Ammonia uptake and release in the MnX₂–NH₃ (X = Cl, Br) systems and structure of the Mn(NH₃)nX₂ (n = 6, 2) ammines

Hexa-ammine complexes, Mn(NH<sub>3</sub>)<sub>6</sub>X<sub>2</sub> (X = Cl, Br), have been synthesized by ammoniation of the corresponding transition metal halide and characterized by Powder X-ray diffraction (PXRD) and Raman spectroscopy. The hexa-ammine complexes are isostructural (Cubic,Fm-3m, Z = 4; a = 10.2742(6) Å and 10.527(1) Å for X = Cl, Br respectively). Temperature programmed desorption (TPD) demonstrated that ammonia release from Mn(NH<sub>3</sub>)<sub>6</sub>X<sub>2</sub> complexes occurred in three stages corresponding to the release of 4, 1 and 1 NH<sub>3</sub> equivalents respectively. The chloride and bromide both exhibit a deammoniation onset temperature below 323 K. The di-ammoniates from the first desorption step were isolated during TPD measurements and their crystal structures determined by Rietveld refinement against PXRD data (X = Cl: orthorhombicCmmm, a = 8.1991(9) Å, b = 8.2498(7) Å, c = 3.8212(4) Å, Z = 2; X = Br: orthorhombic Pbam, a = 6.0109(5) Å, b = 12.022(1) Å, c = 4.0230(2) Å, Z= 2)

Contrasting biodiversity values in four states of Eastern Province thornveld

Land use and land transformation are major threats to biodiversity. Only a small percentage of land and thus biodiversity is protected within reserves. The majority of biodiversity lies in the hands of private and communal farmers and in order to protect biodiversity they must perceive it as having some value and have the means and incentive to conserve it. This study examined two things: (i) the relationship between biodiversity and measures of ecosystem health, range condition, primary production and presence of useful plants that would be expected to be of relevant use to land users, (ii) the perceptions of farmers of vegetation states that differ in the abovementioned attributes. Within the Eastern Province Thornveld of the Smaldeel area, four different vegetation states were selected for the study, namely park-like grassland with scattered Acacia karroo (“savanna”), heavily infested Acacia karroo grassland (“acacia”), thicket-grassland mosaic (“thicket”) and heavily utilised thicketgrassland in communal lands (“communal”). The four states are a consequence of different patterns of browsing and fire, in both pre-colonial and recent times. Different ecological attributes were assessed and compared for each state and the relationships between the different attributes determined. Ecosystem health, in terms of stability or resistance to erosion, infiltration/water-holding capacity, and nutrient cycling were compared using Landscape Function Analysis. The agricultural value of the different landscapes was measured using range condition assessment techniques. Plant species richness and other measures of diversity, along with their conservation and usefulness values, were compared between states. Plant productivity and biomass were compared using satellite data. The thicket state was found to be the most functional due to the added habitat complexity provided by the vegetation. It was the most biodiverse, the most useful and contained many, but not all of the important conservation species. The communal state had high biodiversity and was be fairly resilient to heavy usage, not showing the expected signs of land degradation. The savanna state, although thought of as the optimum state for cattle production, was not significantly different from the other states in terms of agricultural potential, but had the lowest values for plant diversity, browse potential, abundance of useful plant species and biomass. The acacia state had the highest and least stable values in terms of biomass production, however it was found to contain species of conservation importance. The preference that four groups of land users, namely men and women from commercial and communal farming areas, expressed for the four vegetation states was assessed using semi-structured interviews in conjunction with A3 colour photographs. The men and women from the communal areas and the men from the commercial areas valued the thicket state highly for its farming potential. The male commercial farmers also valued the savanna state highly as they perceived it as being most productive for cattle farming. Both the thicket state and the savanna state were found aesthetically pleasing by all the user groups, in line with theories of preference for modified savannas and for familiar environments. There appears to be potential for preserving biodiversity on farmland. The farmers in this study, with their very utilitarian perspective, were found to intuitively gauge the health of the landscape and recognise biodiversity as indicating good farming land. The commercial farmers were strongly influenced by economic motives and thus attracted to the savanna state, but also recognised the opportunity for a wider variety of farming activities in the thicket state. The communal farmers have a high dependence on the land for their livelihoods and preferred the thicket state for its overall usefulness. The views of the farmers indicate that the opportunity for conservation is good, however much of the thicket state lies in the communal land, where the openaccess land use system makes managing for biodiversity difficult

Revisiting the Ebola epidemic in West Africa: The role of emotional determinants in public responses

BACKGROUND: The 2014-2016 Ebola epidemic was largely restricted to the three nations of Guinea, Liberia and Sierra Leone, yet it tested the world's ability to address a potential global pandemic. This study provides an in-depth examination of the role of emotions in the response to the outbreak and engagement with public health measures, and the contextual factors which influenced them. METHODS: Historical research methods were utilised in the examination of primary and secondary sources. A multi-faceted SPEECH (Society and Politics, Economy, Epidemiology, Culture, Healthcare and Public Health) framework was developed to aid data synthesis and analysis. RESULTS: The outbreak occurred in a region still reeling from years of civil war, where poverty was widespread and healthcare severely underfunded. Internationally, global health security had been politically neglected. After a slow start, the international response to the outbreak was strong, yet the lack of community engagement and inadequate consideration of local culture and traditional beliefs, fueled fear and hindered engagement with professionals and uptake of public health measures. Improved collaboration and communication with rural communities in the latter phases of the response was crucial in effectively addressing the outbreak. CONCLUSION: This study illustrates the importance of effective collaboration between international crisis responders, in-country public health practitioners and local communities in addressing public emotional responses to the Ebola outbreak. It highlights how community engagement and communications tactics can effectively be utilised to soothe and educate the public, abating counterproductive extreme emotional responses, and in turn improving uptake of public health measures

How nurturing is our children's house? Glasgow's multi-agency model of care

Within Glasgow, nurture is embedded within education services (Kearney & March, 2017). This article will explore the application of this approach into children’s houses (CHs) across the city through the ‘How Nurturing is our Children’s House (HNIOCH)’ programme

Generation of a three-dimensional collagen scaffold-based model of the human endometrium.

The endometrium is the secretory lining of the uterus that undergoes dynamic changes throughout the menstrual cycle in preparation for implantation and a pregnancy. Recently, endometrial organoids (EO) were established to study the glandular epithelium. We have built upon this advance and developed a multi-cellular model containing both endometrial stromal and epithelial cells. We use porous collagen scaffolds produced with controlled lyophilization to direct cellular organization, integrating organoids with primary isolates of stromal cells. The internal pore structure of the scaffold was optimized for stromal cell culture in a systematic study, finding an optimal average pore size of 101 µm. EO seeded organize to form a luminal-like epithelial layer, on the surface of the scaffold. The cells polarize with their apical surface carrying microvilli and cilia that face the pore cavities and their basal surface attaching to the scaffold with the formation of extracellular matrix proteins. Both cell types are hormone responsive on the scaffold, with hormone stimulation resulting in epithelial differentiation and stromal decidualization

Call volume, triage outcomes, and protocols during the first wave of the COVID-19 pandemic in the United Kingdom: Results of a national survey

Objectives During the first wave of the COVID-19 pandemic in the United Kingdom (UK), to describe volume and pattern of calls to emergency ambulance services, proportion of calls where an ambulance was dispatched, proportion conveyed to hospital, and features of triage used. Methods Semistructured electronic survey of all UK ambulance services (n = 13) and a request for routine service data on weekly call volumes for 22 weeks (February 1–July 3, 2020). Questionnaires and data request were emailed to chief executives and research leads followed by email and telephone reminders. The routine data were analyzed using descriptive statistics, and questionnaire data using thematic analysis. Results Completed questionnaires were received from 12 services. Call volume varied widely between services, with a UK peak at week 7 at 13.1% above baseline (service range -0.5% to +31.4%). All services ended the study period with a lower call volume than at baseline (service range -3.7% to -25.5%). Suspected COVID-19 calls across the UK totaled 604,146 (13.5% of all calls), with wide variation between services (service range 3.7% to 25.7%), and in service peaks of 11.4% to 44.5%. Ambulances were dispatched to 478,638 (79.2%) of these calls (service range 59.0% to 100.0%), with 262,547 (43.5%) resulting in conveyance to hospital (service range 32.0% to 53.9%). Triage models varied between services and over time. Two primary call triage systems were in use across the UK. There were a large number of products and arrangements used for secondary triage, with services using paramedics, nurses, and doctors to support decision making in the call center and on scene. Frequent changes to triage processes took place. Conclusions Call volumes were highly variable. Case mix and workload changed significantly as COVID-19 calls displaced other calls. Triage models and prehospital outcomes varied between services. We urgently need to understand safety and effectiveness of triage models to inform care during further waves and pandemics.Additional co-authors: Andy Newton, Alison Porter, Tom Quinn, Andy Rosser, Aloysius Niroshan Siriwardena, Robert Spaight, Victoria William

Effects of antiplatelet therapy on stroke risk by brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases: subgroup analyses of the RESTART randomised, open-label trial

Background Findings from the RESTART trial suggest that starting antiplatelet therapy might reduce the risk of recurrent symptomatic intracerebral haemorrhage compared with avoiding antiplatelet therapy. Brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases (such as cerebral microbleeds) are associated with greater risks of recurrent intracerebral haemorrhage. We did subgroup analyses of the RESTART trial to explore whether these brain imaging features modify the effects of antiplatelet therapy

Call volume, triage outcomes and protocols during the first wave of the COVID-19 pandemic in the UK : results of a national survey

Objectives During the first wave of the COVID-19 pandemic in the United Kingdom (UK), to describe volume and pattern of calls to emergency ambulance services, proportion of calls where an ambulance was dispatched, proportion conveyed to hospital, and features of triage used. Methods Semistructured electronic survey of all UK ambulance services (n = 13) and a request for routine service data on weekly call volumes for 22 weeks (February 1–July 3, 2020). Questionnaires and data request were emailed to chief executives and research leads followed by email and telephone reminders. The routine data were analyzed using descriptive statistics, and questionnaire data using thematic analysis. Results Completed questionnaires were received from 12 services. Call volume varied widely between services, with a UK peak at week 7 at 13.1% above baseline (service range -0.5% to +31.4%). All services ended the study period with a lower call volume than at baseline (service range -3.7% to -25.5%). Suspected COVID-19 calls across the UK totaled 604,146 (13.5% of all calls), with wide variation between services (service range 3.7% to 25.7%), and in service peaks of 11.4% to 44.5%. Ambulances were dispatched to 478,638 (79.2%) of these calls (service range 59.0% to 100.0%), with 262,547 (43.5%) resulting in conveyance to hospital (service range 32.0% to 53.9%). Triage models varied between services and over time. Two primary call triage systems were in use across the UK. There were a large number of products and arrangements used for secondary triage, with services using paramedics, nurses, and doctors to support decision making in the call center and on scene. Frequent changes to triage processes took place. Conclusions Call volumes were highly variable. Case mix and workload changed significantly as COVID-19 calls displaced other calls. Triage models and prehospital outcomes varied between services. We urgently need to understand safety and effectiveness of triage models to inform care during further waves and pandemics

Multiple novel prostate cancer susceptibility signals identified by fine-mapping of known risk loci among Europeans

Genome-wide association studies (GWAS) have identified numerous common prostate cancer (PrCa) susceptibility loci. We have fine-mapped 64 GWAS regions known at the conclusion of the iCOGS study using large-scale genotyping and imputation in 25 723 PrCa cases and 26 274 controls of European ancestry. We detected evidence for multiple independent signals at 16 regions, 12 of which contained additional newly identified significant associations. A single signal comprising a spectrum of correlated variation was observed at 39 regions; 35 of which are now described by a novel more significantly associated lead SNP, while the originally reported variant remained as the lead SNP only in 4 regions. We also confirmed two association signals in Europeans that had been previously reported only in East-Asian GWAS. Based on statistical evidence and linkage disequilibrium (LD) structure, we have curated and narrowed down the list of the most likely candidate causal variants for each region. Functional annotation using data from ENCODE filtered for PrCa cell lines and eQTL analysis demonstrated significant enrichment for overlap with bio-features within this set. By incorporating the novel risk variants identified here alongside the refined data for existing association signals, we estimate that these loci now explain ∼38.9% of the familial relative risk of PrCa, an 8.9% improvement over the previously reported GWAS tag SNPs. This suggests that a significant fraction of the heritability of PrCa may have been hidden during the discovery phase of GWAS, in particular due to the presence of multiple independent signals within the same regio