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Objectives/Goals: Mayo Clinic Florida’s Clinical Research Units develop over 200 clinical studies on average annually. Almost 30% of these projects are developed and then are unable to activate due to a variety of operational factors. To increase the success rate, a scoring tool was created to assess the risk associated with the development of these research projects. Methods/Study Population: A project team comprised of members of research administration and physician leadership developed a rapid project management (RPM) scoring tool to assess operational risk factors. The scoring algorithm was embedded into an existing REDCap database, using a combination of identified variables and calculated fields. All noncancer industry sponsor-initiated clinical studies were scored at intake. According to the following categories: enrollment timelines, study team capacity, and previous experience with the Sponsor. Studies with a score greater than the established threshold were referred to physician leadership for transparent discussions with the principal investigator regarding the identified study development-related risks. Results/Anticipated Results: The RPM tool has assessed close to 200 projects since implementation in June 2022. An interim analysis is being conducted of all projects assessed by the RPM tool dating from implementation to May 2024 to compare the outcomes of these studies with the given RPM score. We anticipate based on anecdotal evidence gathered during the course of this pilot project that the RPM tool will show a correlation between risks identified and study outcomes as defined as successful activation of trials, or rationale of project development failures. We anticipate a reduction in the amount of time elapsed and effort expended developing projects with scores reflecting identified project development-related risk factors. Discussion/Significance of Impact: The RPM tool provides an opportunity to allocate resources to studies with the greatest potential for successful activation. In the future, the RPM tool may be used to identify risk factors associated with enrollment and accrual of participants.
The January 6th insurrection at the U.S. capital was an eye-opening moment for many Americans. With the 2024 election cycle in swing, members of the Democratic Party are using January 6th as a rallying call for the need to protect democracy. But were the events of January 6th viewed equally among liberals? We argue that the events of January 6th resonate for a particular demographic well-informed liberal White voters. We argue that liberal minority voters will feel the racial undertones of January 6th more than White liberals. Furthermore, we examine how voters of different races viewed the events of January 6th and how views on race relations impact their perceptions of January 6th. We find that White liberals are less angry about race relations in the aftermath of January 6th, and while they viewed January 6th as an insurrection and blamed Trump and Republicans in Congress for their role, they are less likely to say that racism and White Supremacy motivated the insurrectionists. This paper indicates that race plays a key role in political perceptions, even among those who hold similar political ideologies.
Passive oxygenation with non-rebreather face mask (NRFM) has been used during cardiac arrest as an alternative to positive pressure ventilation (PPV) with bag-valve-mask (BVM) to minimize chest compression disruptions. A dual-channel pharyngeal oxygen delivery device (PODD) was created to open obstructed upper airways and provide oxygen at the glottic opening. It was hypothesized for this study that the PODD can deliver oxygen as efficiently as BVM or NRFM and oropharyngeal airway (OPA) in a cardiopulmonary resuscitation (CPR) manikin model.
Methods:
Oxygen concentration was measured in test lungs within a resuscitation manikin. These lungs were modified to mimic physiologic volumes, expansion, collapse, and recoil. Automated compressions were administered. Five trials were performed for each of five arms: (1) CPR with 30:2 compression-to-ventilation ratio using BVM with 15 liters per minute (LPM) oxygen; continuous compressions with passive oxygenation using (2) NRFM and OPA with 15 LPM oxygen, (3) PODD with 10 LPM oxygen, (4) PODD with 15 LPM oxygen; and (5) control arm with compressions only.
Results:
Mean peak oxygen concentrations were: (1) 30:2 CPR with BVM 49.3% (SD = 2.6%); (2) NRFM 47.7% (SD = 0.2%); (3) PODD with 10 LPM oxygen 52.3% (SD = 0.4%); (4) PODD with 15 LPM oxygen 62.7% (SD = 0.3%); and (5) control 21% (SD = 0%). Oxygen concentrations rose rapidly and remained steady with passive oxygenation, unlike 30:2 CPR with BVM, which rose after each ventilation and decreased until the next ventilation cycle (sawtooth pattern, mean concentration 40% [SD = 3%]).
Conclusions:
Continuous compressions and passive oxygenation with the PODD resulted in higher lung oxygen concentrations than NRFM and BVM while minimizing CPR interruptions in a manikin model.
Environmental plastic pollution comprises partially degraded particles representing a continuum of sizes, shapes, polymer types and chemical compositions. Owing to their potential for biological uptake, small microplastic particles (sMP; <100 μm) and nanoplastics (NPs) are considered to be a potential risk to organisms. Understanding how sMPs and NPs behave in the environment, and how environmental matrices affect their detection, is fundamental to quantifying exposures, assessing hazards and understanding these risks. For this purpose, high-quality, well-characterised and environmentally relevant test and reference materials are crucial. The current lack of environmentally relevant sMP and NP reference materials has resulted in many studies applying commercially available spherical, homogenous and monodisperse particles, typically produced for specific purposes and without environmental relevance. There is a need for sMP and NP test/reference materials for fate and effects assessments and analytical protocol validation that more accurately represent the sMP and NP present in the environment. To date, feasible methods for producing relevant sMP and NP test materials in sufficient quantities for environmental fate and effects studies remain lacking. The current review provides an overview and comparison of the available methods, highlighting those that show the most promise for producing environmentally relevant sMP and NP with further development and optimisation.
Worker cooperatives – enterprises owned and operated by their employees – offer the potential for workplace socioeconomic empowerment. Historically they have struggled to capture a significant share of employment in the US and to be fully inclusive of communities confronting the greatest social and economic marginalization. Since the Great Recession, however, worker cooperatives have shown strong growth, with increasing representation from BIPOC, working-class, and immigrant communities. This chapter compares two home care worker cooperatives to discuss the benefits that worker cooperatives bring and some of the challenges they face. One, Golden Steps, operates at the small scale typical of most of the newer worker cooperatives, while the other, Cooperative Home Care Associates, is currently the largest worker cooperative in the US. Focusing on the financial, social, diversity, equity, and inclusion (DEI), and labor dimensions of worker cooperatives, we consider the important role of worker ownership and control within broader discussions of individual and community empowerment.
Diverse agricultural management practices are critical for agroecosystem sustainability, and cover crops provide opportunity for varied management and increased biodiversity. Understanding how cover crops fill open ecological niches underneath the trees, interact with weeds, and potentially provide ecosystem services to decrease pest pressure is essential for ecological agricultural management. The goal of this study was to test the weed suppression potential of two cover crop treatments with varied functional diversity compared to standard weed management practices in commercial almond orchards in California. Transect plant surveys were used to evaluate orchard plant communities under a functionally diverse seed mix including grasses, legumes, and brassicas, and a relatively uniform cover crop mix that included only brassica species. Winter annual orchard cover crops reduced bare ground from 39.3% of total land area to 15.9 or 11.4%, depending on treatment. Furthermore, winter cover crops displaced weeds with a negative correlation of 0.74. The presence of cover crops did not consistently affect weed community composition for low-richness weed communities found in California orchards. Diverse cover crop mixes more reliably resulted in increased ground cover across site years compared to uniform cover crop mixes, with coefficients of variation for ground cover at 49.6 and 91.5%, respectively. Cover crops with different levels of functional diversity can contribute to orchard weed management programs at commercial scales. Functional diversity supports cover crop establishment, abundance, and competitiveness across varied agroecological conditions, and cover crop mixes could be designed to address an assortment of orchard management concerns.
Weed management in cantaloupe and other melon crops is important to maximize fruit yield; however, there are few registered herbicides available in California. Several independent herbicide trials were conducted at University of California field stations in Davis (Yolo County), Five Points (Fresno County), and Holtville (Imperial County) from 2013 to 2019 to evaluate both registered and unregistered herbicides and incorporation methods (sprinklers, cultivation, or none) for crop safety and weed control in melons. Although specific treatments varied among locations depending on local practice and research objectives, ethalfluralin and halosulfuron were used in all experiments, and bensulide and S-metolachlor were evaluated in 4 of 6 site-years. Additional herbicides included clethodim, clomazone, DCPA, napropamide, pendimethalin, sethoxydim, and sulfentrazone. Among registered herbicides, halosulfuron, halosulfuron + ethalfluralin, and ethalfluralin + bensulide combinations provided consistently beneficial weed control across all site-years compared to the nontreated control. S-metolachlor performed as well as the best of the registered herbicides tested at each site-year; although moderate injury was noted at the Davis location, this did not reduce melon yield. The method used to incorporate preplant herbicides had a significant impact on weed control efficacy but varied by location. Mechanical incorporation of preplant herbicides resulted in improved weed control and yield compared to sprinklers. Early-season weed control, whether by herbicides or hand weeding, resulted in significant yield increase in most site-years.
In this study, we assess charcoal records from eolian deposits within the Cooloola Sand Mass, a subtropical coastal dune system in eastern Australia, to determine whether they can be used as a proxy for Holocene fire history. We excavate four profiles in depositional wedges at the base of dune slipfaces (footslope deposits) and calculate charcoal concentrations for three size classes (180–250 μm, 250–355 μm, and 355 μm–2 mm) at predetermined depth intervals. Age–depth models are constructed for each profile using radiocarbon measurements (n = 46) and basal optically stimulated luminescence ages (n = 4). All records appear intact with little evidence of postdepositional mixing as demonstrated by minimal age reversals and consistent trends in charcoal concentration and accumulation rates (CHAR) among size classes. Combining all four records, we generate a ca. 7 cal ka BP terrestrial fire history that depicts distinct peaks representing periods of increased local fire activity at <0.3, 1.1–0.4, 2.2–1.6, 3.4–2.6, and 6.7–5.3 cal ka BP. Our findings parallel regional records and highlight the utility of dune footslopes as ecological and sedimentary archives. As dune fields are much more common than wetlands and lakes in semiarid and arid areas, these deposits have the potential to increase the spatial resolution of fire records globally.
The shape of depth-limited breaking-wave overturns is important for turbulence injection, bubble entrainment and sediment suspension. Overturning wave shape depends on a nonlinearity parameter $H/h$, where $H$ is the wave height, and $h$ is the water depth. Cross-shore wind direction (offshore/onshore) and magnitude affect laboratory shoaling wave shape and breakpoint location $X_{{bp}}$, but wind effects on overturning wave shape are largely unstudied. We perform field-scale experiments at the Surf Ranch wave basin with fixed bathymetry and $\approx 2.25$ m shoaling solitons with small height variations propagating at $C=6.7\ \mathrm {m}\ \mathrm {s}^{-1}$. Observed non-dimensional cross-wave wind $U_w$ was onshore and offshore, varying realistically ($-1.2 < U_{w}/C < 0.7$). Georectified images, a wave staff, and lidar are used to estimate $X_{{bp}}$, $H/h$, overturn area $A$ and aspect ratio for 22 waves. The non-dimensionalized $X_{{bp}}$ was inversely related to $U_{w}/C$. The non-dimensional overturn area and aspect ratio also were inversely related to $U_{w}/C$, with smaller and narrower overturns for increasing onshore wind. No overturning shape dependence on the weakly varying $H/h$ was seen. The overturning shape variation was as large as prior laboratory experiments with strong $H/h$ variations without wind. An idealized potential air flow simulation on steep shoaling soliton shape has strong surface pressure variations, potentially inducing overturning shape changes. Through wave-overturning impacts on turbulence and sediment suspension, coastal wind variations could be relevant for near-shore morphology.
Two of the pathways by which evolutionary processes can influence disease risk are evolutionary mismatch, where the individual’s evolved coping mechanisms are overwhelmed by a novel or severe cue, and developmental mismatch, where the individual is exposed to an environment that is not matched to its adaptively developed phenotype. Both pathways draw on the evolutionary principle that selection operates to sustain and promote Darwinian fitness, irrespective of the impact on health during the post-reproductive age. In this chapter we will frame DOHaD phenomena within an evolutionary context, showing that human health and disease risk are dependent on our both evolutionary and developmental histories. We also discuss the contributory role of a unique human activity to not only construct a niche but also continually modify it. Using nutrition as the exemplar, we demonstrate how the DOHaD phenomenon is underpinned by both evolutionary and developmental mismatches, and discuss the evidence for how developmental anticipatory responses may confer adaptive advantage in humans.
This chapter provides a high-level overview of the following 19 Chapters, which together create the 2nd Edition of the Developmental Origins of Health and Disease. We encapsulate not only the vastly expanded evidence base and mechanistic understanding underlying DOHaD but also the challenges faced when trying to embed life course ‘thinking’ into environmental, social, educational and health care policies.