Seventy years of sex education in Health Education Journal: a critical review

This paper examines key debates and perspectives on sex education in Health Education Journal (HEJ), from the date of the journal’s first publication in March 1943 to the present day. Matters relating to sexuality and sexual health are revealed to be integral to HEJ’s history. First published as Health and Empire (1921 – 1942), a key purpose of the journal since its inception has been to share information on venereal disease and its prevention within the UK and across the former British Empire. From 1943 to the present day, discussions on sex education in the newly-christened HEJ both reflect and respond to evolving socio-cultural attitudes towards sexuality in the UK. Changing definitions of sex education across the decades are examined, from the prevention of venereal disease and moral decline in war-time Britain in the 1940s, to a range of responses to sexual liberation in the 1960s and 1970s; from a focus on preventing sexually-transmitted infections, teenage pregnancy and HIV in the 1980s, to the provision of sexual health services alongside sex education in the 2000s. Over the past 70 years, a shift from prevention of pre-marital sexual activity to the management of its outcomes is apparent; however, while these changes over time are notable, perhaps the most striking findings of this review are the continuities in arguments for and against the discussion of sexual issues. After more than 70 years of debate, it would seem that there is little consensus concerning motivations for and the content of sex education

A novel 33-Gene targeted resequencing panel provides accurate, clinical-grade diagnosis and improves patient management for rare inherited anaemias

Accurate diagnosis of rare inherited anaemias is challenging, requiring a series of complex and expensive laboratory tests. Targeted next-generation-sequencing (NGS) has been used to investigate these disorders, but the selection of genes on individual panels has been narrow and the validation strategies used have fallen short of the standards required for clinical use. Clinical-grade validation of negative results requires the test to distinguish between lack of adequate sequencing reads at the locations of known mutations and a real absence of mutations. To achieve a clinically-reliable diagnostic test and minimize false-negative results we developed an open-source tool (CoverMi) to accurately determine base-coverage and the ‘discoverability’ of known mutations for every sample. We validated our 33-gene panel using Sanger sequencing and microarray. Our panel demonstrated 100% specificity and 99·7% sensitivity. We then analysed 57 clinical samples: molecular diagnoses were made in 22/57 (38·6%), corresponding to 32 mutations of which 16 were new. In all cases, accurate molecular diagnosis had a positive impact on clinical management. Using a validated NGS-based platform for routine molecular diagnosis of previously undiagnosed congenital anaemias is feasible in a clinical diagnostic setting, improves precise diagnosis and enhances management and counselling of the patient and their family

Farmer Participatory Early-Generation Yield Testing of Sorghum in West Africa: Possibilities to Optimize Genetic Gains for Yield in Farmers’ Fields

The effectiveness of on-farm and/or on-station early generation yield testing was examined to maximize the genetic gains for sorghum yield under smallholder famer production conditions in West Africa. On-farm first-stage yield trials (augmented design, 150 genotypes with subsets of 50 genotypes tested per farmer) and second-stage yield trials (replicated α-lattice design, 21 test genotypes) were conducted, as well as on-station α-lattice first- and second-stage trials under contrasting phosphorous conditions. On-farm testing was effective, with yield showing significant genetic variance and acceptable heritabilities (0.56 in first- and 0.61 to 0.83 in second-stage trials). Predicted genetic gains from on-station yield trials were always less than from direct testing on-farm, although on-station trials under low-phosphorus and combined over multiple environments improved selection efficiencies. Modeling alternative designs for on-farm yield testing (augmented, farmer-as-incomplete-block, multiple lattice, and augmented p-rep) indicated that acceptable heritabilities (0.57 to 0.65) could be obtained with all designs for testing 150 progenies in 20 trials and 75 plots per farmer. Ease of implementation and risk of errors would thus be key criteria for choice of design. Integrating results from on-station and on-farm yield testing appeared beneficial as progenies selected both by on-farm and on-station first-stage trials showed higher on-farm yields in second-stage testing

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

The Correct Use of Subject Matter Experts in Cost Risk Analysis

Symposium Presentation (for Acquisition Research Program)Symposium PresentationNaval Postgraduate School Acquisition Research ProgramApproved for public release; distribution is unlimited

Benefit of spatial analysis for furrow irrigated cotton breeding trials

Appropriate analysis of plant breeding trials is critical for the accurate assessment of test lines and selection decisions. The objectives of this study were two-fold: firstly, to examine the performance of two-dimensional spatial models based on the first order separable autoregressive process in comparison with randomised complete block (RCB) and randomisation based (RB) models in analysis of cotton breeding trials; secondly, to understand the presence and forms of spatial variations and their association with field layout. The different models were first used to analyse a lint yield dataset from the CSIRO cotton breeding program, which consisted of 96 trials under furrow-irrigated conditions from 1995 to 2002 and Residual Maximum Likelihood ratio test and the Akaike Information Criterion were used to identify adequate model (i.e. dataset-preferred model) for individual datasets. The spatial models fitted 62 trials adequately and outperformed the RB model (31) with the worse being RCB model (3). Spatial variations in various forms were commonly present in trials in which spatial models were adequate, and was dominant in planting row direction. Layouts with more plots in dimensional directions tended to have a higher level of spatial variation. Spatial models offered about 176 % mean relative efficiency over RCB, which was comparable with that achieved by the dataset-preferred models but about 20 % higher than the RB model. Therefore, a routine use of spatial analysis in conjunction with efficient trial designs would mitigate the impact of spatial variations on the yield estimate of cotton breeding trials and improve the accuracy of selection. 2014 Springer Science+Business Media Dordrecht

An Enterprise Model of Rising Ship Costs: Loss of Learning Due to Time between Ships and Labor Force Instability

Symposium Presentation (for Acquisition Research Program)Symposium PresentationNaval Postgraduate School Acquisition Research ProgramApproved for public release; distribution is unlimited

Comparison of small-scale and large-scale extensibility of dough produced from wheat flour

Extensibility and dough strength are key traits for varietal selection in most wheat-breeding programs. As there are several techniques for measuring these traits there is interest in examining the agreement between methods in terms of genotypic (varietal) rankings. We investigated this issue using 2 different extension methods; namely, small-scale (modified Kieffer) and large-scale (Brabender Extensograph) methods. Data were obtained from a doubled-haploid population (190 lines) from a Chara (high extensibility, excellent dough strength) × WW2449 (low extensibility, poor dough strength) cross that was grown in a field trial at the Wagga Wagga Agricultural Institute (WWAI) in 2000. Six extensional rheological traits were measured and compared according to a multivariate mixed statistical model. The estimated genetic correlation matrix for 4 of the 6 extensibility traits (R_Max, area, height, and resistance at 5 cm extension) revealed that for these dough strength related parameters, both methods were measuring equivalent traits. Comparisons of the extensibility traits length and extensibility at Rmax demonstrated that, although substantial amounts of the variance are controlled by the same glutenin loci, the traits differed in the allocation of variance across the loci, and the sources and magnitude of non-genetic variance. The data verified that small-scale testing is a robust and efficient alternative to large-scale testing for both commercial breeding and research

Alkylated derivatives of poly(ethylacrylic acid) can be inserted into preformed liposomes and trigger pH-dependent intracellular delivery of liposomal contents

Poly(ethylacrylic acid) (PEAA) is a pH-sensitive polymer that undergoes a transition from a hydrophilic to a hydrophobic form as the pH is lowered from neutral to acidic values. In this work we show that pH sensitive liposomes capable of intracellular delivery can be constructed by inserting a lipid derivative of PEAA into preformed large unilamellar vesicles (LUV) using a simple one step incubation procedure. The lipid derivatives of PEAA were synthesized by reacting a small proportion (3%) of the carboxylic groups of PEAA with C_(10) alkylamines to produce C_(10)-PEAA. Incubation of C_(10)-PEAA with preformed LUV resulted in the association of up to 8% by weight of derivatized polymer with the LUV without inducing aggregation. The resulting C_(10)-PEAA-LUV exhibited pH-dependent fusion and leakage of LUV contents on reduction of the external pH below pH 6.0 as demonstrated by lipid mixing and release of calcein encapsulated in the LUV. In addition, C_(10)-PEAA-LUV exhibited pH dependent intracellular delivery properties following uptake into COS-7 cells with appreciable delivery to the cell cytoplasm as evidenced by the appearance of diffuse intracellular calcein fluorescence. It is demonstrated that the cytoplasmic delivery of calcein by C_(10)-PEAA-LUV could be inhibited by agents (bafilomycin or chloroquine) that inhibit acidification of endosomal compartments, indicating that this intracellular delivery resulted from the pH-dependent destabilization of LUV and endosomal membranes by the PEAA component of the Clo-PEAA-LUV. It is concluded that C_(10)-PEAA-LUV represents a promising intracellular delivery system for in vitro and in vivo applications