183 research outputs found
Development and validation of multivariable prediction models for in-hospital death, 30-day death, and change in residence after hip fracture surgery and the 'stratify-hip' algorithm
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The Neogene seismic stratigraphy and uplift history of the Otago Shelf, New Zealand
The Otago continental shelf is a prospective petroleum area on the east side of the South Island New Zealand. During the Neogene it evolved from a post-rift to passive margin as giant progrades extended eastward across the shelf, fed by tectonic uplift and erosion of the Southern Alps to the west. Seismic reflection profiles reveal an uplifted limestone horizon near the Dunedin Volcano. This may be caused by a buoyant load under the lithosphere and can be spatially and temporally linked to the Dunedin Volcano and geophysical anomalies in the area.
This thesis utilises 2D and 3D seismic data to map Neogene sequence boundaries over the Otago Shelf. Seven such sequence boundaries have been mapped based on distinctive seismic characteristics above and below these surfaces. These surfaces have been tied to nearby petroleum and Integrated Ocean Drilling Project wells using biostratigraphic data and then used to generate a series of isopach and depth maps that document the Neogene evolution of this margin. The maps depict the deposition of Neogene sediment and provide age constraints to structural events in the basin such as the uplift near Dunedin and fault movement on the Endeavour High.
The maps are then used to develop a lithospheric flexure model where uplift is interpreted to have been caused by asthenospheric upwelling beneath Dunedin. The model provides insight into the conditions that led to the flexure of the lithosphere, specifically the elastic thickness of the plate and the magnitude and depth distribution of buoyant intrusive material that fed the Dunedin Volcano. Asthenospheric upwelling explains elevated heat flow around Dunedin and would result in enhanced petroleum maturity. This highlights the potential for petroleum generation in source rocks immediately offshore from Dunedin
The new normal for children's physical activity and screen viewing: a multi-perspective qualitative analysis of behaviours a year after the COVID-19 lockdowns in the UK
Accelerometer-measured physical activity and sedentary time among children and their parents in the UK before and after COVID-19 lockdowns:a natural experiment
BACKGROUND: Restrictions due to the coronavirus disease 2019 (COVID-19) pandemic reduced physical activity provision for both children and their parents. Recent studies have reported decreases in physical activity levels during lockdown restrictions, but these were largely reliant on self-report methods, with data collected via unrepresentative self-report surveys. The post-pandemic impacts on childrenâs activity levels remain unknown. A key question is how active children become once lockdown restrictions are lifted. METHODS: Active-6 is a repeated cross-sectional natural experiment. Accelerometer data from 1296 children aged 10â11 and their parents were collected in 50 schools in the Greater Bristol area, UK in March 2017-May 2018 (pre-COVID-19 comparator group), and compared to 393 children aged 10â11 and parents in 23 of the same schools, collected in May-December 2021. Mean minutes of accelerometer-measured moderate-to-vigorous physical activity (MVPA) were derived for weekdays and weekend and compared pre- and post-lockdown via linear multilevel models. RESULTS: After adjusting for seasonality, accelerometer wear time and child/parent demographics, childrenâs mean weekday and weekend MVPA were 7.7Â min (95% CI: 3.5 to 11.9) and 6.9Â min (95% CI: 0.9 to 12.9) lower in 2021 than in 2018, respectively, while sedentary time was higher by 25.4Â min (95% CI: 15.8 to 35.0) and 14.0Â min (95% CI: 1.5 to 26.5). There was no evidence that differences varied by child gender or household education. There was no significant difference in parentsâ MVPA or sedentary time, either on weekdays or weekends. CONCLUSIONS: Childrenâs MVPA was lower by 7â8Â min/day in 2021 once restrictions were lifted than before the pandemic for all groups, on both weekdays and weekends. Previous research has shown that there is an undesirable age-related decline in childrenâs physical activity. The 8-min difference reported here would be broadly comparable to the decline that would have previously been expected to occur over a three-year period. Parentsâ physical activity was similar to pre-pandemic levels. Our results suggest that despite easing of restrictions, childrenâs activity levels have not returned to pre-pandemic levels. There is an urgent need to understand why these changes have occurred and how long they are maintained. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12966-022-01290-4
Population Health Solutions for Assessing Cognitive Impairment in Geriatric Patients.
In December 2017, the National Academy of Neuropsychology convened an interorganizational Summit on Population Health Solutions for Assessing Cognitive Impairment in Geriatric Patients in Denver, Colorado. The Summit brought together representatives of a broad range of stakeholders invested in the care of older adults to focus on the topic of cognitive health and aging. Summit participants speciïŹcally examined questions of who should be screened for cognitive impairment and how they should be screened in medical settings. This is important in the context of an acute illness given that the presence of cognitive impairment can have signiïŹcant implications for care and for the management of concomitant diseases as well as pose a major risk factor for dementia. Participants arrived at general principles to guide future screening approaches in medical populations and identiïŹed knowledge gaps to direct future research. Key learning points of the summit included: recognizing the importance of educating patients and healthcare providers about the value of assessing current and baseline cognition;emphasizing that any screening tool must be appropriately normalized and validated in the population in which it is used to obtain accurate information, including considerations of language, cultural factors, and education; andrecognizing the great potential, with appropriate caveats, of electronic health records to augment cognitive screening and tracking of changes in cognitive health over time
Cassava brown streak virus Ham1 protein hydrolyses mutagenic nucleotides and is a necrosis determinant
Cassava brown streak disease (CBSD) is a leading cause of cassava losses in East and Central Africa and is currently having a severe impact on food security. The disease is caused by two viruses within the Potyviridae family: Cassava brown streak virus (CBSV) and Ugandan cassava brown streak virus (UCBSV), which both encode atypical Ham1 proteins with highly conserved ITP pyrophosphohydrolase (ITPase) domains. ITPase proteins are widely encoded by plant, animal and archaea. They selectively hydrolyse mutagenic nucleotide triphosphates (NTP) to prevent their incorporation into nucleic acid and thereby function to reduce mutation rates. It has previously been hypothesised that U/CBSVs encode Ham1 proteins with ITPase activity to reduce viral mutation rates during infection. In this study, we investigate the potential roles of U/CBSV Ham1 proteins. We show that both CBSV and UCBSV Ham1 proteins have ITPase activities through in vitro enzyme assays. Deep-sequencing experiments found no evidence of the U/CBSV Ham1 proteins providing mutagenic protection during infections of Nicotiana hosts. Manipulations of the CBSV Tanza infectious clone were performed, including a Ham1 deletion, ITPase point mutations and UCBSV Ham1 chimera. Unlike severely necrotic wild-type CBSV Tanza infections, infections of Nicotiana benthamiana with the manipulated CBSV ICs do not develop necrosis, indicating that that the CBSV Ham1 is a necrosis determinant. We propose that the presence of U/CBSV Ham1 proteins with highly conserved ITPase motifs indicates that they serve highly selectable functions during infections of cassava and may represent a Euphorbia host adaptation that could be targeted in anti-viral strategies
Belimumab in kidney transplantation:an experimental medicine, randomised, placebo-controlled phase 2 trial
Associations with photoreceptor thickness measures in the UK Biobank.
Spectral-domain OCT (SD-OCT) provides high resolution images enabling identification of individual retinal layers. We included 32,923 participants aged 40-69 years old from UK Biobank. Questionnaires, physical examination, and eye examination including SD-OCT imaging were performed. SD OCT measured photoreceptor layer thickness includes photoreceptor layer thickness: inner nuclear layer-retinal pigment epithelium (INL-RPE) and the specific sublayers of the photoreceptor: inner nuclear layer-external limiting membrane (INL-ELM); external limiting membrane-inner segment outer segment (ELM-ISOS); and inner segment outer segment-retinal pigment epithelium (ISOS-RPE). In multivariate regression models, the total average INL-RPE was observed to be thinner in older aged, females, Black ethnicity, smokers, participants with higher systolic blood pressure, more negative refractive error, lower IOPcc and lower corneal hysteresis. The overall INL-ELM, ELM-ISOS and ISOS-RPE thickness was significantly associated with sex and race. Total average of INL-ELM thickness was additionally associated with age and refractive error, while ELM-ISOS was additionally associated with age, smoking status, SBP and refractive error; and ISOS-RPE was additionally associated with smoking status, IOPcc and corneal hysteresis. Hence, we found novel associations of ethnicity, smoking, systolic blood pressure, refraction, IOPcc and corneal hysteresis with photoreceptor thickness
Associations with intraocular pressure across Europe: The European Eye Epidemiology (E3) Consortium.
Raised intraocular pressure (IOP) is the most important risk factor for developing glaucoma, the second commonest cause of blindness globally. Understanding associations with IOP and variations in IOP between countries may teach us about mechanisms underlying glaucoma. We examined cross-sectional associations with IOP in 43,500 European adults from 12 cohort studies belonging to the European Eye Epidemiology (E3) consortium. Each study conducted multivariable linear regression with IOP as the outcome variable and results were pooled using random effects meta-analysis. The association of standardized study IOP with latitude was tested using meta-regression. Higher IOP was observed in men (0.18Â mmHg; 95Â % CI 0.06, 0.31; PÂ =Â 0.004) and with higher body mass index (0.21Â mmHg per 5Â kg/m2; 95Â % CI 0.14, 0.28; PÂ <Â 0.001), shorter height (-0.17Â mmHg per 10Â cm; 95Â % CI -0.25, -0.08; PÂ <Â 0.001), higher systolic blood pressure (0.17Â mmHg per 10Â mmHg; 95Â % CI 0.12, 0.22; PÂ <Â 0.001) and more myopic refraction (0.06Â mmHg per Dioptre; 95Â % CI 0.03, 0.09; PÂ <Â 0.001). An inverted U-shaped trend was observed between age and IOP, with IOP increasing up to the age of 60 and decreasing in participants older than 70Â years. We found no significant association between standardized IOP and study location latitude (PÂ =Â 0.76). Novel findings of our study include the association of lower IOP in taller people and an inverted-U shaped association of IOP with age. We found no evidence of significant variation in IOP across Europe. Despite the limited range of latitude amongst included studies, this finding is in favour of collaborative pooling of data from studies examining environmental and genetic determinants of IOP in Europeans.Medical Research Council (G1000143), Cancer Research UK (C864/A14136), Research into Ageing (262), Wellcome Trust, Richard Desmond Charitable Trust (via Fight for Sight), National Institute for Health Research, Stichting Lijf en Leven, Krimpen aan de Lek, MD Fonds, Utrecht, Rotterdamse Vereniging Blindenbelangen, Rotterdam, Stichting Oogfonds Nederland, Utrecht, Blindenpenning, Amsterdam, Blindenhulp, The Hague, Algemene Nederlandse Vereniging ter Voorkoming van Blindheid (ANVVB), Doorn, Landelijke Stichting voor Blinden en Slechtzienden, Utrecht, Swart van Essen, Rotterdam, Stichting Winckel-Sweep, Utrecht, Henkes Stichting, Rotterdam, Lameris Ootech BV, Nieuwegein, Medical Workshop, de Meern, NWO (Graduate Programme 2010 BOO (022.002.023)), Laboratoires Thea (Clermont-Ferrand, France), inter regional grant (PHRC) and the regional Council of Burgundy, European Communityâs Seventh Framework Programme (FP7/2007-2013), Rheinland-Pfalz AZ 961-386261/733), Johannes Gutenberg-University of Mainz, Boehringer Ingelheim, PHILIPS Medical Systems, Novartis Pharma, Novartis European Union (European Social FundâESF), Greek National Strategic Reference Framework (NSRF) (Research Funding Program: THALES), European Social FundThis is the final version of the article. It first appeared from Springer via http://dx.doi.org/10.1007/s10654-016-0191-
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