Assessment of university support services for regional and remote students on transition to university: final report

This report details the development and piloting of an Assessment of university support services for regional and remote students on transition to university. The project forms part of the Australian Government’s response to the Independent Review into Regional, Rural and Remote Education led by Emeritus Professor John Halsey. In its recommendations, the Review highlighted how critical it is to “Support RRR [regional, rural and remote] students to make successful transitions from school to university, training, employment and combinations of them”. In relation to this recommendation, this project is designed to support the Australian Government’s response to the Halsey Review by developing a Framework for a periodical assessment of support services which universities offer to these students

Lichen biomonitoring to assess spatial variability, potential sources and human health risks of polycyclic aromatic hydrocarbons (PAHs) and airborne metal concentrations in Manchester (UK)

Airborne metals and organic pollutants are linked to severe human health impacts, i.e. affecting the nervous system and being associated with cancer. Airborne metals and polycyclic aromatic hydrocarbons (PAHs) in urban environments are derived from diverse sources, including combustion and industrial and vehicular emissions, posing a threat to air quality and subsequently human health. A lichen biomonitoring approach was used to assess spatial variability of airborne metals and PAHs, identify potential pollution sources and assess human health risks across the City of Manchester (UK). Metal concentrations recorded in lichen samples were highest within the city centre area and along the major road network, and lichen PAH profiles were dominated by 4-ring PAHs (189.82 ng g−1 in Xanthoria parietina), with 5- and 6-ring PAHs also contributing to the overall PAH profile. Cluster analysis and pollution index factor (PIF) calculations for lichen-derived metal concentrations suggested deteriorated air quality being primarily linked to vehicular emissions. Comparably, PAH diagnostic ratios identified vehicular sources as a primary cause of PAH pollution across Manchester. However, local more complex sources (e.g. industrial emissions) were further identified. Human health risk assessment found a “moderate” risk for adults and children by airborne potential harmful element (PHEs) concentrations, whereas PAH exposure in Manchester is potentially linked to 1455 (ILCR = 1.45 × 10−3) cancer cases (in 1,000,000). Findings of this study indicate that an easy-to-use lichen biomonitoring approach can aid to identify hotspots of impaired air quality and potential human health impacts by airborne metals and PAHs across an urban environment, particularly at locations that are not continuously covered by (non-)automated air quality measurement programmes. Graphical Abstract: (Figure presented.

Lee Silverman voice treatment versus standard NHS speech and language therapy versus control in Parkinson's disease (PD COMM pilot):study protocol for a randomized controlled trial

Background: Parkinson’s disease is a common movement disorder affecting approximately 127,000 people in the UK, with an estimated two thirds having speech-related problems. Currently there is no preferred approach to speech and language therapy within the NHS and there is little evidence for the effectiveness of standard NHS therapy or Lee Silverman voice treatment. This trial aims to investigate the feasibility and acceptability of randomizing people with Parkinson’s disease-related speech or voice problems to Lee Silverman voice treatment or standard speech and language therapy compared to a no-intervention control. Methods/Design: The PD COMM pilot is a three arm, assessor-blinded, randomized controlled trial. Randomization will be computer-generated with participants randomized at a ratio of 1:1:1. Participants randomized to intervention arms will be immediately referred to the appropriate speech and language therapist. The target population are patients with a confirmed diagnosis of idiopathic Parkinson’s disease who have problems with their speech or voice. The Lee Silverman voice treatment intervention group will receive the standard regime of 16 sessions between 50 and 60 minutes in length over four weeks, with extra home practice. The standard speech and language therapy intervention group will receive a dose determined by patients’ individual needs, but not exceeding eight weeks of treatment. The control group will receive standard care with no speech and language therapy input for at least six months post-randomization. Outcomes will be assessed at baseline (pre-randomization) and post- randomization at three, six, and 12 months. The outcome measures include patient-reported voice measures, quality of life, resource use, and assessor-rated speech recordings. The recruitment aim is at least 60 participants over 21 months from 11 sites, equating to at least 20 participants in each arm of the trial. This trial is ongoing and recruitment commenced in May 2012. Discussion: This study will provide information on the feasibility and acceptability of randomizing participants to different speech and language therapies or control/deferred treatment. The findings relating to recruitment, treatment compliance, outcome measures, and effect size will inform a future phase III randomized controlled trial

Spatiotemporal variability of nitrogen dioxide (NO2) pollution in Manchester (UK) city centre (2017-2018) using a fine spatial scale single-NOx diffusion tube network

Nitrogen dioxide (NO2) is linked to poor air quality and severe human health impacts, including respiratory and cardiovascular diseases and being responsible annually for approximately 23,500 premature deaths in the UK. Automated air quality monitoring stations continuously record pollutants in urban environments but are restricted in number (need for electricity, maintenance and trained operators), only record air quality proximal to their location and cannot document variability of airborne pollutants at finer spatial scales. As an alternative, passive sampling devices such as Palmes-type diffusion tubes can be used to assess the spatial variability of air quality in greater detail, due to their simplicity (e.g. small, light material, no electricity required) and suitability for long-term studies (e.g. deployable in large numbers, useful for screening studies). Accordingly, a one passive diffusion tube sampling approach has been adapted to investigate spatial and temporal variability of NO2 concentrations across the City of Manchester (UK). Spatial and temporal detail was obtained by sampling 45 locations over a 12-month period (361 days, to include seasonal variability), resulting in 1080 individual NO2 measurements. Elevated NO2 concentrations, exceeding the EU/UK limit value of 40 µg m−3, were recorded throughout the study period (N = 278; 26% of individual measurements), particularly during colder months and across a wide area including residential locations. Of 45 sampling locations, 24% (N = 11) showed annual average NO2 above the EU/UK limit value, whereas 16% (N = 7) showed elevated NO2 (> 40 µg m−3) for at least 6 months of deployment. Highest NO2 was recorded in proximity of highly trafficked major roads, with urban factors such as surrounding building heights also influencing NO2 dispersion and distribution. This study demonstrates the importance of high spatial coverage to monitor atmospheric NO2 concentrations across urban environments, to aid identification of areas of human health concern, especially in areas that are not covered by automated monitoring stations. This simple, reasonably cheap, quick and easy method, using a single-NOx diffusion tube approach, can aid identification of NO2 hotspots and provides fine spatial detail of deteriorated air quality. Such an approach can be easily transferred to comparable urban environments to provide an initial screening tool for air quality and air pollution, particularly where local automated air quality monitoring stations are limited. Additionally, such an approach can support air quality assessment studies, e.g. lichen or moss biomonitoring studies

High spatial resolution assessment of air quality in urban centres using lichen carbon, nitrogen and sulfur contents and stable-isotope-ratio signatures

Air pollution and poor air quality is impacting human health globally and is a major cause of respiratory and cardiovascular disease and damage to human organ systems. Automated air quality monitoring stations continuously record airborne pollutant concentrations, but are restricted in number, costly to maintain and cannot document all spatial variability of airborne pollutants. Biomonitors, such as lichens, are commonly used as an inexpensive alternative to assess the degree of pollution and monitor air quality. However, only a few studies combined lichen carbon, nitrogen and sulfur contents, with their stable-isotope-ratio signatures (δ13C, δ15N and δ34S values) to assess spatial variability of air quality and to ‘fingerprint’ potential pollution sources. In this study, a high-spatial resolution lichen biomonitoring approach (using Xanthoria parietina and Physcia spp.) was applied to the City of Manchester (UK), the centre of the urban conurbation Greater Manchester, including considerations of its urban characteristics (e.g., building heights and traffic statistics), to investigate finer spatial detail urban air quality. Lichen wt% N and δ15N signatures, combined with lichen nitrate (NO3−) and ammonium (NH4+) concentrations, suggest a complex mixture of airborne NOx and NHx compounds across Manchester. In contrast, lichen S wt%, combined with δ34S strongly suggest anthropogenic sulfur sources, whereas C wt% and δ13C signatures were not considered reliable indicators of atmospheric carbon emissions. Manchester’s urban attributes were found to influence lichen pollutant loadings, suggesting deteriorated air quality in proximity to highly trafficked roads and densely built-up areas. Lichen elemental contents and stable-isotope-ratio signatures can be used to identify areas of poor air quality, particularly at locations not covered by automated air quality measurement stations. Therefore, lichen biomonitoring approaches provide a beneficial method to supplement automated monitoring stations and also to assess finer spatial variability of urban air quality

Shigella sonnei infection of zebrafish reveals that O-antigen mediates neutrophil tolerance and dysentery incidence.

Funder: Lister Institute of Preventive Medicine; funder-id: http://dx.doi.org/10.13039/501100001255Shigella flexneri is historically regarded as the primary agent of bacillary dysentery, yet the closely-related Shigella sonnei is replacing S. flexneri, especially in developing countries. The underlying reasons for this dramatic shift are mostly unknown. Using a zebrafish (Danio rerio) model of Shigella infection, we discover that S. sonnei is more virulent than S. flexneri in vivo. Whole animal dual-RNAseq and testing of bacterial mutants suggest that S. sonnei virulence depends on its O-antigen oligosaccharide (which is unique among Shigella species). We show in vivo using zebrafish and ex vivo using human neutrophils that S. sonnei O-antigen can mediate neutrophil tolerance. Consistent with this, we demonstrate that O-antigen enables S. sonnei to resist phagolysosome acidification and promotes neutrophil cell death. Chemical inhibition or promotion of phagolysosome maturation respectively decreases and increases neutrophil control of S. sonnei and zebrafish survival. Strikingly, larvae primed with a sublethal dose of S. sonnei are protected against a secondary lethal dose of S. sonnei in an O-antigen-dependent manner, indicating that exposure to O-antigen can train the innate immune system against S. sonnei. Collectively, these findings reveal O-antigen as an important therapeutic target against bacillary dysentery, and may explain the rapidly increasing S. sonnei burden in developing countries

The effect of Ku on telomere replication time is mediated by telomere length but is independent of histone tail acetylation

Peer reviewedPublisher PD

Abrupt climatic events during the last glacial-interglacial transition in Alaska

Evidence is mounting that abrupt climatic shifts occurred during the last glacial-interglacial transition (LGIT) in the North Atlantic and other regions. However, few high-resolution climatic records of the LGIT exist from the high latitudes of the North Pacific rim. We analyzed lake sediments from southwestern Alaska for biogenic silica, organic carbon, organic nitrogen, diatom assemblages, and compound-specific hydrogen isotopes. Results reveal climatic changes coincident with the Younger Dryas, Intra-Allerod Cold Period, and Pre-Boreal Oscillation. However, major discrepancies exist in the paleoclimate patterns of the Bolling-Allerod interstadial between our data and the GISP2 18O record from Greenland, and causes are uncertain. These data suggest that the North Pacific and North Atlantic experienced similar reversals during climatic warming of the LGIT but that the Bolling-Allerod cooling trend in the GISP2 18O record is probably not a hemispheric or global pattern

The Guillain-Barre syndrome and the 1992-1993 and 1993-1994 influenza vaccines

BackgroundThe number of reports of influenza-vaccine-associated Guillain-Barré syndrome to the national Vaccine Adverse Event Reporting System increased from 37 in 1992-1993 to 74 in 1993-1994, arousing concern about a possible increase in vaccine-associated risk. MethodsPatients given a diagnosis of the Guillain-Barré syndrome in the 1992-1993 and 1993-1994 influenza-vaccination seasons were identified in the hospital-discharge data bases of four states. Vaccination histories were obtained by telephone interviews during 1995-1996 and were confirmed by the vaccine providers. Disease with an onset within six weeks after vaccination was defined as vaccine-associated. Vaccine coverage in the population was measured through a random-digit-dialing telephone survey. ResultsWe interviewed 180 of 273 adults with the Guillain-Barré syndrome; 15 declined to participate, and the remaining 78 could not be contacted. The vaccine providers confirmed influenza vaccination in the six weeks before the onset of Guillain-Barré syndrome for 19 patients. The relative risk of the Guillain-Barré syndrome associated with vaccination, adjusted for age, sex, and vaccine season, was 1.7 (95 percent confidence interval, 1.0 to 2.8; P=0.04). The adjusted relative risks were 2.0 for the 1992-1993 season (95 percent confidence interval, 1.0 to 4.3) and 1.5 for the 1993-1994 season (95 percent confidence interval, 0.8 to 2.9). In 9 of the 19 vaccine-associated cases, the onset was in the second week after vaccination, all between day 9 and day 12. ConclusionsThere was no increase in the risk of vaccine-associated Guillain-Barré syndrome from 1992-1993 to 1993-1994. For the two seasons combined, the adjusted relative risk of 1.7 suggests slightly more than one additional case of Guillain-Barré syndrome per million persons vaccinated against influenza