Phytoliths as an indicator of early modern humans' plant gathering strategies, fire fuel and site occupation intensity during the Middle Stone Age at Pinnacle Point 5-6 (south coast, South Africa)

The study of plant remains in archaeological sites, along with a better understanding of the use of plants by prehistoric populations, can help us shed light on changes in survival strategies of hunter-gatherers and consequent impacts on modern human cognition, social organization, and technology. The archaeological locality of Pinnacle Point (Mossel Bay, South Africa) includes a series of coastal caves, rock-shelters, and open-air sites with human occupations spanning the Acheulian through Middle Stone Age (MSA) and Later Stone Age (LSA). These sites have provided some of the earliest evidence for complex human behaviour and technology during the MSA. We used phytoliths¿amorphous silica particles that are deposited in cells of plants¿as a proxy for the reconstruction of past human plant foraging strategies on the south coast of South Africa during the Middle and Late Pleistocene, emphasizing the use and control of fire as well as other possible plant uses. We analysed sediment samples from the different occupation periods at the rock shelter Pinnacle Point 5-6 North (PP5-6N). We also present an overview of the taphonomic processes affecting phytolith preservation in this site that will be critical to conduct a more reliable interpretation of the original plant use in the rock shelter. Our study reports the first evidence of the intentional gathering and introduction into living areas of plants from the Restionaceae family by MSA hunter-gatherers inhabiting the south coast of South Africa. We suggest that humans inhabiting Pinnacle Point during short-term occupation events during Marine Isotope Stage (MIS) 5 built fast fires using mainly grasses with some wood from trees and/or shrubs for specific purposes, perhaps for shellfish cooking. With the onset of MIS 4 we observed a change in the plant gathering strategies towards the intentional and intensive exploitation of dry wood to improve, we hypothesise, combustion for heating silcrete. This human behaviour is associated with changes in stone tool technology, site occupation intensity and climate change

Modern soil phytolith assemblages used as proxies for paleoscape reconstruction on the South Coast of South Africa

South Africa continues to receive substantial attention from scholars researching modern human origins. The importance of this region lies in the many caves and rock shelters containing well preserved evidence of human activity, cultural material complexity and a growing number of early modern human fossils dating to the Middle Stone Age (MSA). South Africa also hosts the world's smallest floral kingdom, now called the Greater Cape Floristic Region (GCFR), with high species richness and endemism. In paleoanthropological research, improving our capacity to reconstruct past climatic and environmental conditions can help us to shed light on survival strategies of hunter-gatherers. To do this, one must use actualistic studies of modern assemblages from extant habitats to develop analogies for the past and improve paleoenvironmental reconstructions. Here, we present a phytolith study of modern surface soil samples from different GCFR vegetation types of the south coast of South Africa. In this study, the phytolith concentration and morphological distribution are related to the physicochemical properties of soils, the environmental conditions and the characterization of the vegetation for the different study areas. Our results show that phytolith concentration relates mostly to vegetation types and the dominant vegetation rather than to the type of soils. More abundant phytoliths from Restionaceae and woody/shrubby vegetation are also noted from fynbos vegetation and grass phytoliths are a recurrent component in all the vegetation types in spite of being a minor component in the modern vegetation. The grass silica short cells from these plants, however, suggest a mix of C3 and C4 grasses in most of the vegetation types with a major presence of the rondels ascribed to C3 grasses. The exceptions are riparian, coastal thicket and coastal forest vegetation, which are characterized by the dominance of C4 grass phytoliths

A Bioactive Extract Rich in Triterpenic Acid and Polyphenols from Olea europaea Promotes Systemic Immunity and Protects Atlantic Salmon Smolts Against Furunculosis

In the present study, the modulation of the transcriptional immune response (microarray analysis) in the head kidney (HK) of the anadromous fish Atlantic salmon (Salmo salar) fed a diet supplemented with an olive fruit extract (AQUOLIVE®) was evaluated. At the end of the trial (133 days), in order to investigate the immunomodulatory properties of the phytogenic tested against a bacterial infection, an in vivo challenge with Aeromonas salmonicida was performed. A total number of 1,027 differentially expressed genes (DEGs) (805 up- and 222 downregulated) were found when comparing the transcriptomic profiling of the HK from fish fed the control and AQUOLIVE® diets. The HK transcripteractome revealed an expression profile that mainly favored biological processes related to immunity. Particularly, the signaling of i-kappa B kinase/NF-kappa and the activation of leukocytes, such as granulocytes and neutrophils degranulation, were suggested to be the primary actors of the innate immune response promoted by the tested functional feed additive in the HK. Moreover, the bacterial challenge with A. salmonicida that lasted 12 days showed that the cumulative survival was higher in fish fed the AQUOLIVE® diet (96.9 ± 6.4%) than the control group (60.7 ± 13.5%). These results indicate that the dietary supplementation of AQUOLIVE® at the level of 0.15% enhanced the systemic immune response and reduced the A. salmonicida cumulative mortality in Atlantic salmon smolts.info:eu-repo/semantics/publishedVersio

The IRYSS-COPD appropriateness study: objectives, methodology, and description of the prospective cohort

<p>Abstract</p> <p>Background</p> <p>Patients with chronic obstructive pulmonary disease (COPD) often experience exacerbations of the disease that require hospitalization. Current guidelines offer little guidance for identifying patients whose clinical situation is appropriate for admission to the hospital, and properly developed and validated severity scores for COPD exacerbations are lacking. To address these important gaps in clinical care, we created the IRYSS-COPD Appropriateness Study.</p> <p>Methods/Design</p> <p>The RAND/UCLA Appropriateness Methodology was used to identify appropriate and inappropriate scenarios for hospital admission for patients experiencing COPD exacerbations. These scenarios were then applied to a prospective cohort of patients attending the emergency departments (ED) of 16 participating hospitals. Information was recorded during the time the patient was evaluated in the ED, at the time a decision was made to admit the patient to the hospital or discharge home, and during follow-up after admission or discharge home. While complete data were generally available at the time of ED admission, data were often missing at the time of decision making. Predefined assumptions were used to impute much of the missing data.</p> <p>Discussion</p> <p>The IRYSS-COPD Appropriateness Study will validate the appropriateness criteria developed by the RAND/UCLA Appropriateness Methodology and thus better delineate the requirements for admission or discharge of patients experiencing exacerbations of COPD. The study will also provide a better understanding of the determinants of outcomes of COPD exacerbations, and evaluate the equity and variability in access and outcomes in these patients.</p

Predictors of patient satisfaction with hospital health care

BACKGROUND: We used a validated inpatient satisfaction questionnaire to evaluate the health care received by patients admitted to several hospitals. This questionnaire was factored into distinct domains, creating a score for each to assist in the analysis. We evaluated possible predictors of patient satisfaction in relation to socio-demographic variables, history of admission, and survey logistics. METHODS: Cross-sectional study of patients discharged from four acute care general hospitals. Random sample of 650 discharged patients from the medical and surgical wards of each hospital during February and March 2002. A total of 1,910 patients responded to the questionnaire (73.5%). Patient satisfaction was measured by a validated questionnaire with six domains: information, human care, comfort, visiting, intimacy, and cleanliness. Each domain was scored from 0 to 100, with higher scores indicating higher levels of patient satisfaction. RESULTS: In the univariate analysis, age was related to all domains except visiting; gender to comfort, visiting, and intimacy; level of education to comfort and cleanliness; marital status to information, human care, intimacy, and cleanliness; length of hospital stay to visiting and cleanliness, and previous admissions to human care, comfort, and cleanliness. The timing of the response to the mailing and who completed the questionnaire were related to all variables except visiting and cleanliness. Multivariate analysis confirmed in most cases the previous findings and added additional correlations for level of education (visiting and intimacy) and marital status (comfort and visiting). CONCLUSION: These results confirm the varying importance of some socio-demographic variables and length of stay, previous admission, the timing of response to the questionnaire, and who completed the questionnaire on some aspects of patient satisfaction after hospitalization. All these variables should be considered when evaluating patient satisfaction

J-PLUS: Tools to identify compact planetary nebulae in the Javalambre and southern photometric local universe surveys

From the approximately $\sim$3,500 planetary nebulae (PNe) discovered in our Galaxy, only 14 are known to be members of the Galactic halo. Nevertheless, a systematic search for halo PNe has never been performed. In this study, we present new photometric diagnostic tools to identify compact PNe in the Galactic halo by making use of the novel 12-filter system projects, J-PLUS (Javalambre Photometric Local Universe Survey) and S-PLUS (Southern-Photometric Local Universe Survey). We reconstructed the IPHAS (Isaac Newton Telescope (INT) Photometric H${\alpha}$ Survey of the Northern Galactic Plane) diagnostic diagram and propose four new ones using i) the J-PLUS and S-PLUS synthetic photometry for a grid of photo-ionisation models of halo PNe, ii) several observed halo PNe, as well as iii) a number of other emission-line objects that resemble PNe. All colour-colour diagnostic diagrams are validated using two known halo PNe observed by J-PLUS during the scientific verification phase and the first data release (DR1) of S-PLUS and the DR1 of J-PLUS. By applying our criteria to the DR1s ($\sim$1,190 deg$^2$), we identified one PN candidate. However, optical follow-up spectroscopy proved it to be a H II region belonging to the UGC 5272 galaxy. Here, we also discuss the PN and two H II galaxies recovered by these selection criteria. Finally, the cross-matching with the most updated PNe catalogue (HASH) helped us to highlight the potential of these surveys, since we recover all the known PNe in the observed area. The tools here proposed to identify PNe and separate them from their emission-line contaminants proved to be very efficient thanks to the combination of many colours, even when applied -like in the present work- to an automatic photometric search that is limited to compact PNe

Research priorities to address the global burden of chronic obstructive pulmonary disease (COPD) in the next decade

Background The global prevalence of chronic obstructive pulmonary disease (COPD) has increased markedly in recent decades. Given the scarcity of resources available to address global health challenges and respiratory medicine being relatively under-invested in, it is important to define research priorities for COPD globally. In this paper, we aim to identify a ranked set of COPD research priorities that need to be addressed in the next 10 years to substantially reduce the global impact of COPD. Methods We adapted the Child Health and Nutrition Research Initiative (CHNRI) methodology to identify global COPD research priorities. Results 62 experts contributed 230 research ideas, which were scored by 34 researchers according to six pre-defined criteria: answerability, effectiveness, feasibility, deliverability, burden reduction, and equity. The top-ranked research priority was the need for new effective strategies to support smoking cessation. Of the top 20 overall research priorities, six were focused on feasible and cost-effective pulmonary rehabilitation delivery and access, particularly in primary/community care and low-resource settings. Three of the top 10 overall priorities called for research on improved screening and accurate diagnostic methods for COPD in low-resource primary care settings. Further ideas that drew support involved a better understanding of risk factors for COPD, development of effective training programmes for health workers and physicians in low resource settings, and evaluation of novel interventions to encourage physical activity. Conclusions The experts agreed that the most pressing feasible research questions to address in the next decade for COPD reduction were on prevention, diagnosis and rehabilitation of COPD, especially in low resource settings. The largest gains should be expected in low- and middle-income countries (LMIC) settings, as the large majority of COPD deaths occur in those settings. Research priorities identified by this systematic international process should inform and motivate policymakers, funders, and researchers to support and conduct research to reduce the global burden of COPD

J-PLUS : spectral evolution of white dwarfs by PDF analysis

We estimated the spectral evolution of white dwarfs with effective temperature using the Javalambre Photometric Local Universe Survey (J-PLUS) second data release (DR2), that provides twelve photometric optical passbands over 2176 deg2. We analysed 5926 white dwarfs with r <= 19.5 mag in common between a white dwarf catalog defined from Gaia EDR3 and J-PLUS DR2. We performed a Bayesian analysis by comparing the observed J-PLUS photometry with theoretical models of hydrogen (H) and helium (He) dominated atmospheres. We estimated the PDF for effective temperature (Teff), surface gravity, parallax, and spectral type; and the probability of having a H-dominated atmosphere (pH) for each source. We applied a prior in parallax, using Gaia EDR3 measurements as reference, and derived a self-consistent prior for the atmospheric composition as a function of Teff. We described the fraction of He-dominated atmosphere white dwarfs (fHe) with a linear function of Teff at 5000 < Teff < 30000 K. We found fHe = 0.24 +- 0.01 at Teff = 10000 K, a change rate along the cooling sequence of 0.14 +- 0.02 per 10 kK, and a minimum He-dominated fraction of 0.08 +- 0.02 at the high-temperature end. We tested the obtained pH by comparison with spectroscopic classifications, finding that it is reliable. We estimated the mass distribution for the 351 sources with distance d < 100 pc, mass M > 0.45 Msun, and Teff > 6000 K. The result for H-dominated white dwarfs agrees with previous work, with a dominant M = 0.59 Msun peak and the presence of an excess at M ~ 0.8 Msun. This high-mass excess is absent in the He-dominated distribution, which presents a single peak. The J-PLUS optical data provides a reliable statistical classification of white dwarfs into H- and He-dominated atmospheres. We find a 21 +- 3 % increase in the fraction of He-dominated white dwarfs from Teff = 20000 K to Teff = 5000 K.Comment: Published in Astronomy and Astrophysics. 18 pages, 15 figures, 4 table

The miniJPAS survey : white dwarf science with 56 optical filters

Aims. We analyze the white dwarf population in miniJPAS, the first square degree observed with 56 medium-band, 145 Å in width optical filters by the Javalambre Physics of the accelerating Universe Astrophysical Survey (J-PAS), to provide a data-based forecast for the white dwarf science with low-resolution (R ∼ 50) photo-spectra. Methods. We define the sample of the bluest point-like sources in miniJPAS with r <  21.5 mag, a point-like probability larger than 0.5, (u − r)< 0.80 mag, and (g − i)< 0.25 mag. This sample comprises 33 sources with spectroscopic information: 11 white dwarfs and 22 quasi-stellar objects (QSOs). We estimate the effective temperature (Teff), the surface gravity, and the composition of the white dwarf population by a Bayesian fitting to the observed photo-spectra. Results. The miniJPAS data are sensitive to the Balmer series and the presence of polluting metals. Our results, combined with those from the Javalambre Photometric Local Universe Survey (J-PLUS) which has a lower spectral resolution but has already observed thousands of white dwarfs, suggest that J-PAS photometry would permit – down to r ∼ 21.5 mag and at least for sources with 7000   7000 K can be segregated from the bluest extragalactic QSOs, providing a clean sample based on optical photometry alone. Conclusions. The J-PAS low-resolution photo-spectra would produce precise effective temperatures and atmospheric compositions for white dwarfs, complementing the data from Gaia. J-PAS will also detect and characterize new white dwarfs beyond the Gaia magnitude limit, providing faint candidates for spectroscopic follow-up

Mortality prediction in chronic obstructive pulmonary disease comparing the GOLD 2015 and GOLD 2019 staging: a pooled analysis of individual patient data

In 2019, The Global Initiative for Chronic Obstructive Lung Disease (GOLD) modified the grading system for patients with COPD, creating 16 subgroups (1A–4D). As part of the COPD Cohorts Collaborative International Assessment (3CIA) initiative, we aim to compare the mortality prediction of the 2015 and 2019 COPD GOLD staging systems. We studied 17 139 COPD patients from the 3CIA study, selecting those with complete data. Patients were classified by the 2015 and 2019 GOLD ABCD systems, and we compared the predictive ability for 5-year mortality of both classifications. In total, 17 139 patients with COPD were enrolled in 22 cohorts from 11 countries between 2003 and 2017; 8823 of them had complete data and were analysed. Mean±sd age was 63.9±9.8 years and 62.9% were male. GOLD 2019 classified the patients in milder degrees of COPD. For both classifications, group D had higher mortality. 5-year mortality did not differ between groups B and C in GOLD 2015; in GOLD 2019, mortality was greater for group B than C. Patients classified as group A and B had better sensitivity and positive predictive value with the GOLD 2019 classification than GOLD 2015. GOLD 2015 had better sensitivity for group C and D than GOLD 2019. The area under the curve values for 5-year mortality were only 0.67 (95% CI 0.66–0.68) for GOLD 2015 and 0.65 (95% CI 0.63–0.66) for GOLD 2019