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The radio telescopes of the European VLBI Network (EVN) and the University of Tasmania (UTAS) conducted an extensive observation campaign of the European Space Agency’s (ESA) Mars Express (MEX) spacecraft between 2013 and 2020. The campaign, carried out under the Planetary Radio Interferometry and Doppler Experiment (PRIDE) framework, aimed to study interplanetary phase scintillation and assess the noise budget in the closed-loop Doppler observations. The average closed-loop Doppler noise was determined to be approximately 10 mHz at a 10-second integration time, reaffirming the technique’s suitability for radio science experiments. We evaluated how different observational parameters such as the solar elongation, antenna size, and elevation angle impact the Doppler noise. A key part of the analysis involved comparing results from co-located telescopes to investigate system noise effects. Co-located telescopes at both Wettzell and Hobart provided highly consistent results, with any deviations serving as diagnostic tools to identify station-dependent issues. Additionally, the use of phase calibration tones during spacecraft tracking showed that the instrumental noise contribution is of the order of 5% of the total noise. This study provides a detailed noise budget for closed-loop Doppler observations with VLBI telescopes while emphasizing the effectiveness of the co-location method in isolating system-level noise. These findings are important for optimizing future radio science and VLBI tracking missions using stations outside the the Deep Space Network (DSN) and European Space Tracking (ESTRACK) network.
Objectives/Goals: This review examined if sleep duration is associated with established Alzheimer’s disease (AD) fluid biomarkers, such as amyloid-β peptides (Aβ40 and Aβ42), total-tau (t-tau), phosphorylated tau (p-tau181 and p-tau217), neurofilament light chain (NfL), and glial fibrillary acidic protein (GFAP). Methods/Study Population: We searched PubMed, CINAHL, and SCOPUS through September 15, 2024, using keywords and appropriate subject headings related to AD, fluid biomarkers, and sleep. The search was developed and conducted in collaboration with a medical librarian. We also searched Google Scholar and screened the reference lists of relevant reviews. Two independent reviewers screened 1,657 peer-reviewed articles, of which 21 met the inclusion criteria (14 with biomarkers measured in cerebrospinal fluid [CSF] and 7 in blood). Two review authors independently extracted study details from included articles using a standardized data extraction template. Results/Anticipated Results: Sample sizes ranged from 18 to 4,712 participants. Sleep duration was assessed using self-reported measures in 8 studies and objective measures in 13. For the 14 studies using CSF biomarkers, lower Aβ42 (3/14), Aβ40 (1/14), or the ratio (1/14) were associated with either short or long sleep duration; t-tau (3/14) and p-tau181 (4/14) levels were mostly associated with short sleep. For the 7 blood-based biomarker studies, Aβ42 (2/7), Aβ40 (2/7), and the ratio (3/7) had mixed results with either short or long sleep. T-tau (1/7) and p-tau181 (1/7) levels were associated with long sleep; NfL (2/7) was associated with both short and long sleep. Six studies reported nonlinear relationships, with both short and long sleep associated with unfavorable biomarker profiles. None of the studies investigated p-tau 217 or GFAP. Discussion/Significance of Impact: Our results suggest that the relationship between sleep duration and AD fluid biomarkers is very complex, and it highlights the importance of sleep in AD risk assessment and prevention. The inconsistency in findings stresses the need for standardized study design and measurement methods to clarify causality and inform clinical guidelines.
Chronic headache after aneurysmal subarachnoid hemorrhage (aSAH) remains an ongoing area of investigation, with uncertainty regarding its prevalence and long-term outcomes.
Methods:
A systematic review was conducted across five databases – Medline (Ovid), the Cochrane Central Register of Controlled Trials (Ovid), PsychInfo (Ovid), Embase (Ovid) and Scopus (Elsevier) – to identify all studies investigating the prevalence of chronic headaches after aSAH. A total of five studies were identified and included in our review.
Results:
There were five observational studies (three cohort and two cross-sectional). The overall prevalence of chronic headaches after aSAH ranged from 16.1% to 41%, albeit across a follow-up time frame of 12 months to 7.5 years. Outcome measurements included quantitative pain scores and opioid usage; however, these were inconsistent across studies, and the studies did not address the long-term impacts of chronic headaches on quality of life or their psychosocial implications.
Conclusion:
The prevalence of chronic headache after aSAH is not well-characterized, and long-term outcomes are seldom studied, highlighting a critical gap in the current literature. Longitudinal cohort studies with standardized approaches to ascertain the psychosocial and physiological burden associated with post-aSAH chronic headaches are urgently needed.
The relevance of education and outreach (E&O) activities about the Antarctic Treaty has been recognized at the Antarctic Treaty Consultative Meetings (ATCM) and at the Committee for Environmental Protection (CEP). This study examines the key topics and the target audiences detailed in papers submitted to the ATCM on E&O. Since the Antarctic Treaty entered into force in 1961, a total of 216 ATCM papers on E&O have been produced. The number of papers has increased substantially since the mid-1990s. ‘Science’ (76.9%) and ‘Wildlife/Biodiversity/Environment’ (75.5%) were the most addressed topics in these papers, while the ‘Public’ (81.0%) and those attending ‘Schools’ (69.0%) are the main target audiences. ‘Science’ in ATCM papers increased ~120-fold from 1961–1997 to 2015–2023, while ATCM papers discussing engagement with the ‘Public’ increased ~40-fold during the same period. ‘Climate change’ was first mentioned in 2006, and the number of papers per year increased fourfold by 2015–2023. This study shows the increasing interest in E&O through time, addressing key topics to relevant audiences related to the Antarctic region. From an educational perspective, attention should be paid to emerging topics (e.g. equity, diversity and inclusion), and the engagement of early-career professionals and educators should be made a priority.
Operative cancellations adversely affect patient health and impose resource strain on the healthcare system. Here, our objective was to describe neurosurgical cancellations at five Canadian academic institutions.
Methods:
The Canadian Neurosurgery Research Collaborative performed a retrospective cohort study capturing neurosurgical procedure cancellation data at five Canadian academic centres, during the period between January 1, 2014 and December 31, 2018. Demographics, procedure type, reason for cancellation, admission status and case acuity were collected. Cancellation rates were compared on the basis of demographic data, procedural data and between centres.
Results:
Overall, 7,734 cancellations were captured across five sites. Mean age of the aggregate cohort was 57.1 ± 17.2 years. The overall procedure cancellation rate was 18.2%. The five-year neurosurgical operative cancellation rate differed between Centre 1 and 2 (Centre 1: 25.9%; Centre 2: 13.0%, p = 0.008). Female patients less frequently experienced procedural cancellation. Elective, outpatient and spine procedures were more often cancelled. Reasons for cancellation included surgeon-related factors (28.2%), cancellation for a higher acuity case (23.9%), patient condition (17.2%), other factors (17.0%), resource availability (7.0%), operating room running late (6.4%) and anaesthesia-related (0.3%). When clustered, the reason for cancellation was patient-related in 17.2%, staffing-related in 28.5% and operational or resource-related in 54.3% of cases.
Conclusions:
Neurosurgical operative cancellations were common and most often related to operational or resource-related factors. Elective, outpatient and spine procedures were more often cancelled. These findings highlight areas for optimizing efficiency and targeted quality improvement initiatives.
Transmission electron microscope (TEM) images of mixed-layer illite/smectite (I/S) from Gulf Coast shales obtained earlier by the authors have been reexamined by comparing them with the calculated images of G. D. Guthrie and D. R. Veblen. Ordered two-layer periodicity was not detected in the 1750- and 2450-m depth samples, for which X-ray powder diffraction (XRD) showed 20% and 40% illite randomly interstratified in I/S, respectively. Two-layer periodicities that occur in images of the 5500-m depth sample were inferred to reflect ordered I/S. XRD data for the same sample imply the presence of 80% illite in RI-ordered I/S. The two-layer periodicities were observed in slightly overfocused images, consistent with the image calculations of Guthrie and Veblen, with strong dark fringes inferred to correspond to smectite interlayers. Two-layer periodicities were observed only in small domains of a few of the images, consistent with the requirement of special orientation of layers, which varies continuously over a wide range. The lack of more frequent observations of ordered periodicities in TEM images may reflect the lack of the special observation conditions and chemical heterogeneity of illite and smectite layers. Ordered mixed-layering may exist in those specimens for which XRD indicates such ordering, in contrast to the previous interpretation of the authors.
Alternating mica-like and smectite-like layers of rectorite give rise to periodically varying contrast in 10-Å lattice fringes, yielding a periodicity of 20 Å in a transmission electron microscopic study. Expansion of rectorite using dodecylamine hydrochloride yields a three-layer repeat of thickness 32–35 Å, consisting of a basic 20-Å unit, identical to that in images of collapsed, dehydrated rectorite, and a 12-15-Å thick, intercalated organic layer.
Thin packets of layers derived by grinding the sample are only 20 Å thick, or multiples thereof. Serrated edges of rectorite grains likewise have steps 20 Å in height, implying that mechanical cleavage occurs readily along the weakly bonded, smectite-like interlayers. The “fundamental” 20-Å unit is proposed to be compositionally centered on an interlayer bounded by two identical T-O-T layers, each of which has compositionally different tetrahedral sheets. Such structural considerations suggest that resultant 20-Å units (“rectorite units”) are unique in structure and chemistry relative to true illite. These results further imply that grinding and other treatment of coherent crystals of clay minerals may produce individual unit layers. Moreover, when coupled with size-separation, such treatment may yield X-ray powder diffraction data that reflect reconstituted layer sequences.
Diffusion of K during analytical electron microscopy (AEM) results in anomalously low count rates for this element. As the analysis area and specimen thickness decrease, count rates become disproportionally lower. Adularia and muscovite show different diffusion profiles during AEM; for muscovite a strong dependence of diffusion on crystallographic orientation has been observed. Conditions giving rise to reliable chemical data by AEM are the use of a wide scanning area (>800 × 800 Å) and/or large beam size to reduce the effect of diffusion of alkali elements, a specimen thickness greater than about 1000 Å, constant instrument operating conditions, and the use of a homogeneous, well-characterized standard sample. The optimum thickness range was obtained by determining the element intensity ratio vs. thickness curve for given operating conditions. The standard and unknown should have a similar crystal structure and, especially for strongly anisotropic minerals such as phyllosilicates, a similar crystallographic orientation with respect to the electron beam.
Transmission and analytical electron microscopy have been used to study the diagenesis of the trioctahedral component of phyllosilicates (principally chlorite) in argillaceous core samples (depths of 1750, 2450, and 5500 m) from the Gulf Coast. Chlorite was observed as 100-150-Å thick packets intergrown within mixed-layer illite/smectite in the 2450-m sample and was more abundant and larger in packet thickness in the 5500-m sample. The chlorite is disordered in stacking sequence as characterized by diffuseness of reflections with k ≠ 3n in electron diffraction patterns. Berthierine (7-Å) was locally found to be intercalated within chlorite layers. Chlorite from the 5500-m sample is iron-rich and has an average chemical formula of Fe3.1Mg1.1Al2.7Si2.8O10(OH)8. This chemical composition and textural relations suggest that the chlorite formed within mixed-layer illite/smectite utilizing Fe and Mg released from the smectite during its conversion to illite. The berthierine is nearly identical in chemical composition with the coexisting chlorite although it may have a slightly higher Fe content. The 7-Å berthierine is probably a metastable precursor of the chlorite and may be diagnostic of the diagenetic environment.
Wyoming bentonite, Fithian illite, and basalt from the Umtanum Formation, Washington, were treated hydrothermally at 200° to 460°C and 260 to 500 bars for 71 to 584 days. No change was detected for the bentonite and basalt, except for the loss of calcite and exchange of Ca for K in the smectite and the growth of a small amount of smectite (presumably from a glass phase) in the basalt. Calcite in the initial bentonite may have stabilized the smectite by Ca/K exchange; thus, if the latter is used as a packing material in a nuclear waste repository, limestone should be added. No change was detected in the illite samples treated <300°C; however, at 360°C, euhedral crystals of berthierine and illite grew at the expense of original illite/smectite, apparently by a solution-crystallization process. Significant changes involving the dissolution of starting phases and the formation of illite and chlorite were also detected in mixtures of basalt and bentonite at 400°C; at temperatures <400°C, no changes were observed.
The newly formed mineral phases (berthierine, illite, and chlorite) observed by transmission electron microscopy showed euhedral to subhedral shapes. These shapes are the same as those observed in hydrothermally altered sediments from the Salton Sea field and different from those from burial metamorphic environments, such as Gulf Coast sediments. The reaction mechanism is apparently the dissolution of reactants followed by the crystallization of products from solution, without conservation of structural elements of the reactants. Reactions apparently required temperatures greater than those for analogous changes in nature, suggesting that the degree of reaction was controlled by kinetics. The lack of dissolution in experimental runs at low temperatures, however, does not necessarily imply long-term stabilities of these clay minerals.
Treatment of smectite with laurylamine hydrochloride was verified to cause expansion of d(001) which may be retained and observed in ion-milled samples by transmission electron microscopy. The spacings between layers as observed in lattice fringe images, however, are variable and may be as small as 10 Å. The method therefore produces ambiguities in differentiating between some smectites and illites, similar to those that have been found for untreated samples; e.g., on this basis, expanded layers may be inferred to be smectite, but layers with d-values approaching 10 Å may be either illite or smectite. Expansion also destroys the original rock texture, which, therefore, must be observed using only untreated samples.
Introduction of African swine fever (ASF) to China in mid-2018 and the subsequent transboundary spread across Asia devastated regional swine production, affecting live pig and pork product-related markets worldwide. To explore the spatiotemporal spread of ASF in China, we reconstructed possible ASF transmission networks using nearest neighbour, exponential function, equal probability, and spatiotemporal case-distribution algorithms. From these networks, we estimated the reproduction numbers, serial intervals, and transmission distances of the outbreak. The mean serial interval between paired units was around 29 days for all algorithms, while the mean transmission distance ranged 332 –456 km. The reproduction numbers for each algorithm peaked during the first two weeks and steadily declined through the end of 2018 before hovering around the epidemic threshold value of 1 with sporadic increases during 2019. These results suggest that 1) swine husbandry practices and production systems that lend themselves to long-range transmission drove ASF spread; 2) outbreaks went undetected by the surveillance system. Efforts by China and other affected countries to control ASF within their jurisdictions may be aided by the reconstructed spatiotemporal model. Continued support for strict implementation of biosecurity standards and improvements to ASF surveillance is essential for halting transmission in China and spread across Asia.
This meta-analysis aimed to consolidate existing data from randomised controlled trials on hypoplastic left heart syndrome.
Methods:
Hypoplastic left heart syndrome specific randomised controlled trials published between January 2005 and September 2021 in MEDLINE, EMBASE, and Cochrane databases were included. Regardless of clinical outcomes, we included all randomised controlled trials about hypoplastic left heart syndrome and categorised them according to their results. Two reviewers independently assessed for eligibility, relevance, and data extraction. The primary outcome was mortality after Norwood surgery. Study quality and heterogeneity were assessed. A random-effects model was used for analysis.
Results:
Of the 33 included randomised controlled trials, 21 compared right ventricle-to-pulmonary artery shunt and modified Blalock–Taussig-Thomas shunt during the Norwood procedure, and 12 regarded medication, surgical strategy, cardiopulmonary bypass tactics, and ICU management. Survival rates up to 1 year were superior in the right ventricle-to-pulmonary artery shunt group; this difference began to disappear at 3 years and remained unchanged until 6 years. The right ventricle-to-pulmonary artery shunt group had a significantly higher reintervention rate from the interstage to the 6-year follow-up period. Right ventricular function was better in the modified Blalock–Taussig-Thomas shunt group 1–3 years after the Norwood procedure, but its superiority diminished in the 6-year follow-up. Randomised controlled trials regarding medical treatment, surgical strategy during cardiopulmonary bypass, and ICU management yielded insignificant results.
Conclusions:
Although right ventricle-to-pulmonary artery shunt appeared to be superior in the early period, the two shunts applied during the Norwood procedure demonstrated comparable long-term prognosis despite high reintervention rates in right ventricle-to-pulmonary artery shunt due to pulmonary artery stenosis. For medical/perioperative management of hypoplastic left heart syndrome, further randomised controlled trials are needed to deliver specific evidence-based recommendations.
The radio signal transmitted by the Mars Express (MEX) spacecraft was observed regularly between the years 2013–2020 at X-band (8.42 GHz) using the European Very Long Baseline Interferometry (EVN) network and University of Tasmania’s telescopes. We present a method to describe the solar wind parameters by quantifying the effects of plasma on our radio signal. In doing so, we identify all the uncompensated effects on the radio signal and see which coronal processes drive them. From a technical standpoint, quantifying the effect of the plasma on the radio signal helps phase referencing for precision spacecraft tracking. The phase fluctuation of the signal was determined for Mars’ orbit for solar elongation angles from 0 to 180 deg. The calculated phase residuals allow determination of the phase power spectrum. The total electron content of the solar plasma along the line of sight is calculated by removing effects from mechanical and ionospheric noises. The spectral index was determined as $-2.43 \pm 0.11$ which is in agreement with Kolmogorov’s turbulence. The theoretical models are consistent with observations at lower solar elongations however at higher solar elongation ($>$160 deg) we see the observed values to be higher. This can be caused when the uplink and downlink signals are positively correlated as a result of passing through identical plasma sheets.
(1) To examine total quality of foods consumed on the day a home-delivered meal (HDM) of the Older Americans Act Nutrition Program (OAANSP) was served, and when a HDM was not served; and (2) to estimate proportion of HDM participants and non-participants meeting the daily average recommendations for guidance-based foods and nutrients.
Design:
Cross-sectional study.
Setting:
Data were obtained from the national 2015–2017 Outcomes Evaluation Study of HDM participants in the USA.
Participants:
Adults aged 67 years and older (n 1227), 620 HDM recipients and 607 matching non-participants examined in three groups: (1) meal recipients who received a HDM on the day of the 24-h dietary recall; (2) no-meal recipients who did not receive a HDM on the day of the recall and (3) matching HDM non-participants.
Results:
Healthy Eating Index (HEI)-2010 scores of HDM participants were significantly lower on the day the meal was not received compared with when a meal was received (52·5 v. 63·4, P < 0·0001). There was no significant difference in the total HEI-2010 scores of HDM meal recipients and HDM non-participants. Despite the meal, less than 20 % of HDM participants and non-participants met the 2010-Diet Guidelines for Americans recommended average daily intake for fruit, vegetables, dairy, protein foods and solid fats.
Conclusion:
HDM participants’ diet quality is poorer when they do not receive a meal putting them at increased risk of malnutrition. Expanding the OAANSP to offer meals on weekends and/or to include more than one meal/d is recommended to improve the diet of this vulnerable population.
This study examined the perceived competence of Clinical Research Coordinators (CRCs) using several conceptual frameworks. Accurate self-assessment of one’s professional competence is a critical component in the career navigation process and contributes to (a) identifying and securing professional development (training), (b) leveraging professional strengths, and (c) integrating self-knowledge into a comprehensive career plan.
Method:
A survey design gathered responses from a sample of 119 CRCs in a southeastern region of the USA Two conceptual frameworks were used to represent aspects of CRC professional competence: the eight Joint Task Force (JTF) competence domains, and perceptions of strengths and training needs from a list of 12 task categories.
Results:
The JTF domain with the lowest competence level was Development and Regulations, while the highest was Communication. Perceived competence increased incrementally with years of experience. Top strengths involved direct patient interaction and data management. Tasks in need of training included project management and reporting issues. Variations in responses were based on years of experience as a CRC.
Conclusion:
Our results demonstrate an association between the self-reported strengths and training needs of CRCs and experience. This information can contribute to the self-directed career navigation of CRCs.
We present a new algorithm to solve the equations of radiation hydrodynamics (RHD) in a frequency-integrated, two-moment formulation. Novel features of the algorithm include i) the adoption of a non-local Variable Eddington Tensor (VET) closure for the radiation moment equations, computed with a ray-tracing method, ii) support for adaptive mesh refinement (AMR), iii) use of a time-implicit Godunov method for the hyperbolic transport of radiation, and iv) a fixed-point Picard iteration scheme to accurately handle the stiff nonlinear gas-radiation energy exchange. Tests demonstrate that our scheme works correctly, yields accurate rates of energy and momentum transfer between gas and radiation, and obtains the correct radiation field distribution even in situations where more commonly used – but less accurate – closure relations like the Flux-limited Diffusion and Moment-1 approximations fail. Our scheme presents an important step towards performing RHD simulations with increasing spatial and directional accuracy, effectively improving their predictive capabilities.
The physics of a rotary wing in forward flight are highly complex, particularly when flow separation is involved. The purpose of this work is to assess the role of three-dimensional (3-D) vortex dynamics, with a focus on Coriolis forces, in the evolution of vortices in the reverse flow region of a rotating wing. High-fidelity numerical simulations were performed to recreate the flow about a representative rotating wing in forward flight. A vorticity transport analysis was performed to quantify and compare the magnitudes of 2-D flow physics, vortex tilting and Coriolis effects in the resulting flow fields. Three-dimensional vortex dynamics was found to have a very small impact on the growth and behaviour of vortices in the reverse flow region; in fact, the rate of vortex growth was successfully modelled using a simple 2-D vortex method. The small role of 3-D physics was attributed to the Coriolis and vortex tilting terms being approximately equal and opposite to one another. This ultimately lead to vortex behaviour that more closely resembled a surging wing as opposed to a conventional rotating wing, a feature unique to the reverse flow region.