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Exclusive breastfeeding in the first 6 months of life is crucial for the health of mothers and babies in low-and middle-income countries. Milk mid-chain fatty acids (MCFA) are potential biomarkers of milk production in other settings. This study investigates MCFA as markers of exclusive breastfeeding in low-and middle-income countries. This was an ancillary observational analysis of human milk fatty acids from a parent randomised controlled trial of vitamin D supplementation in Bangladesh. We categorised mothers as currently exclusively or non-exclusively breastfeeding based on weekly infant feeding questionnaires. We analysed milk fatty acids at 3 months postpartum by GC and modelled longitudinal exclusive breastfeeding using milk fatty acids in repeated-measures Poisson regression. Fatty acids are reported as % total fatty acids. The prevalence of currently exclusive breast-feeding was 76 % at 3 months and 43 % at 6 months (n 587). Both C6:0 and C15:0 were higher with exclusive breastfeeding (C6:0, P = 0·001; C15:0, P = 0·007), while C12:0 and C14:0 were lower (C12:0, P < 0·001; C14:0, P < 0·001). We combined these into an MCFA index defined as ((C6:0 + C15:0)/(C12:0 + C14:0)) × 1000 (Excl: 25 ± 0·50, Non-excl: 20 ± 0·60, P < 0·001). Mothers in the highest and lowest MCFA index tertiles had an exclusive breastfeeding prevalence at 3 months of 95 % and 60 %, respectively (P < 0·001), and remained different until 6 months. In secondary analysis, vitamin D supplementation during lactation was moderately associated with exclusive breastfeeding (relative prevalence: 1·17 (95 % CI 1·04, 1·32)). Milk MCFA were markers of exclusive breastfeeding in this cohort, and the milk MCFA index at 3 months predicted exclusive breastfeeding from 3 to 6 months postpartum.
In this article we consider the relationship between phonetic possibility and phonological permissibility of segment types. We ask (i) are any phonetically impossible segments phonologically permissible? and (ii) are any phonetically possible segments phonologically impermissible? Our main focus is on answering (ii). We analyze the implications of the only relevant case we can find, which is in Cohn's (1990, 1993a) examination of nasality spreading in Sundanese, and relates to the description of glottal nasals (produced with glottal place of articulation and lowered velum). Cohn tentatively proposes that nasalized [h] and [?] occur phonetically but not phonologically. We show that a persuasive theory of nasality spreading suggests otherwise, and it is supported by evidence from several languages. Our conclusion is that no sound argument exists for excluding any pronounceable segment from phonology on theoretical grounds. The relation between the phonetically possible and the phonologically possible accordingly becomes somewhat more straightforward.
This article presents a typology of consonant harmony or LONG DISTANCE CONSONANT AGREEMENT that is analyzed as arising through correspondence relations between consonants rather than feature spreading. The model covers a range of agreement patterns (nasal, laryngeal, liquid, coronal, dorsal) and offers several advantages. Similarity of agreeing consonants is central to the typology and is incorporated directly into the constraints driving correspondence. Agreement by correspondence without feature spreading captures the neutrality of intervening segments, which neither block nor undergo. Case studies of laryngeal agreement and nasal agreement are presented, demonstrating the model's capacity to capture varying degrees of similarity crosslinguistically.
This concurrent, exploratory, mixed-methods process evaluation, embedded within a randomised controlled trial, investigates how the ‘active prevention in people at risk of dementia through lifestyle behaviour change and technology to build resilience’ (APPLE-Tree) secondary dementia prevention intervention might support behavioural and lifestyle goal attainment, through determining the contexts influencing engagement and testing intervention theoretical assumptions.
Aims
We aimed to investigate (a) intervention reach, dose and fidelity, (b) contexts influencing engagement and (c) alignment of findings with theoretical assumptions about how the intervention might have supported participants to meet personalised behavioural and lifestyle goals.
Method
We measured intervention reach and dose. We selected interviewees for setting, gender and ethnic diversity from the 374 APPLE-Tree trial participants randomised to the intervention arm. We interviewed 25 intervention participants, 12 facilitators and 3 study partners. Additionally, we analysed 11 interviews previously conducted during or after intervention delivery for an ethnography, and 233 facilitator-completed participant goal records. We thematically analysed data, combining inductive/deductive approaches informed by the ‘capability, opportunity and motivation-behaviour’ (COM-B) behaviour change model. We video-recorded a randomly selected tenth of sessions and rated fidelity.
Results
A total of 346 of 374 (92.5%) intervention arm participants received some intervention (reach), and 305 of 374 (81.6%) attended ≥5 main sessions (predefined as adhering: dose). According to facilitator records, participants met a mean of 5.1 of 7.5 (68.3%) goals set. We generated three themes around (a) building capability and motivation, (b) connecting with other participants and facilitators and (c) flexibility and a tailored approach.
Conclusions
The intervention supported behaviour change, through increasing knowledge and providing space to plan, implement and evaluate new strategies and make social connections. Feedback indicated that the intervention was flexible and inclusive of diverse preferences and needs.
Objectives/Goals: This research aims to identify genetic alterations influencing congenital anomalies of the kidney and urinary tract (CAKUT) and bridge a fundamental gap in understanding the cellular mechanisms underlying kidney development, with the long-term goal of enhancing treatments for congenital renal anomalies. Methods/Study Population: We will use a loss-of-function approach in combination with immunofluorescent microscopy techniques to determine the influence of Dnmbp perturbation on Daam1 localization, actin assembly, and junctional turnover. Additionally, to establish a foundation for delineating the molecular mechanism of DNMBP during kidney development, we will utilize clinical whole exome sequencing data to identify human DNMBP mutations associated with urogenital anomalies. Furthermore, we will determine whether human DNMBP mutations linked to CAKUT lead to disruptions in nephron development through loss-of-function rescue experiments in Xenopus. Results/Anticipated Results: Here, we evaluate the dynamics of Dnmbp-mediated transport of Daam1 within the developing kidney and show preliminary data suggesting that Dnmbp and Daam1 directly interact to promote adhesive contact formation between nephron progenitor cells. Furthermore, we propose a model in which Dnmbp functions as a critical regulator of epithelial tissue morphogenesis and provides a functional link between the dynamic processes of actin cytoskeleton regulation, intracellular adhesion, and vesicular transport. Future studies will determine whether Dnmbp interaction with Daam1 facilitates junctional actin assembly by directing Daam1 to cell–cell contact sites via Dnmbp-associated vesicle targeting, enhancing our understanding of the cellular mechanisms influencing tubule morphogenesis. Discussion/Significance of Impact: This research will establish a previously unknown role for DNMBP in kidney development and provide a comprehensive understanding of the impacts of simultaneously regulating vesicular transport and actin dynamics in nephrogenesis.
Type 2 diabetes (T2D) is a risk factor for cognitive impairment/dementia and has been shown to modify the impact of Alzheimer’s disease (AD) biomarkers on cognition and everyday functioning. Studies examining amyloid-ß (Aß), one of the hallmark AD pathologies, have shown mixed results regarding associations of Aß biomarkers with cross-sectional cognition as well as T2D, though Aß is generally associated with future cognitive declines. The purpose of the present study is to examine whether T2D impacts the associations between amyloid positron emission tomography (PET) and cognition in older Veterans.
Participants and Methods:
The current study included 202 mostly male Vietnam-Era Veterans from the Department of Defense-Alzheimer’s Disease Neuroimaging Initiative (DOD ADNI) study (age M=69.38 years, SD=4.37; 40% with self-reported T2D) who completed neuropsychological testing and florbetapir PET imaging. The Aß PET standardized uptake variable ratio (SUVR) was measured using a previously-validated summary SUVR calculated by dividing the mean uptake across 4 AD-vulnerable cortical regions by whole cerebellar uptake. General linear models examined whether T2D moderated the relationship of Aß PET with memory, attention/executive functioning, and language composite scores. Models adjusted for age, education, apolipoprotein E e4 carrier status, vascular risk burden, depressive symptoms, post-traumatic stress disorder (PTSD) symptom severity, and history of traumatic brain injury (TBI).
Results:
There was no main effect of diabetes on memory, attention/executive functioning, or language performance, and higher Aß PET SUVR was only associated with worse attention/executive functioning performance (ß=-.146, 95% CI [-.261, -.031], p=.013). The Aß PET x T2D interaction was significant for attention/executive functioning such that higher Aß PET SUVR was associated with lower attention/executive functioning scores, but only in those with T2D (ß=-.116, [-.225, -.006], p=.038). This interaction was not significant for language or memory.
Conclusions:
The results show that Aß may negatively impact attention/executive functioning, but this effect was only found in Veterans with T2D. Prior work has suggested that T2D may be more associated with tau biomarkers than markers of Aß, so it is possible that the current results are due to a compounding effect of Aß pathology plus microvascular and/or tau pathology. Notably, the sample was relatively young, a relatively large proportion had elevated PTSD symptoms and/or a TBI history (which have both been shown to relate to attention/executive function), and the measures that made up the attention/executive composite (Trail Making Test A and B) have been shown to be particularly sensitive - all of which may have contributed to the domain-specific effects. Future research is needed to investigate the role that tau and vascular pathology may play in cognition among individuals with T2D. Longitudinal studies are also needed to better understand the timing and progression of these relationships.
UK universities re-opened in September 2020, amidst the coronavirus epidemic. During the first term, various national social distancing measures were introduced, including banning groups of >6 people and the second lockdown in November; however, outbreaks among university students occurred. We aimed to measure the University of Bristol staff and student contact patterns via an online, longitudinal survey capturing self-reported contacts on the previous day. We investigated the change in contacts associated with COVID-19 guidance periods: post-first lockdown (23/06/2020–03/07/2020), relaxed guidance period (04/07/2020–13/09/2020), ‘rule-of-six’ period (14/09/2020–04/11/2020) and the second lockdown (05/11/2020–25/11/2020). In total, 722 staff (4199 responses) and 738 students (1906 responses) were included in the study. For staff, daily contacts were higher in the relaxed guidance and ‘rule-of-six’ periods than the post-first lockdown and second lockdown. Mean student contacts dropped between the ‘rule-of-six’ and second lockdown periods. For both staff and students, the proportion meeting with groups larger than six dropped between the ‘rule-of-six’ period and the second lockdown period, although was higher for students than for staff. Our results suggest university staff and students responded to national guidance by altering their social contacts. Most contacts during the second lockdown were household contacts. The response in staff and students was similar, suggesting that students can adhere to social distancing guidance while at university. The number of contacts recorded for both staff and students were much lower than those recorded by previous surveys in the UK conducted before the COVID-19 pandemic.
Ladin (ISO 639-3: lld) is a Romance language spoken in the Italian Central-Eastern Alps by a community of about 30,000 speakers (Dell’Aquila 2010). The classification of Ladin within Western Romance has been the subject of a long-lasting scientific and at times ideological debate, particularly because at the end of the 19th century the region was contested between the new-born Italian state and the Habsburg empire. The varieties of Ladin share phonetic-phonological, morphological, syntactic and lexical features with the other languages spoken in the Central-Eastern Alps, such as Friulian and Romansh, thus leading to the identification of the Rhaeto-Romance group (Haiman & Benincà 1992). However, in Ladin there are still many linguistic phenomena that connect it to the Romance dialects of Northern Italy. Therefore, a clear assignment of Ladin to a group is by no means a simple and uncontroversial operation (Salvi 2016).
Vitamins and minerals play an essential role within many cellular processes including energy production and metabolism. Biochemical changes and heightened metabolic demands lead to increases in the requirement for certain micronutrients alongside higher excretion of micronutrients through waste products, such as sweat and urine. Previously, supplementation with a multivitamin/mineral (MVM) for ≥ 28 days resulted in improvements to cognition and subjective state. Shifts in metabolism have also been demonstrated during cognitively demanding tasks following MVM in females, both acutely and following 8-week supplementation, suggesting that enhanced recovery is possible following MVM supplementation. The current study aimed to assess these effects further in males and females using metabolically challenging exercise and cognitive tasks.
Materials and Methods
This randomised, placebo-controlled, parallel groups study investigated the effects of a MVM complex in 82 healthy young (18–35y) exercisers. Subjective ratings and substrate metabolism were assessed during 30 minutes each of increasingly effortful incremental exercise and demanding cognitive tasks. Assessments took place on acute study days following a single dose (Day 1) of MVM, containing 3 times recommended daily allowance of water-soluble vitamins plus CoQ10, and following 4-week supplementation (Day 28).
Results
Energy expenditure (EE) was increased during cognitive tasks following MVM across Day 1 and Day 28, with greater effects in males. In males, MVM also increased carbohydrate oxidation and EE during exercise across Day 1 and Day 28. In females, mental tiredness was lower during exercise; increases in physical tiredness following 30 minutes of exercise were attenuated; and stress ratings following cognitive tasks were reduced following MVM. In males, MVM only lowered mental tiredness following 10 minutes of exercise. Those receiving MVM also reported lower ratings of perceived exertion following 10 minutes of exercise. These effects were apparent irrespective of day, but effects on mental tiredness were greater on Day 28. Ferritin levels were also higher on Day 28 in those receiving MVM.
Discussion
These findings extend on existing knowledge, demonstrating increased carbohydrate oxidation and EE in males following MVM supplementation for the first time. Importantly, they show modulation of EE and subjective tiredness following a single dose, providing further evidence for acute effects of MVM. Differential effects in men and women suggest that whilst males expend more energy, females may conserve their energy but report lower tiredness instead, demonstrating that sex may play an important role in the effects of MVM on energy metabolism and should be considered in future research.
Language-specific maximal size restrictions on syllables have been defined using frames such as moraic structure. In General American English, a trimoraic syllable template makes largely successful predictions about contexts where tense/lax vowel contrasts are neutralised, but neutralisation preceding a coda rhotic has not been adequately explained. We attribute the apparent special properties of coda /ɹ/ to two characteristics of its representation, informed by our articulatory investigation: sequential coordination of dorsal and coronal subsegmental units and a high blending strength specification, corresponding to high coarticulatory dominance. Characteristics of coda laterals are compared. Our approach employs phonological representations where sequencing is encoded directly among subsegments, and coordination is sensitive to strength. Mora assignment is computed over sequencing of subsegments, predicting that complex segments may be bimoraic. The account brings phonotactics for rhymes with postvocalic liquids into line with the trimoraic template, and supports representing coordination and strength at the subsegmental level.
In early 2015, a patient from a cluster of cases of Ebola Virus Disease (EVD) in Monrovia, Liberia traveled to a rural village in Margibi County, potentially exposing numerous persons. The patient died in the village and post-mortem testing confirmed Ebola Virus infection.
Problem
The Margibi County Health Team (CHT; Kakata, Margibi, Liberia) needed to prevent further transmission of EVD within and outside of the affected villages, and they needed to better understand the factors that support or impede compliance with measures to stop the spread of EVD.
Methods
In February-March 2015, the Margibi CHT instituted a 21-day quarantine and active monitoring for two villages where the patient had contact with numerous residents, and a 21-day active monitoring for five other villages where the patient had possible contact with an unknown number of persons. One contact developed EVD and quarantine was extended an additional 12 days in one village. In April 2015, the Margibi CHT conducted a household-based EVD knowledge, attitudes, and practices (KAP) survey of the seven villages. From April 24-29, 2015, interview teams approached every household in the seven villages and collected information on demographics, knowledge of EVD, attitudes about quarantine to prevent the spread of EVD, and their quarantine experiences and practices. Descriptive statistics were calculated.
Results
One hundred fifteen interviews were conducted, representing the majority of the households in the seven villages. Most (99%) correctly identified touching an infected person’s body fluids and contact with the body of someone who has died from EVD as transmission routes. However, interviewees sometimes incorrectly identified mosquito bites (58%) and airborne spread (32%) as routes of EVD transmission, and 72% incorrectly identified the longest EVD incubation period as ≤seven days. Eight of 16 households in the two quarantined villages (50%) reported times when there was not enough water or food during quarantine. Nine of 16 (56%) reported that a household member had illnesses or injuries during quarantine; of these, all (100%) obtained care from a clinic, hospital, or Ebola treatment unit (ETU).
Conclusion
Residents’ knowledge of EVD transmission routes and incubation period were suboptimal. Public health authorities should consider assessing residents’ understanding of Ebola transmission routes and effectively educate them to ensure correct understanding. Quarantined residents should be provided with sufficient food, water, and access to medical care.
WilkenJA , PordellP , GoodeB , JartehR , MillerZ , SaygarBGSr. , MaximoreL , BorborWM , CarmueM , WalkerGW , YeiahA . Knowledge, Attitudes, and Practices among Members of Households Actively Monitored or Quarantined to Prevent Transmission of Ebola Virus Disease — Margibi County, Liberia: February-March 2015. Prehosp Disaster Med. 2017;32(6):673–678.
Evolutionary developmental biology (evo-devo) involves the integration of developmental genetics, phylogenetics and morphology in order to understand how the diversity of life evolved. The origin of developmental processes and their subsequent modifications underlie the plasticity necessary to generate novel features and patterns, which in turn underpin species diversification. Interdisciplinary cohesion between systematic and developmental fields for the study of morphological evolution remains at best patchy. An integrated approach is necessary to understand the genetic basis of developmental traits and their evolutionary significance within a phylogenetic framework. The wealth of opportunity that NGS can provide for systematics and evo-devo offers a timely opportunity to further integrate these fields.
Here, we discuss how NGS can be utilized to address several aspects of plant biology, revolutionizing both the systematic study of species and the genetic basis of the developmental traits that they exhibit. We use the South African daisy Gorteria diffusa Thunb. (Asteraceae) to illustrate the potential of a systematic evo-devo approach to study petal spot development and also discuss the importance of considering homology when generating comparative sequence datasets, as well as related topics.
Integrating systematic and evo-devo studies using NGS
Evo-devo has much to offer systematics because it can provide developmental and functional contexts for traits whose homologies are difficult to assess on the basis of morphology. More fundamentally, it also provides a perspective for understanding evolutionary processes. Plant evo-devo should be a synthesis between developmental genetics, comparative morphology and phylogenetic systematics (Hawkins 2002). Such a synthesis of fields can provide a deeper understanding of traits, illuminating the genetic basis of development and morphology within an evolutionary framework. The data to reconstruct phylogenies have never been more readily available and will become increasingly so with the continuing development of NGS technologies.
However, in practical terms, systematic and developmental fields have not been widely integrated, particularly with regard to the use of phylogenetic estimates for evo-devo studies, which, by definition, should incorporate a phylogenetic context to address the formation and modification of developmental processes and networks. Phylogenetic systematics and comparative morphology provide an optimal basis for sampling strategies and the design of developmental genetic studies. Both broad sampling and rigorous testing of a phylogenetic framework are essential to identify gene sequence homology and reconstruct ancestral states.
We present the results of an approximately 6 100 deg2 104–196 MHz radio sky survey performed with the Murchison Widefield Array during instrument commissioning between 2012 September and 2012 December: the MWACS. The data were taken as meridian drift scans with two different 32-antenna sub-arrays that were available during the commissioning period. The survey covers approximately 20.5 h < RA < 8.5 h, − 58° < Dec < −14°over three frequency bands centred on 119, 150 and 180 MHz, with image resolutions of 6–3 arcmin. The catalogue has 3 arcmin angular resolution and a typical noise level of 40 mJy beam− 1, with reduced sensitivity near the field boundaries and bright sources. We describe the data reduction strategy, based upon mosaicked snapshots, flux density calibration, and source-finding method. We present a catalogue of flux density and spectral index measurements for 14 110 sources, extracted from the mosaic, 1 247 of which are sub-components of complexes of sources.
Eradication of introduced species is often necessary to conserve native biota on islands. Seven wild turkeys Meleagris gallopavo were introduced to Santa Cruz Island, California, in 1975 and the population began to irrupt in the early 2000s. Turkeys posed a variety of threats to native species, including that they could replace the previously eradicated population of feral pigs Sus scrofa as a prey subsidy for golden eagles Aquila chrysaetos, which through incidental predation had driven three subspecies of island fox Urocyon littoralis to near extinction. We implemented a four-phase programme to eradicate the turkey population, based on general principles for eradication efforts. For example, we focused on preventing individual turkeys from becoming aware of our methods, which increased the likelihood we would be able to detect and dispatch all of the birds. Leveraging the tendency of turkeys to aggregate during winter, we used baited drop nets, precision shooting, and monitoring of surgically sterilized, radio-telemetered ‘Judas turkeys’ to eliminate the population. We estimate the population comprised 310 individuals when the project began in 2006 and that the last bird died in December 2012. Methods used in this project could be applied to other alien bird eradication programmes, of which there are few examples in the scientific literature.
In the dominant “climate change” imaginary, this phenomenon is distant and abstracted from our experiences of weather and the environment in the privileged West. Moreover, climate change discourse is saturated mostly in either neoliberal progress narratives of controlling the future or sustainability narratives of saving the past. Both largely obfuscate our implication therein. This paper proposes a different climate change imaginary. We draw on feminist new materialist theories—in particular those of Stacy Alaimo, Claire Colebrook, and Karen Barad—to describe our relationship to climate change as one of “weathering.” We propose the temporal frame of “thick time”—a transcorporeal stretching between present, future, and past—in order to reimagine our bodies as archives of climate and as making future climates possible. In doing so, we can rethink the temporal narratives of climate change discourse and develop a feminist ethos of responsivity toward climatic phenomena. This project reminds us that we are not masters of the climate, nor are we just spatially “in” it. As weather‐bodies, we are thick with climatic intra‐actions; we are makers of climate‐time. Together we are weathering the world.
The number of people employed in international humanitarian care is growing at a yearly rate of 6%. The demand for better coordination, accountability, and training has led to a need for standardized humanitarian training programs for providers. Training should be based on comprehensive core competencies that providers must demonstrate in addition to their skill-specific competencies. This report explores the competencies specific to humanitarian training that are practice- and application-oriented, teachable, and measurable. Competency-based, standardized programs will be used to select humanitarian workers deployed in future crises and to guide the professionalization of this discipline.
This chapter reviews what has been accomplished in this book and looks ahead to issues that remain to be resolved. This first section consolidates the leading results of the research in this work. In the next section, I identify topics that need attention in the future in order to make further progress.
As discussed in chapter 1, this work revolves largely around two themes: (1) how word position affects the way in which vowels function in sound patterns, and (2) how aspects of the perception and production of speech affect vowel patterns. Bearing on these issues, a fundamental insight this work brings to the understanding of vowel phenomena is that diverse systems in numerous languages serve to prevent the expression of distinctive phonological content solely in a weak position. Further, these patterns are hypothesized to have functional underpinnings such that they serve in large part to reduce perceptual difficulty in language.
The formal approach advanced in this work posits licensing constraints as the imperative that is the common factor for the vowel phenomena under study. These licensing constraints are cast as markedness constraints. Effects that involve licensing by a prominent position are united under the umbrella of a generalized prominence-based licensing constraint schema. This schema is such that prominence-based licensing constraints can be satisfied by multiple configurations for the restricted element: identity licensing, indirect licensing, direct licensing, and absence of the element, with the solution being determined by the interaction with other constraints in the grammar of language.
This chapter deals with vowel patterns that include identity licensing configurations. Like indirect licensing, such configurations cause a vowel quality in a non-prominent position to also be produced in a prominent position. Unlike patterns with indirect licensing alone, these systems can manifest non-local interactions, where a licensed feature is absent during segments that intervene between the vowel that displays the feature in the licensing position and a vowel that displays the feature in a non-licensing position. Patterns that involve identity licensing can thus be signaled by transparency effects. As discussed in chapter 4, these systems could be expected to include indirect licensing in forms where transparency effects are not applicable. With respect to the vowel whose quality controls assimilation, systems with identity licensing are expected to show similar effects to ones that display only indirect licensing. Patterns where the vowel in licensing position is in control are anticipated to exist by virtue of the strength of this position. Where the controlling vowel is in a non-licensing position, that position is itself expected to be strong in some aspect or an independent factor is expected to be responsible for the vowel's control.
In an identity licensing structure, a vowel quality in a non-prominent position is licensed by a duplicate of the feature in a prominent position. Aspects of the formal approach to these systems are highlighted in what follows. They are characterized by the core ranking in (1).