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This article discusses the noteworthy discovery of an ichthyosaur vertebral centrum from a Roman pit dating to the third quarter of the second century a.d. at the site of the former Essex County Hospital, Lexden Road, Colchester. The pit also yielded a toilet spoon (ligula) and a potentially disparate associated animal bone group which could indicate the structured deposition of the centrum. The reason it was collected and then curated may have involved Greco-Roman folklore or mythology. Alternatively, it might have been a curio. The east Kent coast between Folkestone and Hythe is suggested as the most probable source of the fossil. This find represents the first ichthyosaur remains found in a Roman deposit and the earliest known instance of the deliberate acquisition of an ichthyosaur fossil.
Understanding how human activities affect Antarctic ecosystems is essential for both environmental management and the interpretation of ecological change. This is particularly important in Antarctica’s ice-free areas, which contain most of the continent’s terrestrial biodiversity and host the majority of scientific infrastructure. While work has been done to understand short-term impacts of research stations and scientific activity, little is known about the persistence of these impacts on soil ecosystems. Here, we examine the long-term ecological legacy of historical research infrastructure in the McMurdo Dry Valleys, East Antarctica. We collected soil samples from sites of historical research facilities that have since been removed, extracted and identified soil invertebrates and conducted statistical and geospatial analyses to identify spatiotemporal trends and evaluate patterns of abundance relative to distance from disturbance centres and time since abandonment. Soils closer to former infrastructure consistently had lower nematode abundances than soils further away, indicating long-lasting impacts of human activities on soil ecosystems. We also found evidence of potential recovery in some nematode populations, which appears to depend on the type of disturbance and the surrounding environmental setting. At several sites, surface disturbance from historical infrastructure is no longer readily apparent but biological recovery remains incomplete, demonstrating that visual restoration of the landscape does not necessarily correspond to ecological recovery. Measuring the impacts of human activities in these areas is important because they may confound our ability to interpret the subtle but significant effects of climate change and ecosystem responses more generally. This is particularly pressing as research and tourism are expected to increase in these regions. We offer ecological explanations for these patterns and discuss their implications for environmental management and conservation in the McMurdo Dry Valleys and other ice-free areas of Antarctica.
In a retrospective cohort study at three Chicago academic medical centers, 22/81 (27.2%) patients with a clinically adjudicated positive C. difficile test result were colonized. Recent antibiotic usage predicted true infection (adjusted odds ratio: 4.38 for infection). Restriction endonuclease analysis(REA) group Y (29.3%) replaced BI (9.3%) as the dominant strain.
As society continues to change, so, too, has the nature of social connections between people. This chapter, however, focuses on one relationship immutable: that people often maintain committed involvements with particular others. We begin by situating and defining relationship commitment within a modern social context. We review historical and current theoretical models of commitment, including coverage of hypothesized antecedents, emphasizing empirical findings on precursors of commitment since the last edition of the Handbook. We then turn to reviewing research on hypothesized consequences of commitment, again emphasizing empirical findings since the last edition. Recent research considering racial, ethnic, and cultural variations in commitment is also reviewed. We conclude the chapter by offering possible future directions for commitment research.
Bipolar depression remains difficult to treat, and people often experience ongoing residual symptoms, decreased functioning and impaired quality of life. Adjunctive therapies targeting novel pathways can provide wider treatment options and improve clinical outcomes. Garcinia mangostana Linn. (mangosteen) pericarp has serotonogenic, antioxidant anti-inflammatory and neurogenic properties of relevance to the mechanisms of bipolar depression.
Aims
The current 28-week randomised, multisite, double-blind, placebo-controlled trial investigated mangosteen pericarp extract as an adjunct to treatment-as-usual for treatment of bipolar depression.
Method
This trial was prospectively registered on the Australia New Zealand Clinical Trials Registry (no. ACTRN12616000028404). Participants aged 18 years and older with a diagnosis of bipolar I or II and with at least moderate depressive symptoms were eligible for the study. A total of 1016 participants were initially approached or volunteered for the study, of whom 712 did not progress to screening, with an additional 152 screened out. Seventy participants were randomly allocated to mangosteen and 82 to a placebo control. Fifty participants in the mangosteen and 64 participants in the placebo condition completed the treatment period and were analysed.
Results
Results indicated limited support for the primary hypothesis of superior depression symptom reduction following 24 weeks of treatment. Although overall changes in depressive symptoms did not substantially differ between conditions over the course of the trial, we observed significantly greater improvements for the mangosteen condition at 24 weeks, compared with baseline, for mood symptoms, clinical impressions of bipolar severity and social functioning compared with controls. These differences were attenuated at week 28 post-discontinuation assessment.
Conclusions
Adjunctive mangosteen pericarp treatment appeared to have limited efficacy in mood and functional symptoms associated with bipolar disorder, but not with manic symptoms or quality of life, suggesting a novel therapeutic approach that should be verified by replication.
Recent changes to US research funding are having far-reaching consequences that imperil the integrity of science and the provision of care to vulnerable populations. Resisting these changes, the BJPsych Portfolio reaffirms its commitment to publishing mental science and advancing psychiatric knowledge that improves the mental health of one and all.
Antimicrobial resistance (AMR) is a major global health threat with a projected 10 million deaths globally by 2050. Antimicrobial stewardship (AMS) programs are coordinated efforts involving doctors, nurses, pharmacists, and other healthcare providers. Understanding knowledge, attitudes, and practices of health providers is pivotal for implementing strategies to curb the spread of AMR. The aim of this study was to evaluate knowledge, attitudes, and practices surrounding AMR and AMS among healthcare workers in Kenya.
Design:
A qualitative study using in-depth semi-structured interviews
Setting:
12 private outpatient clinics in Kenya.
Participants:
Healthcare workers including administrators and clinicians.
Methods:
A thematic analysis approach was used; the Capability, Opportunity, and Motivation for Behavior model was used to understand the knowledge, attitudes, and practices surrounding AMR and AMS.
Results:
Twenty-four participants were interviewed. They had some knowledge regarding AMR but lacked knowledge about AMS and its components. Although participants did not perceive AMR as a problem in their clinics, they reported it was a major problem in the country and globally. There was lack of prioritization of AMS in the clinics.
Conclusions:
The lack of knowledge on AMS and its components coupled with failure to recognize AMR as a problem in the facilities led to a lack of prioritization of AMS. There is therefore an urgent need to educate healthcare administrators and clinicians on AMR and AMS to foster a sense of ownership of the problem of AMR and to be pro-active in implementing measures to curb it.
Objectives/Goals: Transmission-blocking vaccines hold promise for malaria elimination by reducing community transmission. But a major challenge that limits the development of efficacious vaccines is the vast parasite’s genetic diversity. This work aims to assess the genetic diversity of the Pfs25 vaccine candidate in complex infections across African countries. Methods/Study Population: We employed next-generation amplicon deep sequencing to identify nonsynonymous single nucleotide polymorphisms (SNPs) in 194 Plasmodium falciparum samples from four endemic African countries: Senegal, Tanzania, Ghana, and Burkina Faso. The individuals aged between 1 and 74 years, but most of them ranged from 1 to 19 years, and all presented symptomatic P. falciparum infection. The genome amplicon sequencing was analyzed using Geneious software and P. falciparum 3D7 as a reference. The SPNs were called with a minimum coverage of 500bp, and for this work, we used a very sensitive threshold of 1% variant frequency to determine the frequency of SNPs. The identified SNPs were threaded to the crystal structure of the Pfs25 protein, which allowed us to predict the impact of the novel SNP in the protein or antibody binding. Results/Anticipated Results: We identified 26 SNPs including 24 novel variants, and assessed their population prevalence and variant frequency in complex infections. Notably, five variants were detected in multiple samples (L63V, V143I, S39G, L63P, and E59G), while the remaining 21 were rare variants found in individual samples. Analysis of country-specific prevalence showed varying proportions of mutant alleles, with Ghana exhibiting the highest prevalence (44.6%), followed by Tanzania (12%), Senegal (11.8%), and Burkina Faso (2.7%). Moreover, we categorized SNPs based on their frequency, identifying dominant variants (>25%), and rare variants (Discussion/Significance of Impact: We identified additional SNPs in the Pfs25 gene beyond those previously reported. However, the majority of these newly discovered display low variant frequency and population prevalence. Further research exploring the functional implications of these variations will be important to elucidate their role in malaria transmission.
With wide-field phased array feed technology, the Australian Square Kilometre Array Pathfinder (ASKAP) is ideally suited to search for seemingly rare radio transient sources that are difficult to discover previous-generation narrow-field telescopes. The Commensal Real-time ASKAP Fast Transient (CRAFT) Survey Science Project has developed instrumentation to continuously search for fast radio transients (duration $\lesssim$ 1 s) with ASKAP, with a particular focus on finding and localising fast radio bursts (FRBs). Since 2018, the CRAFT survey has been searching for FRBs and other fast transients by incoherently adding the intensities received by individual ASKAP antennas, and then correcting for the impact of frequency dispersion on these short-duration signals in the resultant incoherent sum (ICS) in real time. This low-latency detection enables the triggering of voltage buffers, which facilitates the localisation of the transient source and the study of spectro-polarimetric properties at high time resolution. Here we report the sample of 43 FRBs discovered in this CRAFT/ICS survey to date. This includes 22 FRBs that had not previously been reported: 16 FRBs localised by ASKAP to $\lesssim 1$ arcsec and 6 FRBs localised to $\sim 10$ arcmin. Of the new arcsecond-localised FRBs, we have identified and characterised host galaxies (and measured redshifts) for 11. The median of all 30 measured host redshifts from the survey to date is $z=0.23$. We summarise results from the searches, in particular those contributing to our understanding of the burst progenitors and emission mechanisms, and on the use of bursts as probes of intervening media. We conclude by foreshadowing future FRB surveys with ASKAP using a coherent detection system that is currently being commissioned. This will increase the burst detection rate by a factor of approximately ten and also the distance to which ASKAP can localise FRBs.
The simplest of the continuity theorems considered states that a Baire-measurable function between metric spaces has only a meagre set of discontinuity points. Results on Baire continuity (again, this theme goes back to Banach’s book) are given, for instance the Baire homomorphism theorem states that a Baire homomorphism between normed groups X, Y with X topologically complete is continuous. Another generalization is presented as Banach’s continuous-homomorphism theorem. The coincidence theorems we present derive from Sandro Levi’s 1983 result on the comparison of topologies, to the effect that if one refines the other, they must coincide on a subspace.
This starred (omittable) chapter is devoted to non-separable versions of results already proved in the more tractable separable context. As the star indicates, the results here are aimed more at the specialist topologist than at the general mathematical reader, our usual intended audience.
As well as BGT, the other main influence on this book is Oxtoby’s Measure and Category: A Survey of the Analogies between Topological and Measures Spaces (Springer, 1971). For Oxtoby, (Lebesgue) measure is primary, (Baire) category is secondary. Our view, as our title shows, reverses this. The book may thus be regarded as an extended demonstration of the power and wide applicability of the Baire category theorem. Chapter 2 – where we use ‘meagre’ and ‘non-meagre’ for ‘of first (Baire) category’ and ‘of second category’ – proves and discusses several versions of Baire’s (category) theorem: on the line, the intersection of any sequence of dense open sets is dense. We also discuss Baire measurability, and the Baire property. We likewise give a full treatment of the Banach category theorem – a union of any family of meagre open sets is meagre – also used extensively in the book. We discuss countability conditions, and games of Banach–Mazur type. The chapter ends with a discussion of p-spaces (plumed spaces).
This chapter may be viewed as a brief treatment of such parts of descriptive set theory as are needed in the main body of the text. The Borel hierarchy and analytic sets (Chapter 1) are developed further. The theorems of Souslin (analytic plus co-analytic imply Borel), Nikodym (preservation of the Baire property under the Souslin operation) and Marczewski (preservation of measurability under the Souslin operation) are stated (proved in more generality in Chapter 12). The Cantor Intersection Theorem is extended from closed (or compact) sets to analytic sets (Analytic Cantor Theorem). The Borel hierarchy is extended to the projective hierarchy: starting with the analytic sets $\sum^1_1$, their complements $\prod^1_1$ and the intersection of these, $\Delta^1_1$ (the Borel sets), one proceeds inductively: $\sum^1_{n+1}$ contains projections of $\prod^1_n$; their complements give $\prod^1_{n+1}$; intersections of these give $\Delta^1_{n+1}$, etc. The special importance of $\Delta^1_2$ is discussed.
The importance of infinite combinatorics is indicated by the book’s subtitle. Category (and indeed measure) methods are particularly useful for establishing generic behaviour: showing that a particular property predominates, without needing to (or indeed, being able to) show any specific example. Results of this type proved here include the Generic Dichotomy Principle, Generic Completeness Principle, Kestelman–Borwein–Ditor Shift-Compactness Theorem (used many times and abbreviated to KBD) and Kemperman’s Displacement Theorem.