Bisphosphonates and avascular necrosis of the jaw: a possible association

The document attached has been archived with permission from the editor of the Medical Journal of Australia. An external link to the publisher’s copy is included.Glen Carter, Alastair N Goss and Chris Doeck

Wetting transitions on superhydrophobic auxetic metamaterials

Superhydrophobicity plays a pivotal role in numerous applications. Recently, we have demonstrated the potential of auxetic metamaterials in creating superhydrophobic materials with unique wetting properties. However, the superhydrophobic properties are lost when the liquid penetrates into the surface structure. Understanding the conditions for droplet penetration is crucial for advancing wetting control. Here, we experimentally identify the transition from droplet suspension to full-penetration on an auxetic bowtie/honeycomb lattice membrane. We develop a comprehensive physical model surface representing different states of strain, ranging from auxetic to conventional lattice membranes, and consider the wetting as the liquid surface tension is varied using water/ethanol mixtures. By examining the interplay between contact angle and lattice structure, we gain valuable insights into the conditions for droplet suspension and full-penetration. Additionally, we develop a simple touch test to discern whether a droplet has effectively fully penetrated the structure, providing a practical and efficient means of distinguishing the different wetting states (suspended or partially penetrating vs fully penetrating)

Enhancing Science Impact in the Coastal Zone through Adaptive Learning

The impact of science to support coastal management may be reduced through social and institutional barriers. Some of these barriers include ineffective community engagement, lack of interaction between scientists and decision makers, and institutional decision-making tradition related to hierarchical mandates. A three-year project has commenced to examine the role of adaptive learning in overcoming some of these barriers to maximize pathways for science and improve decisions made in the coastal zone. Adaptive learning is one of five project areas targeted to enhance science impact, being undertaken by a consortium of nine Australian universities funded through the CSIRO Collaboration Fund. Two of the strategies being explored to maximize adaptive learning to improve science impact include: (i) development of an on-line toolkit for embedding adaptive learning within coastal organizations; and (ii) development and testing of monitoring and evaluation frameworks to improve adaptive learning interventions. While focused on an Australian context, the project addresses broad issues of social and institutional barriers that have relevance for many coastal scientists and decision makers around the globe

Improved physical health in middle-older aged golf caddies following 24-weeks of high-volume physical activity

Background: The physical demands of golf caddying, including walking while carrying a golf bag, may potentially affect body composition, and markers of metabolic, cardiovascular, and musculoskeletal health. Therefore, this study examined the impact of 24 weeks of caddying on physical health in middle-older aged males. Methods: Eleven full-time experienced male caddies (age: 59 [8] y; caddying experience: 14 [12] y) were recruited from a local golf course. The following were assessed at preseason and after 24 weeks of caddying (March–September 2022): body composition, heart rate, blood pressure, blood lipids, and performance tests (static and dynamic balance, strength, and submaximal fitness). Physical activity (PA) levels were assessed at preseason and at the mid-point of the caddying season. Across the caddying season, participants completed a monthly average of 24.0 (3.8) rounds. Results: Following the caddying season, improvements in static balance (Δ = 13.5 s), dynamic balance (Δ = −1.8 s), and lower back absolute strength (Δ = 112.8 N), and muscle quality (Δ = 2.0 N·kg−1) were observed (all P < .05). Additionally, blood lipids, including total cholesterol (Δ = −0.6 mmol·L−1), high-density lipoprotein cholesterol (Δ = 0.1 mmol·L−1), low-density lipoprotein cholesterol (Δ = −0.6 mmol·L−1) (all P < .05), and body composition, including body mass (Δ = −2.7 kg), fat mass (Δ = −1.9 kg), fat percentage (Δ = −1.4%), fat-to-muscle ratio (Δ = −0.03), and body mass index (Δ = −0.9 kg·m−2) (all P < .05) improved. Caddying did not offer beneficial changes to cardiovascular variables or cardiorespiratory fitness (P > .05), while coronary heart disease risk score decreased (Δ = −3.3%) (P < .05). In relation to PA, light- (Δ = 145 min) and moderate-intensity (Δ = 71 min) PA, moderate to vigorous PA (Δ = 73 min), and total PA (Δ = 218 min) between preseason and the mid-point of the caddying season increased, while sedentary time (Δ = −172 min) decreased (all P < .05). Conclusion: Golf caddying can provide several physical health benefits such as improvements in various markers of cardiometabolic health, lower back absolute strength, and static and dynamic balance. The physical health improvements that caddying offers is likely contributed to by increased PA volume and intensity through walking on the golf course. Therefore, caddying may represent a feasible model for increasing PA volume and intensity and achieve physical health–related benefits

Liquid marbles: principles and applications

The ability of particles to adhere to a fluid–fluid interface can stabilize the formation of an emulsion. When the encapsulated fluid is a liquid and the fluid in which it is immersed is air, the object formed is called a “Liquid Marble”. Here we discuss how liquid marbles can be created, their fundamental properties and their transport and potential uses. We show how they arise naturally as an insect waste disposal system, from impact of droplets on powders and on hydrophobic soil, and in the mixing of particulate containing liquids. Our principal aim is to review research on macroscopic single marbles and their potential uses in sensors and droplet microfluidics. However, we also illustrate the similarity between liquid marbles, Pickering emulsions and “Dry Water”, and the potential application of assemblies of liquid marbles within cosmetics and pharmaceutical formulations. Finally, we discuss how modifying the surface structure of particles and providing heterogeneous surface chemistry on particles (e.g. Janus particles) might provide new types of liquid marbles and applications

Competitive Boosterism: How Milwaukee Lost the Braves

By any measure, major-league baseball in North America surely qualifies as big business. The national pastime is a vital component of today\u27s urban political economy, and baseball teams resemble other high-prestige businesses in that cities must compete for the privilege of hosting them - whatever their true worth. A study analyzes the transfer of the Milwaukee Braves baseball franchise to Atlanta in 1965 as the outcome of competitive boosterism or the active participation of local elites in luring trade, industry, and investment from other cities for the purpose of economic development

Non-typhoidal Salmonella blood stream infection in Kuwait: Clinical and microbiological characteristics

Salmonella organisms are classified into typhoidal Salmonella (causing enteric fever) and non-typhoidal Salmonella (NTS) (causing infections other than enteric fever). Apart from causing other infections, NTS causes blood-stream infection (bacteremia and septicemia). NTS blood stream infection (NTS-BI) is considered to be an emerging and neglected tropical disease in Africa. It causes a very high morbidity and mortality in Africa. The individuals affected in Africa are children, malnourished people, patients with malaria or HIV etc. These conditions affect the immune system and make them vulnerable to infection with NTS. In these patients, diarrheal disease due to NTS is rare. The majority of infections are due to two types of NTS: Typhimurium and Enteritidis. There is a very high prevalence of multidrug-resistance in NTS making the infection difficult to treat. NTS-BI is also present in other parts of the world including developed countries albeit at a lower prevalence. Kuwait is a high- income, subtropical country in transition (from a developing to developed country), located in the Middle East. We studied NTS-BI in Al Farwaniya and Al Amiri hospitals in Kuwait during April 2013 to May 2016. Out of nearly 30,000 to more than 50,000 blood cultures done in these hospitals, NTS was present in 0. 75 to 1.33% of blood cultures, representing a very small proportion of blood cultures, unlike in Africa. This showed that 31 patients in Al Farwaniya hospital and 30 patients in Al Amari hospital had NTS-BI. Most of these patients had underlying illnesses such as diabetes, lung infection, cancer etc. that affect the immune system, as in Africa. Many patients also had diarrheal disease caused by the same NTS that caused blood stream infection, unlike in Africa. Only two patients in each hospital died, a low mortality, unlike in Africa. The majority of the isolates belonged to Typhimurium and Enteritidis as in Africa. Even though resistance to drugs was a problem, about quarter of the isolates only were multidrug-resistant, a lower prevalence compared to in Africa. In Kuwait, we performed a detailed genetic study of a selected number of Typhimurium and Enteritidis isolates by a modern technique called whole genome sequencing. This revealed genetic determinants encoding drug-resistance and virulence causing blood- stream infection. This type of study was not performed in African isolates. Thus, our study revealed similarities and differences with studies of NTS-BI in Africa

Co-circulation of Multidrug-resistant Shigella Among Men Who Have Sex With Men in Australia.

BACKGROUND: In urban Australia, the burden of shigellosis is either in returning travelers from shigellosis-endemic regions or in men who have sex with men (MSM). Here, we combine genomic data with comprehensive epidemiological data on sexual exposure and travel to describe the spread of multidrug-resistant Shigella lineages. METHODS: A population-level study of all cultured Shigella isolates in the state of Victoria, Australia, was undertaken from 1 January 2016 through 31 March 2018. Antimicrobial susceptibility testing, whole-genome sequencing, and bioinformatic analyses of 545 Shigella isolates were performed at the Microbiological Diagnostic Unit Public Health Laboratory. Risk factor data on travel and sexual exposure were collected through enhanced surveillance forms or by interviews. RESULTS: Rates of antimicrobial resistance were high, with 17.6% (95/541) and 50.6% (274/541) resistance to ciprofloxacin and azithromycin, respectively. There were strong associations between antimicrobial resistance, phylogeny, and epidemiology. Specifically, 2 major MSM-associated lineages were identified: a Shigellasonnei lineage (n = 159) and a Shigella flexneri 2a lineage (n = 105). Of concern, 147/159 (92.4%) of isolates within the S. sonnei MSM-associated lineage harbored mutations associated with reduced susceptibility to recommended oral antimicrobials: namely, azithromycin, trimethoprim-sulfamethoxazole, and ciprofloxacin. Long-read sequencing demonstrated global dissemination of multidrug-resistant plasmids across Shigella species and lineages, but predominantly associated with MSM isolates. CONCLUSIONS: Our contemporary data highlight the ongoing public health threat posed by resistant Shigella, both in Australia and globally. Urgent multidisciplinary public health measures are required to interrupt transmission and prevent infection

Transforming Auxetic Metamaterials into Superhydrophobic Surfaces

Superhydrophobic materials are often inspired by nature, whereas metamaterials are engineered to have properties not usually occurring naturally. In both, the key to their unique properties is structure. Here, it is shown that a negative Poisson's ratio (auxetic) mechanical metamaterial can transform into a unique superhydrophobic material. When stretched, its surface has the counterintuitive property that it also expands in the orthogonal lateral direction. The change in the solid surface fraction as strain is applied is modeled, and it is shown that it decreases as the space between solid elements of the auxetic lattice expands. This results in a unique dependence of the superhydrophobicity on strain. Experimental models are constructed to illustrate the relationship between different states of strain and superhydrophobicity as the lattice transitions from an auxetic to a conventional structure. The findings offer a new approach to designing superhydrophobic materials for self‐cleaning surfaces, droplet transportation, droplet encapsulation, and oil–water separation

Systemic inflammatory response predicts outcome in patients undergoing resection for ductal adenocarcinoma head of pancreas

The aim of the present study was to examine the relationship between the clinicopathological status, the pre- and postoperative systemic inflammatory response and survival in patients undergoing potentially curative resection for ductal adenocarcinoma of the head of the pancreas. Patients (n=65) who underwent resection of ductal adenocarcinoma of the head of pancreas between 1993 and 2001, and had pre- and postoperative measurements of C-reactive protein, were included in the study. The majority of patients had stage III disease (International Union Against Cancer Criteria, IUCC), positive circumferential margin involvement (R1), tumour size greater than 25 mm with perineural and lymph node invasion and died within the follow-up period. On multivariate analysis, tumour size (hazard ratio (HR) 2.10, 95% confidence interval (CI) 1.20–3.68, P=0.009), vascular invasion (HR 2.58, 95% CI 1.48–4.50, P<0.001) and postoperative C-reactive protein (HR 2.00, 95% CI 1.14–3.52, P=0.015) retained independent significance. Those patients with a postoperative C-reactive protein ⩽10 mg l−1 had a median survival of 21.5 months compared with 8.4 months in those patients with a C-reactive protein >10 mg l−1 (P<0.001). The results of the present study indicate that, in patients who have undergone potentially curative resection for ductal adenocarcinoma of the head of pancreas, the presence of a systemic inflammatory response predicts poor outcome