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Auditory verbal hallucinations (AVHs) in schizophrenia have been suggested to arise from failure of corollary discharge mechanisms to correctly predict and suppress self-initiated inner speech. However, it is unclear whether such dysfunction is related to motor preparation of inner speech during which sensorimotor predictions are formed. The contingent negative variation (CNV) is a slow-going negative event-related potential that occurs prior to executing an action. A recent meta-analysis has revealed a large effect for CNV blunting in schizophrenia. Given that inner speech, similar to overt speech, has been shown to be preceded by a CNV, the present study tested the notion that AVHs are associated with inner speech-specific motor preparation deficits.
Objectives
The present study aimed to provide a useful framework for directly testing the long-held idea that AVHs may be related to inner speech-specific CNV blunting in patients with schizophrenia. This may hold promise for a reliable biomarker of AVHs.
Methods
Hallucinating (n=52) and non-hallucinating (n=45) patients with schizophrenia, along with matched healthy controls (n=42), participated in a novel electroencephalographic (EEG) paradigm. In the Active condition, they were asked to imagine a single phoneme at a cue moment while, precisely at the same time, being presented with an auditory probe. In the Passive condition, they were asked to passively listen to the auditory probes. The amplitude of the CNV preceding the production of inner speech was examined.
Results
Healthy controls showed a larger CNV amplitude (p = .002, d = .50) in the Active compared to the Passive condition, replicating previous results of a CNV preceding inner speech. However, both patient groups did not show a difference between the two conditions (p > .05). Importantly, a repeated measure ANOVA revealed a significant interaction effect (p = .007, ηp2 = .05). Follow-up contrasts showed that healthy controls exhibited a larger CNV amplitude in the Active condition than both the hallucinating (p = .013, d = .52) and non-hallucinating patients (p < .001, d = .88). No difference was found between the two patient groups (p = .320, d = .20).
Conclusions
The results indicated that motor preparation of inner speech in schizophrenia was disrupted. While the production of inner speech resulted in a larger CNV than passive listening in healthy controls, which was indicative of the involvement of motor planning, patients exhibited markedly blunted motor preparatory activity to inner speech. This may reflect dysfunction in the formation of corollary discharges. Interestingly, the deficits did not differ between hallucinating and non-hallucinating patients. Future work is needed to elucidate the specificity of inner speech-specific motor preparation deficits with AVHs. Overall, this study provides evidence in support of atypical inner speech monitoring in schizophrenia.
The COVID-19 pandemic accelerated the development of decentralized clinical trials (DCT). DCT’s are an important and pragmatic method for assessing health outcomes yet comprise only a minority of clinical trials, and few published methodologies exist. In this report, we detail the operational components of COVID-OUT, a decentralized, multicenter, quadruple-blinded, randomized trial that rapidly delivered study drugs nation-wide. The trial examined three medications (metformin, ivermectin, and fluvoxamine) as outpatient treatment of SARS-CoV-2 for their effectiveness in preventing severe or long COVID-19. Decentralized strategies included HIPAA-compliant electronic screening and consenting, prepacking investigational product to accelerate delivery after randomization, and remotely confirming participant-reported outcomes. Of the 1417 individuals with the intention-to-treat sample, the remote nature of the study caused an additional 94 participants to not take any doses of study drug. Therefore, 1323 participants were in the modified intention-to-treat sample, which was the a priori primary study sample. Only 1.4% of participants were lost to follow-up. Decentralized strategies facilitated the successful completion of the COVID-OUT trial without any in-person contact by expediting intervention delivery, expanding trial access geographically, limiting contagion exposure, and making it easy for participants to complete follow-up visits. Remotely completed consent and follow-up facilitated enrollment.
Assess turnaround time (TAT) and cost-benefit of on-site C. auris screening and its impact on length of stay (LOS) and costs compared to reference laboratories.
Design:
Before-and-after retrospective cohort study.
Setting:
Large-tertiary medical center.
Methods:
We validated an on-site polymerase chain reaction-based testing platform for C. auris and retrospectively reviewed hospitalized adults who screened negative before and after platform implementation. We constructed multivariable models to assess the association of screening negative with hospital LOS/cost in the pre and postimplementation periods. We adjusted for confounders such as demographics and indwelling device use, and compared TATs for all samples tested.
Results:
The sensitivity and specificity of the testing platform were 100% and 98.11%, respectively, compared to send-out testing. The clinical cohort included 287 adults in the pre and 1,266 postimplementation period. The TAT was reduced by more than 2 days (3 (interquartile range (IQR): 2.0, 7.0) vs 0.42 (IQR: 0.24, 0.81), p < 0.001). Median LOS was significantly lower in the postimplementation period; however, this was no longer evident after adjustment. In relation to total cost, the time period had an effect of $6,965 (95% CI: −$481, $14,412); p = 0.067) on reducing the cost. The median adjusted total cost per patient was $7,045 (IQR: $3,805, $13,924) less in the post vs the preimplementation period.
Conclusions:
Our assessment did not find a statistically significant change in LOS, nevertheless, on-site testing was not cost-prohibitive for the institution. The value of on-site testing may be supported if an institutional C. auris reduction strategy emphasizes faster TATs.
Invasive species can have disastrous effects on the ecosystems they invade, requiring costly, labour-intensive mitigation. Public awareness campaigns are often used as a tool to reduce these species’ impacts. While heralded as useful and cost-effective, little evidence suggests that these campaigns contribute to meaningful biological outcomes. Furthermore, awareness campaigns are relatively understudied despite their usage as a common approach to mitigating invasive species. We conducted a literature review to assess publications that evaluated the efficacy of public awareness campaigns for managing invasive species. Out of 4382 papers initially extracted for analysis, we determined that 24 of them included studies conducted on awareness campaigns for invasive species. Four public awareness campaigns were deemed a ‘success’, and the other campaigns’ success was indeterminable due to study design. Our study revealed that inconsistencies in defined end points, unclear procedures and variability of campaigns contribute to there being insufficient evidence to determine the efficacy of public awareness campaigns. To evaluate the true efficacy of public awareness campaigns, we recommend that organizations conducting such campaigns implement rigorous and standardized assessments (e.g., Before–After Control–Impact designs or Bayesian analyses) that include measures of not just changes in the knowledge and behaviour of target audiences, but also relevant biological outcomes.
This paper highlights the urgent need for actuaries to take into account the importance, perils and impacts of global biodiversity risks. The Biodiversity and Natural Capital Working Party has been set up to take forward a series of activities including think pieces, webinars and external engagement to ensure our proactive engagement with these risks.
The coronavirus disease 2019 (COVID-19) pandemic has challenged the ability of Emergency Medical Services (EMS) providers to maintain personal safety during the treatment and transport of patients potentially infected. Increased rates of COVID-19 infection in EMS providers after patient care exposure, and notably after performing aerosol-generating procedures (AGPs), have been reported. With an already strained workforce seeing rising call volumes and increased risk for AGP-requiring patient presentations, development of novel devices for the protection of EMS providers is of great importance.
Based on the concept of a negative pressure room, the AerosolVE BioDome is designed to encapsulate the patient and contain aerosolized infectious particles produced during AGPs, making the cabin of an EMS vehicle safer for providers. The objective of this study was to determine the efficacy and safety of the tent in mitigating simulated infectious particle spread in varied EMS transport platforms during AGP utilization.
Methods:
Fifteen healthy volunteers were enrolled and distributed amongst three EMS vehicles: a ground ambulance, an aeromedical-configured helicopter, and an aeromedical-configured jet. Sodium chloride particles were used to simulate infectious particles and particle counts were obtained in numerous locations close to the tent and around the patient compartment. Counts near the tent were compared to ambient air with and without use of AGPs (non-rebreather mask, continuous positive airway pressure [CPAP] mask, and high-flow nasal cannula [HFNC]).
Results:
For all transport platforms, with the tent fan off, the particle generator alone, and with all AGPs produced particle counts inside the tent significantly higher than ambient particle counts (P <.0001). With the tent fan powered on, particle counts near the tent, where EMS providers are expected to be located, showed no significant elevation compared to baseline ambient particle counts during the use of the particle generator alone or with use of any of the AGPs across all transport platforms.
Conclusion:
Development of devices to improve safety for EMS providers to allow for use of all available therapies to treat patients while reducing risk of communicable respiratory disease transmission is of paramount importance. The AerosolVE BioDome demonstrated efficacy in creating a negative pressure environment and workspace around the patient and provided significant filtration of simulated respiratory droplets, thus making the confined space of transport vehicles potentially safer for EMS personnel.
The coronavirus disease 2019 (COVID-19) pandemic has created challenges in maintaining the safety of prehospital providers caring for patients. Reports have shown increased rates of Emergency Medical Services (EMS) provider infection with COVID-19 after patient care exposure, especially while utilizing aerosol-generating procedures (AGPs). Given the increased risk and rising call volumes for AGP-necessitating complaints, development of novel devices for the protection of EMS clinicians is of great importance.
Drawn from the concept of the powered air purifying respirator (PAPR), the AerosolVE helmet creates a personal negative pressure space to contain aerosolized infectious particles produced by patients, making the cabin of an EMS vehicle safer for providers. The helmet was developed initially for use in hospitals and could be of significant use in the prehospital setting. The objective of this study was to determine the efficacy and safety of the helmet in mitigating simulated infectious particle spread in varied EMS transport platforms during AGP utilization.
Methods:
Fifteen healthy volunteers were enrolled and distributed amongst three EMS vehicles: a ground ambulance, a medical helicopter, and a medical jet. Sodium chloride particles were used to simulate infectious particles, and particle counts were obtained in numerous locations close to the helmet and around the patient compartment. Counts near the helmet were compared to ambient air with and without use of AGPs (non-rebreather mask [NRB], continuous positive airway pressure mask [CPAP], and high-flow nasal cannula [HFNC]).
Results:
Without the helmet fan on, the particle generator alone and with all AGPs produced particle counts inside the helmet significantly higher than ambient particle counts. With the fan on, there was no significant difference in particle counts around the helmet compared to baseline ambient particle counts. Particle counts at the filter exit averaged less than one despite markedly higher particle counts inside the helmet.
Conclusion:
Given the risk to EMS providers by communicable respiratory diseases, development of devices to improve safety while still enabling use of respiratory therapies is of paramount importance. The AerosolVE helmet demonstrated efficacy in creating a negative pressure environment and provided significant filtration of simulated respiratory droplets, thus making the confined space of transport vehicles potentially safer for EMS personnel.
White matter development during adolescents is crucial for a mature integration of neural networks in the brain. Autism spectrum condition (ASC), characterized by social and communication difficulties and rigid behaviour may interact with white matter development observed during adolescence. Changes in white matter development may link autistic symptoms to its genetic underpinnings and explain a 10-fold increase in susceptibility to ASC among siblings of individuals with ASC.
We used diffusion tensor imaging to study an association between age and white matter integrity measures, fractional anisotropy (FA) and mean diffusivity (MD), in adolescents with ASC, their siblings and age-matched healthy controls. Diffusion-weighted data were acquired with 64-direction protocol with 3mm slices and TR of 6600ms and tract-based spatial statistics analysis was performed.
The control subjects showed robust signs of increase in white matter integrity correlated with age. In contrast, individuals with ASC showed significantly lower negative correlation between MD and age in a broad area centred in the right superior longitudinal fasciculus (rSLF). When the three eigenvalues constituting a tensor ellipsoid were considered separately, siblings of individuals with ASC showed a diminished negative correlation between the second eigenvalue and age also centred in the rSLF.
Adolescents with ASC and their siblings experience alterations in white matter development in comparison to age-matched healthy controls, which are similar in direction yet different in scale for the two affected groups. The alterations are observed in the area associated with flexibility of behaviour and may explain both symptoms of ASC and increased susceptibility to ASC.
The terrestrialization of life has profoundly affected the biosphere, geosphere and atmosphere, and the Geological Magazine has published key works charting the development of our understanding of this process. Integral to this understanding – and featuring in one of the Geological Magazine publications – is the Devonian Rhynie chert Konservat-Lagerstätte located in Aberdeenshire, Scotland. Here we provide a review of the work on this important early terrestrial deposit to date. We begin by highlighting contributions of note in the Geological Magazine improving understanding of terrestrialization and Palaeozoic terrestrial ecosystems. We then introduce the Rhynie chert. The review highlights its geological setting: the Caledonian context of the Rhynie Basin and its nature at the time of deposition of the cherts which host its famous fossils. There follows an introduction to the development of the half-graben in which the cherts and host sediments were deposited, the palaeoenvironment this represented and the taphonomy of the fossils themselves. We subsequently provide an overview of the mineralization and geochemistry of the deposit, and then the fossils found within the Rhynie chert. These include: six plant genera, which continue to provide significant insights into the evolution of life on land; a range of different fungi, with recent work starting to probe plant–fungus interactions; lichens, amoebae and a range of unicellular eukaryotes and prokaryotes (algae and cyanobacteria); and finally a range of both aquatic and terrestrial arthropods. Through continued study coupled with methodological advances, Rhynie fossils will continue to provide unique insights into early life on land.
We report major new insights from recent research at the Powars II Paleoindian red ocher quarry (48PL330). We salvaged more than 7,000 artifacts from Powars II between 2014 and 2016 by screening redeposited sediment from the talus slope below the intact portion of the site. Clovis artifacts dominate the diagnostic artifact assemblage, including 53 Clovis points, 33 preforms, and artifacts associated with a previously unrecognized blade core industry. We report the first radiocarbon dates from the site, determined from dating bone tools, which indicate Cody-aged use (ca. >10,000 cal BP). Further, salvage efforts discovered a previously unknown toolstone source from which many of the Clovis artifacts were produced. The Powars II Clovis points most resemble early Paleoindian points from the far Northern Plains and were likely both produced and discarded in the red ocher quarry after hunting, as evidenced by preform production and the presence of impact fractures on many used points. Given these production and discard patterns, Powars II holds some of the best evidence archaeologists currently have for Paleoindian ritualism related to hunting.
My paper on the Corpus Juris project in the first volume of this Yearbook closed by saying, in effect, “Watch this space!” At the end it told how, at the time of writing, the European Parliament and Commission had re-engaged the original team that drafted the proposals, plus some others, and constituted them as a Comité du suivi with instructions to find out how hard or easy it would be to integrate the Corpus scheme into the existing legal systems of the Member States. And it also told how the House of Lords Select Committee on the European Communities had begun to carry out a study of the Corpus project.
The use of spanwise waviness in wings has been proposed in the literature as a possible mechanism for obtaining improved aerodynamic characteristics, motivated by the tubercles that cover the leading edge of the pectoral flippers of the humpback whale. We investigate the effect of this type of waviness on the incompressible flow around infinite wings with a NACA0012 profile, using direct numerical simulations employing the spectral/hp method. Simulations were performed for Reynolds numbers of $Re=10\,000$ and $Re=50\,000$, considering different angles of attack in both the pre-stall and post-stall regimes. The results show that the waviness can either increase or decrease the lift coefficient, depending on the particular $Re$ and flow regime. We observe that the flow around the wavy wing exhibits a tendency to remain attached behind the waviness peak, with separation restricted to the troughs, which is consistent with results from the literature. Then, we identify three important physical mechanisms in this flow. The first mechanism is the weakening of the suction peak on the sections corresponding to the waviness peaks. This characteristic had been observed in a previous investigation for a very low Reynolds number of $Re=1000$, and we show that this is still important even at $Re=50\,000$. As a second mechanism, the waviness has a significant effect on the stability of the separated shear layers, with transition occurring earlier for the wavy wing. In the pre-stall regime, for $Re=10\,000$, the flow around the baseline wing is completely laminar, and the earlier transition leads to a large increase in the lift coefficient, while for $Re=50\,000$, the earlier transition leads to a shortening of the separation bubble which does not lead to an increased lift coefficient. The last mechanism corresponds to a sub-harmonic behaviour, with the flow being notably different between subsequent wavelengths. This allows the wing to maintain higher lift coefficients in some portions of the span.
The WAIS (West Antarctic Ice Sheet) Divide deep ice core was recently completed to a total depth of 3405 m, ending 50 m above the bed. Investigation of the visual stratigraphy and grain characteristics indicates that the ice column at the drilling location is undisturbed by any large-scale overturning or discontinuity. The climate record developed from this core is therefore likely to be continuous and robust. Measured grain-growth rates, recrystallization characteristics, and grain-size response at climate transitions fit within current understanding. Significant impurity control on grain size is indicated from correlation analysis between impurity loading and grain size. Bubble-number densities and bubble sizes and shapes are presented through the full extent of the bubbly ice. Where bubble elongation is observed, the direction of elongation is preferentially parallel to the trace of the basal (0001) plane. Preferred crystallographic orientation of grains is present in the shallowest samples measured, and increases with depth, progressing to a vertical-girdle pattern that tightens to a vertical single-maximum fabric. This single-maximum fabric switches into multiple maxima as the grain size increases rapidly in the deepest, warmest ice. A strong dependence of the fabric on the impurity-mediated grain size is apparent in the deepest samples.
Radio-glaciological parameters from the Moore’s Bay region of the Ross Ice Shelf, Antarctica, have been measured. The thickness of the ice shelf in Moore’s Bay was measured from reflection times of radio-frequency pulses propagating vertically through the shelf and reflecting from the ocean, and is found to be 576 ± 8 m. Introducing a baseline of 543 ± 7m between radio transmitter and receiver allowed the computation of the basal reflection coefficient, R, separately from englacial loss. The depth-averaged attenuation length of the ice column, 〈L〉 is shown to depend linearly on frequency. The best fit (95% confidence level) is 〈L(ν)〉= (460±20) − (180±40)ν m (20 dB km−1), for the frequencies ν = [0.100–0.850] GHz, assuming no reflection loss. The mean electric-field reflection coefficient is (1.7 dB reflection loss) across [0.100–0.850] GHz, and is used to correct the attenuation length. Finally, the reflected power rotated into the orthogonal antenna polarization is <5% below 0.400 GHz, compatible with air propagation. The results imply that Moore’s Bay serves as an appropriate medium for the ARIANNA high-energy neutrino detector.
Vapor pressures of technical-grade triallate [S-(2,3,3-trichloroallyl)diisopropylthiocarbamate] were calculated from the vapor density measurements determined at seven different temperatures, using a gas-saturation technique and solid adsorbent traps. The equation Log10P = 11.05 – (4401/T) delineated the relationship between the apparent vapor pressure and temperature, giving the triallate vapor pressure values from 1.083 × 10−4 to 16.371 × 10−4 mm Hg over the temperature range of 20 to 45 C. The vapor flux of triallate from glass surfaces was of the order of 5.7 μg cm−2 h−1 at 25 C.
Leafy spurge is a troublesome, exotic weed in the northern Great Plains of the United States. Leafy spurge produces showy yellow bracts during June that give this weed a conspicuous appearance. A study was conducted to determine the feasibility of using remote sensing techniques to detect leafy spurge in this phenological stage. Study sites were located in North Dakota and Montana. Plant canopy reflectance measurements showed that leafy spurge had higher visible (0.63- to 0.69-μm) reflectance than several associated plant species. The conspicuous yellow bracts of leafy spurge gave it distinct yellow-green and pink images on conventional color and color-infrared aerial photographs, respectively. Leafy spurge also could be distinguished on conventional color video imagery where it had a golden yellow image response. Quantitative data obtained from digitized video images showed that leafy spurge had statistically different digital values from those of associated vegetation and soil. Computer analyses of video images showed/that light reflected from leafy spurge populations could be quantified from associated vegetation. This technique permits area estimates of leafy spurge populations. Large format conventional color photographs of Theodore Roosevelt National Park near Medora, ND were digitized and integrated with a geographic information system to produce a map of leafy spurge populations within the park that can be useful to monitor the spread or decline of leafy spurge.
Native Polyacrylamide gel electrophoresis (PAGE) and enzyme activity staining were used to identify possible progenitor species of velvetleaf (Abutilon theophrasti Medic. # ABUTH). Multiple forms of superoxide dismutase activity were observed in each of the plants surveyed. Three enzyme forms were common to all the species and bio types while one form was different in the velvetleaf biotypes compared to the other species. Multiple forms of peroxidase activity were also detected. The three velvetleaf biotypes possessed identical enzyme forms with minimal similarity to peroxidase forms found in the other species. Multiple forms of esterase activity separated as two nonoverlapping groups. A slowly migrating group was observed in all the velvetleaf biotypes and a more rapidly migrating group characterized the remaining Abutilon species. The results of this study indicated that the progenitors of velvetleaf were not among the species surveyed and suggested that the progenitors may no longer be extant.
A scentless plant bug feeds on velvetleaf seeds. Fungi, dominated by the genera Fusarium and Alternaria, were isolated from insect-attacked seeds at levels related to insect density on the plants. The combined effects of insect feeding and fungal infection decreased seed germination. Burial of insect-attacked seeds in soil for 24 months reduced seed survival and increased Fusarium infection. Decreases in velvetleaf seed viability and survival in soil caused by a seed-feeding insect and associated seed fungi suggests that subsequent infestations by velvetleaf can be decreased through integrated use of the two biological control agents.
Field infestations of a seed-feeding insect developed from overwintered populations reduced viability of velvetleaf seed to 17.5 and 15.5% at two locations in central Missouri, compared to 95.5 and 87.5% at insect-free sites. Insect feeding enhanced the proportion of seedborne microorganisms in seed up to 98% compared to the average fungal infection of 8% for seed not exposed to the insect. There was a strong negative correlation between fungal infection associated with insect feeding and percent velvetleaf seed viability. The insect transmits microorganisms externally just as pollen is carried by various other insect species and not by ingestion and regurgitation. The effectiveness of the insect on reducing seed viability and seed production in central Missouri is mainly limited by the time required to build up populations capable of significantly affecting early-season velvetleaf seed production.
We consider the influence of a smooth three-dimensional (3-D) indentation on the instability of an incompressible boundary layer by linear and nonlinear analyses. The numerical work was complemented by an experimental study to investigate indentations of approximately $11\unicode[STIX]{x1D6FF}_{99}$ and $22\unicode[STIX]{x1D6FF}_{99}$ width at depths of 45 %, 52 % and 60 % of $\unicode[STIX]{x1D6FF}_{99}$, where $\unicode[STIX]{x1D6FF}_{99}$ indicates 99% boundary layer thickness. For these indentations a separation bubble confined within the indentation arises. Upstream of the indentation, spanwise-uniform Tollmien–Schlichting (TS) waves are assumed to exist, with the objective to investigate how the 3-D surface indentation modifies the 2-D TS disturbance. Numerical corroboration against experimental data reveals good quantitative agreement. Comparing the structure of the 3-D separation bubble to that created by a purely 2-D indentation, there are a number of topological changes particularly in the case of the widest indentation; more rapid amplification and modification of the upstream TS waves along the symmetry plane of the indentation is observed. For the shortest indentations, beyond a certain depth there are then no distinct topological changes of the separation bubbles and hence on flow instability. The destabilising mechanism is found to be due to the confined separation bubble and is attributed to the inflectional instability of the separated shear layer. Finally for the widest width indentation investigated ($22\unicode[STIX]{x1D6FF}_{99}$), results of the linear analysis are compared with direct numerical simulations. A comparison with the traditional criteria of using $N$-factors to assess instability of properly 3-D disturbances reveals that a general indication of flow destabilisation and development of strongly nonlinear behaviour is indicated as $N=6$ values are attained. However $N$-factors, based on linear models, can only be used to provide indications and severity of the destabilisation, since the process of disturbance breakdown to turbulence is inherently nonlinear and dependent on the magnitude and scope of the initial forcing.