The impact of a high versus a low glycaemic index breakfast cereal meal on verbal episodic memory in healthy adolescents

In this study, healthy adolescents consumed a) a low glycaemic index (G.I.) breakfast cereal meal, or b) a high G.I. breakfast cereal meal, before completing a test of verbal episodic memory in which the memory materials were encoded under conditions of divided attention. Analysis of remembering/forgetting indices revealed that the High G.I. breakfast group remembered significantly more items relative to the Low G.I. breakfast group after a long delay. The superior performance observed in the High G.I. group, relative to the Low G.I. group, may be due to the additional glucose availability provided by the high G.I. meal at the time of memory encoding. This increased glucose availability may be necessary for effective encoding under dual task conditions

What proportion of adult allergy referrals to secondary care could be dealt with in primary care by a GP with special interest?

Background: The concept of a General Practitioner with Special Interest (GPwSI) was first proposed in the 2000 National Health Service Plan, as a way of providing specialised treatment closer to the patient’s home and reducing hospital waiting times. Given the patchy and inadequate provision of allergy services in the UK the introduction of GPwSIs might reduce the pressure on existing specialist services. Objectives: This study assessed what proportion of referrals to a specialist allergy clinic could be managed in a GPwSI allergy service with a predefined range of facilities and expertise (accurate diagnosis and management of allergy; skin prick testing; provision of advice on allergen avoidance; ability to assess suitability for desensitisation). Methods: 100 consecutive GP referrals to a hospital allergy clinic were reviewed to determine whether patients could be seen in a community-based clinic led by a general practitioner with special interest (GPwSI) allergy. The documentation relating to each referral was independently assessed by three allergy specialists. The referrals were judged initially on the referral letter alone and then re-assessed with the benefit of information summarised in the clinic letter, to determine whether appropriate triage decisions could be made prospectively. The proportion of referrals suitable for a GPwSI was calculated and their referral characteristics identified. Results: 29 % referrals were judged unanimously appropriate for management by a GPwSI and an additional 30 % by 2 of the 3 reviewers. 18 % referrals were unsuitable for a GPwSI service because of the complexity of the presenting problem, patient co-morbidity or the need for specialist knowledge or facilities. Conclusions and clinical relevance: At least a quarter, and possibly half, of allergy referrals to our hospital-based service could be dealt with in a GPwSI clinic, thereby diversifying the patient pathway, allowing specialist services to focus on more complex cases and reducing the waiting time for first appointments

Cut-wire-pair structures as two-dimensional magnetic metamaterials

We study numerically and experimentally magnetic metamaterials based on cut-wire pairs instead of split-ring resonators. The cut-wire pair planar structure is extended in order to create a truly two-dimensional metamaterial suitable for scaling to optical frequencies. We fabricate the cut-wire metamaterial operating at microwave frequencies with lattice spacing around 10% of the free-space wavelength, and find good agreement with direct numerical simulations. Unlike the structures based on split-ring resonators, the nearest-neighbor coupling in cut-wire pairs can result in a magnetic stop-band with propagation in the transverse direction

Dynamic conversion of solar generated heat to electricity

The effort undertaken during this program led to the selection of the water-superheated steam (850 psig/900 F) crescent central receiver as the preferred concept from among 11 candidate systems across the technological spectrum of the dynamic conversion of solar generated heat to electricity. The solar power plant designs were investigated in the range of plant capacities from 100 to 1000 Mw(e). The investigations considered the impacts of plant size, collector design, feed-water temperature ratio, heat rejection equipment, ground cover, and location on solar power technical and economic feasibility. For the distributed receiver systems, the optimization studies showed that plant capacities less than 100 Mw(e) may be best. Although the size of central receiver concepts was not parametrically investigated, all indications are that the optimal plant capacity for central receiver systems will be in the range from 50 to 200 Mw(e). Solar thermal power plant site selection criteria and methodology were also established and used to evaluate potentially suitable sites. The result of this effort was to identify a site south of Inyokern, California, as typically suitable for a solar thermal power plant. The criteria used in the selection process included insolation and climatological characteristics, topography, and seismic history as well as water availability

Room-temperature exciton-polaritons with two-dimensional WS2

Two-dimensional transition metal dichalcogenides exhibit strong optical transitions with significant potential for optoelectronic devices. In particular they are suited for cavity quantum electrodynamics in which strong coupling leads to polariton formation as a root to realisation of inversionless lasing, polariton condensationand superfluidity. Demonstrations of such strongly correlated phenomena to date have often relied on cryogenic temperatures, high excitation densities and were frequently impaired by strong material disorder. At room-temperature, experiments approaching the strong coupling regime with transition metal dichalcogenides have been reported, but well resolved exciton-polaritons have yet to be achieved. Here we report a study of monolayer WS$_2$ coupled to an open Fabry-Perot cavity at room-temperature, in which polariton eigenstates are unambiguously displayed. In-situ tunability of the cavity length results in a maximal Rabi splitting of $\hbar \Omega_{\rm{Rabi}} = 70$ meV, exceeding the exciton linewidth. Our data are well described by a transfer matrix model appropriate for the large linewidth regime. This work provides a platform towards observing strongly correlated polariton phenomena in compact photonic devices for ambient temperature applications.Comment: 12 pages, 6 figure

Predation risk: a potential mechanism for effects of a wind energy facility on Greater Prairie-Chicken survival

Recent expansion of the wind energy industry has raised concerns about the potential effects of wind energy facilities on prairie grouse. For example, efforts have been made to evaluate indirect effects on prairie grouse survival, but it is also critical to investigate the underlying mechanisms to direct conservation strategies. The objective of this study was to investigate the indirect effects of a wind energy facility on the survival of female Greater Prairie-Chickens (Tympanuchus cupido pinnatus) and on the occupancy of avian and mammalian predators. Between March and July of 2013 and 2014, we investigated spatial variation in predation risk by sampling occupancy of mammalian and avian predators within 10 km of a wind energy facility constructed in 2005 in Brown County, Nebraska, USA. During the same period, we assessed spatial variation in daily survival of radio-marked females within the same area.We found little evidence that probability of site occupancy (Ψ) of avian predators was lower near the wind energy facility (within 2 km: Ψ = 0.70, 95% CI = 0.22–0.95; beyond 2 km: Ψ = 0.93, 95% CI = 0.02–1.00), suggesting that avian predators did not display local-scale avoidance behavior around wind turbines. Mammalian predators were documented at all of our sample locations, but the capture index for all mammals was lower at sample sites near the wind turbines (P = 0.004). Occupancy of coyotes (Canis latrans), the likely main mammalian predator of adult prairie-chickens in the area, did not vary significantly throughout our study site (within 0.5 km of wind energy facility: Ψ = 0.65, 95% CI = 0.07–0.98; beyond 0.5 km: Ψ = 0.96, 95% CI = 0.04–1.00), although trends were in the direction expected if coyotes were avoiding the wind energy facility. Distance to wind turbine had no effect on daily survival (SD) of female prairie-chickens (SD = 0.9948, SE = 0.0015). The potential for predators to avoid wind energy facilities, and thus affect predation risk, underscores the complexity of planning to address potential impacts of wind energy as variation in predation risk may have consequences for the population viability of a wide range of species at risk from wind energy development

“There isn't anybody else like me around here”: the insider-outsider status of LGBT residents in housing with care schemes for older people

The intersections between aging, social minority status and housing needs in later life is a neglected area of sociological exploration, even more so for older people who identify as lesbian, gay, bisexual and trans (LGBT). Recent sociological findings indicate that older LGBT people in housing schemes stress the importance of bonding social capital and look to other people in their social networks who reflect their identities and experiences as sources of support. In this paper, we examine the insider-outsider status occupied by older LGBT residents living in housing schemes that provide some form of care and support, for example extra care and independent living schemes. We present qualitative findings generated from a mixed-methods study of social inclusion practices in housing with care in England and Wales (UK) (2019-22). In this study 15 LGBT residents participated in semi-structured interviews (55–79 years of age) across a total of 31 interviews. Through a queer gerontological lens we examine how older LGBT people are socially situated within mainstream housing schemes in which they experience partial visibility while also encountering exclusionary pressures that locate them as “the other.” This insider-outsider status undermines the premise of housing with care schemes to provide safe, secure spaces to grow old. We discuss three core themes: (1) how LGBT residents navigate their outsider status in scheme life and how the intersection of disability and minority status amplifies this social location; (2) the exclusionary practices exercised by other residents that reinforce boundaries of sexual and gender normalcy; and, (3) the heightened importance of maintaining external social connections among LGBT residents. We conclude by introducing an alternative notion of marginal aging and expanding on the implications for housing providers, reflecting on their responsibilities for promoting and maintaining queer-friendly environments

Dietary intake in post-menopausal women

Si has been suggested as an essential element, and may be important in optimal bone, skin and cardiovascular health. However, there are few estimates of dietary Si intakes in man, especially in a UK population. Following the development of a UK food composition database for Si, the aim of the present study was to investigate dietary intakes of Si amongst healthy women aged over 60 years and to identify important food sources of Si in their diet. Healthy, post-menopausal female subjects (&gt;60 years of age; n 209) were recruited from the general population around Dundee, Scotland as part of an unrelated randomised controlled intervention study where dietary intake was assessed using a self-administered, semi-quantitative food-frequency questionnaire at five time-points over a 2-year period. Food composition data on the Si content of UK foods was used to determine the Si content of food items on the food-frequency questionnaire. Mean Si intake was 18&middot;6 (sd 4&middot;6) mg and did not vary significantly across the 2 years of investigation. Cereals provided the greatest amount of Si in the diet (about 30%), followed by fruit, beverages (hot, cold and alcoholic beverages combined) and vegetables; together these foods provided over 75% about Si intake. Si intakes in the UK appear consistent with those reported previously for elderly women in Western populations, but lower than those reported for younger women or for men.<br /

The impact of COVID-19 lockdown measures on older residents' social connections and everyday wellbeing within housing schemes that provide care and support in England and Wales

The COVID-19 pandemic and the lockdown measures imposed as a result affected the lives of people in all parts of society across the world. In 2020, during the first UK national lockdown, older adults (aged 70 years and over) were told to ‘shield’ within their homes, as they were regarded as being at higher risk of serious COVID-19 infection compared to other age groups. This paper explores older adults' experiences of COVID-19 lockdown measures whilst living in housing with care schemes for older people. The purpose is to examine the impact of the lockdown measures on scheme life including social connections amongst residents and their general everyday wellbeing during this time. We present qualitative findings based on interviews with 72 residents who took part in longitudinal and cross-sectional interviews across 26 housing with care schemes. Data were analysed using a thematic framework approach to examine specifically their experiences of living in housing with care schemes during the 2020 UK lockdown. The paper highlights that COVID-19 restrictions had a detrimental impact on the social connections and interactions of older residents living in housing with care schemes, as well as on their feelings of autonomy and independence. Despite this, residents adapted and coped with self-isolation restrictions and sought out positive ways to maintain social contact with others inside and outside to the scheme. We further highlight the tensions that providers of housing for older adults faced in promoting residents' autonomy and connectedness whilst also trying to provide a safe living environment and protect residents from risk of COVID-19 infection. Our findings apply not only to a pandemic situation but to the broader understanding of how housing with care for older adults must navigate between autonomy and support