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To examine how food insecurity in childhood up to adolescence relates to eating habits and weight status in young adulthood.
Design:
A longitudinal study design was used to derive trajectories of household food insecurity from age 4·5 to 13 years. Multivariable linear and logistical regression analyses were performed to model associations between being at high risk of food insecurity from age 4·5 to 13 years and both dietary and weight outcomes at age 22 years.
Setting:
A birth cohort study conducted in the Province of Quebec, Canada.
Participants:
In total, 698 young adults participating in the Québec Longitudinal Study of Child Development.
Results:
After adjusting for sex, maternal education and immigrant status, household income and type of family, being at high risk (compared with low risk) of food insecurity in childhood up to adolescence was associated with consuming higher quantities of sugar-sweetened beverages (ßadj: 0·64; 95 % CI (0·27, 1·00)), non-whole-grain cereal products (ßadj: 0·32; 95 % CI (0·07, 0·56)) and processed meat (ßadj: 0·14; 95 % CI (0·02, 0·25)), with skipping breakfast (ORadj: 1·97; 95 % CI (1·08, 3·53)), with eating meals prepared out of home (ORadj: 3·38; 95 % CI (1·52, 9·02)), with experiencing food insecurity (ORadj: 3·03; 95 % CI (1·91, 4·76)) and with being obese (ORadj: 2·01; 95 % CI (1·12, 3·64)), once reaching young adulthood.
Conclusion:
Growing up in families experiencing food insecurity may negatively influence eating habits and weight status later in life. Our findings reinforce the importance of public health policies and programmes tackling poverty and food insecurity, particularly for families with young children.
In Québec, Canada, we evaluated the risk of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) infection associated with (1) the demographic and employment characteristics among healthcare workers (HCWs) and (2) the workplace and household exposures and the infection prevention and control (IPC) measures among patient-facing HCWs.
Design:
Test-negative case-control study.
Setting:
Provincial health system.
Participants:
HCWs with PCR-confirmed coronavirus disease 2019 (COVID-19) diagnosed between November 15, 2020, and May 29, 2021 (ie, cases), were compared to HCWs with compatible symptoms who tested negative during the same period (ie, controls).
Methods:
Adjusted odds ratios (aORs) of infection were estimated using regression logistic models evaluating demographic and employment characteristics (all 4,919 cases and 4,803 controls) or household and workplace exposures and IPC measures (2,046 patient-facing cases and 1,362 controls).
Results:
COVID-19 risk was associated with working as housekeeping staff (aOR, 3.6), as a patient-support assistant (aOR, 1.9), and as nursing staff (aOR, 1.4), compared to administrative staff. Other risk factors included being unexperienced (aOR, 1.5) and working in private seniors’ homes (aOR, 2.1) or long-term care facilities (aOR, 1.5), compared to acute-care hospitals. Among patient-facing HCWs, exposure to a household contact was reported by 9% of cases and was associated with the highest risk of infection (aOR, 7.8). Most infections were likely attributable to more frequent exposure to infected patients (aOR, 2.7) and coworkers (aOR, 2.2). Wearing an N95 respirator during contacts with COVID-19 patients (aOR, 0.7) and vaccination (aOR, 0.2) were the measures associated with risk reduction.
Conclusion:
In the context of the everchanging SARS-CoV-2 virus with increasing transmissibility, measures to ensure HCW protection, including vaccination and respiratory protection, and patient safety will require ongoing evaluation.
There is abundant anecdotal evidence that nondemocratic regimes are harnessing new digital technologies known as social media bots to facilitate policy goals. However, few previous attempts have been made to systematically analyze the use of bots that are aimed at a domestic audience in autocratic regimes. We develop two alternative theoretical frameworks for predicting the use of pro-regime bots: one which focuses on bot deployment in response to offline protest and the other in response to online protest. We then test the empirical implications of these frameworks with an original collection of Twitter data generated by Russian pro-government bots. We find that the online opposition activities produce stronger reactions from bots than offline protests. Our results provide a lower bound on the effects of bots on the Russian Twittersphere and highlight the importance of bot detection for the study of political communication on social media in nondemocratic regimes.
The coronavirus disease 2019 (COVID-19) pandemic was one of the significant causes of death worldwide in 2020. The disease is caused by severe acute coronavirus syndrome (SARS) coronavirus 2 (SARS-CoV-2), an RNA virus of the subfamily Orthocoronavirinae related to 2 other clinically relevant coronaviruses, SARS-CoV and MERS-CoV. Like other coronaviruses and several other viruses, SARS-CoV-2 originated in bats. However, unlike other coronaviruses, SARS-CoV-2 resulted in a devastating pandemic. The SARS-CoV-2 pandemic rages on due to viral evolution that leads to more transmissible and immune evasive variants. Technology such as genomic sequencing has driven the shift from syndromic to molecular epidemiology and promises better understanding of variants. The COVID-19 pandemic has exposed critical impediments that must be addressed to develop the science of pandemics. Much of the progress is being applied in the developed world. However, barriers to the use of molecular epidemiology in low- and middle-income countries (LMICs) remain, including lack of logistics for equipment and reagents and lack of training in analysis. We review the molecular epidemiology literature to understand its origins from the SARS epidemic (2002–2003) through influenza events and the current COVID-19 pandemic. We advocate for improved genomic surveillance of SARS-CoV and understanding the pathogen diversity in potential zoonotic hosts. This work will require training in phylogenetic and high-performance computing to improve analyses of the origin and spread of pathogens. The overarching goals are to understand and abate zoonosis risk through interdisciplinary collaboration and lowering logistical barriers.
The first demonstration of laser action in ruby was made in 1960 by T. H. Maiman of Hughes Research Laboratories, USA. Many laboratories worldwide began the search for lasers using different materials, operating at different wavelengths. In the UK, academia, industry and the central laboratories took up the challenge from the earliest days to develop these systems for a broad range of applications. This historical review looks at the contribution the UK has made to the advancement of the technology, the development of systems and components and their exploitation over the last 60 years.
In this study, we aimed to (1) estimate the severe acute respiratory coronavirus 2 (SARS-CoV-2) infection rate and the secondary attack rate among healthcare workers (HCWs) in Québec, the most affected province of Canada during the first wave; (2) describe the evolution of work-related exposures and infection prevention and control (IPC) practices in infected HCWs; and (3) compare the exposures and practices between acute-care hospitals (ACHs) and long-term care facilities (LTCFs).
Design:
Survey of cases.
Participants:
The study included Québec HCWs from private and public institutions with laboratory-confirmed coronavirus disease 2019 (COVID-19) diagnosed between March 1 and June 14, 2020. HCWs aged ≥18 years who worked during the exposure period and survived their illness were eligible for the survey.
Methods:
After obtaining consent, 4,542 HCWs completed a standardized questionnaire. COVID-19 rates and proportions of exposures and practices were estimated and compared between ACHs and LTCFs.
Results:
HCWs represented 13,726 (25%) of 54,005 reported COVID-19 cases in Québec and had an 11-times greater rate of COVID-19 than non-HCWs. Their secondary household attack rate was 30%. Most affected occupations were healthcare support workers, nurses and nurse assistants working in LTCFs (45%) and ACHs (30%). Compared to ACHs, HCWs in LTCFs had less training, higher staff mobility between working sites, similar PPE use, and better self-reported compliance with at-work physical distancing. Suboptimal IPC practices declined over time but were still present at the end of the first wave.
Conclusion:
Québec HCWs and their families were severely affected during the first wave of COVID-19. Insufficient pandemic preparedness and suboptimal IPC practices likely contributed to high transmission in both LTCFs and ACHs.
The origin and stability of ground ice in the stable uplands of the McMurdo Dry Valleys remains poorly understood, with most studies focusing on the near-surface permafrost. The 2016 Friis Hills Drilling Project retrieved five cores reaching 50 m depth in mid-Miocene permafrost, a period when Antarctica transitioned to a hyper-arid environment. This study characterizes the cryostratigraphy of arguably the oldest permafrost on Earth and assesses 15 Myr of ground ice evolution using the REGO model. Four cryostratigraphic units were identified: 1) surficial dry permafrost (0–30 cm), 2) ice-rich to ice-poor permafrost (0.3–5.0 m) with high solute load and δ18O values (-16.2 ± 1.8‰) and low D-excess values (-65.6 ± 4.3‰), 3) near-dry permafrost (5–20 m) and 4) ice-poor to ice-rich permafrost (20–50 m) containing ice lenses with low solute load and δ18O values (-34.6 ± 1.2‰) and D-excess of 6.9 ± 2.6‰. The near-surface δ18O profile of ground ice is comparable to other sites in the stable uplands, suggesting that this ice is actively responding to changing surface environmental conditions and challenging the assumption that the surface has remained frozen for 13.8 Myr. The deep ice lenses probably originate from the freezing of meteoric water during the mid-Miocene, and their δ18O composition suggests mean annual air temperatures ~7–11°C warmer than today.
The aim of this study was to evaluate the impact of a non-restrictive satiating diet in men displaying various degrees of satiety efficiency. In all, sixty-nine obese men aged 41·5 (sd 5·7) years were randomly assigned to a control (10–15, 55–60 and 30 % energy as protein, carbohydrate and lipid, respectively; n 34) or satiating (20–25, 45–50 and 30–35 % energy as protein, carbohydrate and lipid, respectively; n 35) diet for 16 weeks, and were classified as having a low (LSP) or high (HSP) satiety phenotype. Both diets were consumed ad libitum. Changes in body weight, BMI, percent fat mass, waist circumference, satiety responsiveness and eating behaviour traits were assessed following the intervention. Dropout rates were higher in the control diet (44·1 %) compared with the satiating diet (8·6 %). Decreases in body weight, BMI and waist circumference were significant in both groups, yet HSP individuals lost more body weight than LSP individuals (P=0·048). Decreases in % fat mass were greater in the satiating diet (LSP: −2·1 (sd 2·1) %; P<0·01 and HSP: −3·0 (sd 2·5) %; P<0·001) compared with the control diet (LSP: −1·1 (sd 2·5) % and HSP: −1·3 (sd 2·6) %) (P=0·034). Satiety responsiveness was markedly improved in the satiating diet, whereas no significant changes were observed in the control group. Changes in dietary restraint (+3·3 (sd 2·9) to +7·2 (sd 5·5)), flexible control (+0·9 (sd 1·4) to +2·3 (sd 2·7)), rigid control (+2·2 (sd 1·5) to +2·5 (sd 2·8)), disinhibition (−2·8 (sd 3·7) to −3·2 (sd 2·6)) and susceptibility to hunger (−2·7 (sd 4·1) to −4·6 (sd 3·9)) were similar between the diets. Compared with the control diet, the satiating diet favoured adherence, decreased % fat mass and improved satiety responsiveness in both HSP and LSP individuals.
Extending previous linear stability analyses of the instabilities developing in permeable Taylor–Couette–Poiseuille flows where axial and radial throughflows are superimposed on the usual Taylor–Couette flow, we further examine the linear behaviour and expand the analysis to consider the weakly nonlinear behaviour of convective-type instabilities by means of the derivation of the fifth-order amplitude equation together with direct numerical simulations. Special attention is paid to the influence of the radius ratio $\unicode[STIX]{x1D702}=r_{in}/r_{out}$, and particularly to wide gaps (small $\unicode[STIX]{x1D702}$) and how they magnify the effects of the radial flow. The instabilities take the form of pairs of counter-rotating toroidal vortices superseded by helical ones as the axial flow is increased. Increasing the radial inflow draws these vortices near the inner cylinder, where they shrink relative to the annular gap, when this gap is wide. Strong axial and radial flows in a narrow annular gap lead to a very large azimuthal wavenumber with steeply sloped helical vortices. Strong radial outflow in a wide annular gap results in very large helical vortices. The analytical and numerical saturated vortices match quite well. In addition, radial inflows or outflows can turn the usually supercritical bifurcation from laminar to vortical flow into a subcritical one. The radial flow above which this change occurs decreases as the radius ratio $\unicode[STIX]{x1D702}$ decreases. A practical motivation for this weakly nonlinear analysis is found in modelling dynamic filtration devices, which rely on vortical instabilities to reduce the processes of accumulation on their membranes.
Study of Holocene ostracodes and diatoms from Elk Lake, in North-Central Minnesota, indicates that the local climate of the mid-Holocene can be subdivided into three intervals. Throughout interval 1 (ca. 7800 to 6700 yr B.P.), climate was colder and much drier than today. During intervals 2 and 3 (ca. 6700 to 4000 yr B.P.) average mean-annual air temperatures approached the modern mean (3.7°C), but warm summers persisted throughout interval 2, whereas during interval 3 warm summers fell into discrete episodes. Furthermore, average mean-annual precipitation was about 85 and 90% of modern during intervals 2 and 3, respectively. Transition times between the principal intervals were less than 50 yr. The expected effects of a retreating Laurentide Ice Sheet that initially maintained a winter-style circulation, followed by transitional climate states, and finally a near-modern circulation pattern may explain these local climatic events.
This paper analyzes periods of economic stagnation in a panel of countries. We test whether stagnation can be predicted by institutional characteristics and political shocks and compare the impacts of such variables with those of traditional macroeconomic variables. We examine the determinants of stagnation episodes using dynamic linear and nonlinear models. In addition, we analyze whether the effects of the included variables on the onset of stagnation differ from their effects on the continuation of stagnation. We find that inflation, negative regime changes, real exchange rate undervaluation, financial openness, and trade openness have significant effects on both the onset and the continuation of stagnation. Only for trade openness is there robust evidence of a differential impact. Open economies have a significantly lower probability of falling into stagnation, but once in stagnation they do not recover faster.
Whereas broad-scale Amazonian forest types have been shown to influence the structure of the communities of medium- to large-bodied vertebrates, their natural heterogeneity at smaller scale or within the terra firme forests remains poorly described and understood. Diversity indices of such communities and the relative abundance of the 21 most commonly observed species were compared from standardized line-transect data across 25 study sites distributed in undisturbed forests in French Guiana. We first assessed the relevance of a forest typology based on geomorphological landscapes to explain the observed heterogeneity. As previously found for tree beta-diversity patterns, this new typology proved to be a non-negligible factor underlying the beta diversity of the communities of medium- to large bodied vertebrates in French Guianan terra firme forests. Although the species studied are almost ubiquitous across the region, they exhibited habitat preferences through significant variation in abundance and in their association index with the different landscape types. As terra firme forests represent more than 90% of the Amazon basin, characterizing their heterogeneity – including faunal communities – is a major challenge in neotropical forest ecology.
Digital technology has the potential to transform mental healthcare by
connecting patients, services and health data in new ways. Digital online
and mobile applications can offer patients greater access to information and
services and enhance clinical management and early intervention through
access to real-time patient data. However, substantial gaps exist in the
evidence base underlying these technologies. Greater patient and clinician
involvement is needed to evaluate digital technologies and ensure they
target unmet needs, maintain public trust and improve clinical outcomes.
There are several ways planets can survive the giant phase of the host star, hence one can consider the case of Earth-like planets orbiting white dwarfs. As a white dwarf cools from 6000 K to 4000 K, a planet orbiting at 0.01 AU from the star would remain in the continuous habitable zone (CHZ) for about 8 Gyr. Polarisation due to a terrestrial planet in the CHZ of a cool white dwarf (CWD) is 102 (104) times larger than it would be in the habitable zone of a typical M-dwarf (Sun-like star). Polarimetry is thus a powerful tool to detect close-in planets around white dwarfs. Multi-band polarimetry would also allow one to reveal the presence of a planet atmosphere, even providing a first characterisation. With current facilities a super-Earth-sized atmosphereless planet is detectable with polarimetry around the brightest known CWD. Planned future facilities render smaller planets detectable, in particular by increasing the instrumental sensitivity in the blue. Preliminary habitability study show also that photosynthetic processes can be sustained on Earth-like planets orbiting CWDs and that the DNA-weighted UV radiation dose for an Earth-like planet in the CHZ is less than the maxima encountered on Earth, hence white dwarfs are compatible with the persistence of complex life from the perspective of UV irradiation.