ASSESSING AND ENHANCING PUBLIC READINESS FOR A RADIOLOGICAL EVENT USING COMMUNITY ASSESSMENT DATA

Introduction: Radiological emergencies can occur when radioactive material is intentionally or unintentionally released resulting in potential exposure to people and the environment. Risk communication has historically been challenging. Deeply-held beliefs and inferences about the safety and risks of radiation means that messages about reducing the risk of exposure may not be understood or followed. Local and state health departments are responsible for communicating with the public about emergency preparedness. Community-level information about household preparedness for a radiological emergency, including self-reported behaviors and intentions to follow guidance, can provide critical insights for health departments and inform preparedness communications, planning, and programs. Methods: We designed and fielded surveys to three groups: experts in radiological emergency preparedness, state and local health officials and emergency managers, and journalists and journalism academics. Radiological emergency risk reduction messages were prioritized using results from a multi-criteria decision analysis (MCDA). Other survey questions explored barriers to conducting community preparedness assessments and potential tools to implement findings. Results: Findings from the survey were used to inform the development of a novel assessment tool that can be employed by public health and emergency management agencies. The assessment tool focuses on questions related to sheltering-in-place, evacuation, and plans for children in emergencies. Barriers identified for implementing the results of a community assessment included competing priorities, lack of resources, and staffing needs. Respondents identified the sharing of tailored messages and best practices as potential strategies for health departments to improve operationalization of assessment findings. Discussion: Community assessments for radiological emergency preparedness can yield valuable information about household preparedness, communications in an emergency, and perceptions of the relative importance of preparedness behaviors. Health departments and emergency management agencies can use this information to build more effective targeted public communications, enhance planning in schools and workplaces, and develop policies about communications, including engaging with the media and trusted sources of information in an emergency. By working with their communities and using data specific to their community’s needs, officials and planners can bolster preparedness activities and potentially lead to changed behaviors and improved outcomes in the event of a radiological emergency

Expert consensus document: Mind the gaps—advancing research into short-term and long-term neuropsychological outcomes of youth sports-related concussions

Sports-related concussions and repetitive subconcussive exposure are increasingly recognized as potential dangers to paediatric populations, but much remains unknown about the short-term and long-term consequences of these events, including potential cognitive impairment and risk of later-life dementia. This Expert Consensus Document is the result of a 1-day meeting convened by Safe Kids Worldwide, the Alzheimer\u27s Drug Discovery Foundation, and the Andrews Institute for Orthopaedics and Sports Medicine. The goal is to highlight knowledge gaps and areas of critically needed research in the areas of concussion science, dementia, genetics, diagnostic and prognostic biomarkers, neuroimaging, sports injury surveillance, and information sharing. For each of these areas, we propose clear and achievable paths to improve the understanding, treatment and prevention of youth sports-related concussions

Assessment of a numerical model to reproduce event-scale erosion and deposition distributions in a braided river

Becky Goodsell and Eric Scott are thanked for field assistance. Antony Smith assisted with figure production. The field campaign wa funded by NERC Grant NE/G005427/1 and NERC Geophysical Equipment Facility Loan 892. Richard Williams was funded by NERC Grant NE/G005427/1during fieldwork and by a British Hydrological Society Travel Grant whilst visiting NIW

Dietary mineral supplies in Malawi: spatial and socioeconomic assessment

Background Dietary mineral deficiencies are widespread globally causing a large disease burden. However, estimates of deficiency prevalence are often only available at national scales or for small population sub-groups with limited relevance for policy makers. Methods This study combines food supply data from the Third Integrated Household Survey of Malawi with locally-generated food crop composition data to derive estimates of dietary mineral supplies and prevalence of inadequate intakes in Malawi. Results We estimate that >50 % of households in Malawi are at risk of energy, calcium (Ca), selenium (Se) and/or zinc (Zn) deficiencies due to inadequate dietary supplies, but supplies of iron (Fe), copper (Cu) and magnesium (Mg) are adequate for >80 % of households. Adequacy of iodine (I) is contingent on the use of iodised salt with 80 % of rural households living on low-pH soils had inadequate dietary Se supplies compared to 55 % on calcareous soils; concurrent inadequate supplies of Ca, Se and Zn were observed in >80 % of the poorest rural households living in areas with non-calcareous soils. Prevalence of inadequate dietary supplies was greater in rural than urban households for all nutrients except Fe. Interventions to address dietary mineral deficiencies were assessed. For example, an agronomic biofortification strategy could reduce the prevalence of inadequate dietary Se supplies from 82 to 14 % of households living in areas with low-pH soils, including from 95 to 21 % for the poorest subset of those households. If currently-used fertiliser alone were enriched with Se then the prevalence of inadequate supplies would fall from 82 to 57 % with a cost per alleviated case of dietary Se deficiency of ~ US$ 0.36 year−1. Conclusions Household surveys can provide useful insights into the prevalence and underlying causes of dietary mineral deficiencies, allowing disaggregation by spatial and socioeconomic criteria. Furthermore, impacts of potential interventions can be modelled

Sedentary behavior among Spanish children and adolescents: findings from the ANIBES study

Background: An increase of sedentary behaviors far from the Mediterranean lifestyle is happening in spite of the impact on health. The aims of this study were to describe sedentary behaviors in children and adolescents. Methods: A representative sample of 424 Spanish children and adolescents (38% females) involved in the ANIBES study was analyzed regarding their sedentary behaviors, together with the availability of televisions, computers, and consoles by means of the HELENA sedentary behavior questionnaire. Results: For the total sample of children, 49.3% during weekdays and 84% during weekends did not meet the recommendation of less than 2 hours of screen viewing per day. The use of TV was higher during weekdays (p < 0.05) and there were significant differences between adolescents and children (16.9 vs. 25.1%, p < 0.05). The use of computer, console games and of internet for non-study reasons was higher during weekends (p < 0.001). Adolescents played more computer games and used more internet for non-study reasons than children during both weekdays and weekends (p < 0.05 and p < 0.001, respectively). The use of internet for academic reasons was lower in children (p < 0.001) than adolescents during weekends; however, no significant differences were found between sexes. In addition, more than 30% of the children and adolescents had at least one electronic device in their bedrooms. Conclusions: Spanish children and adolescents are not meeting the recommendations regarding the maximum of screen viewing (<2 h/day), especially during the weekend, for all of sedentary behaviors. Urgent strategies and intervention studies are needed to reduce sedentary behavior in young people.The ANIBES study was financially supported by a grant from Coca-Cola Iberia through an agreement with the Spanish Nutrition Foundation (FEN). The funding sponsors had no role in the design of the study, in the collection, analyses, or interpretation of the data; in the writing of the manuscript, and in the decision to publish the results

The response of a gravel-bed river planform configuration to flow variations and bed reworking: A modelling study

A 2D depth-averaged model has been developed for simulating water flow, sediment transport and morphological changes in gravel-bed rivers. The model was validated with a series of laboratory experiments and then applied to the Nove reach of the Brenta River (Northern Italy) to assess its bed material transport, interpret channel response to a series of intensive flood events (R.I.≈10years) and provide a possible evolutionary scenario for the medium term. The study reach is 1400m long with a mean slope of 0.0039mm-1. High-resolution digital terrain models were produced combining LiDAR data with colour bathymetry techniques. Extensive field sedimentological surveys were also conducted for surface and subsurface material. Data were uploaded in the model and the passage of two consecutive high intensity floods was simulated. The model was run under several hypotheses of sediment supply: one considering substantial equilibrium between sediment input and transport capacity, and the others reducing the sediment supply. The sediment supply was then calibrated comparing channel morphological changes as observed in the field and calculated by the model. Annual bed material transport was assessed and compared with other techniques. Low-frequency floods (R.I. ≈ 1.5years) are expected to produce negligible changes in the channel while high floods may erode banks rather than further incising the channel bed. Location and distribution of erosion and deposition areas within the Nove reach were predicted with acceptable biases stemming from imperfections of the model and the specified initial, boundary and forcing conditions. A medium-term evolutionary scenario simulation underlined the different response to and impact of a consecutive sequence of floods

Bed material transport estimate in large gravel-bed rivers using the virtual velocity approach

This paper reports on a first attempt of using the virtual velocity approach to assess sediment mobility and transport in two wide and complex gravel-bed rivers of northern Italy. Displacement length and virtual velocity of spray-painted tracers were measured in the field. Also, the thickness of the sediment active layer during floods was measured using scour chains and post-flood morphological changes as documented by repeated survey of channel cross-sections. The effects of eight and seven floods were studied on the Tagliamento and Brenta Rivers, where 259 and 277 spray-painted areas were surveyed, respectively. In the Tagliamento River 36% of the spray-painted areas experienced partial transport, whereas in the Brenta River this accounted for 20%. Whereas, full removal/gravel deposition was observed on 37% and 26% of these areas on the Tagliamento and Brenta Rivers, respectively. The mean displacement length of particles, the thickness of the active layer and the extent of partial transport are well correlated with the dimensionless shear stress. The virtual velocity approach allowed calculation of bed material transport over a wide range of flood magnitudes. Annual coarse sediment transport was calculated up to 150 for the Tagliamento, and 30 × 103 m3 yr−1 for the Brenta. The outcomes of this work highlight the relevance of partial transport condition, as it could represent more than 70% of the total bed material transported during low-magnitude floods, and up to 40% for near-bankfull events. Results confirm that bed material load tends to be overestimated by traditional formulas

Personality traits and mental disorders

Peer reviewe

Measurement of the tt¯tt¯ production cross section in pp collisions at √s=13 TeV with the ATLAS detector

A measurement of four-top-quark production using proton-proton collision data at a centre-of-mass energy of 13 TeV collected by the ATLAS detector at the Large Hadron Collider corresponding to an integrated luminosity of 139 fb−1 is presented. Events are selected if they contain a single lepton (electron or muon) or an opposite-sign lepton pair, in association with multiple jets. The events are categorised according to the number of jets and how likely these are to contain b-hadrons. A multivariate technique is then used to discriminate between signal and background events. The measured four-top-quark production cross section is found to be 26+17−15 fb, with a corresponding observed (expected) significance of 1.9 (1.0) standard deviations over the background-only hypothesis. The result is combined with the previous measurement performed by the ATLAS Collaboration in the multilepton final state. The combined four-top-quark production cross section is measured to be 24+7−6 fb, with a corresponding observed (expected) signal significance of 4.7 (2.6) standard deviations over the background-only predictions. It is consistent within 2.0 standard deviations with the Standard Model expectation of 12.0 ± 2.4 fb

Measurements of Higgs bosons decaying to bottom quarks from vector boson fusion production with the ATLAS experiment at √=13TeV

The paper presents a measurement of the Standard Model Higgs Boson decaying to b-quark pairs in the vector boson fusion (VBF) production mode. A sample corresponding to 126 fb−1 of s√=13TeV proton–proton collision data, collected with the ATLAS experiment at the Large Hadron Collider, is analyzed utilizing an adversarial neural network for event classification. The signal strength, defined as the ratio of the measured signal yield to that predicted by the Standard Model for VBF Higgs production, is measured to be 0.95+0.38−0.36 , corresponding to an observed (expected) significance of 2.6 (2.8) standard deviations from the background only hypothesis. The results are additionally combined with an analysis of Higgs bosons decaying to b-quarks, produced via VBF in association with a photon