGS) is a chronic disease manifestation of the waterborne parasitic infection Schistosoma haematobium that affects up to 56 million women and girls, predominantly in sub-Saharan Africa. Starting from early childhood, this stigmatizing gynaecological condition is caused by the presence of Schistosoma eggs and associated toxins within the genital tract. Schistosoma haematobium typically causes debilitating urogenital symptoms, mostly as a consequence of inflammation, which includes bleeding, discharge and lower abdominal pelvic pain. Chronic complications of FGS include adverse sexual and reproductive health and rights outcomes such as infertility, ectopic pregnancy and miscarriage. FGS is associated with prevalent human immunodeficiency virus and may increase the susceptibility of women to high-risk human papillomavirus infection. Across SSA, and even in clinics outside endemic areas, the lack of awareness and available resources among both healthcare professionals and the public means FGS is underreported, misdiagnosed and inadequately treated. Several studies have highlighted research needs and priorities in FGS, including better training, accessible and accurate diagnostic tools, and treatment guidelines. On 6 September, 2024, LifeArc, the Global Schistosomiasis Alliance and partners from the BILGENSA Research Network (Genital Bilharzia in Southern Africa) convened a consultative, collaborative and translational workshop: ‘Female Genital Schistosomiasis: Translational Challenges and Opportunities’. Its ambition was to identify practical solutions that could address these research needs and drive appropriate actions towards progress in tackling FGS. Here, we present the outcomes of that workshop – a series of discrete translational actions to better galvanize the community and research funders.
Current liver-stage Plasmodium falciparum models are complex, expensive and largely inaccessible, hindering research progress. Here, we show that a 3D liver spheroid model grown from immortalized HepG2/C3A cells supports the complete intrahepatocytic lifecycle of P. falciparum. Our results demonstrate sporozoite infection, development of exoerythrocytic forms and breakthrough infection into erythrocytes. The 3D-grown spheroid hepatocytes are structurally and functionally polarized, displaying enhanced albumin and urea production and increased expression of key metabolic enzymes, mimicking in vivo conditions – relative to 2D cultures. This accessible, reproducible model lowers barriers to malaria research, promoting advancements in fundamental biology and translational research.
The present study was designed to report the prevalence of spotted fever group Rickettsia and Anaplasma in ticks from Pakistan. To address this knowledge gap, ticks were collected from October 2019 to November 2020 from livestock hosts. Three hundred ninety ticks from Punjab, Khyber Pakhtunkhwa and Islamabad were investigated for the presence of Rickettsia and Anaplasma. The collected ticks were subjected to molecular studies for detection and characterization of spotted fever group Rickettsia and Anaplasma in ticks from Pakistan. PCR amplification of the ompA gene was used for detection of Rickettsia and portions of the 16S rDNA gene for detection of Anaplasma. Nine species of ticks were tested. Of the 390 ticks tested, 7 (2.58%) ticks were positive for Rickettsia. Rickettsia spp. were detected in Haemaphysalis punctata, Hyalomma anatolicum, Hyalomma scupense, Rhipicephalus microplus and Rhipicephalus sanguineus. Unknown Rickettsia was detected in Hy. scupense. Fifty-seven (14.6%) ticks were also positive for Anaplasma spp. Anaplasma ovis was detected in Hy. anatolicum, Hy. scupense, Hy. excavatum, Rhipicephalus decoloratus, R. microplus and R. sanguineus. Anaplasma marginale was detected in Hy. anatolicum, Hy. scupense, R. microplus, R. decoloratus and R. sanguineus. The Anaplasma sequences obtained from this experiment were 99–100% similar to those of the documented strains. This study provides information and confirms the presence of spotted fever group Rickettsia and Anaplasma spp. in different tick species. It also highlights the need for control programs to prevent health risks. Further investigation to determine the prevalence and disease burden of these pathogens in Pakistan is necessary.
Overt political retribution, typically considered outside the bounds of American democracy, has recently risen to the surface of American political discourse. How do voters respond to elected officials wielding their powers of office for retributive purposes? In the current partisan political climate, do voters’ views of retribution depend on whether the official is a member of their party? Politicians in both parties have demonstrated willingness to threaten or pursue retaliation against corporations for using their political voice to publicly express opposition. Due to the American public’s ambivalence about the role of business in politics and the rights of corporations to political speech, the scenario of corporate political speech provides a useful case in which to test for partisan acceptance of the use of political retaliation. In an original and replication experiment, we find strong bipartisan rebuke of an elected official’s employment of “abusive legalism” in response to corporate political criticism. Strikingly, the negative consequences are greatest for an in-party official. The drop in support suffered by the official is equivalent to the effect of partisanship, such that an in-party official using their powers of office to “keep business out of politics” is viewed as unfavorably as a non-responsive out-party official.
We describe Swauka ypresiana n. gen. n. sp., the second fossil gossamerwing damselfly (Odonata, Zygoptera, Epallagidae, Epallaginae) and its oldest occurrence. It is the first fossil insect reported from the Swauk Formation of central Washington State, U.S.A. It was recovered from the “Sandstone facies of Swauk Pass,” a fluvial unit, immediately below the Silver Pass Volcanic Member of the Swauk Formation, which has a U–Pb zircon CA-ID-TIMS age of 51.364 ± 0.029 Ma. The host deposits probably represent mud-dominated floodplain lake or oxbow lake environments.
Community-engaged partnerships (community/academia/government) can play a role in developing effective protocols that address public health crises. Systemic racism, prioritization of money over humanity, and the repression of the local democratic processes through the State of Michigan Emergency Manager Law (Order of Act 439) all played a role in the Flint Water Crisis. Despite decades of collaboration between Flint-based community organizations and academic institutions, ways to navigate such crises and conduct relevant research were ineffective.
Methods:
The Michigan Institute for Clinical and Health Research Community Engagement program at the University of Michigan and Flint’s Community Based Organization Partners co-developed the Research Readiness and Partnership Protocol (R2P2) to provide community-engaged recommendations that inform a rapid research response to public health emergencies. The R2P2 Workgroup conducted an extensive literature review and key interviews to inform protocol development.
Results:
This manuscript provides an overview of the Workgroup’s methods, key interview findings, and the main principles identified. Detailed recommendations and key elements to address prior to and during a crisis will be presented including methods for: establishing and maintaining trust, ensuring transparency, supporting clear communication, establishing a “front door” to academic institutions including a means to “sound the alarm,” addressing academic incentives, achieving equitable resource sharing, and addressing systemic racism.
Conclusion:
This manuscript of community perspectives provides essential elements to develop meaningful community-academic research partnerships to address public health crises impacting communities, particularly communities of color. Furthermore, this work highlights an opportunity for greater acknowledgment and utilization of community-based participatory research (CBPR) by academic institutions.
Ice cliffs on debris-covered glaciers act as melt hotspots that considerably enhance glacier ablation. However, studies are typically limited in time and space; glacier-scale studies of this process of ice cliff melt are rare, and their varying seasonal energy balance remains largely unknown. In this study, we combined a process-based ice cliff backwasting model with high-resolution (1.0 m) photogrammetry-based terrain data to simulate the year-round melt of 479 ice cliffs on Trakarding Glacier, Nepal Himalaya. Ice cliff melt accounted for 26% of the mass loss of the glacier from October 2018 to October 2019, despite covering only 1.7% of the glacier surface. The annual melt rate of ice cliffs was 2.7 cm w.e. d−1, which is 8–9 times higher than the sub-debris melt rate. Ice cliff melt rates were significantly controlled by their aspects, with south-facing ice cliffs showing a melt rate 1.8 times higher than that of north facing ones. The results revealed that the aspect dependence of ice cliff melt rate was amplified in winter and decreased/disappeared toward the monsoon season. The seasonal changes in melt characteristics are considered to be related to variations in direct shortwave radiation onto the cliff surface, which are dependent on changes in solar altitude and monsoonal cloud cover.
Quantum field theory predicts a nonlinear response of the vacuum to strong electromagnetic fields of macroscopic extent. This fundamental tenet has remained experimentally challenging and is yet to be tested in the laboratory. A particularly distinct signature of the resulting optical activity of the quantum vacuum is vacuum birefringence. This offers an excellent opportunity for a precision test of nonlinear quantum electrodynamics in an uncharted parameter regime. Recently, the operation of the high-intensity Relativistic Laser at the X-ray Free Electron Laser provided by the Helmholtz International Beamline for Extreme Fields has been inaugurated at the High Energy Density scientific instrument of the European X-ray Free Electron Laser. We make the case that this worldwide unique combination of an X-ray free-electron laser and an ultra-intense near-infrared laser together with recent advances in high-precision X-ray polarimetry, refinements of prospective discovery scenarios and progress in their accurate theoretical modelling have set the stage for performing an actual discovery experiment of quantum vacuum nonlinearity.
Ambient air pollution remains a global challenge, with adverse impacts on health and the environment. Addressing air pollution requires reliable data on pollutant concentrations, which form the foundation for interventions aimed at improving air quality. However, in many regions, including the United Kingdom, air pollution monitoring networks are characterized by spatial sparsity, heterogeneous placement, and frequent temporal data gaps, often due to issues such as power outages. We introduce a scalable data-driven supervised machine learning model framework designed to address temporal and spatial data gaps by filling missing measurements within the United Kingdom. The machine learning framework used is LightGBM, a gradient boosting algorithm based on decision trees, for efficient and scalable modeling. This approach provides a comprehensive dataset for England throughout 2018 at a 1 km2 hourly resolution. Leveraging machine learning techniques and real-world data from the sparsely distributed monitoring stations, we generate 355,827 synthetic monitoring stations across the study area. Validation was conducted to assess the model’s performance in forecasting, estimating missing locations, and capturing peak concentrations. The resulting dataset is of particular interest to a diverse range of stakeholders engaged in downstream assessments supported by outdoor air pollution concentration data for nitrogen dioxide (NO2), Ozone (O3), particulate matter with a diameter of 10 μm or less (PM10), particulate matter with a diameter of 2.5 μm or less PM2.5, and sulphur dioxide (SO2), at a higher resolution than was previously possible.
Rodriguez-Nava et al. present a proof-of-concept study evaluating the use of a secure large language model (LLM) approved for healthcare data for retrospective identification of a specific healthcare-associated infection (HAI)—central line-associated bloodstream infections—from real patient data for the purposes of surveillance.1 This study illustrates a promising direction for how LLMs can, at a minimum, semi-automate or streamline HAI surveillance activities.
The school food and drink environment offers opportunities to improve pupils’ food and drink choices, with school food accounting for up to 30% of pupils’ dietary intake(1). School canteens are often overcrowded and chaotic, which may lead to pupils choosing less healthy but quicker options. Interventions aiming to improve adolescents’ dietary behaviours have been conducted but usually lack adolescent involvement and can have limited impact on pupils’ dietary choices(2). Pupil involvement in design and development may lead to more acceptable interventions(3). The aim was to explore potential interventions with secondary school-aged pupils focused on key areas of the school food and drink environment.
A total of three North East England secondary schools were recruited based on pupil eligibility for free school meals and index of multiple deprivation. Approximately eight pupils (aged 12 – 13) were recruited per school to participate in three focus groups. Consent was collected from parents and pupils. In focus group one, pupils prioritised areas within the school food and drink environment for potential interventions. In focus group two, pupils explored what these interventions might comprise. Finally, pupils reviewed the acceptability, sustainability, and feasibility of their interventions. Thematic analysis using a coding framework was used to analyse data.
Ethical approval was granted by Newcastle University Ethics Committee, reference number: 2402/24272/2021.
Across the three schools, twenty-two (m=9; f=13) pupils participated in the focus groups. Preliminary analysis revealed the inability for pupils to eat their school lunch outside was a key area for improvement. Pupils felt that with dedicated areas to eat outside, they would have more time to eat and not rely on convenient options. Incorrect menus in the canteen also meant pupils did not know what they could select and instead chose the same, often less healthy options. Pupils wanted posters in the canteen to promote the available healthier options previously used in nudge-based interventions. School food and drink were usually considered poor value for money due to high prices and perceived poor quality of school food compared to what is available outside of school. Pupils felt that introducing meal deals or food-based rewards for healthier options would encourage higher consumption due to them being perceived as better value for money.
Prioritised areas and interventions within the school food and drink environment were schoolspecific. Before interventions are conducted in schools, further understanding of the school context and whether interventions are appropriate are needed. Further work exploring continued project development, including further pupil and school staff input to explore intervention feasibility is required.
Highly portable and accessible MRI technology will allow researchers to conduct field-based MRI research in community settings. Previous guidance for researchers working with fixed MRI does not address the novel ethical, legal, and societal issues (ELSI) of portable MRI (pMRI). Our interdisciplinary Working Group (WG) previously identified 15 core ELSI challenges associated with pMRI research and recommended solutions. In this article, we distill those detailed recommendations into a Portable MRI Research ELSI Checklist that offers practical operational guidance for researchers contemplating using this technology.
School food has a major influence on children’s diet quality and has the potential to reduce diet inequalities and non-communicable disease risk. Funded by the UK Prevention Research Partnership, we have established a UK school food system network. The overarching aim was to build a community to work towards a more health-promoting food and nutrition system in UK schools. The network has brought together a team from a range of disciplines, while the inclusion of non-academic users and other stakeholders, such as pupils and parents, has allowed the co-development of research priorities and questions. This network has used a combination of workshops, working groups and pump-priming projects to explore the school food system, as well as creating a systems map of the UK school food system and conducting network analysis of the newly established network. Through understanding the current food system and building network expertise, we hope to advance research and policy around food in schools. Further funding has been achieved based on these findings, working in partnership with policymakers and schools, while a Nutrition Society Special Interest Group has been established to ensure maximum engagement and future sustainability of the network. This review will describe the key findings and progress to date based on the work of the network, as well as a summary of the current literature, identification of knowledge gaps and areas of debate, according to key elements of the school food system.
In response to the COVID-19 pandemic, we rapidly implemented a plasma coordination center, within two months, to support transfusion for two outpatient randomized controlled trials. The center design was based on an investigational drug services model and a Food and Drug Administration-compliant database to manage blood product inventory and trial safety.
Methods:
A core investigational team adapted a cloud-based platform to randomize patient assignments and track inventory distribution of control plasma and high-titer COVID-19 convalescent plasma of different blood groups from 29 donor collection centers directly to blood banks serving 26 transfusion sites.
Results:
We performed 1,351 transfusions in 16 months. The transparency of the digital inventory at each site was critical to facilitate qualification, randomization, and overnight shipments of blood group-compatible plasma for transfusions into trial participants. While inventory challenges were heightened with COVID-19 convalescent plasma, the cloud-based system, and the flexible approach of the plasma coordination center staff across the blood bank network enabled decentralized procurement and distribution of investigational products to maintain inventory thresholds and overcome local supply chain restraints at the sites.
Conclusion:
The rapid creation of a plasma coordination center for outpatient transfusions is infrequent in the academic setting. Distributing more than 3,100 plasma units to blood banks charged with managing investigational inventory across the U.S. in a decentralized manner posed operational and regulatory challenges while providing opportunities for the plasma coordination center to contribute to research of global importance. This program can serve as a template in subsequent public health emergencies.
Neuropsychological assessment of preschool children is essential for early detection of delays and referral for intervention prior to school entry. This is especially pertinent in low- and middle-income countries (LMICs), which are disproportionately impacted by micronutrient deficiencies and teratogenic exposures. The Grenada Learning and Memory Scale (GLAMS) was created for use in limited resource settings and includes a shopping list and face-name association test. Here, we present psychometric and normative data for the GLAMS in a Grenadian preschool sample.
Methods:
Typically developing children between 36 and 72 months of age, primarily English speaking, were recruited from public preschools in Grenada. Trained Early Childhood Assessors administered the GLAMS and NEPSY-II in schools, homes, and clinics. GLAMS score distributions, reliability, and convergent/divergent validity against NEPSY-II were evaluated.
Results:
The sample consisted of 400 children (190 males, 210 females). GLAMS internal consistency, inter-rater agreement, and test-retest reliability were acceptable. Principal components analysis revealed two latent factors, aligned with expected verbal/visual memory constructs. A female advantage was observed in verbal memory. Moderate age effects were observed on list learning/recall and small age effects on face-name learning/recall. All GLAMS subtests were correlated with NEPSY-II Sentence Repetition, supporting convergent validity with a measure of verbal working memory.
Conclusions:
The GLAMS is a psychometrically sound measure of learning and memory in Grenadian preschool children. Further adaptation and scale-up to global LMICs are recommended.
The trend of global cooling across the Cenozoic transformed the North American landscape from closed forest to more open grasslands, resulting in dietary adaptations in herbivores in response to shifting resources. In contrast, the material properties of the predator food source (muscle, skin, and bone) have remained constant over this transition, suggesting a corresponding lack of change in predator dietary adaptations. We investigated the North American mammalian predator fossil record using a tooth-shape metric and body mass, predicting that the former would exhibit stability. Instead, we found that mean molar morphology became more blade-like, with our tooth-shape metric sharply increasing in the late Eocene and remaining high from the Oligocene onward. Subsequent tests in extant carnivorans reveal taxa with more bladelike teeth are prevalent in more open environments. Our results reveal an unexpected functional shift among North American predators in response to large-scale environmental changes across the Cenozoic.
The cation-exchange capacities (CEC) of a previously well-characterized beidellite have been estimated nondestructively from X-ray photoelectron spectroscopy (XPS) data following exchange by various cations. The CEC obtained as an atomic ratio to silicon from Na- and Ca-clays are close to that derived chemically, i.e., 0.10(2), and 0.10(1), respectively, compared with 0.12(1). However, the apparent CEC obtained following K-, Pb-, and Ba-exchange are all about 50% greater. These measurements are complemented by XPS studies of clay exchanged in a solution containing both Ca and Ba ions where XPS gave a total apparent exchange capacity relative to Si of 0.16, with 0.10 from Ca and 0.06 from Ba. Bulk chemical analysis has, however, shown that the true Ba value is only 0.01. It is concluded that the cation excess detected by XPS—a technique with a total sampling depth of only about 100 Å—is concentrated at the surfaces of the clay particles.
Nephelometric (light scattering) methods for the determination of Ca and Ba in the 0–30 ppm range, and their application to the estimation of the cation exchange capacity (±10%) of small (≤30 mg) samples of clay minerals, are described and evaluated.