Contested discourses in social tourism:A relational political economy perspective

Social tourism initiatives often have economic as well as objectives, particularly national schemes such as the Spanish IMSERSO programme, designed to stimulate off-season tourism in mass coastal tourism destinations. Yet, there is little evidence of how such schemes responded to crises or that explores the effects on the tourism industry actors responsible for programme delivery. This article applies a relational political economy approach to assess the contested discourses surrounding the governance of the scheme. We examine the evolution of the IMSERSO programme longitudinally following the global financial crisis and up until the COVID-19 pandemic to assess the relational dynamics at play social tourism governance on destination stakeholders, outlining implications for social tourism policies internationally

DFT Calculations and Statistical Mechanics Applied to Isomerization of Pseudosaccharins

In the present work, molar fractions were obtained as a function of temperature with different levels of theory for the most representative isomers of three systems belonging to the family of pseudosaccharins. The choice of those three systems was due to the fact that it is known in the scientific literature that these systems present very small differences in their relative energies which make a complicated experimental characterization, in addition these compounds are of interest in the biological area. These systems represent challenges not only from an experimental point of view but also from a theoretical point of view. From the theoretical perspective, this study is also complicated since several possible isomers with very similar energies are presented. The diagrams of species distribution (molar fractions) provide information that cannot be accessed through the electronic structure calculations at T = 0. Here, this tool was useful to identify the most probable isomer from several quasi-degenerate isomers and to discern if thermal effects favor any of them, as well as to find trends despite the different results of each level of theory. Additionally, an analysis was performed on vibrational, rotational and electronic data in order to know the reason of the behavior of molar fractions as function of temperature

External validation of the INCREMENT-CPE mortality score in a carbapenem-resistant Klebsiella pneumoniae bacteraemia cohort: the prognostic significance of colistin resistance

External validation of the INCREMENT-CPE risk score (ICS) for 30-day all-cause mortality is needed. There is also scarce information about whether colistin resistance influences the prognosis of carbapenem-resistant Klebsiella pneumoniae (CRKp) bacteraemia. In this study, the ability of ICS to predict all-cause mortality in the KAPECOR cohort was calculated using the area under the receiver operating characteristic (AUROC) curve. The association of colistin resistance with mortality was studied. The ICS showed an AUROC curve of 0.77 (95% CI 0.68–0.86). A cut-off of 8 points showed 96.8% sensitivity and 50.7% specificity. Mortality of low-risk patients was not different in those treated with monotherapy versus combination therapy. However, mortality of high-risk patients treated with combination therapy (37.8%) was significantly lower than in those treated with monotherapy (68.4%) (P = 0.008). To study the prognostic significance of colistin resistance, 83 selected cases of bacteraemia due to colistin-susceptible CRKp were obtained from the INCREMENT cohort for comparison. Colistin resistance could not be shown to be associated with higher mortality in either the high-risk ICS group [adjusted odds ratio (aOR) = 1.56, 95% CI 0.69–3.33; P = 0.29] or in 37 ICS-matched pairs (aOR = 1.38, 95% CI 0.55–3.42; P = 0.49), or in a sensitivity analysis including only KPC isolates (aOR = 1.81, 95% CI 0.73–4.57; P = 0.20), but the precision of estimates was low. These results validate ICS for all-cause mortality and to optimise targeted therapy for CRKp bacteraemia. Colistin resistance was not clearly associated with increased mortality.This study was supported by Plan Nacional de I+D+i 2013–2016, Instituto de Salud Carlos III, Subdirección General de Redes y Centros de Investigación Cooperativa, Ministerio de Economía, Industria y Competitividad, Spanish Network for Research in Infectious Diseases [REIPI RD16/0016/0001; RD16/0016/0008], co-financed by the European Regional Development Fund ‘A way to achieve Europe’, Operative Program Intelligent Growth 2014–2020

Pre-Conceptual Design of a Fluoride-Salt-Cooled Small Modular Advanced High Temperature Reactor (SmAHTR)

This document presents the results of a study conducted at Oak Ridge National Laboratory during 2010 to explore the feasibility of small modular fluoride salt-cooled high temperature reactors (FHRs). A preliminary reactor system concept, SmATHR (for Small modular Advanced High Temperature Reactor) is described, along with an integrated high-temperature thermal energy storage or salt vault system. The SmAHTR is a 125 MWt, integral primary, liquid salt cooled, coated particle-graphite fueled, low-pressure system operating at 700 C. The system employs passive decay heat removal and two-out-of-three , 50% capacity, subsystem redundancy for critical functions. The reactor vessel is sufficiently small to be transportable on standard commercial tractor-trailer transport vehicles. Initial transient analyses indicated the transition from normal reactor operations to passive decay heat removal is accomplished in a manner that preserves robust safety margins at all times during the transient. Numerous trade studies and trade-space considerations are discussed, along with the resultant initial system concept. The current concept is not optimized. Work remains to more completely define the overall system with particular emphasis on refining the final fuel/core configuration, salt vault configuration, and integrated system dynamics and safety behavior

Human settlement of East Polynesia earlier, incremental, and coincident with prolonged South Pacific drought

The timing of human colonization of East Polynesia, a vast area lying between Hawai‘i, Rapa Nui, and New Zealand, is much debated and the underlying causes of this great migration have been enigmatic. Our study generates evidence for human dispersal into eastern Polynesia from islands to the west from around AD 900 and contemporaneous paleoclimate data from the likely source region. Lake cores from Atiu, Southern Cook Islands (SCIs) register evidence of pig and/or human occupation on a virgin landscape at this time, followed by changes in lake carbon around AD 1000 and significant anthropogenic disturbance from c. AD 1100. The broader paleoclimate context of these early voyages of exploration are derived from the Atiu lake core and complemented by additional lake cores from Samoa (directly west) and Vanuatu (southwest) and published hydroclimate proxies from the Society Islands (northeast) and Kiribati (north). Algal lipid and leaf wax biomarkers allow for comparisons of changing hydroclimate conditions across the region before, during, and after human arrival in the SCIs. The evidence indicates a prolonged drought in the likely western source region for these colonists, lasting c. 200 to 400 y, contemporaneous with the phasing of human dispersal into the Pacific. We propose that drying climate, coupled with documented social pressures and societal developments, instigated initial eastward exploration, resulting in SCI landfall(s) and return voyaging, with colonization a century or two later. This incremental settlement process likely involved the accumulation of critical maritime knowledge over several generations

A Proposed Approach to Chronic Airway Disease (CAD) Using Therapeutic Goals and Treatable Traits: A Look to the Future

© 2020 Pérez de Llano et al.Chronic airflow obstruction affects a wide range of airway diseases, the most frequent of which are asthma, COPD, and bronchiectasis; they are clearly identifiable in their extremes, but quite frequently overlap in some of their pathophysiological and clinical characteristics. This has generated the description of new mixed or overlapping disease phenotypes with no clear biological grounds. In this special article, a group of experts provides their perspective and proposes approaching the treatment of chronic airway disease (CAD) through the identification of a series of therapeutic goals (TG) linked to treatable traits (TT) – understood as clinical, physiological, or biological characteristics that are quantifiable using biomarkers. This therapeutic approach needs validating in a clinical trial with the strategy of identification of TG and treatment according to TT for each patient independently of their prior diagnosis

Effect of the harvest date, calcium and other chemicals on the quality and storability of ‘Golden Smoothie’ apples

Apples cultivated in Mexico generally are smaller and softer than those produced in other geographical latitudes considered as optimal for apple production. The aim of this evaluation was determine the effect of applications with calcium, nitrogen, potassium, magnesium, sulfur and naphthaleneacetic acid (NAA), as well as the harvest date on the quality of apple fruits. ‘Golden Smoothie’ apple trees were treated foliarly with CaCl2 with and without NAA, and with a mixture of N, K, Mg and S or gypsum applied to soil for two years. Apples were harvested at 141 (regular harvest date), 161 (mid-late harvest) and 171 days (late harvest) after full bloom (DAFB) and evaluated for quality at harvest time and during their storage at 0°C for up to 179 days. Foliar applications of CaCl2 significantly increased the calcium content in fruit and leaves, but fruit quality, including firmness, was not influenced. Fertilization of soil with the mixture of nutrients, including CaSO4, did not influence the fruit quality. Lately harvested fruit was 14.9% heavier but 17.1% softer than fruit picked at the commercial harvest date. Delaying of fruit harvest reduced about 43 d the storability of fruit. Based in these results, the relative softness of apples grown in Mexico is not related with its calcium content, hence unlikely to be overcome with the application of this mineral. Even in the control fruits, both seasons, the stored fruits do not show some physiological disorder as bitter pit.  Objective: Apples cultivated in Mexico generally are smaller and softer than those produced in other geographical latitudes considered as optimal for apple production. The aim of this evaluation was determine the effect of applications with calcium, nitrogen, potassium, magnesium, sulfur and naphthaleneacetic acid (NAA), as well as the harvest date on the quality of apple fruits. Methodology ‘Golden Smoothie’ apple trees were treated foliarly with CaCl2 with and without NAA, and with a mixture of N, K, Mg and S or gypsum applied to soil for two years. Apples were harvested at 141 (regular harvest date), 161 (mid-late harvest) and 171 days (late harvest) after full bloom (DAFB) and evaluated for quality at harvest time and during their storage at 0°C for up to 179 days. Results: Foliar applications of CaCl2 significantly increased the calcium content in fruit and leaves, but fruit quality, including firmness, was not influenced. Fertilization of soil with the mixture of nutrients, including CaSO4, did not influence the fruit quality. Lately harvested fruit was 14.9% heavier but 17.1% softer than fruit picked at the commercial harvest date. Delaying of fruit harvest reduced about 43 d the storability of fruit. Based in these results, the relative softness of apples grown in Mexico is not related with its calcium content, hence unlikely to be overcome with the application of this mineral. Conclusions: Even in the control fruits, both seasons, the stored fruits do not show some physiological disorder as bitter pi

Postoperative Staphylococcus aureus Infections in Patients With and Without Preoperative Colonization

Importance Staphylococcus aureus surgical site infections (SSIs) and bloodstream infections (BSIs) are important complications of surgical procedures for which prevention remains suboptimal. Contemporary data on the incidence of and etiologic factors for these infections are needed to support the development of improved preventive strategies.Objectives To assess the occurrence of postoperative S aureus SSIs and BSIs and quantify its association with patient-related and contextual factors.Design, Setting, and Participants This multicenter cohort study assessed surgical patients at 33 hospitals in 10 European countries who were recruited between December 16, 2016, and September 30, 2019 (follow-up through December 30, 2019). Enrolled patients were actively followed up for up to 90 days after surgery to assess the occurrence of S aureus SSIs and BSIs. Data analysis was performed between November 20, 2020, and April 21, 2022. All patients were 18 years or older and had undergone 11 different types of surgical procedures. They were screened for S aureus colonization in the nose, throat, and perineum within 30 days before surgery (source population). Both S aureus carriers and noncarriers were subsequently enrolled in a 2:1 ratio.Exposure Preoperative S aureus colonization.Main Outcomes and Measures The main outcome was cumulative incidence of S aureus SSIs and BSIs estimated for the source population, using weighted incidence calculation. The independent association of candidate variables was estimated using multivariable Cox proportional hazards regression models.Results In total, 5004 patients (median [IQR] age, 66 [56-72] years; 2510 [50.2%] female) were enrolled in the study cohort; 3369 (67.3%) were S aureus carriers. One hundred patients developed S aureus SSIs or BSIs within 90 days after surgery. The weighted cumulative incidence of S aureus SSIs or BSIs was 2.55% (95% CI, 2.05%-3.12%) for carriers and 0.52% (95% CI, 0.22%-0.91%) for noncarriers. Preoperative S aureus colonization (adjusted hazard ratio [AHR], 4.38; 95% CI, 2.19-8.76), having nonremovable implants (AHR, 2.00; 95% CI, 1.15-3.49), undergoing mastectomy (AHR, 5.13; 95% CI, 1.87-14.08) or neurosurgery (AHR, 2.47; 95% CI, 1.09-5.61) (compared with orthopedic surgery), and body mass index (AHR, 1.05; 95% CI, 1.01-1.08 per unit increase) were independently associated with S aureus SSIs and BSIs.Conclusions and Relevance In this cohort study of surgical patients, S aureus carriage was associated with an increased risk of developing S aureus SSIs and BSIs. Both modifiable and nonmodifiable etiologic factors were associated with this risk and should be addressed in those at increased S aureus SSI and BSI risk

Rapid movement and transcriptional re-localization of human cohesin on DNA

The spatial organization, correct expression, repair, and segregation of eukaryotic genomes depend on cohesin, ring-shaped protein complexes that are thought to function by entrapping DNA It has been proposed that cohesin is recruited to specific genomic locations from distal loading sites by an unknown mechanism, which depends on transcription, and it has been speculated that cohesin movements along DNA could create three-dimensional genomic organization by loop extrusion. However, whether cohesin can translocate along DNA is unknown. Here, we used single-molecule imaging to show that cohesin can diffuse rapidly on DNA in a manner consistent with topological entrapment and can pass over some DNA-bound proteins and nucleosomes but is constrained in its movement by transcription and DNA-bound CCCTC-binding factor (CTCF). These results indicate that cohesin can be positioned in the genome by moving along DNA, that transcription can provide directionality to these movements, that CTCF functions as a boundary element for moving cohesin, and they are consistent with the hypothesis that cohesin spatially organizes the genome via loop extrusion