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Hydraulic fracturing generates large volumes of flowback and produced water, composed of complex mixtures of organic and inorganic constituents. The solids associated with these fluids are Fe-rich and can contain toxic organics, heavy metals and naturally occurring radioactive materials (NORMs). Despite this, only a few studies have analysed their composition and there is a lack of understanding about their interactions with microbial communities and their long-term fate in the environment. In this study, we analysed the solids associated with flowback water derived from a hydraulically fractured well in the Bowland Shale, UK. We also investigated the microbial reduction of these Fe(III)-rich materials under anaerobic conditions using anthraquinone-2.6-disulfonate (AQDS) as an electron shuttle and identified the resulting bioreduced mineral phases. XRD characterization indicated that the solids contained akaganeite (β-FeOOH, Cl) and Ba-bearing celestine (SrSO4). These Fe(III)-containing solids served as an electron acceptor for Shewanella frigidimarina and a flowback-derived Fe(III)-reducing enrichment culture. The bioreduced Fe(II)-bearing mineral phase was identified as ankerite [Ca(Fe,Mg,Mn)(CO3)2]; however, the presence of amorphous mineral phases is not ruled out. Microbial community composition was analysed using 16S rRNA gene sequencing. Amplicon sequence variants (ASVs) most closely related to Chromohalobacter, Caminicella and putative Fe(III)-reducing genera were dominant across treatments. Our findings highlight the potential of these Fe(III)-bearing sludges to be harnessed for the development of wastewater treatment strategies; for example, coupling the oxidation of toxic organics with Fe(III) reduction through either the introduction of microbial inocula or biostimulation of the native microbial communities. Furthermore, microbial processing can also be optimized to transform the Fe(III) sludges into denser materials, which are easier to handle and can immobilize toxic metals, thereby reducing the toxicity of this waste.
The fighting stopped in 1975 with Hanois victory. But the battle for the hearts and minds of the American people continued and was propelled by politicians manipulating the mythical cause of POWs/MIAs. Postwar movies filled out the scenario of a war lost because of poor leadership in Washington combined with the baleful influence of the anti-war movement. Presidents wrestled with the legacy of Vietnam, including the controversy over the national Vietnam Memorial. Gerald Ford and Jimmy Carter both attempted to move the nation beyond the grasp of the Vietnam Specter. Both failed. Ronald Reagan used it to help him win the presidency in 1980, after the debacle that followed the occupation of the American Embassy in Tehran, which only seemed to emphasize the nations lost claims to world leadership after Vietnam. George H. W. Bush claimed that it had been buried in the sands of Iraq after the rapid victory in Gulf War I. Bill Clinton succeeded in establishing diplomatic and economic relations with Vietnam. But it re-emerged with renewed force during the Second Gulf War and the never-ending war in Afghanistan. Even today it shapes much thinking about military interventionism.
Following an outbreak of Salmonella Typhimurium in Wales in July 2021 associated with sheep meat and offal, further genetically related cases were detected across the UK. Cases were UK residents with laboratory-confirmed Salmonella Typhimurium in the same 5-single-nucleotide polymorphism (SNP) single-linkage cluster with specimen date between 01/08/2021–2031/12/2022. We described cases using routine (UK) and enhanced (Wales only) surveillance data. Exposures in cases in Wales were compared with non-Typhimurium Salmonella case–controls. Environmental Health Practitioners and the Food Standards Agency investigated supply chains of food premises reported by ≥2 cases. Animal, carcass, and environmental samples taken for diagnostic or monitoring purposes for gastrointestinal pathogens were included in microbiological investigations. We identified 142 cases: 75% in England, 23% in Wales and 3% in Scotland. Median age was 32 years, and 59% were male. Direct contact with sheep was associated with becoming a case (aOR: 14, 95%CI: 1.4–145) but reported by few (6/32 cases). No single food item, premises, or supplier linked all cases. Multi-agency collaboration enabled the identification of isolates in the same 5-SNP single-linkage cluster from a sheep carcass at an English abattoir and in ruminant, wildlife, poultry, and environmental samples, suggesting multiple vehicles and pathways of infection.
Jesmyn Ward's third novel Sing, Unburied, Sing (2017), like her other writing, reaches into US (southern) history and memory to lay bare the deep legacies of racial violence that still striate the nation's landscape. Through multiple first-person narratives, we follow Jojo, his younger sister Kayla, and their mother Leonie, as they drive to Parchman prison to pick up Leonie's white boyfriend Michael who is being released. This journey through the delta landscape, I argue, is also a journey into the region and nation's past. The family drive across an unrelentingly hot landscape that is also marked by the criminal justice system and the legacies of slavery. As they drive, their bodies are pushed to the limit, and we witness different responses to that claustrophobic geography. The book also is, at the title suggests, about giving voice to the dead, and this novel is a ghost story deeply rooted in incarceration. Sing, like Ward's previous novel Salvage the Bones, can be framed through what I call ‘corporeal legacies’: representations of embodiment in contemporary culture that index or register the ongoing and historical subjugations of, and violences done to, Black lives in the US South and beyond.
In this chapter, I want to extend some of the arguments I have made previously (Lloyd 2018) and tie them to Sing because it exemplifies the analytic of corporeal legacies, but also gestures to other futures and uses of that framework. In short, by thinking through the novel's attention to memory-work, which is activated by attention to bodies and the landscape, I show how Sing's corporeal legacies reveal much about Black life in the US South. By looking at bodies that are coming apart and then tying that corporeal instability to the novel's broader concerns with haunting (both personal and cultural), I show how Ward's novel traces a memorative line through the heart of Mississippi and thus of the nation. I begin by showing how corporeal legacies can be mapped onto Sing's narrative; then analyse key scenes in which bodies are shown to be coming apart; then look at the ghostly figures haunting this family and the US South; before turning to the way that these corporeal representations instruct us about the ways that the novel thinks about regional and national memory.
Despite its greatly weakened condition, could organised labour again be counter-hegemonic to and ultimately transformative of capitalism? Or is the current crisis, a crisis of collapse of manufacturing and wages and under-consumption due to the loss of redistributive power by key socio-political agents, possibly the final crisis of unionism, as argued by Wolfgang Streeck? Some on the political left, such as Streeck, argue that a new phase has been reached where redistributive and oppositional power of organised labour has been not just defeated but destroyed, with enormous consequences for the future of workers and capitalism itself. This article rejects such an overly pessimistic interpretation and asks what the possibility is of the labour movement’s again playing its historic role of transforming capitalism. It explores the potential role of organised labour in re-embedding the economy within democratic society, as Karl Polanyi argued, and building a socio-economic structure that is both stable and enhancing of social and environmental health. This problem is approached through a critique of the theories of Polanyi and Streeck and an examination of the unfortunate embrace of labourism and accommodation to neo-liberalism in the Australian labour movement.
Although psychological distress in palliative patients has at least an equal or greater impact on the quality of life compared to physical or spiritual distress, there is limited research on contextual factors associated with psychosocial intervention accessibility and relevance. This is the first published study to explore patients’ views on psychosocial intervention delivery medium preferences, key biopsychosocial target domains, and well-being priorities during the palliative and end-of-life (EOL) phases.
Methods
Eighty-one palliative patients from a Specialist Palliative Care Service completed a questionnaire, which collected quantitative and qualitative data on preferred mediums for receiving psychosocial interventions, priority biopsychosocial target domains, and well-being priorities during the palliative and EOL phases.
Results
Results showed that an individual in-person was the most preferred medium for receiving psychosocial interventions. Improving quality of life, distressing emotions, and adjusting to the palliative care context were the 3 most frequently endorsed biopsychosocial target domains. Valued living and comfortable living were the key priority well-being themes for the palliative phase, whereas being surrounded by loved ones and comfortable and dignified dying were the priority well-being themes for the EOL phase.
Significance of results
Findings highlight psychosocial interventions as an essential part of a holistic approach to patient-centered care throughout both the palliative and the EOL phases. Results can inform the refinement of existing and the development of new psychosocial interventions, particularly those that target emotional distress, adjustment, and quality of life. Furthermore, in-person treatment delivery remains essential in an evolving digital world.
This edited volume, bringing together leading researchers from the United States, the United Kingdom and Europe, offers a new approach to conceptualising segregation.
When using an assessment tool, brevity and validity are essential. Although brief depression inventories exist, they rely heavily on the inclusion of somatic symptoms. This can be problematic in advanced cancer populations; weight loss and sleep disturbance are for the most part ubiquitous in these patients and may not necessarily be indicative of depression.
The Brief Edinburgh Depression Scale (BEDS) is a 6-item shortened version of the Edinburgh Depression Scale which has been validated for use in patients with advanced cancer and is used internationally. The BEDS cut off threshold of 6/18 indicates that depression may be present. However, the BEDS currently provides no information regarding severity. The aim of this study is to establish severity thresholds for the BEDS by comparing it to another depression scale: the commonly used, rigorously validated, Patient Health Questionnaire (PHQ-9).
Method
284 advanced cancer patients attending hospice day services in the North West of England completed both the PHQ-9 and the BEDS. Mean participant age was 66.7 (Standard Deviation = 13.2) and the sample contained both males (n = 102, 36%) and females (n = 182, 64%). BEDS severity thresholds with the highest Sensitivity (Sn) and Specificity (Sp) were selected based on their ability to predict PHQ-9 categories.
Result
A BEDS score of 4 to 6 was selected to indicate ‘mild depression’ (Sn = 81.7, Sp = 65); 7 to 8 ‘moderate depression’ (Sn = 74.8, Sp = 78.7); 9 to 11 ‘moderately severe depression’ (Sn = 82, Sp = 82.9) and 12 or more ‘severe depression’ (Sn = 63.2, Sp = 92.8). A linearly weighted kappa (with s weighting) showed a moderate level of agreement (0.47, 95% Confidence Interval: 0.40-0.54).
Conclusion
The BEDS is a simple and brief tool used to screen for depression in advanced cancer patients. It is administered throughout the UK and multiple translation studies have enabled its global a (including in resource poor countries). The severity thresholds calculated here are derived from a large sample of patients with advanced cancer attending hospice services and demonstrate acceptable sensitivity and specificity in relation to the PHQ-9, a thoroughly validated reference standard. We conclude that the generated BEDS thresholds support use of the BEDS in determining the presence and severity of depression in advanced cancer populations.
Sexual minorities, including those identifying as lesbian, gay, bisexual or queer (LGBQ) are at heightened risk of experiencing mental health problems. Nationally, treatment outcomes within England’s Improving Access to Psychological Therapies (IAPT) services are worse for sexual minority patients than for heterosexuals. An IAPT service in London developed a cognitive behavioural therapy (CBT) group specifically for sexual minority patients to provide a safe, affirmative intervention to learn skills for overcoming depression, anxiety and stress. A qualitative online survey was emailed to all 59 service users who had completed the eight-session intervention, to explore their experiences inductively. Survey data were analysed using qualitative content analysis. Themes were identified in participants’ responses in order to establish which aspects of the group intervention were deemed to be helpful and unhelpful, and to explore suggestions for group improvement. Eighteen people completed the survey (response rate 30.5%). Respondents reported that they found the CBT frame of the group useful, with the LGBQ focus experienced as particularly beneficial, often enhancing engagement with CBT concepts and tools. In addition to generic elements of group therapy that some found difficult, others reported that intragroup diversity, such as generational differences, could lead to a reduced sense of connection. Several suggestions for group improvement were made, including incorporating more diverse perspectives and examples in session content and focusing more on issues relating to intersectionality. These results provide preliminary evidence that a culturally adapted CBT group intervention developed specifically for sexual minorities is acceptable and perceived as offering something unique and helpful.
Key learning aims
(1) To identify the unique experiences and particular mental health disparities that LGBQ people face in life and why a culturally adapted LGBQ CBT group offers both a necessary and unique therapeutic tool to support sexual minorities.
(2) To explore how a culturally adapted CBT group intervention for LGBQ people is experienced in practice, from the service user perspective. In particular, what aspects do LGBQ people find helpful, unhelpful and what might they suggest for future group improvement.
(3) To consider how such CBT groups may be culturally adapted to benefit sexual minorities, including: what actions should be taken in future clinical practice to ensure improvements in the psychological treatment experiences of LGBQ people. Specifically, including the need to incorporate more inclusive and intersectional examples that engage and support recovery from psychological distress.
In 1975, the New Topographics: Photographs of a Man-Altered Landscape exhibition, organized by William Jenkins, at George Eastman House, changed the scope and aesthetics of American landscape photography. Ostensibly pared-back and banal, these black-and-white images formally presented the United States as a series of streets, suburban new builds, industrial sites and warehouses. None bigger than eleven inches by four or thirteen by thirteen, the photographs were also small and unassuming, refusing the grandness and potential sublimity of previous evocations of the US landscape. Rather than present the United States as a series of locations marked by regional and economic differences, photographers such as Robert Adams, Frank Gohlke, Lewis Baltz and Bernd and Hilla Becher now focussed on an increasing homogeneity across terrains, terrains often indeterminable in terms of actual locations, and, more often than not, eerily devoid of human presence. In Neil Campbell's words, the images were “unemotional, flat and appeared everyday, aspiring to ‘neutrality’ with a ‘disembodied eye.’” The New Topographics – according to such readings – differed from earlier depictions of the United States, moving away from the documentary focus on agrarian poverty and urban slums as seen during the Depression, as well as the humanist vision of postwar photographers such as Robert Frank. As William Jenkins put it in the original introduction to the exhibition, New Topographics was a study more “anthropological than critical,” one that would recentre everyday lived experience – not as a collection of individualized narratives, but as a cultural landscape marked by commercial interests above all.
This article explores Sally Mann's memoir Hold Still (2015) as a complex photo-text that excavates, mediates and shapes memories, both of her family and of the US South more broadly. Theorizing photo-text topographics, the article argues that various landscapes (regional, memorative, aesthetic) are mediated by the interrelation between word and image. Mann's depictions of her children, southern location, and – most explicitly – black–white relations in the United States will be shown to reveal how the past can never be “held still.”
It is UK Government policy to dispose of higher activity radioactive waste through geological disposal into an engineered deep underground geological disposal facility (GDF; DECC, 2014). Those wastes include low-level (LLW) and intermediate-level (ILW) radioactive wastes that are very heterogeneous, containing a range of inorganic and organic materials, the latter including cellulosic items. After closure of the GDF, eventual resaturation with groundwater is expected, resulting in the development of a hyperalkaline environment due to the proposed use of a cementitious backfill. Under these high-pH conditions, cellulose is unstable and will be degraded chemically, forming a range of water-soluble, low molecular weight compounds, of which the most abundant is isosaccharinic acid (ISA). As ISA is known to form stable soluble complexes with a range of radionuclides, thereby increasing the chance of radionuclide transport, the impact of microbial metabolism on this organic substrate was investigated to help determine the role of microorganisms in moderating the transport of radionuclides from a cementitious GDF. Anaerobic biodegradation of ISA has been studied recently in high-pH cementitious ILW systems, but less work has been done under anaerobic conditions at circumneutral conditions, more representative of the geosphere surrounding a GDF. Here we report the fate of ISA in circumneutral microcosms poised under aerobic and anaerobic conditions; the latter with nitrate, Fe(III) or sulfate added as electron acceptors. Data are presented confirming the metabolism of ISA under these conditions, including the direct oxidation of ISA under aerobic and nitrate-reducing conditions and the fermentation of ISA to acetate, propionate and butyrate prior to utilization of these acids during Fe(III) and sulfate reduction. The microbial communities associated with these processes were characterized using 16S rRNA gene pyrosequencing. Methane production was also quantified in these experiments, and the added electron acceptors were shown to play a significant role in minimizing methanogenesis from ISA and its breakdown products.
Neptunium-237 will be present in radioactive wastes over extended time periods due to its long half-life (2.13 × 106 years). Understanding its behaviour under conditions relevant to radioactive waste disposal is therefore of particular importance. Here, microcosm experiments were established using sediments from a legacy lime workings with high-pH conditions as an analogue of cementitious intermediate-level radioactive waste disposal. To probe the influence of Fe biogeochemistry on Np(V) in these systems, additional Fe(III) (as ferrihydrite) was added to select experiments. Biogeochemical changes were tracked in experiments with low levels of Np(V) (20 Bq ml–1; 3.3 μM), whilst parallel higher concentration systems (2.5 KBq ml–1; 414 μM) allowed X-ray absorption spectroscopy. As expected, microbial reduction processes developed in microbially-active systems with an initial pH of 10; however, during microbial incubations the pH dropped from 10 to ∼7, reflecting the high levels of microbial metabolism occurring in these systems. In microbially-active systems without added Fe(III), 90% sorption of Np(V) occurred within one hour with essentially complete removal by one day. In the ferrihydrite-amended systems, complete sorption of Np(V) to ferrihydrite occurred within one hour. For higher-activity sediments, X-ray absorption spectroscopy (XAS) at end points where Fe(II) ingrowth was observed confirmed that complete reductive precipitation of Np(V) to Np(IV) had occurred under similar conditions to low-level Np experiments. Finally, pre-reduced, Fe(III)-reducing sediments, with and without added Fe(III) and held at pH 10, were spiked with Np(V). These alkaline pre-reduced sediments showed significant removal of Np to sediments, and XAS confirmed partial reduction to Np(IV) with the no Fe system, and essentially complete reduction to Np(IV) in the Fe(III)-enriched systems. This suggested an indirect, Fe(II)-mediated pathway for Np(V) reduction under alkaline conditions. Microbial analyses using 16S rRNA gene pyrosequencing suggested a role for alkali-tolerant, Gram-positive Firmicutes in coupled Fe(III) reduction and Np immobilization in these experiments.
Horehound seed from Wyperfeld (Wyp90 and Wyp93) had optimum germination (98%) at constant 25 C and alternating 30/15 C at 0 MPa, while seed from Swift's Creek (SC93) had optimum germination at constant 25 to 27 C (84%) or alternating 25/15 C (95%). The Generalized Additive Models showed the effects of the three covariates (temperature, temperature difference and water potential) followed a smooth and regular pattern. Germination of SC93, Wyp90 and Wyp93 seed increased (P < 0.001) by 9.1, 6.1, and 11.6% for each degree increase in temperature difference but decreased (P < 0.001) with decreases in water potential by a factor of 4.1, 4.8, and 7.1 respectively, and ceased at −1.5 MPa. At constant temperatures the odds of germination were 27, 19, and 18% smaller for water potentials of 0, −0.25 and −0.5 MPa than when alternating temperatures varied by 15 C.
To record the development of liaison psychiatry in the UK and to summarise the current levels of activity. We also highlight the challenges the specialty may face if it is to develop further. History since the 1970s is reviewed by early pioneers and those involved in the present day, with a focus on the key role played by members of the Royal College of Psychiatrists.
Results
We describe the development of training guidelines, the publication of joint documents with other Royal Colleges, establishing international collaborations and defining service specifications. We emphasise the importance of collaboration with other medical organisations, and describe successes and pitfalls.
Clinical implications
Much has been achieved but challenges remain. Liaison psychiatry has a potentially important role in improving patient care. It needs to adapt to the requirements of the current National Health Service, marshal evidence for cost-effectiveness and persuade healthcare commissioners to fund services that are appropriate for the psychological needs of general hospital patients.
Imaging biomarkers for Alzheimer's disease include medial temporal lobe
atrophy (MTLA) depicted on computed tomography (CT) or magnetic resonance
imaging (MRI) and patterns of reduced metabolism on fluorodeoxyglucose
positron emission tomography (FDG-PET).
Aims
To investigate whether MTLA on head CT predicts the diagnostic usefulness
of an additional FDG-PET scan.
Method
Participants had a clinical diagnosis of Alzheimer's disease
(n = 37) or dementia with Lewy bodies (DLB;
n = 30) or were similarly aged controls
(n = 30). We visually rated MTLA on coronally
reconstructed CT scans and, separately and blind to CT ratings, abnormal
appearances on FDG-PET scans.
Results
Using a pre-defined cut-off of MTLA ⩾5 on the Scheltens (0–8) scale, 0/30
controls, 6/30 DLB and 23/30 Alzheimer's disease had marked MTLA. FDG-PET
performed well for diagnosing Alzheimer's disease v. DLB
in the low-MTLA group (sensitivity/specificity of 71%/79%), but in the
high-MTLA group diagnostic performance of FDG-PET was not better than
chance.
Conclusions
In the presence of a high degree of MTLA, the most likely diagnosis is
Alzheimer's disease, and an FDG-PET scan will probably not provide
significant diagnostic information. However, in cases without MTLA, if
the diagnosis is unclear, an FDG-PET scan may provide additional
clinically useful diagnostic information.
It is perhaps a stereotype, if not an axiom, to say that the South is an inherently gothic region whose dark cultural fabric is woven by haunting, traumatic memory and lingering violence. Moreover, it seems as though the Southern Gothic is alive and well today. The South has long been depicted as the nation's other, an aberrant space within America's borders, and the Civil War's division between North and South retains much of its cultural force, if not necessarily geographical certainty. This essay posits that the Southern Gothic, in various manifestations, still defines much of the region's cultural output. While the present essay takes cinematic and televisual examples from the twenty-first century – Trash Humpers (2009), True Blood (2008–14), and Black Snake Moan (2006) – as evidence of this gothic focus, I will chart a brief history of the Southern Gothic in order to connect contemporary culture to canonical literature and theory.
In his wide-ranging and personal rumination on the horror genre, Danse Macabre (1981), Stephen King notes a particular Southern branch of this fiction. He takes the minor novel The Beguiled (1966), by Thomas Cullinan, as an example, the gothic story of a Union soldier ‘who loses his legs and then his life to the deadly angels of mercy who dwell in a ruined girls’ school that has been left behind in Sherman's march to the sea’ (King 2000: 310). King immediately uses the figure of the land, longstanding in the South, to describe Cullinan's work. ‘One is tempted’, King writes, ‘to believe that outside of the South, such an idea wouldn't raise much more than ragweed. But in this soil, it grows a vine of potent, crazed beauty’ (King 2000: 310). King pushes the metaphor of rootedness further, suggesting that the most canonical (and often gothic) of Southern writers, William Faulkner, ‘did more than drop a few seeds’ in this soil: ‘he planted the whole damn garden’ (310). Discussing Faulkner's Sanctuary (1931), King states: ‘there is something frighteningly lush and fertile in the Southern imagination, and this seems particularly so when it turns into the gothic channel’ (311). Rich in imagination, Southern soil is thus also inherently gothic.
Australian economic history as a branch of social science has had a history of disputation and debate between different approaches. Australian thinkers have made distinctive contributions to economic and economic-historical thinking since the late 19th century. The years immediately following World War 2 marked a watershed in Australia's economic development, as in the rest of the advanced capitalist world. In Australia the maturation of the orthodox approach to economic history was a natural outgrowth from the earlier era's interests in the use of statistics combined with a causal narrative presentation and also sectoral development theory. The seminal works of Fitzpatrick, which were heterodox but not strongly Marxist, had a central emphasis on social class and capitalist power. Noel Butlin's concept of 'colonial socialism' attempted to bring institutional political economy further into the centre of analysis, a perspective implicit in much older writing about Australia's history but one lacking conceptualisation.