Investigating the impact of inoculum source on anaerobic digestion of various species of marine macroalgae

This study investigated the intrinsic biodegradation potential of marine organic sediment for effective biogas production from various species of marine macroalgae and non-marine biomass. Biogas production potential tests were carried out on three species of seaweed harvested from the west coasts of Scotland, Laminaria digitata, Fucus serratus, and Saccharina latissima, and on a non-marine cellulose biomass seeded with uncultivated and unadapted anoxic marine sediments. As a comparison, the same experiments were repeated using the same substrates but seeded with active mesophilic anaerobically digested sewage sludge. For the cultures seeded with anoxic marine sediments, the highest methane yield was observed in both L. digitata and S. latissima cultures while F. serratus and cellulose, cultures performed relatively poorly. For those seeded with digested sludge, all cultures performed relatively well, except F. serratus. These results show that marine sediments can be effective inoculum for seaweeds digestion. Phylogenetic analyses of the methanogenic community in both sources of inoculum showed that the methanogen community within the sediment and sludge seeded cultures were different. Each culture was dominated by methanogenic populations suitable for the utilisation of the specific biomass derivatives and environmental conditions. For instance, members of the genus Methanosaeta which, dominated sludge seeded cultures were not detected in the sediment seeded cultures. A similar occurrence was observed for the genus Methanofollis which was only detected in the sediment seeded cultures. Hence, in areas where seaweed forms part of a co-digestion with non-marine biomass, start-up using a mixture of anoxic marine sediments and digested wastewater sludge has the potential to provide greater process stability and robustness than using either as sole inoculum

Photochemical oxidation of dimethylsulphide to dimethylsulphoxide in estuarine and coastal waters

Dimethylsulphide (DMS) photo-oxidation and dimethylsulphoxide (DMSO) photoproduction were estimated in 26 laboratory irradiations of coastal samples from NE England (Tyne estuary) and W Scotland (Loch Linnhe and River Nant at Taynuilt). Pseudo-first order rate constants of DMS photo-oxidation (0.038 h−1 to 0.345 h−1) and DMSO photo-production (0.017 h−1 to 0.283 h−1) varied by one order of magnitude and were lowest in the coastal North Sea. Estuarine samples (salinity S 30) to be most reactive with respect to DMS photo-oxidation. Estimates of water column averaged DMS photo-oxidation rate constants, obtained by scaling to mean daily irradiance (July, NE England) and mid-UV underwater irradiance, were 0.012 d−1, 0.019 d−1, and 0.017 d−1 for upper estuary (S 30), at the lower end of previous observations. Comparing our water column averaged DMS photo-oxidation rate constants with estimated DMS losses via air-sea gas exchange and previously reported biological consumption implies that DMS photochemical removal is of only minor importance in our study area

Towards an accurate model of the redshift space clustering of halos in the quasilinear regime

Observations of redshift-space distortions in spectroscopic galaxy surveys offer an attractive method for measuring the build-up of cosmological structure, which depends both on the expansion rate of the Universe and our theory of gravity. Galaxies occupy dark matter halos, whose redshift space clustering has a complex dependence on bias that cannot be inferred from the behavior of matter. We identify two distinct corrections on quasilinear scales (~ 30-80 Mpc/h): the non-linear mapping between real and redshift space positions, and the non-linear suppression of power in the velocity divergence field. We model the first non-perturbatively using the scale-dependent Gaussian streaming model, which we show is accurate at the <0.5 (2) per cent level in transforming real space clustering and velocity statistics into redshift space on scales s>10 (s>25) Mpc/h for the monopole (quadrupole) halo correlation functions. We use perturbation theory to predict the real space pairwise halo velocity statistics. Our fully analytic model is accurate at the 2 per cent level only on scales s > 40 Mpc/h. Recent models that neglect the corrections from the bispectrum and higher order terms from the non-linear real-to-redshift space mapping will not have the accuracy required for current and future observational analyses. Finally, we note that our simulation results confirm the essential but non-trivial assumption that on large scales, the bias inferred from real space clustering of halos is the same one that determines their pairwise infall velocity amplitude at the per cent level.Comment: 15 pages, 12 figures, submitted to MNRA

Mental health problems in people with learning disabilities: prevention, assessment and management

This guideline covers preventing, assessing and managing mental health problems in people with learning disabilities in all settings (including health, social care, education, and forensic and criminal justice). It aims to improve assessment and support for mental health conditions, and help people with learning disabilities and their families and carers to be involved in their care

Clinical pharmacist services within intensive care unit recovery clinics: An opinion of the critical care practice and research network of the American College of Clinical Pharmacy

Intensive care unit recovery clinics (ICU- RCs) have been proposed as a potential mechanism to address the multifaceted unmet needs of intensive care unit (ICU) survivors and caregivers. The needs of this population include, but are not limited to, medication optimization, addressing physical function and psychological needs, coordination of care, and other interventions that may help in improving patient recovery and reducing the rate of preventable readmissions. The objective of this opinion paper is to identify and describe clinical pharmacy services for the management of ICU survivors and their caregivers in an ICU- RC. The goals are to guide the establishment and development of clinical pharmacist involvement in ICU- RCs and to highlight ICU recovery research and educational opportunities. Recommendations provided in this paper are based on the following: a review of published data on clinical pharmacist involvement in the ICU- RCs; a consensus of clinical pharmacists who provide direct patient care to ICU survivors and caregivers; and a review of published guidelines and literature focusing on the management of ICU survivors and caregivers. These recommendations define areas of clinical pharmacist involvement in ICU- RCs. Consequently, clinical pharmacists can promote education on Post Intensive Care Syndrome and Post Intensive Care Syndrome- Family; improve medication adherence; facilitate appropriate referrals to primary care providers and specialists; ensure comprehensive medication management and medication reconciliation; provide assessment of inappropriate and appropriate medications after hospitalization; address adverse drug events, medication errors, and drug interactions; promote preventive measures; and facilitate medication acquisition with the goal of improving patient outcomes and reducing health care system costs.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/163579/2/jac51311.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/163579/1/jac51311_am.pd

The WiggleZ Dark Energy Survey: the growth rate of cosmic structure since redshift z=0.9

We present precise measurements of the growth rate of cosmic structure for the redshift range 0.1 < z < 0.9, using redshift-space distortions in the galaxy power spectrum of the WiggleZ Dark Energy Survey. Our results, which have a precision of around 10% in four independent redshift bins, are well-fit by a flat LCDM cosmological model with matter density parameter Omega_m = 0.27. Our analysis hence indicates that this model provides a self-consistent description of the growth of cosmic structure through large-scale perturbations and the homogeneous cosmic expansion mapped by supernovae and baryon acoustic oscillations. We achieve robust results by systematically comparing our data with several different models of the quasi-linear growth of structure including empirical models, fitting formulae calibrated to N-body simulations, and perturbation theory techniques. We extract the first measurements of the power spectrum of the velocity divergence field, P_vv(k), as a function of redshift (under the assumption that P_gv(k) = -sqrt[P_gg(k) P_vv(k)] where g is the galaxy overdensity field), and demonstrate that the WiggleZ galaxy-mass cross-correlation is consistent with a deterministic (rather than stochastic) scale-independent bias model for WiggleZ galaxies for scales k < 0.3 h/Mpc. Measurements of the cosmic growth rate from the WiggleZ Survey and other current and future observations offer a powerful test of the physical nature of dark energy that is complementary to distance-redshift measures such as supernovae and baryon acoustic oscillations.Comment: 17 pages, 11 figures, accepted for publication by MNRA

Understanding covid-19 outcomes among people with intellectual disabilities in England

Background: Evidence from the UK from the early stages of the covid-19 pandemic showed that people with Intellectual Disabilities (ID) had higher rates of covid-19 mortality than people without ID. However, estimates of the magnitude of risk vary widely; different studies used different time periods; and only early stages of the pandemic have been analysed. Existing analyses of risk factors have also been limited. The objective of this study was to investigate covid-19 mortality rates, hospitalisation rates, and risk factors in people with ID in England up to the end of 2021. Methods: Retrospective cohort study of all people with a laboratory-confirmed SARS-CoV-2 infection or death involving covid-19. Datasets covering primary care, secondary care, covid-19 tests and vaccinations, prescriptions, and deaths were linked at individual level. Results: Covid-19 carries a disproportionately higher risk of death for people with ID, above their already higher risk of dying from other causes, in comparison to those without ID. Around 2,000 people with ID had a death involving covid-19 in England up to the end of 2021; approximately 1 in 180. The covid-19 standardized mortality ratio was 5.6 [95% CI 5.4, 5.9]. People with ID were also more likely to be hospitalised for covid-19 than people without ID. The main determinants of severe covid-19 outcomes (deaths and/or hospitalisations) in both populations were age, multimorbidity and vaccination status. The key factor responsible for the higher risk of severe covid-19 in the ID population was a much higher prevalence of multimorbidity in this population. AstraZeneca vaccine was slightly less effective in preventing severe covid-19 outcomes among people with ID than among people without ID. Conclusions: People with ID should be considered a priority group in future pandemics, such as shielding and vaccinations

Testing cosmological structure formation using redshift-space distortions

Observations of redshift-space distortions in spectroscopic galaxy surveys offer an attractive method for observing the build-up of cosmological structure. In this paper we develop and test a new statistic based on anisotropies in the measured galaxy power spectrum, which is independent of galaxy bias and matches the matter power spectrum shape on large scales. The amplitude provides a constraint on the derivative of the linear growth rate through f.sigma_8. This demonstrates that spectroscopic galaxy surveys offer many of the same advantages as weak lensing surveys, in that they both use galaxies as test particles to probe all matter in the Universe. They are complementary as redshift-space distortions probe non-relativistic velocities and therefore the temporal metric perturbations, while weak lensing tests the sum of the temporal and spatial metric perturbations. The degree to which our estimator can be pushed into the non-linear regime is considered and we show that a simple Gaussian damping model, similar to that previously used to model the behaviour of the power spectrum on very small scales, can also model the quasi-linear behaviour of our estimator. This enhances the information that can be extracted from surveys for LCDM models.Comment: 12 pages, 7 figures, version accepted for publication in MNRA

PRN OPINION PAPER: Application of precision medicine across pharmacy specialty areas

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/149551/1/jac51107_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/149551/2/jac51107.pd

Cognitive behaviour therapy (CBT) for anxiety and depression in adults with mild intellectual disabilities (ID): a pilot randomised controlled trial

Background: Several studies have showed that people with intellectual disabilities (ID) have suitable skills to undergo cognitive behavioural therapy (CBT). Case studies have reported successful use of cognitive behavioural therapy techniques (with adaptations) in people with ID. Modified cognitive behavioural therapy may be a feasible and effective approach for the treatment of depression, anxiety, and other mood disorders in ID. To date, two studies have reported group-based manaulised cognitive behavioural treatment programs for depression in people with mild ID. However, there is no individual manualised programme for anxiety or depression in people with intellectual disabilities. The aims of the study are to determine the feasibility of conducting a randomised controlled trial for CBT in people with ID. The data will inform the power calculation and other aspects of carrying out a definitive randomised controlled trial.Methods: Thirty participants with mild ID will be allocated randomly to either CBT or treatment as usual (TAU). The CBT group will receive up to 20 hourly individual CBT over a period of 4 months. TAU is the standard treatment which is available to any adult with an intellectual disability who is referred to the intellectual disability service (including care management, community support, medical, nursing or social support). Beck Youth Inventories (Beck Anxiety Inventory & Beck Depression Inventory) will be administered at baseline; end of treatment (4 months) and at six months to evaluate the changes in depression and anxiety. Client satisfaction, quality of life and the health economics will be secondary outcomes.Discussion: The broad outcome of the study will be to produce clear guidance for therapists to apply an established psychological intervention and identify how and whether it works with people with intellectual disabilities