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Peatlands, covering approximately one-third of global wetlands, provide various ecological functions but are highly vulnerable to climate change, with their changes in space and time requiring monitoring. The sub-Antarctic Prince Edward Islands (PEIs) are a key conservation area for South Africa, as well as for the preservation of terrestrial ecosystems in the region. Peatlands (mires) found here are threatened by climate change, yet their distribution factors are poorly understood. This study attempted to predict mire distribution on the PEIs using species distribution models (SDMs) employing multiple regression-based and machine-learning models. The random forest model performed best. Key influencing factors were the Normalized Difference Water Index and slope, with low annual mean temperature, with low annual mean temperature, precipitation seasonality and distance from the coast being less influential. Despite moderate predictive ability, the model could only identify general areas of mires, not specific ones. Therefore, this study showed limited support for the use of SDMs in predicting mire distributions on the sub-Antarctic PEIs. It is recommended to refine the criteria used to select environmental factors and enhance the geospatial resolution of the data to improve the predictive accuracy of the models.
Tools based on generative artificial intelligence (AI) such as ChatGPT have the potential to transform modern society, including the field of medicine. Due to the prominent role of language in psychiatry, e.g., for diagnostic assessment and psychotherapy, these tools may be particularly useful within this medical field. Therefore, the aim of this study was to systematically review the literature on generative AI applications in psychiatry and mental health.
Methods:
We conducted a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The search was conducted across three databases, and the resulting articles were screened independently by two researchers. The content, themes, and findings of the articles were qualitatively assessed.
Results:
The search and screening process resulted in the inclusion of 40 studies. The median year of publication was 2023. The themes covered in the articles were mainly mental health and well-being in general – with less emphasis on specific mental disorders (substance use disorder being the most prevalent). The majority of studies were conducted as prompt experiments, with the remaining studies comprising surveys, pilot studies, and case reports. Most studies focused on models that generate language, ChatGPT in particular.
Conclusions:
Generative AI in psychiatry and mental health is a nascent but quickly expanding field. The literature mainly focuses on applications of ChatGPT, and finds that generative AI performs well, but notes that it is limited by significant safety and ethical concerns. Future research should strive to enhance transparency of methods, use experimental designs, ensure clinical relevance, and involve users/patients in the design phase.
The effect on the pasture contamination level with infective trichostrongylid larvae by feeding the nematode-trapping fungus, Duddingtonia flagrans at two dose levels to first time grazing calves was examined in Lithuania. Thirty heifer-calves, aged 3–6 months, were divided into three comparable groups, A, B and C. Each group was turned out on a 1.07 ha paddock (a, b and c). The paddocks were naturally contaminated with infective trichostrongylid larvae from infected cattle grazing the previous year. Fungal material was fed to the animals daily during a two month period starting 3 weeks after turnout. Groups A and B were given 106 and 2.5×105 chlamydospores per kg of live weight per day, respectively, while group C served as a non-dosed control group. Every two weeks the heifers were weighed and clinically inspected. On the same dates, faeces, blood and grass samples were collected. From mid-July onwards, the number of infective larvae in grass samples increased markedly (P<0.05) on paddock c, whereas low numbers of infective larvae were observed on paddocks a and b grazed by the fungus treated groups. However, the results indicate that administering fungal spores at a dose of 2.5×105 chlamydospores per kg live weight per day did not significantly prevent parasitism in calves, presumably due to insufficient suppression of developing infective larvae in the faeces. In contrast, a dose of 106 chlamydospores per kg lowered the parasite larval population on the pasture, reduced pepsinogen levels (P<0.05), and prevented calves from developing parasitosis.
Helium or neopentane can be used as surrogate gas fill for deuterium (D2) or deuterium-tritium (DT) in laser-plasma interaction studies. Surrogates are convenient to avoid flammability hazards or the integration of cryogenics in an experiment. To test the degree of equivalency between deuterium and helium, experiments were conducted in the Pecos target chamber at Sandia National Laboratories. Observables such as laser propagation and signatures of laser-plasma instabilities (LPI) were recorded for multiple laser and target configurations. It was found that some observables can differ significantly despite the apparent similarity of the gases with respect to molecular charge and weight. While a qualitative behaviour of the interaction may very well be studied by finding a suitable compromise of laser absorption, electron density, and LPI cross sections, a quantitative investigation of expected values for deuterium fills at high laser intensities is not likely to succeed with surrogate gases.
Microplastics are ubiquitous in our environment but their presence in air is less well understood. Homes are likely a key source of airborne microplastics and microfibres to the environment owing to the frequent use and storage of plastics and textiles within them. Studying their presence, concentration and distribution in these environments is difficult without the participation of citizens due to accessibility challenges. Few studies have examined the intricacies of the prevalence of indoor microplastics and microfibres or the link between indoor exposure and behavioural and regulatory approaches that could reduce their concentrations. The application of a quintuple innovation helix framework, within which a co-creative citizen science research methodology is applied, provides an opportunity for citizens to shape the scientific method, ensuring that methods are accessible and appropriate for widespread use and designed by the citizen, for the citizen. Exploring behaviours and motivations in plastic and textile use by citizens with industry may reduce the generation of these particles. Future studies should consider the importance of citizen inclusion when designing research strategies for measuring and reducing microplastic concentrations in homes, enabling a nuanced understanding of their generation and distribution and facilitating the development of appropriate behavioural, industrial and regulatory messaging and mitigative measures.
Background: IgG4 autoantibodies to neurofascin-155 (NF-155) have been described in a subset of patients with chronic inflammatory demyelinating polyneuropathy (CIDP). While reports suggest an acute onset is more likely than in antibody negative CIDP, little literature exists around the subsequent course of NF-155 positive cases that originally presented with an acute inflammatory demyelinating polyneuropathy (AIDP) phenotype. Methods: Two male patients, ages 51 and 59, presented with similar, <2 week histories of lower extremity weakness. Patients were diagnosed with AIDP and treated with IVIG. Following initial improvement, both patients relapsed. One patient was treated with IVIG and steroids with subsequent improvement; however, he was unable to be weaned from steroids without experiencing recurrence of symptoms. The other patient was not retreated. Testing for NF-155 IgG was sent. Results: The first patient ultimately required Rituximab for stable improvement, the other improved spontaneously. Both patients later had positive tests for NF-155 IgG4 antibodies. Conclusions: Both of our NF-155 positive cases had initial AIDP-like presentations, followed by a relapsing course and excellent eventual recovery. This result, along with limited other available cases, suggest that in patients with an AIDP-like presentation, NF-155 IgG4 autoantibodies could be a marker of disease recurrence, but do not necessarily predict a poor outcome.
Background: Approximately 25% of encephalitis cases in North America are autoimmune (AIE). For most forms of AIE, it is unclear which patients have the highest relapse risk and whether standard treatments reduce this risk. Our objective was to determine the overall risk of relapse and whether chronic immunosuppressive therapy modifies that risk. Methods: We performed a chart review consisting of all patients with AIE presenting to the Calgary Neuro-Immunology Clinic and Tom Baker Cancer Centre between 2015 and 2020. Predictors of relapse were determined with use of t-test. Results: Outcome data was assessable in 39 patients, 17/39 (44%) patients relapsed, and most relapses (76%) occurred within 3 years. Patients not on any immunosuppression at the time of relapse had a greater increase in CASE score, a proxy for presentation severity, at relapse compared to those on immunosuppression (p=0.0035). Conclusions: The risk of relapse in AIE is high (44%). Immunosuppression at the time of relapse, which may occur up to 3 years after initial presentation, lessens the relapse severity, although it remains unclear if it can reliably prevent relapses. Our data enforces the importance of long-term follow up and that ongoing immunosuppression may be helpful, particularly in the first 3 years after initial presentation.
Choline was recently established as an essential nutrient for Atlantic salmon at all life stages. Choline deficiency is manifested as an excessive accumulation of dietary fat within the intestinal enterocytes, a condition known as steatosis. Most of today's plant-based salmon feeds will be choline-deficient unless choline is supplemented. Choline's role in lipid transport suggests that choline requirement may depend on factors such as dietary lipid level and environmental temperature. The present study was therefore conducted to investigate whether lipid level and water temperature can affect steatosis symptoms, and thereby choline requirement in Atlantic salmon. Four choline-deficient plant-based diets were formulated differing in lipid level of 16, 20, 25 and 28 % and fed to salmon of 25 g initial weight in duplicate tanks per diet at two different environmental temperatures: 8 and 15 °C. After 8 weeks of feeding, samples of blood, tissue and gut content from six fish per tank were collected, for analyses of histomorphological, biochemical and molecular biomarkers of steatosis and choline requirement. Increasing lipid level did not affect growth rate but increased relative weight and lipid content of the pyloric caeca and histological symptoms of intestinal steatosis and decreased fish yield. Elevation of the water temperature from 8 to 15 °C, increased growth rate, relative weight of the pyloric caeca, and the histological symptoms of steatosis seemed to become more severe. We conclude that dietary lipid level, as well as environmental temperature, affect choline requirement to a magnitude of importance for fish biology and health, and for fish yield.
The surface of the Greenland Ice Sheet is darkening, which accelerates its surface melt. The role of glacier ice algae in reducing surface albedo is widely recognised but not well quantified and the feedbacks between the algae and the weathering crust remain poorly understood. In this letter, we summarise recent advances in the study of the biological darkening of the Greenland Ice Sheet and highlight three key research priorities that are required to better understand and forecast algal-driven melt: (i) identifying the controls on glacier ice algal growth and mortality, (ii) quantifying the spatio-temporal variability in glacier ice algal biomass and processes involved in cell redistribution and (iii) determining the albedo feedbacks between algal biomass and weathering crust characteristics. Addressing these key research priorities will allow us to better understand the supraglacial ice-algal system and to develop an integrated model incorporating the algal and physical controls on ice surface albedo.
Gavaging (oral dosing) has previously been shown to have only a short-term effect on behavioural parameters in the laboratory rat. The aim of this study was to determine if the gavaging of laboratory rats influenced their heart rate, blood pressure and body temperature, and if so, whether the duration of this impact correlated with the volume gavaged. The three stress parameters were measured using telemetric transponders placed in the abdomen of eight female Sprague-Dawley (Mol:SPRD) rats. Using a Latin Square cross-over design, the rats were gavaged with three different doses of barium sulphate (4, 10 and 40 ml kg–1); in addition, there was a control of no dose, only insertion of the tube. The heart rate, blood pressure and body temperature of the rats were monitored continuously for 4 h after dosing and again for 1 h, 24 h after dosing. The gavaging of laboratory rats was shown to induce an acute reaction: after 30 min, blood pressure and heart rate were significantly higher than before gavaging, and body temperature was significantly higher 60 min after gavaging — indicators of stress levels comparable to those of other basic experimental procedures. A significant correlation between heart rate and dosage was observed until 10 min after gavaging. This indicates that the dosage gavaged is of only minor importance in causing stress, and only important for the most acute reaction. However, because of the resistance and discomfort observed when administering a 40 ml kg–1 dose, this dose should be administered only with caution.
Textbook recommendations for gavaging rats vary between 1-5 ml for an adult rat. Rats weighing either 130 g or 250 g were gavaged with varying dosages of barium sulphate (BaSO4). After dosing, radiographs were taken at 0, 15 and 60 min. Animals showing a section of the small intestine totally filled with BaSO4 were scored as displaying spontaneous release. Other rats of the same sizes were gavaged with similar doses and subsequently tested in an open-field arena for behavioural abnormalities that might indicate stress or pain resulting from the procedure. Body temperature before and after treatment was recorded using microchip transponders. None of the 250 g rats in the 1 ml dosage group showed spontaneous release through the pyloric sphincter. In the 2 ml and 4 ml dosage groups, only one out of five animals showed spontaneous release. In the 6 ml dosage group, half of the animals showed spontaneous release. In the 8 ml and 10 ml dosage groups, five out of six and four out of five, respectively, showed spontaneous release. If doses were higher than 12 ml, no animal was able to keep all of the BaSO4 in its stomach. In the rats weighing 130 g, the 3 ml dosage group showed only one out of four rats with spontaneous release, whereas in the 5 ml and 7 ml dosage groups, all animals showed spontaneous release. After 15 min, all of the rats in both weight groups showed BaSO4 in the duodenum. Ambulation, rearing up onto the hind legs and defecation, as well as body temperature immediately after dosing, correlated very strongly with the dose (ml kg−1); increasing the dose resulted in reduced ambulation, rearing, defecation and body temperature. However, 10 min after performance of the open-field test, neither body temperature, serum corticosterone nor serum glucose showed any correlation with dose. This study indicates that high doses (ie doses up to 10 ml for a 250 g rat) might be safe to use; however, if an adverse impact on the rat is to be avoided, use of much lower doses should be considered—for example, doses that do not enforce opening of the pyloric sphincter in any rat. This would be less than 4 ml kg−1 in a 250 g rat.
The aim of this study was to investigate whether there were differences in fearfulness between laying hens (Gallus gallus domesticus) housed in aviaries and in cages. The tonic immobility (TI) test was used to assess the fearfulness. Norwegian light hybrid White Leghorn hens were housed in battery cages and in three types of aviaries: the Marielund, the Laco-Volétage and the Tiered Wire Floor. Each system housed about 1,500 birds. Tests were performed on 50 birds per housing system at 70 weeks of age in one laying flock and at 30 and 70 weeks of age in the next.
At 30 weeks of age in the second laying flock, the duration of the tonic immobility response was unaffected by type of system. At 70 weeks, however, hens in cages showed tonic immobility of longer duration than hens in aviaries, in the first as well as in the second laying flock No differences in TI between hens from the three types of aviaries were found. The duration of TI did not correlate with plumage condition or body-weight, except for a longer duration of TI with poorer plumage condition in aviaries at 30 weeks. These results indicate that the fearfulness of hens in cages, as measured by the TI test, increased considerably with time. The lower fearfulness shown by hens in aviaries suggests that this important aspect of welfare is more secured in aviaries than in cages.
Avian influenza (AI) is an important disease that has significant implications for animal and human health. High pathogenicity AI (HPAI) has emerged in consecutive seasons within the UK to cause the largest outbreaks recorded. Statutory measures to control outbreaks of AI virus (AIV) at poultry farms involve disposal of all birds on infected premises. Understanding of the timing of incursions into the UK could facilitate decisions on improved responses. During the autumnal migration and wintering period (autumn 2019– spring 2020), three active sampling approaches were trialled for wild bird species considered likely to be involved in captive AI outbreaks with retrospective laboratory testing undertaken to define the presence of AIV.
Faecal sampling of birds (n = 594) caught during routine and responsive mist net sampling failed to detect AIV. Cloacal sampling of hunter-harvested waterfowl (n = 146) detected seven positive samples from three species with the earliest detection on the 17 October 2020. Statutory sampling first detected AIV in wild and captive birds on 3 November 2020. We conclude that hunter sourced sampling of waterfowl presents an opportunity to detect AI within the UK in advance of outbreaks on poultry farms and allow for early intervention measures to protect the national poultry flock.
In the wake of the most recent protests in Belarus following the 2020 Presidential Election, it is useful to explore patterns of satisfaction with the political system, confidence in political institutions, and political participation at different points in time during President Lukashenko’s rule. We utilize Wave 3 of the World Values Study (WVS) and Wave 7 of the Joint European Values Study (EVS)/WVS to (1) analyze whether citizens’ dissatisfaction with the Belarusian government differed between 1996 and 2018, and (2) whether there was a change in political participation during that period. Responses over time suggest that satisfaction with the government and confidence in institutions was not lower in 2018 than it had been in 1996. However, as we discuss in the article, this may be an artifact of authoritarian consolidation and concern/fears about revealing preferences. We also find that the willingness to engage in protests remained more or less the same between these two time periods, especially among those dissatisfied with the political system. These results suggest that once highly dissatisfied citizens took to the streets in 2020, a number of internal and external factors might have triggered a bandwagon effect that pushed other citizens to also join the demonstrations.
Final conversations (FCs) go beyond how patients want to be cared for at the end of life (EOL) and focus on messages of love, identity specific, and unique to an individual and relationship that requires self-examination, everyday talk that normalizes a difficult situation, religious/spiritual messages, and if needed, difficult relationship talk to heal broken relationships. The purpose of the Catalyzing Relationships at the End of Life (CAREol) program was to provide interdisciplinary education to nursing and medical students and clinical faculty about facilitating FCs among patients and families.
Method
This two-part, quasi-experimental program consisted of a cognitive (online) and experiential (live simulation) curriculum experience. Program curriculum, including video vignettes, readings, and live simulation (utilizing actors), was developed by the study team. Reflective journaling and researcher designed pre- and post-tests were used to assess comfort, confidence, importance, and distress regarding FCs and collaboration with other disciplines.
Results
The pre-/post-test questions demonstrate statistical significance based on a paired t-test with effect sizes supporting the practical importance of the findings for effect size. Preliminary content and thematic analysis of qualitative responses describe categories of the mock team meeting experience and interaction with the actors to change patient and family outcomes.
Significance of results
Early intervention with the CAREol program provides a framework to help students and clinical faculty facilitate FCs that may result in peace and comfort for patients and families during a difficult time.
Background: Approximately 25% of encephalitis cases in North America are immune mediated. For most forms of autoimmune encephalitis (AIE), risk of relapse is unclear and little evidence exists to guide which patients have the highest risk and whether standard treatments reduce this risk. Our objective was to determine the factors associated with AIE relapse. Methods: We performed a chart review consisting of patients with AIE presenting to the Calgary Neuro-Immunology Clinic and Tom Baker Cancer Centre between 2015 and 2020. Predictors of relapse were determined with use of t-test. Results: Outcome data was assessable in 39/40 patients, 17/39 (44%) patients relapsed. Seropositive patients and those with abnormal CSF were more likely to relapse, although neither reached statistical significance (p=0.12, 0.059). Patients with longer duration of steroid and steroid sparing treatment prior to relapse, and those on steroids at the time of relapse, had milder relapses (p=0.024, 0.026, 0.047). There was no difference in steroid or steroid sparing treatment use at 3, 6, and 12 months between groups. Conclusions: Risk of relapse in AIE is high (44%), with most relapses occurring in the first 3 years. Continuous immunosuppression lessens the severity of relapse, although our study did not confirm it reduced the occurrence of relapse.
This paper adapts the agile scrum sprint, typically used in software development, to a prototyping sprint for mechatronic product design. The Design by Prototyping framework describes how the prototyping sprint can be used to manage the prototyping process in design projects through an agile-stage-gate hybrid model. A comparison of 18 student projects using either prototyping sprints or a traditional iterative prototyping approach shows that prototyping sprints helped students make more deliberate, strategic decisions about their use of prototypes.
When prolonging the physical lifetime of products, it is important to also consider the value lifetime, the time before customers discards the products because it no longer has any perceived value. In this paper we study design and marketing strategies known to be particularly relevant to enhance the value perception of consumers, hence lifetimes of products. To do so, we first review literature to build a framework, we then use to conduct case studies at five Danish product design brands. This let us to insights on design and marketing strategies relevant to enhance product lifetimes.
One of the most promising trends in healthcare digitalisation is the personalisation and individualisation of therapy based on virtual representations of the human body through Human Digital Twins (HDTs). Despite the growing number of articles on HDTs, to-date no consensus on how to design such systems exists. A systematic literature review for designing HDTs used for behaviour-changing therapy and rehabilitation resulted in eight key design considerations across four themes: regulatory and ethical, transparency and trust, dynamism and flexibility, and behaviour and cognitive mechanisms.