We examined the association between influenza vaccination policies at acute care hospitals and influenza vaccination coverage among healthcare personnel for the 2021–22 influenza season. Mandatory vaccination and masking for unvaccinated personnel were associated with increased odds of vaccination. Hospital employees had higher vaccination coverage than licensed independent practitioners.

Identifying feeding interactions in the fossil record remains a key challenge for paleoecologists. We report the rare occurrence of a conical, perforative bite mark in a cervical vertebra of an azhdarchid pterosaur, which we identified as a juvenile individual of Cryodrakon boreas Hone, Habib, and Therrien, 2019 from the Campanian Dinosaur Park Formation in Alberta, Canada. Based on comparative analysis of the dentition and ecomorphology of potential trace makers in the Dinosaur Park Formation, as well as the morphology of the trace, the most likely candidate is a crocodilian, although whether it was made as a result of scavenging or predatory behavior is unknown. Feeding interactions involving pterosaurs are rare globally, whereas crocodilian bite marks are not uncommon in Cretaceous terrestrial ecosystems. Given the opportunistic feeding style and known range of food items for both extant and extinct crocodilians, pterosaurs can be counted as a rare, but not surprising, component of at least some Cretaceous crocodilian diets.

In the last decades, research from cognitive science, clinical psychology, psychiatry, and social neuroscience has provided mounting evidence that several social cognitive abilities are impaired in people with schizophrenia and contribute to functional difficulties and poor clinical outcomes. Social dysfunction is a hallmark of the illness, and yet, social cognition is seldom assessed in clinical practice or targeted for treatment. In this article, 17 international experts, from three different continents and six countries with expertise in social cognition and social neuroscience in schizophrenia, convened several meetings to provide clinicians with a summary of the most recent international research on social cognition evaluation and treatment in schizophrenia, and to lay out primary recommendations and procedures that can be integrated into their practice. Given that many extant measures used to assess social cognition have been developed in North America or Western Europe, this article is also a call for researchers and clinicians to validate instruments internationally and we provide preliminary guidance for the adaptation and use of social cognitive measures in clinical and research evaluations internationally. This effort will assist promoting scientific rigor, enhanced clinical practice, and will help propel international scientific research and collaboration and patient care.

A nonparametric test of dispersion with paired replicates data is described which involves jackknifing logarithmic transformations of the ratio of variance estimates for the pre- and post-treatment populations. Results from a Monte Carlo simulation show that the test performs well under Ho and has good power properties. Examples are given of applying the procedure on psychiatric data.

Female athletes are increasingly participating in sport during pregnancy and returning postpartum. However, similar to the Sex Data Gap in sport and exercise research(1), there is limited evidence to support athletes during this life stage(2) especially as it relates to nutrition. Therefore, as optimal nutrition is essential for long-term maternal and child health, the aim of this study was to investigate specific wants, needs and behaviours in relation to nutrition during pregnancy and postpartum return to sport in athletes.

King’s College London provided ethical approval (Ref: LRU/DP-23/24-41676) and the study was pre-registered (https://doi.org/10.17605/OSF.IO/NCSZK). An exploratory cross-sectional online survey is being conducted and dissemination is occurring during April and May 2024. Primary variables are assessed using researcher developed and validated measures and included pregnancy and postpartum nutritional support needs, supplement use, athlete level, performance changes and sociodemographic characteristics. Residents of the UK or ROI, ≥ 18 years old, trained and/or competed as an athlete prior to and/or during pregnancy within the last eight years are eligible. All data was summarised using IBM SPSS Statistics. Due to the exploratory nature of the survey, preliminary descriptive evidence is shown and comparisons between groups (e.g. athlete level, region, number of pregnancies) will be presented.

35 eligible athletes (UK: 24 (68.6%); ROI: 11 (31.4%)) from 14 team and individual sports have completed the survey. Average age of participants was 34.2±3.2 and 32 (91.4%) had ≥1 child. 9 participants (25.7%) were currently pregnant, and 7 (20%) had retired due to pregnancy. Only 9 participants (25.7%) received any nutrition advice during pregnancy, and, of the postpartum participants, one participant (3.8%) received nutrition advice during the postpartum period. During pregnancy, participants reported wanting to receive advice from NHS Midwives, Obstetricians and Gynaecologists (37.7%) and fellow athletes who’ve previously experienced pregnancy (21%).

Whereas postpartum advice was preferable from NHS Midwives, Obstetricians and Gynaecologists (37.1%), sports-specific nutritionist/dietitian (37.1%) and general

nutritionist/dietitian (37.1%). During pregnancy, 28 participants (80%) reported wanting athletespecific nutrition advice related training needs during pregnancy and 19 participants (54.3%) reported wanting more information about pregnancy-specific supplement intake (e.g. folic acid). Postpartum, 22 participants (62.9%) reported wanting athlete-specific nutrition advice related training needs during postpartum and returning to sport and 20 participants (57.1%) reported wanting more information about breast or mixed feeding. The top listed challenges to returning to sport postpartum were childcare provisions (94.3%), infant feeding practices (85.7%) and sleep (82.9%).

The preliminary findings revealed that pregnant/postpartum athletes want further advice in areas such as nutrition advice specific to being an athlete and training during pregnancy and postpartum, pregnancy supplement intake, and infant feeding practices. These areas require further investigation so pregnant and postpartum athlete needs can be better met.

In the 12-month period leading up to March 2023, inflation in the UK increased by 8.9%(1). Notably, the annual inflation rate for food and non-alcoholic beverages reached a peak of 19.2% in March 2023, marking a 45-year high(1). Concurrently, research conducted between October 2022 and January 2023, revealed that 25% of adult respondents were classified as food insecure(2). Food insecurity disproportionately affects young families, ethnic minorities, and individuals with disabilities, and correlates with poorer mental health, higher rates of obesity, and lower dietary quality. However, improving skills in cooking, meal planning, and budget shopping may alleviate some of the adverse health consequences associated with food insecurity. This primary research aimed to investigate the relationships between food insecurity, mental wellbeing, dietary quality, and food behaviours among a nationally representative sample of UK adults and was pre-registered (https://doi.org/10.17605/OSF.IO/ZFMHD).

A nationally representative cross-sectional survey was conducted in April 2023. Participants were recruited using a market research company (Dynata, UK) and quota-controlled sampling ( ± 5%) for age, gender, region and socioeconomic status. Data on food insecurity, mental wellbeing, diet quality and food behaviours, were collected, using validated measures where available. Ethical approval was received from King’s College London (Ref: LRS/DP-22/23-35412). Data analysis consisted of chi-square tests of homogeneity, Kruskal-Wallis H tests and hierarchical multiple regression modelling with adjustment of relevant covariates, using SPSS Statistics v29.0.2. The significance threshold was set at p<0.05.

1493 UK adults participated. Within the sample, 49.9% were male, mean age was 44.7 years (SD 16.3), 35.9% were classified into groups of either low (22.2%) or very low (13.7%) food security(3). Analyses revealed significantly higher proportions of females, individuals with lower income, and those of non-white ethnicity in the low or very low food security groups compared to groups with higher levels of food security (p<0.05). Participants in the low or very low food security groups exhibited lower mental wellbeing scores and consumed fewer fruits and vegetables per day compared to those with higher food security (p<0.05). Hierarchical regression models explained 28.5% of the variance in mental wellbeing scores and 16.4% in daily fruit and vegetable intake. Notably, variables related to food behaviour, such as food engagement and cooking skills confidence, significantly added to the variance explained by the models (p<0.001), even after controlling for factors such as food insecurity score and income, respectively.

This study reveals the substantial prevalence of food insecurity among UK adults, whilst also highlighting its associations with mental wellbeing and dietary quality, particularly among higher risk groups. The findings emphasise the urgent need for targeted interventions. Implementing programs focused on enhancing cooking skills and wider food behaviours could serve to mitigate some of the adverse health consequences associated with food insecurity, leading to improvements in overall wellbeing.

Enrollment into a prospective cohort study of mother–preterm infant dyads during the COVID-19 pandemic progressed slower than anticipated. Enrollment occurred during the first week after preterm birth, while infants were still hospitalized. We hypothesized that slower enrollment was attributable to mothers testing positive for COVID-19 as hospital policies restricted them from entering the neonatal intensive care unit, thus reducing interactions with research staff. However, only 4.5% of 245 screened mothers tested COVID-19 positive. Only 24.9% of those screened, far fewer than anticipated, were eligible for enrollment. Assumptions about pandemic-related enrollment barriers were not substantiated in this pediatric cohort.

Leucites are tetrahedrally coordinated silicate framework structures with some of the silicon framework cations that are partially replaced by divalent or trivalent cations. These structures have general formulae A2BSi5O12 and ACSi2O6, where A is a monovalent alkali metal cation, B is a divalent cation, and C is a trivalent cation. There are also leucite analogs with analogous tetrahedrally coordinated germanate framework structures. These have general formulae A2BGe5O12 and ACGe2O6. In this paper, the Rietveld refinements of three synthetic Ge-leucite analogs with stoichiometries of AAlGe2O6 (A = K, Rb, Cs) are discussed. KAlGe2O6 is I41/a tetragonal and is isostructural with KAlSi2O6. RbAlGe2O6 and CsAlGe2O6 are $I\bar{4}3d$ cubic and are isostructural with KBSi2O6.

Availability of ultra-processed foods is likely to be high in the Pacific(1) however, information on consumption is limited. This study aimed to assess consumption levels and dietary sources of ultra-processed foods (UPFs) in a population of adults in the Central Division of Fiji. A random sample of 700 adults was selected from two statistical enumeration areas (one semi-urban, one rural) in Fiji. Participant characteristics were collected, along with a three-pass 24-hour diet recall. Foods consumed were coded based on level of processing, in alignment with the NOVA categorisation system (1 = unprocessed, 2 = minimally processed,3 = processed and 4 = ultra-processed). UPF contribution to total energy, salt, fat, and sugar intake were estimated. Main sources of UPFs were then estimated by food group. 534 adults participated (76% response rate, 50% female). Preliminary results suggest that UPFs contributed 21.5% (%95 CI, 19.5% to 23.4%) of total energy intake. Further, UPFs contributed to 22.8% (%95CI 20.5% to 25.1%) of total salt intake, 24.0% (%95 CI, 21.4% to 26.6%) of fat intake and 18.6% (%95 CI, 16.5% to 20.7%) of sugar intake. UPFs contributed over 20% of total energy intake in this sample of Fijian adults and over 20% of salt, fat, and sugar. Messages and interventions that encourage consumption of minimally processed foods while reducing consumption of UPFs are likely needed to improve the healthiness of diets.

Since the initial publication of A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals in 2008, the prevention of healthcare-associated infections (HAIs) has continued to be a national priority. Progress in healthcare epidemiology, infection prevention, antimicrobial stewardship, and implementation science research has led to improvements in our understanding of effective strategies for HAI prevention. Despite these advances, HAIs continue to affect ∼1 of every 31 hospitalized patients,1 leading to substantial morbidity, mortality, and excess healthcare expenditures,1 and persistent gaps remain between what is recommended and what is practiced.

The widespread impact of the coronavirus disease 2019 (COVID-19) pandemic on HAI outcomes2 in acute-care hospitals has further highlighted the essential role of infection prevention programs and the critical importance of prioritizing efforts that can be sustained even in the face of resource requirements from COVID-19 and future infectious diseases crises.3

The Compendium: 2022 Updates document provides acute-care hospitals with up-to-date, practical expert guidance to assist in prioritizing and implementing HAI prevention efforts. It is the product of a highly collaborative effort led by the Society for Healthcare Epidemiology of America (SHEA), the Infectious Disease Society of America (IDSA), the Association for Professionals in Infection Control and Epidemiology (APIC), the American Hospital Association (AHA), and The Joint Commission, with major contributions from representatives of organizations and societies with content expertise, including the Centers for Disease Control and Prevention (CDC), the Pediatric Infectious Disease Society (PIDS), the Society for Critical Care Medicine (SCCM), the Society for Hospital Medicine (SHM), the Surgical Infection Society (SIS), and others.

New technologies and disruptions related to Coronavirus disease-2019 have led to expansion of decentralized approaches to clinical trials. Remote tools and methods hold promise for increasing trial efficiency and reducing burdens and barriers by facilitating participation outside of traditional clinical settings and taking studies directly to participants. The Trial Innovation Network, established in 2016 by the National Center for Advancing Clinical and Translational Science to address critical roadblocks in clinical research and accelerate the translational research process, has consulted on over 400 research study proposals to date. Its recommendations for decentralized approaches have included eConsent, participant-informed study design, remote intervention, study task reminders, social media recruitment, and return of results for participants. Some clinical trial elements have worked well when decentralized, while others, including remote recruitment and patient monitoring, need further refinement and assessment to determine their value. Partially decentralized, or “hybrid” trials, offer a first step to optimizing remote methods. Decentralized processes demonstrate potential to improve urban-rural diversity, but their impact on inclusion of racially and ethnically marginalized populations requires further study. To optimize inclusive participation in decentralized clinical trials, efforts must be made to build trust among marginalized communities, and to ensure access to remote technology.