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Cannabis use severely affects the outcome of people with psychotic disorders, yet there is a lack of treatments. To address this, in 2019 the National Health Service (NHS) Cannabis Clinic for Psychosis (CCP) was developed to support adults suffering from psychosis to reduce and/or stop their cannabis use.
Aims
Examine outcome data from the first 46 individuals to complete the CCP's intervention.
Method
The sample (N = 46) consisted of adults (aged ≥ 18) with psychosis under the care of the South London and Maudsley NHS Foundation Trust, referred to the CCP between January 2020 and February 2023, who completed their intervention by September 2023. Clinical and functional measures were collected before (T0) and after (T1) the CCP intervention (one-to-one sessions and peer group attendance). Primary outcomes were changes in the Cannabis Use Disorders Identification Test-Revised (CUDIT-R) score and pattern of cannabis use. Secondary outcomes included T0–T1 changes in measures of delusions, paranoia, depression, anxiety and functioning.
Results
A reduction in the mean CUDIT-R score was observed between T0 (mean difference = 17.10, 95% CI = 15.54–18.67) and T1, with 73.91% of participants achieving abstinence and 26.09% reducing the frequency and potency of their use. Significant improvements in all clinical and functional outcomes were observed, with 90.70% being in work or education at T1 compared with 8.70% at T0. The variance in CUDIT-R scores explained between 34 and 64% of the variance in our secondary measures.
Conclusions
The CCP intervention is a feasible strategy to support cannabis use cessation/reduction and improve clinical and functional outcomes of people with psychotic disorders.
Rice in Mississippi is often in early seedling growth stages when paraquat-based herbicide treatments are commonly applied to corn, cotton, and soybean; therefore, off-target movement of the herbicide onto adjacent rice fields may occur. After an off-target movement event has occurred, weed management in the rice crop is still necessary. Field studies were conducted from 2019 to 2021 in Stoneville, MS, to evaluate rice injury and barnyardgrass control with labeled herbicides after exposure to a sublethal concentration of paraquat. Herbicide treatments were label-recommended rates of imazethapyr, quinclorac, propanil, bispyribac-sodium, cyhalopfop, and florpyrauxifen-benzyl applied following rice exposure to a sublethal concentration of paraquat. Rice injury was detected 7 and 28 d after treatment (DAT) and was ≥35% and ≥14%, respectively, for all herbicides. Florpyrauxifen-benzyl and imazethapyr caused the greatest rice injury at 28 DAT. Following paraquat exposure, barnyardgrass control was similar for all labeled herbicide treatments at 7, 14, and 28 DAT except for florpyrauxifen-benzyl and no herbicide (paraquat alone) at 7 DAT. Across all evaluations, barnyardgrass control was at least 12% greater following paraquat exposure and labeled herbicide treatments than with no paraquat exposure. The current research demonstrates that labeled rates of herbicides applied following exposure to a sublethal concentration of paraquat resulted in <36% injury and provided as great as 95% control of barnyardgrass, depending on the herbicide treatment. Therefore, the labeled herbicides choice following rice exposure to a sublethal concentration of paraquat should be based on weed spectrum.
Crop residue can intercept and adsorb residual herbicides, leading to reduced efficacy. However, adsorption can sometimes be reversed by rainfall or irrigation. Greenhouse experiments were conducted to evaluate the effect of differential overhead irrigation level on barnyardgrass response to acetochlor, pyroxasulfone, and pendimethalin applied to bare soil or wheat straw–covered soil. Acetochlor applied to wheat straw–covered soil resulted in 25% to 40% reduced control, 30 to 50 more plants 213 cm−2, and greater biomass than bare soil applications, regardless of irrigation amount. Barnyardgrass suppression by pyroxasulfone applications to wheat straw–covered soil improved with increased irrigation; however, weed control levels similar to bare soil applications were not observed after any irrigation amount. Barnyardgrass densities from pyroxasulfone applications to bare soil decreased with irrigation but did not change in applications to wheat straw–covered soil. Aboveground barnyardgrass biomass from pyroxasulfone decreased with greater irrigation amounts in both bare soil and wheat straw–covered soil applications; however, decreased efficacy in wheat straw–covered soil applications was not alleviated with irrigation. Pendimethalin was the only herbicide tested that displayed reduced efficacy when irrigation amounts increased in applications to both bare soil and wheat straw–covered soil. Barnyardgrass control from pendimethalin applied to wheat straw–covered soil was similar to bare soil applications when approximately 0.3 to 1.2 cm of irrigation was applied; however, irrigation amounts greater than 1.2 cm resulted in greater barnyardgrass control in bare soil applications. No differences between wheat straw–covered soil and bare soil applications of pendimethalin were observed for barnyardgrass densities. These data indicate that increased irrigation or rainfall level can increase efficacy of acetochlor and pyroxasulfone. Optimal rainfall or irrigation amounts required for efficacy similar to bare soil applications are herbicide specific, and some herbicides, such as pendimethalin, may be adversely affected by increased rainfall or irrigation.
ABSTRACT IMPACT: Disparities are multifactorial in etiology we seek to elucidate the effects of social determinants of health such as race on the outcomes of autologous flap reconstruction. OBJECTIVES/GOALS: Immediate breast reconstruction has increased in recent years yet, racial and socioeconomic disparities in the receipt of postmastectomy breast reconstruction persist. We review the usage of autologous flaps for immediate breast reconstruction in a single institution with a diverse population to determine the effect of radiation on flap survival. METHODS/STUDY POPULATION: The database of a Southeastern tertiary referral center was queried for patients who received autologus flaps for immediate reconstruction following mastectomy. Patients were stratified based on whether they received no radiation (TRAM), neoadjuvant radiation (TRAM + Pre-XRT), or post-reconstruction radiation (TRAM + PMRT). So far, we have identified 91 patients (157 breasts) meeting inclusion criteria from 2006 to 2017. Patient demographics and outcomes were compared based on radiation status. The primary outcome (reconstructive success) was defined as breast reconstruction without flap loss. Comorbidities, socioeconomic status, and method of reconstruction were collected. Statistical analysis included t-tests, chi-square tests and logistic regression were appropriate using R. RESULTS/ANTICIPATED RESULTS: At the moment, we focus on outcomes of transverse rectus abdominus flaps and are adding information on 4 other flap-based methods. There were 68 in the solely TRAM group, 33 in TRAM+Pre-XRT and 56 in TRAM+PMRT with equivalent demographics between all groups for Age, Race and BMI (Table 1). In terms of race most patients self-identified as White (68%), followed by Black (24%) and Other (8%), p=0.172. There was a statistically significant difference in the incidence of tobacco use with the type of radiation used (p=0.007) with the PTRAM+ PMRT group having the highest percentage. When analyzing major and minor complications based on radiation received or reconstructive success there was no significant difference regardless of radiation treatment with the group overall achieving a 97.4% success rate (p=0.229). DISCUSSION/SIGNIFICANCE OF FINDINGS: Despite the known racial disparities in healthcare and the deleterious effects of radiation therapy on wound healing, there was no significant difference found in the incidence of major or minor complications in patients receiving neoadjuvant or post-reconstruction radiation therapy regardless of patient demographics.
The final 10 Myr of the Paleozoic saw two of the biggest biological crises in Earth history: the middlePermian extinction (often termed the Guadalupian–Lopingian extinction [GLE]) that was followed 7–8 Myr later by Earth's most catastrophic loss of diversity, the Permian–Triassic mass extinction (PTME). These crises are not only manifest as sharp decreases in biodiversity and—particularly for the PTME—total ecosystem collapse, but they also drove major changes in biological morphological characteristics such as the Lilliput effect. The evolution of test size among different clades of foraminifera during these two extinction events has been less studied. We analyzed a global database of foraminiferal test size (volume) including 20,226 specimens in 464 genera, 98 families, and 9 suborders from 632 publications. Our analyses reveal significant reductions in foraminiferal mean test size across the Guadalupian/Lopingian boundary (GLB) and the Permian/Triassic boundary (PTB), from 8.89 to 7.60 log10 μm3 (lg μm3) and from 7.25 to 5.82 lg μm3, respectively. The decline in test size across the GLB is a function of preferential extinction of genera exhibiting gigantism such as fusulinoidean fusulinids. Other clades show little change in size across the GLB. In contrast, all Lopingian suborders in our analysis (Fusulinina, Lagenina, Miliolina, and Textulariina) experienced a significant decrease in test size across the PTB, mainly due to size-biased extinction and within-lineage change. The PTME was clearly a major catastrophe that affected many groups simultaneously, and the GLE was more selective, perhaps hinting at a subtler, less extreme driver than the later PTME.
Research was conducted from 2013 to 2015 across three sites in Mississippi to evaluate corn response to sublethal paraquat or fomesafen (105 and 35 g ai ha−1, respectively) applied PRE, or to corn at the V1, V3, V5, V7, or V9 growth stages. Fomesafen injury to corn at three d after treatment (DAT) ranged from 0% to 38%, and declined over time. Compared with the nontreated control (NTC), corn height 14 DAT was reduced approximately 15% due to fomesafen exposure at V5 or V7. Exposure at V1 or V7 resulted in 1,220 and 1,110 kg ha−1 yield losses, respectively, compared with the NTC, but yield losses were not observed at any other growth stage. Fomesafen exposure at any growth stage did not affect corn ear length or number of kernel rows relative to the NTC. Paraquat injury to corn ranged from 26% to 65%, depending on growth stage and evaluation interval. Corn exposure to paraquat at V3 or V5 consistently caused greater injury across evaluation intervals, compared with other growth stages. POST timings of paraquat exposure resulted in corn height reductions of 13% to 50%, except at V7, which was most likely due to rapid internode elongation at that stage. Likewise, yield loss occurred after all exposure times of paraquat except PRE, compared with the NTC. Corn yield was reduced 1,740 to 5,120 kg ha−1 compared with the NTC, generally worsening as exposure time was delayed. Paraquat exposure did not reduce corn ear length, compared with the NTC, at any growth stage. However, paraquat exposure at V3 or V5 was associated with reduction of kernel rows by 1.1 and 1.7, respectively, relative to the NTC. Paraquat and fomesafen applications near corn should be avoided if conditions are conducive for off-target movement, because significant injury and yield loss can result.
The transition from adolescent to adult mental health services (AMHS) is associated with disengagement, poor continuity of care and patient dissatisfaction. The aim of this retrospective and descriptive study was to describe the ‘care pathways’ in an independent mental health service when adolescents reach age 18 and to investigate the level of engagement of those who transitioned to independent AMHS.
Methods
This is a retrospective, naturalistic and descriptive study in design. All patients discharged from the St Patrick’s Adolescent Mental Health Service aged 17 years and 6 months and older, during a 3-year period between January 2014 and December 2016, were included. Electronic records were used to collect socio-demographic and clinical details and to determine engagement rates in adolescents who transferred to independent adult services.
Results
A total of 180 patients aged over 17 years and 6 months were discharged from the adolescent service. Of these, 45.6% were discharged to their GP, 28.9% to public mental health services and 25.6% to independent mental health services. The majority who transitioned to independent AMHS went to a Young Adult Service, which had high engagement rates at 3 and 12 months post-transition.
Conclusions
In this independent mental health service, less than half of adolescents who reach the transition age are referred onto AMHS. Engagement rates were found to be high among those referred on to a specialised young adult service.
Understanding control of glyphosate-resistant (GR) Palmer amaranth with multiple herbicide sites of action, including synthetic auxins, is crucial for growers to minimize GR Palmer amaranth interference with crops. Field studies in 2013 and 2014 and a greenhouse study in 2014 were conducted in Stoneville, MS, to evaluate POST control of GR Palmer amaranth with 2,4-D alone and in mixtures with glyphosate and/or glufosinate. In the greenhouse study, control of 5- and 10-cm GR Palmer amaranth was 87% with 2,4-D at 0.84 kg ae ha−1. Dry weight reduction of GR Palmer amaranth was ≥81% with 2,4-D at 0.84 kg ha−1. In field studies, mixtures of glufosinate at 0.59 kg ai ha−1 and 2,4-D at 0.56 or 1.12 kg ae ha−1 controlled 5- to 10-cm GR Palmer amaranth 87% at 28 d after treatment (DAT). Averaged across glyphosate treatments, glufosinate applied alone applied to 5- to 10-cm GR Palmer amaranth reduced dry weight at 28 DAT to 20 g m−2 from 82 g m−2 and was comparable with that following 2,4-D applied alone at 1.12 kg ae ha−1 and mixtures of glufosinate plus 2,4-D at 0.56 and 1.12 kg ae ha−1. Mixtures of 2,4-D plus glufosinate provided ≥92% control of 15- to 20-cm GR Palmer amaranth at 28 DAT. When applied to 15- to 20-cm plants, mixtures of 2,4-D plus glufosinate reduced GR Palmer amaranth density to ≤5 plants m−2 compared with 65 plants m−2 where no 2,4-D or glufosinate was applied. Glufosinate and 2,4-D are viable control options for 5- to 10-cm or 15- to 20-cm GR Palmer amaranth. However, 2,4-D did not improve GR Palmer amaranth control when added to any herbicide mixture except glyphosate and glufosinate applied to 15- to 20-cm plants at the 28 DAT evaluation.
Understanding the behaviour of gas in a geological disposal facility (GDF) is an essential component of analysing the facility evolution and long-term (post-closure) safety performance. This includes the impacts of gas on the physico-chemical evolution of the GDF, and the release and migration of radionuclides in water and gas.
The Nuclear Decommissioning Authority Radioactive Waste Management Directorate is participating in the EC FORGE (fate of repository gases) project (www.forgeproject.org) and conducting independent research. Key research themes are modelling the impacts of different host rocks on facility evolution including coupled processes, and upscaling the effects of small scale features that can significantly influence the evolution of the whole facility.
Recent code developments have enabled coupled processes to be represented more realistically in models. This has significantly advanced understanding of facility evolution, as discussed in this paper, and will improve future assessment models. There is potential to further improve approaches to upscaling the effects of small scale features on strongly coupled processes, within the context of the EC FORGE project.
Presidential scholars and baseball writers debate who were the greatest. While baseball analysis evolved from qualitative impressions of “experts” to rigorous, data-driven “sabermetrics,” analysis of presidential greatness continues to rely on “old-school” reputational rankings based on surveys of scholars’ qualitative assessments. Presidential-congressional relations and baseball are all about winning, but what fans (of sports and politics) find most intriguing is Wins Above Expectations (WAE)—did the team do better or worse than expected? This paper adapts the Pythagorean Expectations (PE) formula developed to analyze baseball to assess legislative success of presidents from Eisenhower to Obama. A parsimonious regression model and the PE formula predict annual success rates with 90% accuracy. The estimates of WAE from the two approaches, however, are uncorrelated. Regression analysis does not identify any president who systematically exceeded expectations, but sabermetric analysis indicates that Republican presidents outperform Democrats. Neither approach correlates with recent presidential greatness rankings.
Field studies were conducted near Crowley, LA in 2005 through 2007 to evaluate the effects of simulated herbicide drift on ‘Cocodrie' rice. Each application was made with the spray volume varying proportionally to herbicide dosage based on a constant spray volume of 234 L ha−1 and a glyphosate rate of 863 g ae ha−1. The 6.3%, 54–g ha−1, herbicide rate was applied at a spray volume of 15 L ha−1, and the 12.5%, 108–g ha−1, herbicide rate was applied at a spray volume of 29 L ha−1. Compared with the nontreated, glyphosate applied at one tiller, panicle differentiation (PD), and boot resulted in increased crop injury. The greatest injury was observed on rice treated at the one-tiller timing. Applications of glyphosate at one tiller, PD, and boot reduced plant height at harvest and primary and total crop yield. Rice treated at primary crop maturity was not affected by glyphosate applications.
Field studies were conducted in Crowley, LA, and Stoneville, MS, in drill-seeded rice to evaluate economical returns of weed control with imazethapyr. Red rice and barnyardgrass control was evaluated with imazethapyr alone at various rates and application timings. Imazethapyr, averaged across rate, controlled red rice 89% and barnyardgrass 90% when the initial application of imazethapyr was applied at emergence followed by a second application of imazethapyr 2 wk later. No difference in red rice and barnyardgrass control was observed with imazethapyr, averaged across timing. Yield and economical returns were maximized when the initial application of imazethapyr was applied at rice emergence followed by a second application of imazethapyr 2 wk later.
Field studies were conducted near Crowley, LA to evaluate the effects of simulated herbicide drift on ‘Cocodrie' rice. Each treatment was made with the spray volume varying proportionally to herbicide dosage based on a spray volume of 234 L ha−1 and a glufosinate rate of 493 g ai ha−1. The 6.3%, 31 g ha−1, herbicide rate was applied at a spray volume of 15 L ha−1 and the 12.5%, 62 g ha−1, herbicide rate was applied at a spray volume of 29 L ha−1. Glufosinate applied at one-tiller, panicle differentiation (PD) growth stage, and boot resulted in crop injury at 7 and 14 d after treatment. At 21 and 28 d after treatment, crop injury was still evident but was less than 10%. Glufosinate applied at one-tiller resulted in plant height reductions of 4 to 6%; however, at harvest, height reductions were 1% or less. Glufosinate applied to rice in the boot stage had lower rice yield in the primary crop, but no difference was observed in the ratoon crop. Harvested seed from the primary crop germinated 7 to 11% less than the nontreated when rice was treated with 31 and 62 g ha−1 of glufosinate. Seedling vigor was reduced when treated with 31 and 62 g ha−1 of glufosinate.
The replication of experiments over multiple environments such as locations and years is a common practice in field research. A major reason for the practice is to estimate the effects of treatments over a variety of environments. Environments are frequently classed as random effects in the model for statistical analysis, while treatments are almost always classed as fixed effects. Where environments are random and treatments are fixed, it is not always necessary to include all possible interactions between treatments and environments as random effects in the model. The rationale for decisions about the inclusion or exclusion of fixed by random effects in a mixed model is presented. Where the effects of treatments over broad populations of environments are to be estimated, it is often most appropriate to include only those fixed by random effects that reference experimental units.
A study was conducted in 2005 and 2006 to evaluate the response of 10 rice cultivars to penoxsulam applied at 70 g ai/ha to two- to three-leaf rice. A related study was conducted in 2004 and 2005 to compare the rice response to applications of penoxsulam at 35 and 70 g/ha and bispyribac-sodium at 28 g ai/ha. In the first study, all 10 rice cultivars exhibited tolerance to penoxsulam as evidenced by plant height, number of days to 50% heading, and rice grain yield. In the second study, applications of both rates of penoxsulam and bispyribac-sodium reduced mass of rice roots 65 to 71% 2 wk after treatment compared with a nontreated control. However, rice grain yield was higher following application of penoxsulam at 70 g/ha compared with yield of the nontreated control or yield following penoxsulam at 35 g/ha and bispyribac-sodium. Rice recovered from injury observed following herbicide application with no negative impact on grain yield. Results indicate that, even though rice root injury can be severe following application, penoxsulam is safe for application to rice cultivars currently grown in the southern U.S. Rice Belt.
Field research was conducted for 3 yr to evaluate crop response and weed control under conventional and reduced tillage in drill- and water-seeded imidazolinone-tolerant (IT) rice culture. Imazethapyr was applied at 70 g ai/ha PRE followed by (fb) imazethapyr at 70 g/ha applied POST to three- to four-leaf rice or at 105 g/ha PRE fb 70 g/ha POST. In both conventional and reduced tillage systems, imazethapyr applied PRE fb POST at 70 g ai/ha controlled red rice, barnyardgrass, Amazon sprangletop, and rice flatsedge 87 to 99% 35 d after POST treatment (DAT). At 35 DAT, Indian jointvetch control with sequential applications of imazethapyr was as high as 70% in water-seeded rice but no more than 54% in drill-seeded rice. Tillage, seeding method, and imazethapyr rate had no effect on days to 50% heading, seeds per panicle, seed weight per panicle, or percentage of seed harvest. However, a reduction of 27% in days to 50% heading, 80% in seeds per panicle, 84% in seed weight per panicle, and 100% in percentage seed harvest index occurred when imazethapyr was not applied because of weed interference. Culm number was reduced 28%, and culm weight 32% under reduced tillage compared with conventional tillage. With sequential applications of imazethapyr at 70 g/ha, rice yield was 63% greater when rice was water-seeded compared with drill-seeded. No differences in tillage systems for weed control, days to 50% heading, seed number, seed weight per panicle, percent seed, panicle height, lodging, or yield were observed. Results of these experiments demonstrate imazethapyr will effectively control weeds in both water- and drill-seeded rice and that reduced tillage can be used without negatively affecting rice production.
Field studies were conducted near Crowley, LA, in 2005 through 2007 to evaluate the effects of simulated herbicide drift on ‘Cocodrie’ rice. Each application was made with the spray volume varying proportionally to herbicide dosage based on a constant spray volume of 234 L ha−1 and an imazethapyr rate of 70 g ai ha−1. The 6.3%, 4.4 g ha−1, herbicide rate was applied at a spray volume of 15 L ha−1 and the 12.5%, 8.7 g ha−1, herbicide rate was applied at a spray volume of 29 L ha−1. An application of imazethapyr at one-tiller, panicle differentiation (PD), and boot resulted in increased crop injury compared with the nontreated rice. The most injury observed occurred on rice treated at the one-tiller timing. Imazethapyr at one-tiller, PD, and boot reduced plant height at harvest and primary and total (primary plus ratoon) crop yield, with the greatest reduction in primary crop yield resulting from imazethapyr applied at boot. Imazethapyr did not affect rice treated at primary crop maturity.
A study was conducted to evaluate interactions of imazethapyr co-application with propanil, thiobencarb, or a prepackaged mixture of propanil plus thiobencarb. At 7, 14, 21, and 49 d after treatment (DAT), synergism occurred for red rice treated with imazethapyr at 70 g ai ha−1 mixed with propanil plus thiobencarb at 1,680 and 3,360 g ai ha−1. A synergistic response was also observed with imazethapyr at 70 g ha−1 mixed with propanil at 1,680 g ha−1; however, all other co-applications evaluated resulted in a neutral response with no antagonism observed. At 7 DAT, antagonism was observed for barnyardgrass when treated with imazethapyr at 70 g ha−1 mixed with propanil plus thiobencarb at 1,680 g ha−1, propanil at 840 g ha−1, or thiobencarb at 840 and 1,680 g ha−1; however, a synergistic response occurred for barnyardgrass control at 14, 21, and 49 DAT with imazethapyr at 70 g ha−1 mixed with propanil plus thiobencarb at 3,360 g ha−1. The synergistic response observed for red rice and barnyardgrass control with a mixture of imazethapyr plus propanil plus thiobencarb can benefit producers by increasing control of red rice and barnyardgrass, and this mixture contains three herbicides with three different modes of action, which can be part of an overall resistance-management strategy in imidazolinone-resistant (IR) rice.
Greenhouse research was conducted to evaluate shoot and root growth response of imidazolinone-tolerant (IT) rice cultivars to imazethapyr applied postemergence at various rates and application timings. Imazethapyr was applied at 70, 140, and 280 g ai/ha to IT cultivars ‘CL 121’ and ‘CL 161’ in the one- to two-leaf and three- to four-leaf growth stages. Imazethapyr applied to one- to two-leaf or three- to four-leaf rice at 70, 140, and 280 g/ha was more injurious to CL 121 than to CL 161. At 3 wk after treatment (WAT), CL 121 was injured 23 to 38% regardless of application timing. In contrast, CL 161 was injured no more than 11% at 3 WAT. Shoot:root ratio for CL 161 was not affected by imazethapyr application. For CL 121, shoot:root ratio was lower following imazethapyr at 280 g/ha than at 70 or 140 g/ha. Based on shoot fresh weight following imazethapyr at 70 g/ha, CL 161 was 1.8 times more tolerant than CL 121 at 2 WAT and 1.3 times more tolerant at 3 WAT. The IT rice cultivar CL 161 is inherently more tolerant to imazethapyr than is CL 121 based on visual injury and shoot and root growth.