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Eocene snakes of India have the potential to shed light on the nature of snake diversification on the subcontinent following the Deccan volcanism at the Cretaceous-Paleogene boundary (K-Pg), when India was still a northward-drifting isolated landmass prior to its collision with Asia. Here, we report a diverse snake fauna from the Eocene of Kutch, western India. The fauna, dominated by aquatic forms, includes palaeophiids, a giant madtsoiid, and a possible nigerophiid. The palaeophiids from the middle Eocene (late Lutetian) comprise ?Palaeophis Owen, 1841 and Pterosphenus rannensis n. sp. Together, these taxa enrich the record of fossil snakes in the poorly known late Lutetian of India and represent the youngest record of Palaeophiidae from the Indian subcontinent. Pterosphenus rannensis n. sp. shows intermediate morphology between Palaeophis and Pterosphenus-grade snakes and is phylogenetically the earliest-diverging member of Pterosphenus Lucas, 1898. Additionally, the middle Eocene Pterosphenus biswasi Rage et al., 2003 is reassessed and retained as a valid taxon based on pterapophyseal morphology and overall form. Biogeographic considerations highlight the importance of the Indian fossil record in understanding the origin and diversification of the genus Pterosphenus. The prevalence of niche partitioning is suggested for the palaeophiids, with Pterosphenus rannensis n. sp. recovered from a tidal setting and ?Palaeophis sp. indet. from a marsh/swamp setting. The new Indian madtsoiid from the middle Eocene (early Lutetian) represents a sympatric taxon with the terrestrial/semiaquatic giant Vasuki indicus Datta and Bajpai, 2024 coexisting in a back-swamp marsh setting. The early Eocene (Ypresian) nigerophiid is among the oldest Cenozoic occurrences of this family globally.
Specialists globally employ various clinical scales and instruments to assess balance, gait, and motor functions in children with cerebral palsy (CP). Selecting appropriate assessment tools is essential for planning studies, developing effective treatment strategies, and tracking clinical outcomes. Given the diversity in assessment needs – whether evaluating dynamic, functional, or static balance – there is a need to identify the most suitable tools for each aspect. Therefore, the primary objective of this review is to critically analyze current clinical and instrument-based assessment methods in the literature to determine the most effective approaches for pediatric CP. This systematic review retrieved 1,812 papers, of which only 23 met the inclusion criteria and presented assessment methods for evaluating balance and motor functions in pediatric CP. These methods were further organized into clinical and instrument-based assessment groups. Among clinical examinations, the Pediatric Balance Scale and Gross Motor Function Measures were considered gold standards and featured in eight studies. In contrast, postural sway measured with the Biodex Balance System, Gait Stability Indices from the GAITRite system, and EMG sensing were the predominant instrument-based observations. Despite this variety, a consensus on the best assessment methods remains lacking. This review highlights the potential of integrating AI-driven metrics that combine clinical and instrument-based data to enhance precision and individualized care. Future research should focus on creating integrated, individualized profiles to better capture the unique capabilities of children with CP, enabling more personalized and effective intervention strategies.
Toothed whales (odontocetes) make use of high-frequency sounds to echolocate, differing significantly from their sister group baleen whales (mysticetes), which make use of low-frequency sound for long-distance communication. This divergence in auditory ability has led to considerable speculation as to how hearing functioned in the ancestral archaeocetes, and when the specializations of modern species arose. Numerous studies have attempted to infer auditory capabilities from morphological correlates valid in modern species. Here, we build upon these previous methods with a focus on cochlear structures that have well-understood links to function. We combine this with information on the sound conduction apparatus to chart the evolutionary trajectory of cetacean hearing. Our results suggest an initial move toward low-frequency specialization in early Eocene cetaceans, which coincides with the appearance of new sound conduction pathways. This paved the way for the later movement toward higher-frequency hearing in protocetids; however, the ultra-high- and low-frequency hearing specializations of both modern cetacean clades evolved after their divergence. We use these data to test the hypotheses that evolutionary brain size increases in cetaceans were related to the origin of high-frequency echolocation. We show that no shift in relative brain size coincides with any changes toward high-frequency perception. However, this does not rule out a role for other changes in hearing ability such as some simple forms of echolocation, similar to that suggested for hippopotamuses or bowhead whales, which may have been present in even the earliest cetaceans.
Bilingualism delays the onset of dementia symptoms and contributes to cognitive reserve. However, the neural basis of this mechanism remains elusive. The few studies that have investigated neural mechanisms of cognitive reserve and bilingualism have focused on Alzheimer’s disease. This study investigated the neural basis of cognitive reserve among persons with frontotemporal dementia (FTD) using regional brain volumes. Sixty-eight persons with FTD (42 bilinguals and 26 monolinguals) were included. After propensity score matching for age, sex, education, FTD subtype and clinical severity, there were 26 bilinguals and 26 monolinguals. The results showed that bilinguals had reduced thalamic volume compared to monolinguals despite having similar cognitive performance. The results indicate that bilinguals were able to tolerate more severe atrophy compared to monolinguals while maintaining comparable cognitive abilities. Our study therefore suggests that bilingualism contributes to cognitive reserve in persons with FTD.
The mass balance of lake-terminating glaciers responds to annual atmospheric variations, while calving-induced ice loss at the front is driven by local ice–water interactions. The current glaciological studies underestimate glacier response by neglecting the significant annual ice loss at the terminus through calving processes. This study integrates field measurements with remote sensing data to investigate the glaciological characteristics and proglacial lake evolution of the Gepang Gath glacier in the Chandra basin, Western Himalaya, India. Long-term observations reveal a continuous expansion of the proglacial lake from 0.21 ± 0.06 km2 (1962) to 1.21 ± 0.05 km2 (2023), along with terminus retreat of ∼2.76 km, attributed to calving at the ice–water interface. The glacier’s surface exhibits complex debris cover, with thicknesses up to 35 cm, creating significant spatial variations in surface mass balance. In-situ, glaciological measurements reveal a highly negative glacier-wide mass balance of −0.90 ± 0.30 m w.e. a−1 between the years 2014 and 2023. The geodetic estimates also reveal a negative mass balance of −0.61 ± 0.1 m w.e. a−1 over the past decade (2013–2023). The frontal area change (0.42 km2) and geodetic mass balance show a total volumetric ice loss of −21.77 × 106 m3 w.e. during the same period. Overall, the yearly frontal ice loss exacerbates the mass loss by 17–22%. These findings suggest that the presence of proglacial lakes plays a significant role in intensifying ice mass loss from Himalayan glaciers, strongly regulating their overall evolution.
Objectives/Goals: Transmission-blocking vaccines hold promise for malaria elimination by reducing community transmission. But a major challenge that limits the development of efficacious vaccines is the vast parasite’s genetic diversity. This work aims to assess the genetic diversity of the Pfs25 vaccine candidate in complex infections across African countries. Methods/Study Population: We employed next-generation amplicon deep sequencing to identify nonsynonymous single nucleotide polymorphisms (SNPs) in 194 Plasmodium falciparum samples from four endemic African countries: Senegal, Tanzania, Ghana, and Burkina Faso. The individuals aged between 1 and 74 years, but most of them ranged from 1 to 19 years, and all presented symptomatic P. falciparum infection. The genome amplicon sequencing was analyzed using Geneious software and P. falciparum 3D7 as a reference. The SPNs were called with a minimum coverage of 500bp, and for this work, we used a very sensitive threshold of 1% variant frequency to determine the frequency of SNPs. The identified SNPs were threaded to the crystal structure of the Pfs25 protein, which allowed us to predict the impact of the novel SNP in the protein or antibody binding. Results/Anticipated Results: We identified 26 SNPs including 24 novel variants, and assessed their population prevalence and variant frequency in complex infections. Notably, five variants were detected in multiple samples (L63V, V143I, S39G, L63P, and E59G), while the remaining 21 were rare variants found in individual samples. Analysis of country-specific prevalence showed varying proportions of mutant alleles, with Ghana exhibiting the highest prevalence (44.6%), followed by Tanzania (12%), Senegal (11.8%), and Burkina Faso (2.7%). Moreover, we categorized SNPs based on their frequency, identifying dominant variants (>25%), and rare variants (Discussion/Significance of Impact: We identified additional SNPs in the Pfs25 gene beyond those previously reported. However, the majority of these newly discovered display low variant frequency and population prevalence. Further research exploring the functional implications of these variations will be important to elucidate their role in malaria transmission.
Cochlear implantation is a groundbreaking surgical procedure offering significant benefits to individuals with severe hearing impairments. Correct placement of the electrode array within the cochlea is crucial for optimal device functionality and auditory outcomes. Our study describes four cases of electrode misplacement along with the factors causing it and discusses solutions for the same.
Methods
Eight hundred cochlear implant cases were reviewed in three tertiary care centres in India, spanning 2011 to 2023.
Results
Four cases of electrode misplacement requiring reimplantation were identified.
Conclusion
This paper discusses the implications of electrode misplacement, the factors contributing to it and the critical role of multidisciplinary approaches in managing such complications. By addressing these issues, we aim to improve surgical techniques and outcomes in cochlear implant procedures.
The minimal faithful permutation degree $\mu (G)$ of a finite group G is the least integer n such that G is isomorphic to a subgroup of the symmetric group $S_n$. If G has a normal subgroup N such that $\mu (G/N)> \mu (G)$, then G is exceptional. We prove that the proportion of exceptional groups of order $p^6$ for primes $p \geq 5$ is asymptotically zero. We identify $(11p+107)/2$ such groups and conjecture that there are no others.
On December 25th, 2021, NASA, in collaboration with the European and Canadian space agencies, achieved a remarkable feat by successfully launching the James Webb Space Telescope (JWST), marking it as the largest and most powerful telescope ever constructed.* The JWST, a monumental collaborative project spanning over two decades, involved scientists and engineers from 300 universities and 14 countries, with a total investment of ten billion dollars.
Despite high levels of depression and anxiety, there is relatively little attention to psychological treatment approaches to mental health issues for older adults living in nursing homes. Recent studies support the use of cognitive behaviour therapy (CBT) in this population and here we aim to highlight how CBT can be successfully adapted and implemented with beneficial results. The ELders AT Ease (ELATE) program is a unique service delivery model illustrating delivery of CBT with older adults living in nursing homes. The six modules forming the program, based on CBT, are described. A systems wide approach to delivery is emphasised and illustrated through two clinical case descriptions. Innovative mental health programs can have positive benefits for both residents and staff and support the use of CBT in this vulnerable and under-served client group.
Key learning aims
(1) Knowledge of the content and application of CBT for older adults living in nursing homes.
(2) Understanding of CBT session structure as applied to older adults living in nursing homes.
(3) Recognising and utilising specific strategies to highlight a systemic approach as central to implementing CBT strategies, such as behavioural activation and reminiscence, with considered involvement by staff and family.
Glacier and snow melt are the primary sources of water for streams, and rivers in upper Indus region of the western Himalaya. However, the magnitude of runoff from this glacierized basin is expected to vary with the available energy in the catchment. Here, we used a physically based energy balance model to estimate the surface energy and surface mass balance (SMB) of the upper Chandra Basin glaciers for 7 hydrological years from 2015 to 2022. A strong seasonality is observed, with net radiation being the dominant energy flux in the summer, while latent and sensible heat flux dominated in the winter. The estimated mean annual SMB of the upper Chandra Basin glaciers is −0.51 ± 0.28 m w.e. a−1, with a cumulative SMB of −3.54 m w.e during 7 years from 2015 to 2022. We find that the geographical factors like aspect, slope, size and elevation of the glacier contribute towards the spatial variability of SMB within the study region. The findings reveal that a 42% increase in precipitation is necessary to counteract the additional mass loss resulting from a 1°C increase in air temperature for the upper Chandra Basin glaciers.
This study investigates the impact of local thermal non-equilibrium on the stability analysis of partially ionized plasma within a porous medium. The plasma, heated from below, is enclosed by various combinations of bounding surfaces. Both nonlinear (via the energy method) and linear (utilizing the normal mode analysis method) analyses are performed. Eigenvalue problems for both analyses are formulated and solved using the Galerkin method. The study also explores the effects of compressibility, medium permeability and magnetic fields on system stability. The collisional frequency among plasma components and the thermal diffusivity ratio significantly influence energy decay. The results reveal that the Rayleigh–Darcy number is identical for both nonlinear and linear analyses, thus eliminating the possibility of a subcritical region and confirming global stability. The principle of exchange of stabilities is validated, indicating the absence of oscillatory convection modes. Medium permeability, heat-transfer coefficient and compressibility delay the onset of convection, demonstrating stabilizing effects. Conversely, the porosity-modified conductivity ratio hastens the convection process, indicating destabilizing effects. Rigid–rigid bounding surfaces are found to be thermally more stable for confining the partially ionized plasma. Additionally, the magnetic field exerts a stabilizing influence.
MTVE is an open-source software tool (citeware) that can be applied in laboratory and online experiments to implement video communication. The tool enables researchers to gather video data from these experiments in a way that these videos can be later used for automatic analysis through machine learning techniques. The browser-based tool comes with an easy user interface and can be easily integrated into z-Tree, oTree (and other experimental or survey tools). It provides the experimenters control over several communication parameters (e.g., number of participants, resolution), produces high-quality video data, and circumvents the Cocktail Party Problem (i.e., the problem of separating speakers solely based on audio input) by producing separate files. Using some of the recommended Voice-to-Text AI, the experimenters can transcribe individual files. MTVE can merge these individual transcriptions into one conversation.
In the current paper, we review existing tools for solving variable selection problems in psychology. Modern regularization methods such as lasso regression have recently been introduced in the field and are incorporated into popular methodologies, such as network analysis. However, several recognized limitations of lasso regularization may limit its suitability for psychological research. In this paper, we compare the properties of lasso approaches used for variable selection to Bayesian variable selection approaches. In particular we highlight advantages of stochastic search variable selection (SSVS), that make it well suited for variable selection applications in psychology. We demonstrate these advantages and contrast SSVS with lasso type penalization in an application to predict depression symptoms in a large sample and an accompanying simulation study. We investigate the effects of sample size, effect size, and patterns of correlation among predictors on rates of correct and false inclusion and bias in the estimates. SSVS as investigated here is reasonably computationally efficient and powerful to detect moderate effects in small sample sizes (or small effects in moderate sample sizes), while protecting against false inclusion and without over-penalizing true effects. We recommend SSVS as a flexible framework that is well-suited for the field, discuss limitations, and suggest directions for future development.
Optical microrobots are activated by a laser in a liquid medium using optical tweezers. To create visual control loops for robotic automation, this work describes a deep learning-based method for orientation estimation of optical microrobots, focusing on detecting 3-D rotational movements and localizing microrobots and trapping points (TPs). We integrated and fine-tuned You Only Look Once (YOLOv7) and Deep Simple Online Real-time Tracking (DeepSORT) algorithms, improving microrobot and TP detection accuracy by $\sim 3$% and $\sim 11$%, respectively, at the 0.95 Intersection over Union (IoU) threshold in our test set. Additionally, it increased mean average precision (mAP) by 3% at the 0.5:0.95 IoU threshold during training. Our results showed a 99% success rate in trapping events with no false-positive detection. We introduced a model that employs EfficientNet as a feature extractor combined with custom convolutional neural networks (CNNs) and feature fusion layers. To demonstrate its generalization ability, we evaluated the model on an independent in-house dataset comprising 4,757 image frames, where microrobots executed simultaneous rotations across all three axes. Our method provided mean rotation angle errors of $1.871^\circ$, $2.308^\circ$, and $2.808^\circ$ for X (yaw), Y (roll), and Z (pitch) axes, respectively. Compared to pre-trained models, our model provided the lowest error in the Y and Z axes while offering competitive results for X-axis. Finally, we demonstrated the explainability and transparency of the model’s decision-making process. Our work contributes to the field of microrobotics by providing an efficient 3-axis orientation estimation pipeline, with a clear focus on automation.
Clozapine is the only evidence-based intervention for treatment-resistant schizophrenia. One of the drug's most well-known and potentially fatal adverse effects is agranulocytosis (severe neutropenia). Hence, regular blood tests are an essential component of clozapine treatment. This article presents a narrative review of the history, incidence, potential aetiology and management of clozapine-associated neutropenia. It gives an overview of clozapine monitoring requirements, including those for benign ethnic neutropenia. We point to the growing body of evidence that the risk of clozapine-induced agranulocytosis is mostly confined to the first year of treatment and that the risk of fatality is considerably lower than previously assumed. Given the absence of alternative evidence-based interventions for treatment-resistant schizophrenia, we suggest that rechallenging with clozapine should be considered in most patients with clozapine-associated mild to moderate neutropenia who do not respond to other treatments. A more careful risk–benefit analysis is needed in cases of severe neutropenia (agranulocytosis).
For older adults requiring permanent care in nursing homes (or residential aged care facilities), there can be a tendency to feel disconnected from their sense of self. Digital storytelling has the potential to improve relationships and social connectedness, and encourage a sense of self and identity; however, there is little research on the implementation of this practice. A qualitative process evaluation was conducted with a sample of 12 volunteers who delivered a Digital Stories programme. The programme connected volunteers with socially isolated residents of nursing homes with the aim of engaging the residents to reminisce and contribute toward creating a digital story about their lives. The study aimed to understand enablers of and barriers to implementing the programme in nursing homes, from the perspective of volunteers. Thematic analysis resulted in several overarching themes and sub-themes. The enablers of implementation included skills and characteristics of the volunteers (e.g. adaptable to residents’ needs), specific features of the programme (e.g. having a shared goal) and support from the nursing home staff. The barriers to implementation included individual traits of the resident (e.g. low capacity for engagement), limitations associated with the prescribed protocol, and managing perspectives regarding what stories are told. Volunteers also made suggestions for future programme development. Implications for successful future digital storytelling projects include ensuring a manualised approach to the program while allowing for flexibility in delivery, careful recruitment of residents and volunteers, and providing comprehensive training and education to volunteers.
Early intervention in psychosis (EIP) services improve outcomes for young people, but approximately 30% disengage.
Aims
To test whether a new motivational engagement intervention would prolong engagement and whether it was cost-effective.
Method
We conducted a multicentre, single-blind, parallel-group, cluster randomised controlled trial involving 20 EIP teams at five UK National Health Service (NHS) sites. Teams were randomised using permuted blocks stratified by NHS trust. Participants were all young people (aged 14–35 years) presenting with a first episode of psychosis between May 2019 and July 2020 (N = 1027). We compared the novel Early Youth Engagement (EYE-2) intervention plus standardised EIP (sEIP) with sEIP alone. The primary outcome was time to disengagement over 12–26 months. Economic outcomes were mental health costs, societal costs and socio-occupational outcomes over 12 months. Assessors were masked to treatment allocation for primary disengagement and cost-effectiveness outcomes. Analysis followed intention-to-treat principles. The trial was registered at ISRCTN51629746.
Results
Disengagement was low at 15.9% overall in standardised stand-alone services. The adjusted hazard ratio for EYE-2 + sEIP (n = 652) versus sEIP alone (n = 375) was 1.07 (95% CI 0.76–1.49; P = 0.713). The health economic evaluation indicated lower mental healthcare costs linked to reductions in unplanned mental healthcare with no compromise of clinical outcomes, as well as some evidence for lower societal costs and more days in education, training, employment and stable accommodation in the EYE-2 group.
Conclusions
We found no evidence that EYE-2 increased time to disengagement, but there was some evidence for its cost-effectiveness. This is the largest study to date reporting positive engagement, health and cost outcomes in a total EIP population sample. Limitations included high loss to follow-up for secondary outcomes and low completion of societal and socio-occupational data. COVID-19 affected fidelity and implementation. Future engagement research should target engagement to those in greatest need, including in-patients and those with socio-occupational goals.