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Following inter-/transdisciplinary ideas, environmental education inherently collaborates with other subjects, including physical education. As the work with other subjects might be jeopardised by differing worldviews and paradigms, it is worth illuminating compatible and incompatible positions for inter-/transdisciplinary work. In physical education, the concept of physical literacy (PL) has recently gained considerable attention and adopts a student-centred perspective on human existence and learning. Therefore, the goal of the present narrative integrative review was to review the existing literature at the nexus between physical education and environmental education through a PL lens (five pre-defined concept assumptions). After screening for eligibility, a total of 129 articles were assigned to five different thematic categories: (a) conceptual discussion/argumentative patterns, (b) curricular discussion and international comparisons, (c) programming/intervention content, (d) teacher and enabler perspectives and (e) student outcomes/perspectives. The synthesis revealed that PL can harmonise with the educative work when respecting the disciplinary interests of both physical education and environmental education. However, few intervention studies translate the holistic PL claims into interventions. Accordingly, evaluations with teachers or students less frequently integrated holistic learning experiences in line with PL. In summary, previous research at the nexus has not yet exhausted its full inter-/transdisciplinary potential.
Birds possess the most diverse assemblage of haemosporidian parasites, although the true diversity is unknown due to high genetic diversity and insufficient sampling across all avian clades. Waterfowl (Order Anseriformes) are an ideal group to discover hidden parasite diversity and examine the role of host ecology in parasite transmission. Waterfowl contain 2 distinct feeding guilds, dabbling and diving, which differ in niche utilization that likely alters vector encounter rates and haemosporidian parasite risk. To determine the role of feeding guild in haemosporidian parasitism we analysed 223 blood samples collected by hunters from the upper Midwest of the United States from 2017 to 2019. Fifty-four individuals were infected by haemosporidian parasites (24·2% prevalence). Infection prevalence differed significantly between dabbling (34·9%, n = 109) and diving (14·0%, n = 114) ducks. Feeding guild was the only host trait that could predict haemosporidian infection risk, with a significantly higher risk in dabbling ducks. Twenty-four haemosporidian lineages were identified, with 9 identified for the first time. Thirteen lineages were found only in dabbling ducks, 5 only in diving ducks and 6 in both feeding guilds. Community analysis showed that each feeding guild harboured a unique parasite community. There was no phylogenetic signal of feeding guild within a phylogenetic reconstruction of North American waterfowl haemosporidian lineages. Our results demonstrate that waterfowl contain a diverse and distinct community of haemosporidian parasites. The unique composition of each feeding guild determines not only haemosporidian infection risk but also community structure. This is the first report of such an impact for waterfowl feeding guilds.
Responding to increasing concerns regarding human-induced climate change and shared commitment as environmental educators to support climate action, we crafted this article as a composite piece — an emerging method of inquiry. We are eleven contributors: the Editorial Executive of the Australian Journal of Environmental Education and two colleagues who each respond to prompts concerning our experience of climate change and our practices of climate change education. The responses provide insights regarding how we strive to enact meaningful climate action, education, advocacy and agency. This article presents the reader with various ways environmental educators work through eco-anxiety and engage in active hope when supporting climate change education/agency/action. The following insights emerged, illustrating 1. the significance of embracing diverse perspectives and knowledge systems; 2. Emotions as catalysts for action and activism; 3. the value of fostering collaborative spaces/relationships/communities that empower people; 4. the importance of integrating ethical responses and critical climate literacy in climate change education/research; 5. learning from places and multi-species entanglements; 6. acknowledging tensions. We offer these six insights not as a solution but as a potentially generative heuristic for navigating the complexity and uncertainty of climate change education in contemporary times.
For adult patients with Staphylococcus aureus bacteremia (SAB), Infectious Diseases consultation (IDC) significantly lowers mortality and recurrence rate. Our systematic review and meta-analysis demonstrate that IDC is also associated with significantly lower mortality in children with SAB. Analysis of the impact of IDC on pediatric recurrence rates revealed moderate heterogeneity.
A clinical tool to estimate the risk of treatment-resistant schizophrenia (TRS) in people with first-episode psychosis (FEP) would inform early detection of TRS and overcome the delay of up to 5 years in starting TRS medication.
Aims
To develop and evaluate a model that could predict the risk of TRS in routine clinical practice.
Method
We used data from two UK-based FEP cohorts (GAP and AESOP-10) to develop and internally validate a prognostic model that supports identification of patients at high-risk of TRS soon after FEP diagnosis. Using sociodemographic and clinical predictors, a model for predicting risk of TRS was developed based on penalised logistic regression, with missing data handled using multiple imputation. Internal validation was undertaken via bootstrapping, obtaining optimism-adjusted estimates of the model's performance. Interviews and focus groups with clinicians were conducted to establish clinically relevant risk thresholds and understand the acceptability and perceived utility of the model.
Results
We included seven factors in the prediction model that are predominantly assessed in clinical practice in patients with FEP. The model predicted treatment resistance among the 1081 patients with reasonable accuracy; the model's C-statistic was 0.727 (95% CI 0.723–0.732) prior to shrinkage and 0.687 after adjustment for optimism. Calibration was good (expected/observed ratio: 0.999; calibration-in-the-large: 0.000584) after adjustment for optimism.
Conclusions
We developed and internally validated a prediction model with reasonably good predictive metrics. Clinicians, patients and carers were involved in the development process. External validation of the tool is needed followed by co-design methodology to support implementation in early intervention services.
OBJECTIVES/GOALS: The goal of theIntegrating Special Populations (ISP) Studiosis tointegrate communityvoice into research design and en hance diversity, equity, and inclusion in research, and disseminate findings in ways that improve health literacy and equity. METHODS/STUDY POPULATION: Based on the Vanderbilt Community Engagement Studio model, the ISP Studiowas designed through multiple phases, including Designand PilotStudioSessions. Stakeholders were diverse representatives of community and academic organizations serving special populations, as well asself-identified persons within special populations as defined by the NIH.Each phase of development and implementation of the Studio included an evaluation consisting of Likert scale and open-ended survey questions for process improvement and to integrate voices of the ISP community continuously. Demographic information and program outcomes were also collected via the evaluation survey. RESULTS/ANTICIPATED RESULTS: All Design Session (N=9) and Pilot Studio (N=10) participants indicated that the Design and Pilot were positive, relevant, bidirectionally useful, and fostered respect, trust, and inclusion. 100% of the panel strongly agreed the Studio met its goals and that the ISP Studios have potentialtobenefitspecial and under represented populations. Qualitative data and discussion on design will also be shared. Additi onaland relevant pointsincludepanelisttraining,compensation for community panelists, and ensuring accessibility. Evaluation outcomes from initial implementation of the ISP Studio will be discussed. DISCUSSION/SIGNIFICANCE: The ISP Studio is an innovative model that may increase engagement of special populations in the research process through co-creation and integration of lived experiences.It has the potential to improve research design, implementation, and impact.
Hydrilla [Hydrilla verticillata (L. f.) Royle], an invasive aquatic weed, has had a rich introduction history into the United States, with multiple subspecies being introduced since the 1960s. The most recent occurred before 2016, when northern hydrilla (Hydrilla verticillata ssp. lithuanica) was discovered in the Connecticut River. By 2021, following a 3-yr survey from Agawam, MA, to the Long Island Sound by the Connecticut Agricultural Experiment Station Office of Aquatic Invasive Species, H. verticillata ssp. lithuanica was found in more than 113 km of the river, occupying 344 ha. Since this survey, there has been concern that H. verticillata ssp. lithuanica would spread to nearby waterbodies and have a significant negative impact. Here, we report the first documented spread and establishment of H. verticillata ssp. lithuanica from the Connecticut River to five waterbodies in Connecticut and one in Massachusetts. Of the eight sites where H. verticillata observations were made, 75% (n = 6) were confirmed to be H. verticillata ssp. lithuanica and 25% (n = 2) to be Hydrilla verticillata ssp. peregrina (wandering hydrilla). Except for one site, all six locations infested with H. verticillata ssp. lithuanica provide watercraft access through public or private boat ramps. The authors also postulate on the mechanisms facilitating the spread and establishment of this subspecies.
We have employed the VULCAN laser facility to generate a laser plasma X-ray source for use in photoionization experiments. A nanosecond laser pulse with an intensity of order 1015 Wcm−2 was used to irradiate thin Ag or Sn foil targets coated onto a parylene substrate, and the L-shell emission in the 3.3–4.4 keV range was recorded for both the laser-irradiated and nonirradiated sides. Both the experimental and simulation results show higher laser to X-ray conversion yields for Ag compared with Sn, with our simulations indicating yields approximately a factor of two higher than those found in the experiments. Although detailed angular data were not available experimentally, the simulations indicate that the emission is quite isotropic on the laser-irradiated side but shows close to a cosine variation on the nonirradiated side of the target as seen experimentally in the previous work.
The high-density siliciclastic minerals (e.g. zircon) in the coarse fractions (>44 mm, informally known as grit) of the mined Georgia kaolins are potential and significant sources of the rare-earth elements (REE). The abundances and provenance of the REE signature have not been studied extensively for the Georgia kaolins. The objective of the present study was, therefore, to define the contribution of these heavy minerals (e.g. zircon) to the REE inventory of the coarse fractions of Georgia kaolins. Heavy-mineral subfractions separated from the coarse fractions contained 1647 mg/kg REE from the Jeffersonville Member of the Lower Tertiary Huber Formation and 5012 mg/kg REE from the Buffalo Creek Kaolin Member of the Upper Cretaceous Galliard Formation, respectively. These heavy-mineral subfractions were enriched 10–100 times in the heavy rare-earth elements (HREE, Gd—Lu,), Hf, and Zr relative to the concentrations of these elements in Upper Continental Crust. The heavy-mineral subfractions comprised 5% of the coarse fractions (grit) of these two kaolin-producing formations. The heavy-mineral subfractions consisted of zircon, anatase, rutile, kaolinite, and minor amounts of muscovite, trace ilmenite, and staurolite. The large concentrations of REE were obtained by separating the dense heavy minerals from the coarse fraction (grit) obtained during the typical production of kaolin-group minerals (kaolinite) from kaolin ore. The amount of zircon (estimated from the 6–11 wt.% Zr) and the absence of monazite did not explain the high concentrations of REE in the heavy-mineral subfractions. The large amounts of REE could have resulted from the sorption of REE released during weathering reactions, or from the presence of small amounts (0.025 wt.%) each of monazite and xenotime in addition to the presence of zircon. This heavymineral subfraction represented a novel domestic resource of extractable REE, especially the HREE, of a grade as high as 0.50 wt.% total REE.
In this study, the transport equation for scalar iso-surface area density ($\varSigma$) in a turbulent, temporally developing mixing layer is examined. Exploring the spatial and temporal evolution of the terms in the $\varSigma$ transport equation is vital to improving our understanding of turbulent flows characterized by distinct interfaces, e.g. the flame surface or the turbulent/non-turbulent interface. Previous work reported by the authors identified that $\varSigma$ exhibits self-similar behaviour consistent with the development of the temporal mixing layer (Blakeley et al., J. Fluid Mech., vol. 951, 2022, A44). Accordingly, each of the terms in the $\varSigma$ transport equation is found to behave in a self-similar manner, though there are notable differences in the self-similar behaviours for each term. Based on the results presented herein, it is suggested that the rate of change of $\varSigma$ ($\partial \varSigma /\partial t$) and the advection term scale with $h\lambda _\varPhi /\Delta U$, where $h$ is the width of the mixing layer, $\lambda _\varPhi$ is the scalar Taylor length scale and $\Delta U$ is the velocity difference. The production and destruction terms are found to scale with an additional factor $({Re}\,Sc)^{1/2}$. In contrast, the molecular diffusion term is found to scale with a factor $({Re}\,Sc)^{-1/2}$ compared to $\partial \varSigma /\partial t$. Importantly, it is found that the difference between the production and destruction terms, or net surface ‘stretch’, scales with the same factor as $\partial \varSigma /\partial t$ and the advection term, which may have a significant impact on how the evolution of $\varSigma$ is understood and modelled in turbulent flows.
Lithic technologies dominate understanding of early humans, yet natural processes can fracture rock in ways that resemble artefacts made by Homo sapiens and other primates. Differentiating between fractures made by natural processes and primates is important for assessing the validity of early and controversial archaeological sites. Rather than depend on expert authority or intuition, the authors propose a null model of conchoidally fractured Antarctic rocks. As no primates have ever occupied the continent, Antarctica offers a laboratory for generating samples that could only have been naturally fractured. Examples that resemble artefacts produced by primates illustrate the potential of ‘archaeological’ research in Antarctica for the evaluation of hominin sites worldwide.
A principal topic of interest and importance in stably stratified flows is how turbulence irreversibly mixes the ambient density field. Because the density field is coupled dynamically to the velocity field through the stable stratification, this mixing affects the overall flow dynamics, and its accurate parameterisation has become a ‘grand challenge’ in environmental fluid mechanics (Dauxois et al., Phys. Rev. Fluids, vol. 6, issue 2, 2021, 020501). In order to better understand the detailed kinematics of mixing in a stably stratified fluid, Jiang et al. (2022) perform experiments using a unique laboratory facility, capable of generating controllable stratified shear flows, and providing almost instantaneous density and three-component velocity measurements on a high-resolution, three-dimensional grid. Using three-dimensional data sets from the experiments, they employ the rortex–shear decomposition to identify the morphology of instantaneous rortices in the flow fields, leading to the interpretation of the motion of the rortices and ultimately to how the rortices cause irreversible mixing of the density field. This marks one of the first studies where, in a laboratory setting, full use has been made of somewhat high-resolution, three-dimensional near-instantaneous measurements; it demonstrates what can be accomplished in the laboratory, setting a new standard for future experiments.
Understanding the behaviour of scalar isosurfaces in a turbulent flow is of particular interest for many problems in turbulent mixing that contain sharp interfaces between regions of the flow. Common examples include combustion, where the chemical reactions occur in thin regions within the flow, and the turbulent/non-turbulent interface in shear flows, where a thin region separates the rotational, turbulent motions from the irrotational, non-turbulent background. Recent advances in computing technology allow for in-depth analysis of these interface problems that are difficult to quantify in a laboratory setting. In this paper, the results of a direct numerical simulation of a passive scalar $\varPhi$ evolving on a turbulent, temporally developing mixing layer are described. A novel approach has been taken to calculate the surface area of individual scalar isosurfaces, $A_{iso}$, throughout the simulation, as well as the mean isosurface area density, $\varSigma$, as a function of the cross-stream direction and time. A notable finding is that the profiles of $\varSigma$ develop in a self-similar manner when scaled by the Taylor scale of the scalar field, $\lambda _\phi$. Remarkably, the scaling appears to hold for a wide range of isovalues. A rough scaling argument based on the formal definition of $\varSigma$ and properties of a temporal mixing layer is presented which also exposes a dependence on $\lambda _\phi$. Based on these results, a possible scaling for the isosurface area is presented as $A_{iso}/A_0 \sim (Re \, Sc)^{1/2}$, where $Re$ and $Sc$ are local Reynolds and Schmidt numbers, respectively.
We introduce a new holdings-based procedure to identify whether a mutual fund has a benchmark discrepancy, which we define as a benchmark other than the prospectus benchmark best matching a fund’s investment strategy. We find that funds with a benchmark discrepancy tend to be riskier than their prospectus benchmarks indicate. As a result, the funds on average outperform their prospectus benchmarks, before further risk adjustments, despite underperforming the benchmarks that best match their portfolios.
Healthcare-associated infections (HAIs) remain a major challenge. Various strategies have been tried to prevent or control HAIs. Positive deviance, a strategy that has been used in the last decade, is based on the observation that a few at-risk individuals follow uncommon, useful practices and that, consequently, they experience better outcomes than their peers who share similar risks. We performed a systematic literature review to measure the impact of positive deviance in controlling HAIs.
Methods:
A systematic search strategy was used to search PubMed, CINAHL, Scopus, and Embase through May 2020 for studies evaluating positive deviance as a single intervention or as part of an initiative to prevent or control healthcare-associated infections. The risk of bias was evaluated using the Downs and Black score.
Results:
Of 542 articles potentially eligible for review, 14 articles were included for further analysis. All studies were observational, quasi-experimental (before-and-after intervention) studies. Hand hygiene was the outcome in 8 studies (57%), and an improvement was observed in association with implementation of positive deviance as a single intervention in all of them. Overall HAI rates were measured in 5 studies (36%), and positive deviance was associated with an observed reduction in 4 (80%) of them. Methicillin-resistant Staphylococcus aureus infections were evaluated in 5 studies (36%), and positive deviance containing bundles were successful in all of them.
Conclusions:
Positive deviance may be an effective strategy to improve hand hygiene and control HAIs. Further studies are needed to confirm this effect.
Gravitational waves from coalescing neutron stars encode information about nuclear matter at extreme densities, inaccessible by laboratory experiments. The late inspiral is influenced by the presence of tides, which depend on the neutron star equation of state. Neutron star mergers are expected to often produce rapidly rotating remnant neutron stars that emit gravitational waves. These will provide clues to the extremely hot post-merger environment. This signature of nuclear matter in gravitational waves contains most information in the 2–4 kHz frequency band, which is outside of the most sensitive band of current detectors. We present the design concept and science case for a Neutron Star Extreme Matter Observatory (NEMO): a gravitational-wave interferometer optimised to study nuclear physics with merging neutron stars. The concept uses high-circulating laser power, quantum squeezing, and a detector topology specifically designed to achieve the high-frequency sensitivity necessary to probe nuclear matter using gravitational waves. Above 1 kHz, the proposed strain sensitivity is comparable to full third-generation detectors at a fraction of the cost. Such sensitivity changes expected event rates for detection of post-merger remnants from approximately one per few decades with two A+ detectors to a few per year and potentially allow for the first gravitational-wave observations of supernovae, isolated neutron stars, and other exotica.
[Improvement in daily accessible risk assessments]
We show enhanced patient safety through a quality improvement methodology project in an intensive psychiatric care unit of a psychiatric hospital in southwest of Scotland. This is a project as part of the national patient safety programme in mental health. The Scottish Patient Safety Programme for Mental Health aims to systematically reduce harm experienced by people using mental health services in Scotland, by supporting frontline staff to test, gather real-time data and reliably implement interventions, before spreading across their catchment area.
Multidisciplinary staff worked together in improving recording of daily electronic and paper based risk assessments from a baseline of 20% to nearly 100% over a sixth month period. We expect better quality risk management by readily accessible risk assessments and safe practise through enhanced safety perception by the patients as well as staff. Patient and staff safety perception tools were designed to measure impact of improvement in risk management. We have seen drop in the number of critical incidents and challenging situations requiring restraint following coordinated approach to risk assessment and easy access to key information. We have been successful as the frontline staff became part of the process of change and this has enabled sustained improvement.
In the UK, mental illness is a major source of disease burden costing in the region of £105 billion pounds. mHealth is a novel and emerging field in psychiatric and psychological care for the treatment of mental health difficulties such as psychosis.
Objective
To develop an intelligent real-time therapy (iRTT) mobile intervention (TechCare) which assesses participant's symptoms in real-time and responds with a personalised self-help based psychological intervention, with the aim of reducing participant's symptoms. The system will utilise intelligence at two levels:
– intelligently increasing the frequency of assessment notifications if low mood/paranoia is detected;
– an intelligent machine learning algorithm which provides interventions in real-time and also provides recommendations on the most popular selected interventions.
Aim
The aim of the current project is to develop a mobile phone intervention for people with psychosis, and to conduct a feasibility study of the TechCare App.
Methods
The study consists of both qualitative and quantitative components. The study will be run across three strands:
– qualitative work;
– test run and intervention refinement;
– feasibility trial.
Results
Preliminary analysis of qualitative data from Strand 2 (test run and intervention refinement) in-depth interviews with service users (n = 2) and focus group with health professionals (n = 1), highlighted main themes around security of the device, multimedia and the acceptability of psychological interventions being delivered via the TechCare App.
Conclusions
Research in this area can be potentially helpful in addressing the demand on mental health services globally, particularly improving access to psychological interventions.
Disclosure of interest
The authors have not supplied their declaration of competing interest.
Quality improvement and patient safety (QIPS) competencies are increasingly important in emergency medicine (EM) and are now included in the CanMEDS framework. We conducted a survey aimed at determining the Canadian EM residents’ perspectives on the level of QIPS education and support available to them.
Methods
An electronic survey was distributed to all Canadian EM residents from the Royal College and Family Medicine training streams. The survey consisted of multiple-choice, Likert, and free-text entry questions aimed at understanding familiarity with QIPS, local opportunities for QIPS projects and mentorship, and the desire for further QIPS education and involvement.
Results
Of 535 EM residents, 189 (35.3%) completed the survey, representing all 17 medical schools; 77.2% of respondents were from the Royal College stream; 17.5% of respondents reported that QIPS methodologies were formally taught in their residency program; 54.7% of respondents reported being “somewhat” or “very” familiar with QIPS; 47.2% and 51.5% of respondents reported either “not knowing” or “not having readily available” opportunities for QIPS projects and QIPS mentorship, respectively; 66.9% of respondents indicated a desire for increased QIPS teaching; and 70.4% were interested in becoming involved with QIPS training and initiatives.
Conclusions
Many Canadian EM residents perceive a lack of QIPS educational opportunities and support in their local setting. They are interested in receiving more QIPS education, as well as project and mentorship opportunities. Supporting residents with a robust QIPS educational and mentorship framework may build a cohort of providers who can enhance the local delivery of care.
The Canadian Resident Matching Service (CaRMS) selection process has come under scrutiny due to the increasing number of unmatched medical graduates. In response, we outline our residency program's selection process including how we have incorporated best practices and novel techniques.
Methods
We selected file reviewers and interviewers to mitigate gender bias and increase diversity. Four residents and two attending physicians rated each file using a standardized, cloud-based file review template to allow simultaneous rating. We interviewed applicants using four standardized stations with two or three interviewers per station. We used heat maps to review rating discrepancies and eliminated rating variance using Z-scores. The number of person-hours that we required to conduct our selection process was quantified and the process outcomes were described statistically and graphically.
Results
We received between 75 and 90 CaRMS applications during each application cycle between 2017 and 2019. Our overall process required 320 person-hours annually, excluding attendance at the social events and administrative assistant duties. Our preliminary interview and rank lists were developed using weighted Z-scores and modified through an organized discussion informed by heat mapped data. The difference between the Z-scores of applicants surrounding the interview invitation threshold was 0.18-0.3 standard deviations. Interview performance significantly impacted the final rank list.
Conclusions
We describe a rigorous resident selection process for our emergency medicine training program which incorporated simultaneous cloud-based rating, Z-scores, and heat maps. This standardized approach could inform other programs looking to adopt a rigorous selection process while providing applicants guidance and reassurance of a fair assessment.