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An increasing number of older adults require residential care. Concurrently, older adults’ alcohol use is increasing. This review explored the perspectives of all relevant stakeholders on older adults’ alcohol use within residential care settings, through a systematic review and thematic synthesis of qualitative studies. Eight databases were searched for qualitative studies focusing on older adults’ alcohol consumption (defined as aged ≥ 50) within residential care settings, sampling any involved stakeholders, published up until January 2024. Quality appraisal utilised the Critical Appraisal Skills Programme checklist and included 15 studies of mainly moderate quality across seven high-income countries, reporting data from a range of stakeholders and representing varied older adults’ alcohol histories. Three themes were identified: alcohol use by older adults is socially acceptable and purposeful in residential care settings; alcohol helps in the pursuit of an ‘ideal’ outcome; and decision-making around older adults’ alcohol use varies depending on the involvement, knowledge, skills and beliefs of the participating stakeholders, who also vary. Reports of problematic alcohol use were rare and older adults in residential care settings should be supported to exercise their own choice in determining their alcohol use. However, residential care settings face particular challenges in managing the alcohol intake of older adults with limited mental capacity and alcohol dependency; owing to a lack of guidance, front-line staff make subjective decisions. Future research should develop guidance that involves all relevant stakeholders, including family members. Limitations include lack of generalisability to low- and middle-income countries and limited availability of raw data.
Introducing new herbicides requires a comprehensive understanding of how crops respond to various herbicide-related factors. Fluridone was registered for rice production in 2023, but research on rice tolerance to this herbicide is lacking. Hence, field research aimed to 1) evaluate the effect of fluridone application timing on rice tolerance and 2) assess rice response to fluridone in a mixture with standard rice herbicides applied to three-leaf rice. Both experiments were conducted in a delay-flooded dry-seeded system using a randomized complete block design, with four replications. Treatments in the first experiment included a nontreated control and ten application timings, ranging from 20 days preplant to postflood. The second experiment had a two-factor factorial structure, with factor A being the presence/absence of fluridone, and factor B being herbicide partners, including bispyribac-sodium, fenoxaprop, penoxsulam, propanil, quinclorac, quizalofop, and saflufenacil. In the first experiment, the maximum injury in 2022 was 28%, caused by the preemergence (PRE) treatment. In 2023, fluridone applied preemergence caused the greatest injury (42%) two weeks after flood establishment, declining to 37% late-season (thirteen days before rice reached 50% heading). Yield reductions of 21% occurred with the delayed-preemergence (DPRE) treatment in 2022 and 42% with the PRE treatment in 2023. Mixing fluridone with standard herbicides increased rice injury by no more than eight percentage points compared to the herbicides alone. Additionally, no adverse effects on rice groundcover or grain yield resulted from fluridone in the mixture. These results indicate a need to avoid fluridone applications near planting because of negative impacts on rice. Furthermore, fluridone can be mixed with commonly used rice herbicides, offering minimal risk to rice.
Illegal hunting of migratory birds across the Mediterranean region is a serious international conservation issue with population-level impacts. We analysed photographs posted on social media platforms to assess the bird species illegally targeted in Lebanon. During 2011–2023 we reviewed 1,844 photographs publicly posted by poachers on Facebook and Instagram. In these images we identified 212 bird species, of which 94% are legally protected. Many are species of conservation concern, with 19 listed as threatened or Near Threatened on the IUCN Red List and 33% experiencing population declines in Europe. The five bird species with the most individuals illegally killed were the barn swallow Hirundo rustica, blackcap Sylvia atricapilla, European bee-eater Merops apiaster, Eurasian golden oriole Oriolus oriolus and ortolan bunting Emberiza hortulana. Raptors and other large soaring birds were particularly prevalent, with 35 species of raptor (particularly the European honey-buzzard Pernis apivorus, Eurasian sparrowhawk Accipiter nisus, common kestrel Falco tinnunculus, short-toed snake-eagle Circaetus gallicus and Levant sparrowhawk Accipiter brevipes) as well as storks, pelicans and cranes. Protected mammals were also posted as trophies, including the Near Threatened striped hyaena Hyaena hyaena. Poachers were present in 44% of photographs and were clearly identifiable 89% of the time, showing little concern about posting illegal activities on publicly accessible social media platforms. Our study is the first to use social media as a tool for assessing illegal hunting activities in Lebanon. We discuss both the use and limitations of this approach, as well as the ways in which social media can be utilized by law enforcement, to promote legal hunting or hunting alternatives and improve conservation education.
Negative symptoms are a key feature of several psychiatric disorders. Difficulty identifying common neurobiological mechanisms that cut across diagnostic boundaries might result from equifinality (i.e., multiple mechanistic pathways to the same clinical profile), both within and across disorders. This study used a data-driven approach to identify unique subgroups of participants with distinct reward processing profiles to determine which profiles predicted negative symptoms.
Methods
Participants were a transdiagnostic sample of youth from a multisite study of psychosis risk, including 110 individuals at clinical high-risk for psychosis (CHR; meeting psychosis-risk syndrome criteria), 88 help-seeking participants who failed to meet CHR criteria and/or who presented with other psychiatric diagnoses, and a reference group of 66 healthy controls. Participants completed clinical interviews and behavioral tasks assessing four reward processing constructs indexed by the RDoC Positive Valence Systems: hedonic reactivity, reinforcement learning, value representation, and effort–cost computation.
Results
k-means cluster analysis of clinical participants identified three subgroups with distinct reward processing profiles, primarily characterized by: a value representation deficit (54%), a generalized reward processing deficit (17%), and a hedonic reactivity deficit (29%). Clusters did not differ in rates of clinical group membership or psychiatric diagnoses. Elevated negative symptoms were only present in the generalized deficit cluster, which also displayed greater functional impairment and higher psychosis conversion probability scores.
Conclusions
Contrary to the equifinality hypothesis, results suggested one global reward processing deficit pathway to negative symptoms independent of diagnostic classification. Assessment of reward processing profiles may have utility for individualized clinical prediction and treatment.
Accounting for 53% of U.S. peanuts (Arachis hypogaea L.), Georgia is the top peanut-producing state, with approximately 1.42 billion kg produced in 2023. Peanut producers often use the acetolactate synthase (ALS) imidazolinone herbicide imazapic, but reduced yellow nutsedge (Cyperus esculentus L.) control was reported in Georgia peanuts after 4 yr of continuous imazapic use. This study aimed to determine the level of resistance (LD50, I50, and GR50) and potential cross-resistance for the suspected resistant population and to identify the associated genetic mutations conferring resistance. A susceptible biotype was treated with 0, 0.0088, 0.0175, 0.035, 0.07, 0.14, 0.28, and 0.56 kg ai ha−1, and a resistant biotype was sprayed with 0, 0.07, 0.14, 0.28, 0.56, 1.13, 2.26, and 4.5 kg ai ha−1 of imazapic. To determine whether the suspected resistant biotype was cross-resistant to halosulfuron-methyl, an ALS herbicide used to control Cyperus spp., both biotypes were treated with 0, 0.0117, 0.0233, 0.0466, 0.0933, 0.187, 0.373, and 0.746 g ai ha−1 of halosulfuron-methyl. Plants were rated for injury at 7, 14, and 28 d after treatment (DAT), and aboveground biomass was harvested at 28 DAT. For imazapic, LD50 was 0.041 and 1.503 kg ai ha−1 and the GR50 was estimated to be 0.0128 and 1.853 kg ha−1 for Sus and Res biotypes, respectively, indicating 36- and 145-fold increase in resistance of the Res biotype for I50 and GR50, respectively. Both biotypes responded similarly to applications of halosulfuron-methyl, with biomass reduction at rates greater than 0.023 kg ai ha−1. Transcriptome profiles revealed a mutation in the target-site gene of the resistant biotype causing an amino acid substitution from alanine to valine at position 205 (Ala-205-Val). Growers should continue to rotate chemistries and implement integrated weed management approaches for control of C. esculentus, as the use of imazapic over consecutive years has led to resistance in C. esculentus.
Annual bluegrass (Poa annua L.) populations in turfgrass have evolved resistance to several herbicides in the United States, but there has been no confirmed resistance from an agricultural field. Recently, glyphosate failed to control a P. annua population found in a field in a soybean [Glycine max (L.) Merr.] and rice (Oryza sativa L.) rotation in Poinsett County, AR. The present study focused on determining the sensitivity of a putatively resistant accession (R1) to glyphosate compared with two susceptible accessions (S1 and S2). The experiments included a dose–response study, 5-enolpyruvylshikimate-3-phosphate synthase (EPSPS) gene copy number and expression analysis, and assessment of mutations in EPSPS. Based on the dose–response analysis, R1 required 1,038 g ae ha−1 of glyphosate to cause 50% biomass reduction, whereas S1 and S2 only required 148.2 and 145.5 g ae ha−1, respectively. The resistance index (RI) was approximately 7-fold relative to the susceptible accessions. Real-time polymerase chain reaction data revealed at least a 15-fold increase in the EPSPS copy number in R1, along with a higher gene expression. No mutations in EPSPS were found. Gene duplication was identified as the main mechanism conferring resistance in R1. The research presented here reports the first incidence of glyphosate resistance in P. annua from an agronomic field crop situation in the United States.
Political wrangling over Critical Race Theory (CRT) in the United States has produced policies banning its teaching in jurisdictions across the country. However, laws touted as “anti-CRT” have little in common with the original, academic origins of the phrase. In this study, we use a Qualtrics-based survey experiment to assess how participants’ support for a ban will change depending on whether the ban reflects core tenets of academic researchers’ use of CRT, the phrase itself, or elements common to many of the laws intended to ban it. We find that these three different frames do indeed change support for such policies, and the effects are dependent upon partisanship. We interpret our results to be empirical evidence of the phrase “Critical Race Theory” complicating political discourse.
Let M be a Puiseux monoid, that is, a monoid consisting of nonnegative rationals (under standard addition). In this paper, we study factorisations in atomic Puiseux monoids through the lens of their associated Betti graphs. The Betti graph of $b \in M$ is the graph whose vertices are the factorisations of b with edges between factorisations that share at least one atom. If the Betti graph associated to b is disconnected, then we call b a Betti element of M. We explicitly compute the set of Betti elements for a large class of Puiseux monoids (the atomisations of certain infinite sequences of rationals). The process of atomisation is quite useful in studying the arithmetic of Puiseux monoids, and it has been actively considered in recent literature. This leads to an argument that for every positive integer n, there exists an atomic Puiseux monoid with exactly n Betti elements.
Emergency departments are high-risk settings for severe acute respiratory coronavirus virus 2 (SARS-CoV-2) surface contamination. Environmental surface samples were obtained in rooms with patients suspected of having COVID-19 who did or did not undergo aerosol-generating procedures (AGPs). SARS-CoV-2 RNA surface contamination was most frequent in rooms occupied by coronavirus disease 2019 (COVID-19) patients who received no AGPs.
The mitotic-inhibiting herbicide pronamide controls susceptible annual bluegrass (Poa annua L.) pre- and postemergence, but in some resistant populations, postemergence activity is compromised, hypothetically due to a target-site mutation, lack of root uptake, or an unknown resistance mechanism. Three suspected pronamide-resistant (LH-R, SC-R, and SL-R) and two pronamide-susceptible (BS-S and HH-S) populations were collected from Mississippi golf courses. Dose–response experiments were conducted to confirm and quantify pronamide resistance, as well as resistance to flazasulfuron and simazine. Target sites known to confer resistance to mitotic-inhibiting herbicides were sequenced, as were target sites for herbicides inhibiting acetolactate synthase (ALS) and photosystem II (PSII). Pronamide absorption and translocation were investigated following foliar and soil applications. Dose–response experiments confirmed pronamide resistance of LH-R, SC-R, and SL-R populations, as well as instances of multiple resistance to ALS- and PSII-inhibiting herbicides. Sequencing of the α-tubulin gene confirmed the presence of a mutation that substituted isoleucine for threonine at position 239 (Thr-239-Ile) in LH-R, SC-R, SL-R, and BS-S populations. Foliar application experiments failed to identify differences in pronamide absorption and translocation between the five populations, regardless of harvest time. All populations had limited basipetal translocation—only 3% to 13% of the absorbed pronamide—across harvest times. Soil application experiments revealed that pronamide translocation was similar between SC-R, SL-R, and both susceptible populations across harvest times. The LH-R population translocated less soil-applied pronamide than susceptible populations at 24, 72, and 168 h after treatment, suggesting that reduced acropetal translocation may contribute to pronamide resistance. This study reports three new pronamide-resistant populations, two of which are resistant to two modes of action (MOAs), and one of which is resistant to three MOAs. Results suggest that both target site– and translocation-based mechanisms may be associated with pronamide resistance. Further research is needed to confirm the link between pronamide resistance and the Thr-239-Ile mutation of the α-tubulin gene.
Glufosinate resistance in Palmer amaranth (Amaranthus palmeri S. Watson) was recently detected in three accessions from Arkansas, USA. Amaranthus palmeri is the first and only broadleaf weed species resistant to this herbicide, and the resistance mechanism is still unclear. A previous study characterized the glufosinate resistance level in the accessions from Arkansas. A highly glufosinate-resistant accession was further used to investigate the mechanism conferring glufosinate resistance in A. palmeri. Experiments were designed to sequence the herbicide target enzyme cytosolic and chloroplastic glutamine synthetase isoforms (GS1 and GS2, respectively) and quantify copy number and expression. Absorption, translocation, and metabolism of glufosinate using the 14C-labeled herbicide were also evaluated in the resistant and susceptible accessions. The glufosinate-resistant accession had an increase in copy number and expression of GS2 compared with susceptible plants. All accessions showed only one GS1 copy and no differences in expression. No mutations were identified in GS1 or GS2. Absorption (54% to 60%) and metabolism (13% to 21%) were not different between the glufosinate-resistant and glufosinate-susceptible accessions. Most residues of glufosinate (94% to 98%) were present in the treated leaf. Glufosinate translocation to tissues above the treated leaf and in the roots was not different among accessions. However, glufosinate translocation to tissues below the treated leaf (not including roots) was greater in the resistant A. palmeri (2%) compared with the susceptible (less than 1%) accessions. The findings of this paper strongly indicate that gene amplification and increased expression of the chloroplastic glutamine synthetase enzyme are the mechanisms conferring glufosinate resistance in the A. palmeri accession investigated. Thus far, no additional resistance mechanism was observed, but further investigations are ongoing.
Background: Aerosol-generating procedures (AGPs) performed on COVID-19–positive patients raise concerns about the dissemination of SARS-CoV-2 via aerosols and droplets. Infectious aerosols and droplets generated by SARS-CoV-2–positive patient AGPs or through direct COVID-19 patient coughing or exhalation could potentially contaminate surfaces, leading to the indirect spread of SARS-CoV-2 via fomites within the emergency department (ED). We sampled surfaces of ED patient rooms occupied by known SARS-CoV-2–positive patients or patients under investigation for COVID-19 and undergoing an AGP to determine the frequency of room contamination with SARS-CoV-2 RNA. Methods: Swabs were collected from 5 room surfaces in the ED following AGPs performed on patients under investigation for COVID-19 or positive for SARS-CoV-2. High- and low-touch surfaces 6 feet (2 m) from the patient (door handle and return vent, respectively) and reusable medical equipment were swabbed. Swabs were tested for SARS-CoV-2 RNA by RT-qPCR; positive samples were cultured in Vero E6 cells. Patient COVID-19 results were confirmed through the electronic medical record. Results: In total, 203 rooms were sampled: 43 SARS-CoV-2–positive patients with an AGP, 44 SARS-CoV-2–positive patients who did not have an AGP, and 116 SARS-CoV-2–negative patients with an AGP, for a total of 1,015 swabs. Overall, SARS-CoV-2 RNA was detected on 36 (3.5%) surfaces from 29 rooms (14.3%) (Table 1). RNA contamination was detected more frequently in rooms occupied by SARS-CoV-2–positive patients who did not have an AGP than rooms occupied by COVID-19 patients (30% vs 14%). SARS-CoV-2 RNA was also detected in rooms occupied by SARS-CoV-2–negative patients undergoing an AGP (9%). SARS-CoV-2 RNA was most frequently detected on air vents (n = 15), bedrails (n = 10), equipment and vital signs monitors (n = 4 each), and door handles (n = 3). One bedrail was positive by culture and confirmed by an RT-qPCR cycle threshold reduction from >40 to 13. Conclusions: We detected SARS-CoV-2 RNA contamination on room surfaces in the ED, regardless of patient AGP or COVID-19 status; however, RNA contamination of room surfaces was most common in rooms occupied by SARS-CoV-2–positive patients who did not have an AGP, which may be attributable to stage of disease and viral shedding. SARS-CoV-2 RNA contamination was also present in rooms where APGs were performed on SARS-CoV-2–negative patients, suggesting carryover from previous patients. SARS-CoV-2 RNA was found most often on room air-return vents, further emphasizing the importance of aerosols in the spread of SARS-CoV-2.
This study documents the COVID-19 disease-control measures enacted in rural China and examines the economic and social impacts of these measures. We conducted two rounds of surveys with 726 randomly selected village informants across seven provinces. Strict disease-control measures have been universally enforced and appear to have been successful in limiting disease transmission in rural communities. The infection rate in our sample was 0.001 per cent, a rate that is near the national average outside of Hubei province. None of the villages reported any COVID-19-related deaths. For a full month during the quarantine, the rate of employment of rural workers was essentially zero. Even after the quarantine measures were lifted, nearly 70 per cent of the villagers still were unable to work owing to workplace closures. Although action has been taken to mitigate the potential negative effects, these disease-control measures might have accelerated the inequality between rural and urban households in China.
Identifying the most effective ways to support career development of early stage investigators in clinical and translational science should yield benefits for the biomedical research community. Institutions with Clinical and Translational Science Awards (CTSA) offer KL2 programs to facilitate career development; however, the sustained impact has not been widely assessed.
Methods:
A survey comprised of quantitative and qualitative questions was sent to 2144 individuals that had previously received support through CTSA KL2 mechanisms. The 547 responses were analyzed with identifying information redacted.
Results:
Respondents held MD (47%), PhD (36%), and MD/PhD (13%) degrees. After KL2 support was completed, physicians’ time was divided 50% to research and 30% to patient care, whereas PhD respondents devoted 70% time to research. Funded research effort averaged 60% for the cohort. Respondents were satisfied with their career progression. More than 95% thought their current job was meaningful. Two-thirds felt confident or very confident in their ability to sustain a career in clinical and translational research. Factors cited as contributing to career success included protected time, mentoring, and collaborations.
Conclusion:
This first large systematic survey of KL2 alumni provides valuable insight into the group’s perceptions of the program and outcome information. Former scholars are largely satisfied with their career choice and direction, national recognition of their expertise, and impact of their work. Importantly, they identified training activities that contributed to success. Our results and future analysis of the survey data should inform the framework for developing platforms to launch sustaining careers of translational scientists.
A national survey characterized training and career development for translational researchers through Clinical and Translational Science Award (CTSA) T32/TL1 programs. This report summarizes program goals, trainee characteristics, and mentorship practices.
Methods:
A web link to a voluntary survey was emailed to 51 active TL1 program directors and administrators. Descriptive analyses were performed on aggregate data. Qualitative data analysis used open coding of text followed by an axial coding strategy based on the grounded theory approach.
Results:
Fifty out of 51 (98%) invited CTSA hubs responded. Training program goals were aligned with the CTSA mission. The trainee population consisted of predoctoral students (50%), postdoctoral fellows (30%), and health professional students in short-term (11%) or year-out (9%) research training. Forty percent of TL1 programs support both predoctoral and postdoctoral trainees. Trainees are diverse by academic affiliation, mostly from medicine, engineering, public health, non-health sciences, pharmacy, and nursing. Mentor training is offered by most programs, but mandatory at less than one-third of them. Most mentoring teams consist of two or more mentors.
Conclusions:
CTSA TL1 programs are distinct from other NIH-funded training programs in their focus on clinical and translational research, cross-disciplinary approaches, emphasis on team science, and integration of multiple trainee types. Trainees in nearly all TL1 programs were engaged in all phases of translational research (preclinical, clinical, implementation, public health), suggesting that the CTSA TL1 program is meeting the mandate of NCATS to provide training to develop the clinical and translational research workforce.
To achieve the elimination of the hepatitis C virus (HCV), sustained and sufficient levels of HCV testing is critical. The purpose of this study was to assess trends in testing and evaluate the effectiveness of strategies to diagnose people living with HCV. Data were from 12 primary care clinics in Victoria, Australia, that provide targeted services to people who inject drugs (PWID), alongside general health care. This ecological study spanned 2009–2019 and included analyses of trends in annual numbers of HCV antibody tests among individuals with no previous positive HCV antibody test recorded and annual test yield (positive HCV antibody tests/all HCV antibody tests). Generalised linear models estimated the association between count outcomes (HCV antibody tests and positive HCV antibody tests) and time, and χ2 test assessed the trend in test yield. A total of 44 889 HCV antibody tests were conducted 2009–2019; test numbers increased 6% annually on average [95% confidence interval (CI) 4–9]. Test yield declined from 2009 (21%) to 2019 (9%) (χ2P = <0.01). In more recent years (2013–2019) annual test yield remained relatively stable. Modest increases in HCV antibody testing and stable but high test yield within clinics delivering services to PWID highlights testing strategies are resulting in people are being diagnosed however further increases in the testing of people at risk of HCV or living with HCV may be needed to reach Australia's HCV elimination goals.
BASF Corp. has developed p-hydroxyphenylpyruvate dioxygenase (HPPD) inhibitor–resistant cotton and soybean that will allow growers to use isoxaflutole in future weed management programs. In 2019 and 2020, a multi-state non-crop research project was conducted to examine weed control following isoxaflutole applied preemergence alone and with several tank-mix partners at high and low labeled rates. At 28 d after treatment (DAT), Palmer amaranth was controlled ≥95% at six of seven locations with isoxaflutole plus the high rate of diuron or fluridone. These same combinations provided the greatest control 42 DAT at four of seven locations. Where large crabgrass was present, isoxaflutole plus the high rate of diuron, fluridone, pendimethalin, or S-metolachlor or isoxaflutole plus the low rate of fluometuron controlled large crabgrass ≥95% in two of three locations 28 DAT. In two of three locations, isoxaflutole plus the high rate of pendimethalin or S-metolachlor improved large crabgrass control 42 DAT when compared to isoxaflutole alone. At 21 DAT, morningglory was controlled ≥95% at all locations with isoxaflutole plus the high rate of diuron and at three of four locations with isoxaflutole plus the high rate of fluometuron. At 42 DAT at all locations, isoxaflutole plus diuron or fluridone and isoxaflutole plus the high rate of fluometuron improved morningglory control compared to isoxaflutole alone. These results suggest that isoxaflutole applied preemergence alone or in tank mixture is efficacious on a number of cross-spectrum annual weeds in cotton, and extended weed control may be achieved when isoxaflutole is tank-mixed with several soil-residual herbicides.